Industrial flooring and civil cement and resin - Fact sheet

Industrial and civil monolithic floor coatings

REQUEST INFO

SInformation sheet on the premises that is having the flooring, to be completed by the end user.
Field * are required, include as much information as possible

Company name*:

Address*:

E-mail*:

Telephone*:

Fax:

Person to contact:

Industry*:

Intended use of premise*:

Construction*:

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Mechanical stresses:

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Dynamic loads:

Truck axle load kg.
Trolleys weight kg.
Size and type of trolley
Material of wheels
Weight kg.
Load carried
Lifting capacity in metres
Traffic frequency

Uniform loads:

Docks or loading bays kg/m²
Beds kg/m²
Walls kg/m²

Concentrated loads:

Load bearing of shelf kg.
Supporting plate cm x cm
Distance between the posts cm

Aggressive chemical substances expected:

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Acid type
Ph/Concentration
Contact type

State of surface when in use:

Description of cleaning operations and/or maintenance methods expected for the flooring:

Washing temperature:

Chemical products used:

Authorisation to process personal data. S.I.P.I. Nord S.r.l. under Article 10 of Law No.675 of December 31, 1996, relating to the protection of persons and other subjects regarding the processing of personal data supplied by you, declares: This data, in compliance with regulations and the obligations of confidentiality practised by our company, will be used for purposes related to our business such as: requirements for time to build new relationships; to carry out reports already in progress; marketing purposes; to send you information according to the request made using this form. The processing of data will take place using appropriate tools to guarantee the confidentiality and safety of your data and may be processed using electronic and automated tools capable of storing, managing and transmitting the same data. By sending this form, consent is deemed to have been given(Art.11, Law 675/96).