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Scale/Custom Work Platform
Request for Quote
RFQ Date
Quote Request Date
Customer Information
Customer
Contact Name
Address
E-mail
City
State
[please select]
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone #
Fax #
Same as Bill to
[please select]
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone #
City
Address
Customer
Zip
State
Fax #
Zip
Customer Ship to Information
Quotation Priority
Immediate Need
Active Project
Upcoming Project
Budgetary Only
(Purchase within 60 days)
(Purchase within 3-6 months)
(Purchase within 6 - 12 months)
(For future project)
Utilities Information
Power Available
[please select]
N/A
208/60/3
230/60/1
400/50/3
460/60/3
575/50/3
Air Available
Hydraulics Available
Room Information
Room Size
Ceiling Height
Equipment Information
*Please note that MSI equipment is designed and built following USDA standards. All on-site and governmental approvals will be the financial responsibility of the customer.
Additional Information
Room Temperature
Gas Available
[please select]
Yes
No
Steam Available
[please select]
Yes
No
Deck Size
Stair Tread Material
[please select]
Chemgrate
Diamond Plate
Grip Strut
Slip Not
Deck Material
Frame Construction
Dimenstion (Top of Deck)
[please select]
Diamond Plate
Slip Not
Flat Tube
Tube on Edge (Diamond)
Optional items
Floor Drains
Floor Drains Piping
Seperate Scale Supports
*Required Fields
Date Issued: 10/10/08 Supersedes: 10/17/07
Platform (Rev 5) QSF 7.2-.2.1.12
Country
Province
Province
Country
Address 2
E-mail
L
W
H
C
F
*
*
*
*
*
*
*
*
*
*
*
Agency Approval
AIB (American Institute Baking)
USDA/Dairy*
CE
CSA
Other
Type name here
Per
No
Yes
Customer Specs
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