Guntert - Canal Project Data Questionnaire

Highway/
Airport Equip

In Partnership with
Crest Capital Equipment Leasing Company

Canal Project Data Questionnaire

The following form can be completed on-line and submitted via the Internet, or it can be printed, completed and returned by fax or mail. If you are unable to print this form in its entirety, please contact us by E-mail, telephone or fax, and we will send you the complete form.

Information about your company is required before a quotation can be completed. Please complete Section 20 to ensure receipt of a quotation. If you have any questions about this form, please call (209) 599-0066, fax (209) 599-2021 or .

Allow 7-10 working days (depending on complexity of equipment) for receipt of a quotation.

Indicate how you would prefer the quotation to be sent:

Note: If Drawings and Specifications are available, please send pertinent data to:

222 East Fourth Street, Ripon, California 95366 USA or Fax to (209) 599-2021.

1. Project Data

Project Name:
Location:
Owner:
Contractor:
Design Engineering Firm:
Equipment Port of Entry:
Starting Dates: Excavation:
Completion Date: Pave:

2. Total Length of Canal:

3. Total Quantity of Concrete for Canal Lining:

4. Total Quantity of filter material underneath lining:

5. Type of Soil:

6. Will Rock be Encountered:

Maximum particle size:

7. Canal Data:
Please fill in the chart below with the information referenced by letter for each section of canal.

Sect
#

Section Length

Slope
y:x

Lining Thickness

+ Fill
- Cut
Height of Haul Road

Bottom Width

Curb Width

Canal Depth

Curb to Road

Haul Road Width

+ Fill
- Cut
Height of Haul Road

Curb to Road

Haul Road Width

8. Miscellaneous Data:

A) Longitudinal Joints:	Specified Joint Sealant Type:
	Location

B) Transverse Joints:	Specified Joint Sealant Type:
	Location

9. Type of Concrete Batching Plant

Dry batching only Central batching and mixing Continuous

10. Capacity of Concrete Plant:

Theoretical Capacity/hr:
Experienced maximum capacity/hr:
Intended job average capacity/hr:
Maximum Distance from Batch Plant to Canal Lining Operation

11. Capacity of hauling unit:

Intended size of load to be hauled:

12. Available clearance on each side of paver for:

Slipform crawler track line	RH	Feet (M)
	LH	Feet (M)

Concrete haul road	RH	Feet (M)
	LH	Feet (M)

13. Intended concrete lining production per day:

14. Is ground water present in the canal bottom?

Yes No

Canal section/excavation area will be de-watered prior to canal construction:

Yes No

Is a gravel or filter specified underneath the concrete lining?

Yes No

15. Haul road for concrete feed

		On both sides of canal
		On left side only
		On right side only

16. Spoil disposal area

		On both sides of canal
		On left side only
		On right side only

17. Minimum radius of turns (from canal centerline):

18. Number and type of obstructions to move machines over:

Intended moving method:
Maximum crane size available for use in your intended working area:	Tons (MT)

19. Equipment Data

Equipment required: (Check all that apply)
	Fine Grader/Trimmer
	Concrete Liner/Slipform
	Finish Jumbo
	Cure Jumbo
	Transverse PVC Joint Insertion Jumbo

20. Questionnaire completed by

Title
First Name
Last Name
Company Title
Company
Street Address
City
State
Postal Code
Country
Phone
Fax
Email
Comments

Guntert & Zimmerman Const. Div., Inc.
222 East Fourth Street
Ripon, California 95366 U.S.A.
Phone: (209) 599-0066 Fax: (209) 599-2021