Mix Design Questionnaire

Name*
Email*
Title
Company
Address
City
State/Province
Zip Code
Country
Phone
Fax
Site or Location of proposed equipment

What is your water source for batchwater?

If other than municipal, is there a problem with water runoff?

Source water temperature in degrees F
F Summer
F Winter

Ambient air temperatures
F Summer
F Winter

Typical mix design

  Weight of mix Summer Temp Winter Temp
Pounds of Cement
Pounds of Stone
Pounds of Sand

Pounds or Gallons of TOTAL moisture

Pounds
Gallons

Pounds or Gallons of BATCH moisture

Pounds
Gallons

Desired concrete placement temperature at delivery site

F Summer
F Winter

Distance from batch plant to delivery site:

miles

How many yards of concrete per day do you plan to cool & heat?

YDS Summer
YDS Winter

How many total yards of concrete do you plan to cool/heat this year?

YDS Summer
YDS Winter

What electric service do you have at the plant:

Volts Hertz Phase Amps

What other fuel sources are you using now?

Other:

What is the timing of your heating and cooling improvement?

Other:

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