Sly Inc. Loading Spout Questionnaire

Complete this form, then print and
fax to us at 440-891-3210

*Required
   
*Name:   
*Company:   
*Address:   
*City:   
*State:       *Zip:
*Phone:   
Fax:   
*Email:   
   
APPLICATION:
    

MATERIAL:
    
   
Capacity:    Temperature:   °F
Bulk Density:   #/CF Angle of Repose:   

DUST CHARACTERISTICS:  CHECK ALL THAT APPLY

Corrosive    Fibrous   
Sticky    Explosive   
Hygroscopic    Free Flowing   
Abrasive    Stringy   

INSTALLATION:  INDOOR/OUTDOOR

Length of Travel:   
Retracted Length Restrictions:   

ACCESSORIES:  CHECK ALL THAT APPLY

Control Pendant    Product Contact Material Of Construction:
EZview    304 Stainless Steel   
Level Sensor    316 Stainless Steel   
Slack Cable Switch    Abrasion Resistant Steel   
Special Paint (Include Specs)   
Explosion Proof Electrical
  

ADDITIONAL INFORMATION