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Coating Questionaire

Concrete Coating Job Site Questionaire

Please complete fields below to receive a custom coating quote.
Call our technical department @ 901-820-0007 with any questions. Thank you.

 
Information about you:
Company:
Your Name: *
Address:
City / State / ZIP:  
Cell Phone: *
Email: *
 
Information about the jobsite:
Contractor Name:
Jobsite Name:
Jobsite Address:
Jobsite City, State, ZIP: *
Current Floor Coating: *
Intended Use of Floor: *
 
Accessability:
Loading Dock available: Yes    No
Floor is in climate controlled room: Yes    No
Fork Lift available: Yes    No
Number of 110V Outlets:
Number of 220V outlets:
Total square Footage:
 
System and Components:
Select System:
Select Grinding:
Select Priming:
Select Leveling:
Select Base Color:        Color Choices
Select Roll Coat (Garage/Warehouse only):
Select Flake/Quartz Color:        Flakes Choices
Select Flake/Quartz Density:        Flakes Densities
Select Top Coat:
Select Anti-Slip:
 
Additional areas to be covered:
Coating on Wall: Yes    No
Height (inch):
Width (feet):
Baseboard Height:
Baseboards (feet):
Cover Stairs: Yes    No
Number of Stairs:
Width of Stairs:
 
Additional jobsite conditions:
Vehicular Traffic (cars, forklift): Yes    No
Sunlight exposed (includes indirect): Yes    No
Width of transitions (LF):
Width of separation between pour (LF):
Length of spider cracks (LF):
Length of dynamic joints (LF):
Width of dynamic joints (in):
Area of spalling/broken surface (SF):
Average depth of patch required (in):
Area of contaminated surface (SF):
Installation of vinyl logos (SF):
 
A little math: what is four plus four? *    (This is to verify human input, not a robot.)
 
                      
 

 

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