1. Questionnaire Contact Information
Contact Name
*
Title
*
Company Name
*
Address
*
Postal/Zip Code
*
Telephone Number
*
Fax
*
Email
*
2. Materials
Material to be moved
Bulk density or pounds per cubic foot
Angle of repose
Particle size
Show degree on the following: (1) Excellent - no problems - ever; to (9) Very Bad to impossible - always
Free flowing
1
2
3
4
5
6
7
8
9
Abrasive
1
2
3
4
5
6
7
8
9
Corrosive
1
2
3
4
5
6
7
8
9
Hygroscopic
1
2
3
4
5
6
7
8
9
Explosive
1
2
3
4
5
6
7
8
9
Moisture content scale: (1) Dry to (9) Liquid
Percent
1
2
3
4
5
6
7
8
9
Describe
(sticky/thick paste, etc.)
Tailing returned
No
Yes
Details of tailing returns
Material flow rate
Short Tons
Long Tonnes
per Day
per Shift
per Hour
Number of shifts
Hours per shift
Working days per year, allowing for vacation and maintenance
3. Geographic Information
From (location)
(Up, down or flat)
To (location)
Horizontal distance
(Kilometers/Miles, meters/feet)
Vertical distance
(Kilometers/Miles, meters/feet)
Altitude at starting point
(Meters/feet above or below sea level)
Altitude at ending point
(Meters/feet above or below sea level)
Altitude at highest point
(Meters/feet above or below sea level)
Altitude at lowest point
(Meters/feet above or below sea level)
The system should be run:
Underground (depth)
(Meters/feet)
On the ground
Overhead (height)
(Meters/feet)
Topography/Terrain - Provide a profile description, a plan of the pipeline route
Climate Data:
Temperature:
Max (Degrees C or F)
Min (Degrees C or F)
Humidity:
Max %
Min %
4. Comparable Costs
Present System or Proposed Alternative System
Type
Capital Cost
Operating Cost
Maintenance Cost
Energy Cost
Estimated operating cost per tonne/kilometer or ton/mile
5. Intangible Details
Please advise if tax is applied to
M
aterials,
L
abour, &/or
T
ransportation
Amount of taxes applicable:
Federal
%
on
(
M
/
L
/
T
)
Provincial/State
%
on
(
M
/
L
/
T
)
Power cost:
Energy Use
Cost/kW
Demand rate
Cost/kW
Average Annual Income of Maintenance Staff
Overhead for Employee Benefit Plans
%
Included/extra to Average Annual Income
Included
Extra
Capital Recovery Time
Years
Annual Finance Charges for Major Capital Expenditures
%
In what currency have your costs been shown?
What currency do you want this quoted in?
