GivenHansco Inc., Ready Mixed Concrete Software – Keystone Batch Online Plant Survey Form

Contact Information

Company Name *

Plant # / Name

Plant Address

Postal / Zip Code

Street Address
Street Address 2
City	State / Province
Country

County Plant to be installed

Contact *

First Name Last Name

Phone / Cell Number *

- Area Code Phone Number

E-mail *

Submitted By

Do You Currently Use Any of Our Other Products?

Yes No

If "Yes" Which Product(s)

Accounting Dispatch Batch GPS

If You are a Current Customer, Will the Batch System Be On-Line or Stand Alone

On-Line (Internet Connection Required) Stand Alone

Will Keystone Batch be Connected to a Dispatch System

Yes No

Do Use a Scoreboard?

Yes No

Additional Contact Info

Plant / Site Section

Plant Manufacturer

Plant Model

Current Batch Control

Direct Wired or Amphenol Quick Connect

Hood Control

Boot Control

Order a Printer

Yes No

Remote Batch

Yes No

Remote Access

Yes No

Plant Section Notes

Click to edit

Aggregate Section

Number of Agg Feeds

Scale Capacity (lbs.)

Load Cells Installed

Yes No

Scale Indicators

Yes No

If "Yes" Make & Model of Indicator

Agg Discharge Type

Gravity to Belt Live Bottom Other (please explain in notes)

Live Bottom Flow Control

Yes No

Do You Have a Moisture Probe

Yes No

If "Yes" Make & Model of Probe

Order a New Probe

Agg Section Notes

Cement Section

Number of Cem Feeds

Cem 1 Feed Type

Cem 2 Feed Type

Cem 3 Feed Type

Cem 4 Feed Type

Cem 5 Feed Type

Cem 6 Feed Type

If more than 6 cement feeds, please contact your sales representative 1-800-548-9754.

Scale Capacity (lbs.)

Load Cells Installed

Yes No

Scale Indicators

Yes No

If "Yes" Make & Model of Indicator

Cem Discharge Type

Gravity Auger Other (please explain in notes)

Recirculating Scale Screw

Yes No

Blower Control

Yes No

Cem Scale Aeration

Yes No

Dust Collector

Yes No

Cem Shakers

Yes No

If "Yes" How Many

Shaker Type

Cem High Indicators

Cem Low Indicators

Cem Section Notes

Water Section

Number of Waters

Water Feed Type

Number of Water Meters

If "Metered" Water Meter Type

Does Meter Suply 110v Output

Yes No

Water Pump

Yes No

If "Yes" How Many Pumps

If "Weighed" Scale Capacity

Scale Indicators

Yes No

If "Yes" Make & Model of Indicator

Water Valve Type (solenoid)

Water Tank Empty Limit

Yes No

Water Scale/Tank Closed Limit

Yes No

Water Section Notes

Admixture Section

Number of Admix

Number of "Bottled" Admix

Number of "Direct" Admix

Admixture Section Notes

Mixer Section

Do You Have a Mixer

Mixer Type

Variable Frequency Drive

Yes No

Mixer Hydraulics

Yes No

Mixer Tilt and Right Limits

Yes No

Mixer Closed Limit

Yes No

Slump Meter

Yes No

Temper Feed

Yes No

Erie Mixer 10% Limit Controls

Yes No

Mixer Section Notes

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