General Information
Name		Distributor
Company		Distributor #
Address		Date
City
State/Zip		Seismic Design	Yes No
Phone		Pallet Rack	Selective Double Deep
Fax			Drive-In/Thru
Email		Push Back	2 3 4 5 6
		Pallet Flow	Qty. Deep
Bid Date		Carton Flow	Full Width Roller Track
		Conveyor

Pallet/Load (Carton-Tote) Info		Fork Truck Info
Material/Goods		Min. Aisle Size
Qty Bottom Boards	5	Max. Aisle Size
Width of Boards	6,4	Max. Lift Height
Width of Load	40
Depth of Load	48
Pallet Type	Std. GMA
Load Height	Typ. Range
Are Pallets Captive	Yes No
Are Pallets Modifiable	Yes No
Pallet Condition	Poor Fair Good
Can Pallet be turned	Yes No

Building Info/Floor Plan (send DWG format to slogan@mallardmfg.com

Max. Ceiling Clear
Min. Clear Height
Sprinkler Clear	In Rack Qty Levels
Column Size
Column Spacing
Temperature	Cooler Freezer Ambient

sections bay(s) wide x deep x high

sections bay(s) wide x deep x high

sections bay(s) wide x deep x high

sections bay(s) wide x deep x high

sections bay(s) wide x deep x high

Seismic Information

Concrete Thickness
Concrete P.S.I.
Max. Pallet Weight and Avg.	Max. Avg.

Additional Information to assist us in your request: