B-SOLVED · Intake

Distributor truck questionnaire

Before we clean a distributor truck we need to know what is in it and what shape it is in. That is what this sheet is for.

Please complete as much of the form as possible. None of your information is shared without your permission. If you would rather talk it through, call 214‑862‑5662.

Who and where

Date

Company / Gov. entity

Point of contact

Phone

Location

Delivery location

Delivery days and hours

Lift gate needed?

YesNo

Call before delivery?

YesNo

The truck

Brand

Age

Have we cleaned this distributor truck before?

YesNoNot sure

If yes, roughly when?

How large is the tank in gallons?

Are there any baffles within the tank?

YesNoNot sure

Where is the pump located?

How many screens are there?

Where are the screens?

Any specific issues with the tank, pump, jets, bars or anything else?

The material

List all asphalt materials used since the last cleaning

At what temperature do you spray the material(s)?

Do the ionic charges in the materials vary?

Cationic, anionic, non-ionic.

Used different materials, or different ionic charges?

This usually gels into small to medium sized, silly-putty-like globules.

Are there any solid pieces in the tank, bars or screens?

Coke build-up, gravel, dirt, other contaminants.

How much material or sediment is inside the tank?