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Silo Cleaning Survey
Form

Silo Cleaning Survey Form

In order for us to process your enquiry more efficiently please complete the questionnaire with as much information as possible. Please complete one form per silo.

Company Name:
Address:
Contact Name & Title:
Tel: Fax: E-Mail:
Estimated Start Date of Project:

Silo Details
Capacity in Tons: Height: Diameter:
If square or rectangular Length: Width:
Height from Discharge point to ground level:
Flat or Coned Bottom: Construction:
Position and size of openings at top of silo:

Are there any obstructions within 1 metre of the centre of the access hatch?:
Please provide details:

If top of silo is enclosed please give dimensions from top of silo to roof:
Are there any obstructions inside the silo, i.e. Instruments or Supports:
Please provide details:

Is the silo fully blocked or partially blocked:
Please indicate the hardness of the materials:
Is the product explosive?: Is the product Toxic?:
If yes please supply details including COSSH records:

What is the discharge capacity in tonnes per hour:
Number and size of discharge valves:
Are the discharge valves in working order: Dust plant fitted:
Distance of air supply to top of silo:
Available air supply CFM: PSI:

Where did you hear about our service?



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RJS Silo Clean International - Contact Us

Silo Cleaning Survey Form

Silo Details