| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email: |
|
| Name and location
of facility or project: |
|
| Body of Water: |
Salt Water Fresh Water |
| Number of intake bays: |
|
| Overall height and width of each bay opening: |
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| Clearance between blades: |
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| Current blade dimension: |
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| Maximum head differential before raking and/or alarm: |
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| Existing support configuration: |
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| Horizontal beam spacing: |
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| Slot or guide width: |
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| Please check problem areas of your present trash rack system: |
Ice Corrosion Biofouling Vibration Blade clearance Old age |
