External Form
IMPORTANT: This form is intended for reference purposes only, it is not an order form.
1.
CUSTOMER INFORMATION
Company Name:
Contact:
Address:
City:
Phone:
2.
Title:
State:
P/C:
Fax:
CONTAINER DIMENSIONS - Silo - Bunker - Bin - Inner Splice
1
2
3
A.
Height of Vertical Wall:
B.
Height of Cone:
C.
Diameter:
E.
Manhole(s):
Location on Top:
Height of Lips on Manholes:
Thickness of Roof:
Any Obstructions Above Openings:
Any Obstructions Below Openings:
F.
Number of Feeders per Container:
Type of Feeders:
Angle:
Or Length:
G.
Port Holes or Inspection Doors:
H.
Height of Pantlegs:
Explain:
I.
Any Liner or Coating:
J.
Location of Container: Indoors:
K.
Container Construction:
Bin Whip Data Form
Width:
D.
Feed Rate Per Feeder:
Any Inverted Cones:
T/Hr
Baffles:
Outside:
10/10/07
Page No. 1
External Form
L.
Cone Construction:
M
Elevator or Hoist to top of Silo:
Describe:
Distance from Opening:
N.
Is there a Dust Collection System:
Fluidizing System:
O.
Any internal Structural Supports:
Explain:
P.
Is there Access to Hopper Above Feeder: (Ladder, Scaffolding, Other):
3.
TYPE OF PROBLEM
Hang Up
sketch)
A
A
Bridging
Rat Hole
B
A
A.
Storage Capacity (tonnes):
B.
Amount of material Build-up (tonnes):
C.
Type of material:
Moisture:
D.
Description of Problem:
Height of Build-up
Density:
Size:
Thickness of Build-up:
E.
Compact Level (soft, hard):
Condition of Material (wet, dry, burnt, etc.):
F.
Last Time Cleaned:
Method Used:
G.
Duration of Build-Up:
Bin Whip Data Form
Other (Please
Kgs/m
#Feeders Plugged:
Time Frame of previous Cleaner-Out:
10/10/07
Page No. 2
External Form
4.
OTHER INFORMATION
A.
Removal of Dislodged material:
Special Arrangements (explain):
B.
Type of service: Clean out:
Repair Needed:
Thru plant Operations:
Unclog:
Maintenance Program:
Inspection:
Installation of Flow Aids:
C.
Shifts per Day:
Hours per Shift:
How long Available for Servicing:
D.
Estimated Start Date:
E.
Air Supply Available:
F.
Electrical: 440 - 3 - Phase:
G.
Electrical Outlets Available:
Is Container Lighted:
YES/NO
YES/NO
H.
Is it Hazardous Material:
YES/NO
I.
Drawings or Prints Available:
YES/NO
J.
Estimated Value of Material: ($/ton):
PSI:
CFM:
If YES are they enclosed:
YES/NO
NOTES:
Bin Whip Data Form
10/10/07
Page No. 3