Heavy Move Application Sheet

Name: *

Company Name: *

Address: *

City: *

State: *

Zipcode: *

Email: *

Phone #: *

Fax #:

This Project is:: *

Project Name or Reference:

What is the object/structure you wish to move?:

What is the objects weight?:

Objects Height ?:

Objects Width ?:

Objects Length ?:

What is the floor to load clearance?:

Where is the object's center of gravity?:

How many contact points does the object have?:

Where are the contact points located on the object?:

What is the function/purpose of the move?:

Is there a safety factor required?:

What is the distance of each move?:

What is the cycle or frequency of movement?:

What will be the approximate speed of movement?:

What will be the actual surface for the move be? :

What will be the sub-support of the rolling surface? ( this is very important if the object's weight is over 100 tons.) :

What will be the path of movement? :

What, if any, will be the grade or slope present during the move? :

Where will the move take place?:

What enviromental or other factors could affect the move? :

Other Information:

What is the accuracy required for final placement of the object? :

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