Building Survey Form:

Tab or Use Mouse Between Fields (Use mouse to Check Boxes or Radio Buttons). 
Do not press Enter or Submit until you are ready to send.
Always Print-Out a Copy for your records.
If you would prefer to receive an E-Email version of this Form, please contact us (see information located at the bottom of this page).

If you do not receive a response within 5 days, please contact us.  Thank you for your interest in our products.

* Required Information

*Your Name:Title:
*Company:
  Company Address:
*City: *State:
*
Zip Code:

* Required Information
*Project Name:
Project Location: In order to properly evaluate the facility that you are interested in, please include the location of the facility.
Your Phone Number:Please include your phone number and extension in case we have any questions in completing your facility evaluation/s .
Your Fax Number:

*Your E-Mail Address: Sprinkool respects your privacy, no email other then general correspondence about your request or the evaluation/proposal/s will be sent.

Proposal is Required for:

Immediate Purchase
Budgeting for Purchase within 12 months
Budgeting for Purchase in Future
Evaluation Only
General Interest

Customer Concern: (Check all that Apply):

Inadequate A/C
New Construction Replacement of A/C
Energy Savings / Reduction of Electric Cost
Roof Life Extension
Workers Comfort

Please Tell Us About Your Facility:

Manufacturing
School
Warehouse
Shopping Mall
Distribution Center
Retail Store
Other     

Roof Information:

* Required Information
Total Area of the Facility:
* Numbers and Decimals Only (1234567.89)
Total Area Considered to be Sprinkooled:
* Numbers and Decimals Only (1234567.89)

Of this Area, what is the breakdown:
Area A/C:
 
Area NOT A/C:
 
Building Dimensions:
       Number of Stories:
Approx. Peak Roof Height:
 

Roof Construction:

Built-Up Roof
Single Ply or EPDM
Metal
Modified Bitumen
Concrete
Other     

   Roof Insulation: 
* Required Information for Evaluation and Proposal:

Type: Thickness (inches): R-Value: (R=1/U):
Fiberglass Batt
Rigid Fiberglass
Expanded Polystyrene
Polyisocyanurate
Other 

Useful Conversions: #mm x .03937 = #Inches

Utility Information - Water:

Water Source to be Used: Water Costs:
City Water
or

Well Water
Waste Water (i.e.:Chiller, Processed, etc.)
Other
Estimated Pressure at Ground Level:

If water costs are unknown, please provide the
Water Company and Phone Number:

 

Utility Information - Electrical (If the Area to be cooled has existing AC):

Rate Schedule:
Cost/kWh (energy charge):
Cost/kW (demand charge):

Note: If rate schedule is complex, such as on-peak, off-peak rates, please include a copy of the rate schedule.

If utility costs are unknown, please provide the
Utility Company, Contact Name and Phone Number:

Present Environment: (Area to be SprinKooled):

If Facility is Air-Conditioned:

Type of A/C:
RT Package Units 
DX
Chiller 
Other
What is the TR (design temp.)?
72  
78
75  
Other
Can existing A/C units meet TR? Yes No
Age of A/C: Years
Current EER of A/C:   
EER of A/C when New:

If Facility is Not Air-Conditioned:

What Temperature do you normally see during the hottest part of the summer?
Inside:   
Outside:

Any Additional Comments:

                                                                    Hit Counter

Print and Fax to:

Mail Printed Form To: Telephone Number
(Within AL):
Email Address:
Sprinkool Systems
Attn: Building Form
P.O. Box 326
Killen, AL 35645
(256) 757-5366 BSurvey@sprinkool.com

 


                                   
                                                 

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Copyright 1997 Sprinkool Systems International, Inc.
Last modified: June 06, 2013