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Concrete Slipform Paver Request For Quotation

If you have any questions, please call (209) 599-0066. Fields with a * must be completed.

Customer Information
* Date Quotation Req'd:		Preferred Contact Method:	Email Fax Regular Mail Courier
* Name, First:	* Last:
* Title:
* Company Name:
* Address:
* City, * State, * Zip:
* Country:
* Phone Number:		Company Type:	** Select Type ** Contractor Manufacturer Rep Other
Fax Number:		Date Equipment Required:
* Email Address:
Comments:
Project Data
Name of Project:
Project Location:		Project Owner:
Ship to City/Port:		Project Contractor:
Date, Start:	Complete:
Slipform Paver
Anticipated Paving Width, Minimum: Maximum: Referenced Project Paving Width: Thickness: Does pavement have a crown or roof top profile? Yes   No
Longitudional Contraction Joints (deformed steel tie bars)
Range of Diameters: ** Select Type ** 1/2" to 5/8" 1/2" to 3/4" 6mm to 16mm 6mm to 19mm Length: How many Longitudinal contraction joints are contained in your slab? Transverse Contraction Joints   Type of Pavement Construction: ** Select Type ** Continuous Reinforced Concrete Conventional Reinforced Concrete (meshed + dowel reinforced) Plain Concrete with Dowelled Transverse Contraction Joints Plain Concrete with NO Dowels on Transverse Contraction Joints Dowel, Diameters: Lengths: Dowel bar spacing center to center across transverse joint: Can dowels be placed mechanically? If so, would you like a quote on G&Z's Compact Dowel Bar Inserter? Yes   No   Are dowels be placed using baskets? If so, would you like a quote on G&Z's PS1200 Placer Spreader? Yes   No   Transverse joint spacing in the direction of travel: Would you like a quote for a G&Z Texture / Cure Machine? Yes   No   Would you like a quote for a G&Z Placer / Spreader Machine? Yes   No   Spread Width, Minimum: Maximum: