GCBC.net - Food Industry Services
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Food Industry
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Food Industry
Services


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Please fill out this form and we will contact you shortly.  Thank you and we look forward to working with you.

COMPANY:
ADDRESS:
SHIPPING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CONTACTS):
E-Mail:
URL:
POSITION:
TYPE OF BUSINESS:
NAME OF AREA:
Select Floor System:   Margia   KORODUR Epoxy  

EXPOSURE CONDITIONS

FLOOR EXPOSED TO:
CHEMICALS (CONCENTRATION & TEMPERATURES)
pH RANGE:
TRAFFIC: Foot: Cart: Truck: Weight:
TYPE OF WHEELS: Steel: Rubber: Composition: Size:
IMPERFECTIONS: Chipped: Rutted: Cracked: Other:
STRUCTURAL MOVEMENT:
HOW IS FLOOR CLEANED?
TEMPERATURE OF FLOOR DURING PRODUCTION?

DESCRIPTION OF APPLICATION

DIMENSIONS: TOTAL Sq. Ft.
*If more than one area is subject to conditions of following list.
COVING: LF HEIGHT:
CURB/VERTICAL: LF HEIGHT:
TYPE OF SUBSTRATE:  CONCRETE: WOOD: STEEL: OTHER:
TYPE OF TOPPINGS TO BE REMOVED: (Sq. Ft. Thickness)
RESINOUS FLOORING: CONCRETE PATCH: PAINT: SEALER:
TILE: ASPHALT: OIL & GREASE: METAL: WOOD: OTHER:
Is substrate under topping: Sloped to drain
Must drainage/pitch be
Surface conditions: Smooth % Sm. Agg. Exposed Lg. Agg. Exposed
Age of floor:
Floor System Recommended: Color:
Alternate: Alt Color:
What is desired texture of Floor?

SITE/APPLICATION CONDITIONS

Job Access: Dock Ground Floor or Upper Freight Elevator
Area is: Indoor Outdoors
Temperature
Obstructions:
Work to be done: Weekday Weekend Holiday Shutdown
Total Available Time (hrs) for application and cure (be Specific)
Surface Prep: Detergent Scrub
Dust Allowed:
Removal:(sq.ft.) Jackhammer Sq.Ft.
Keying: Yes No Total Lineal Ft. LF
Drain / Trenches (number & type):  type of drain:
Water (temp. & pressure): F C
Compressed Air (volume & pressure): CFM PSI
Electricity:
Lift Truck available:
Disposal of debris:
Solvent
Safety
General Notes:

   

 

Food Industry Services
GCBC.net
Toll Free  +1 888 - 244 - 3415