Kolpak Walk-In Quote Request

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*Required Fields

Quote Request Form

Customer Information:

Walk-In Destination:

*Name:

*Date:

*Dealer:

*Consultant/Specifier:

*Phone:

*Project Name:

*Fax:

Walk-In

*City:

*e-mail:

Destination

*State:

*Zip:

PLEASE PROVIDE A SKETCH, IF AVAILABLE - REFER TO THE KOLPAK & SPECIFICATION MANUAL FOR ASSISTANCE

*Walk-In Size:

Select See Notes 4'-10.5" 5'-10" 6'-9.5" 7'-9" 8'-8.5" 9'-8" 10'-7.5" 11'-7" 12'-6.5" 13'-6" 14'-5.5" 15'-5" 16'-4.5" 17'-4" 18'-3.5" 19'-3" 20'-2.5" 21'-2" 22'-1.5" 23'-1" 24'-0.5" 24'-12" 25'-11.5" 26'-11" 27'-10.5" 28'-10" 29'-9.5" 30'-9" 31'-8.5" 32'-8" 33'-7.5" 34'-7" 35'-6.5" 36'-6" 37'-5.5" 38'-5" 39'-4.5" 40'-4" 41'-3.5" 42'-3" 43'-2.5" 44'-2" 45'-1.5" 46'-1" 47'-0.5" 48'-0" 48'-11.5" 49'-11" 50'-10.5" 51'-10" 52'-9.5" 53'-9" 54'-8.5" 55'-8" 56'-7.5" 57'-7" 58'-6.5" 59'-6" 60'-5.5" 61'-5" 62'-4.5" 63'-4" 64'-3.5" 65'-3" 66'-2.5" 67'-2" 68'-1.5" 69'-1" 70'-0.5" 70'-12" 71'-11.5" 72'-11" 73'-10.5" 74'-10" 75'-9.5" 76'-9" 77'-8.5" 78'-8" 79'-7.5" 80'-7" 81'-6.5" 82'-6" w

x

Select See Notes 4'-10.5" 5'-10" 6'-9.5" 7'-9" 8'-8.5" 9'-8" 10'-7.5" 11'-7" 12'-6.5" 13'-6" 14'-5.5" 15'-5" 16'-4.5" 17'-4" 18'-3.5" 19'-3" 20'-2.5" 21'-2" 22'-1.5" 23'-1" 24'-0.5" 24'-12" 25'-11.5" 26'-11" 27'-10.5" 28'-10" 29'-9.5" 30'-9" 31'-8.5" 32'-8" 33'-7.5" 34'-7" 35'-6.5" 36'-6" 37'-5.5" 38'-5" 39'-4.5" 40'-4" 41'-3.5" 42'-3" 43'-2.5" 44'-2" 45'-1.5" 46'-1" 47'-0.5" 48'-0" 48'-11.5" 49'-11" 50'-10.5" 51'-10" 52'-9.5" 53'-9" 54'-8.5" 55'-8" 56'-7.5" 57'-7" 58'-6.5" 59'-6" 60'-5.5" 61'-5" 62'-4.5" 63'-4" 64'-3.5" 65'-3" 66'-2.5" 67'-2" 68'-1.5" 69'-1" 70'-0.5" 70'-12" 71'-11.5" 72'-11" 73'-10.5" 74'-10" 75'-9.5" 76'-9" 77'-8.5" 78'-8" 79'-7.5" 80'-7" 81'-6.5" 82'-6" d

x

Select See Notes 6' Nominal 7' Nominal 8' Nominal 9' Nominal 10' Nominal 11' Nominal 12' Nominal h

*(Please check one)

Indoor

Outdoor

*Number of Compartments:

1 2 3 4

NOMINAL SIZE WILL BE QUOTED UNLESS STATED OTHERWISE

*Compartment Designations Temperature Dimensions Cooler Freezer Width (ft) Depth (ft) Compartment 1 Name: Compartment 2 Name: Compartment 3 Name: Compartment 4 Name:

*Wall Thickness:

4"

Other:

*Ceiling Thickness:

4"

5"

Other:

*Walk-In Finishes:

Standard Exterior Interior Exposed Non-Exposed Ceiling by Compartment Walls by Compartment 1 2 3 4 1 2 3 4 26 GA Embossed Galvanized 26 GA Embossed Galvanized Pre-painted White 26 GA Embossed Galvanized Pre-painted Beige 26 GA Embossed Galvanized Pre-painted Brown .032 Embossed Aluminum (Standard) .032 Embossed Aluminum Pre-painted White 22 GA Stainless Steel - 430 Rolled On 20 GA Stainless Steel - 430 Rolled On OTHER:

*Exterior (Top) Ceiling:

26 GA Embossed Galvalume

20 GA Embossed Galvalume

20 GA Smooth Galvanized w/ Support Channel

Floor Finishes:

Walk-In Accessories:

If Floor, Thickness:

4"

Other:

(Around exterior perimeter of walk-in)

Compartments Floor Applications:   1     2     3     4   .100 Smooth Aluminum 4" Vinyl Foam Screed 4" Metal Foam Screed 1.5" Vinyl Screed           Additional Floor Components:         (S/F) .100 Treadplate Overlay (S/F) 3/16" Diamond Treadplate Overlay (S/F) Super Floor Wire Mesh (S/F) Structural Floor

Accessory Item Qty. Specifics (EA) Suspended Ceiling Support   (EA) 3 x 3 x 96 Angle Trim (Standard Flange Out) Finish:  (EA) 3 x 3 x 116 Angle Trim (Standard Flange Out) Finish:  (EA) 6 x 96 Flat Trim Finish:  (EA) 6 x 116 Flat Trim Finish:  (EA) Base Cove (not included in interior compartments) Finish:

Comaprtment Accessories

Additional Walk-in Accessories

Compartments   1     2     3     4   (EA) Extra Vapor Proof Light (EA) 48" Flourescent Light (EA) Base Cove (matches interior compartment) (EA) Wainscot

(S/F) Closure Panel             (L/F) Bumper Rail   (EA) Corner Guard   (EA) Non-Skid Strip - 4"x36"   (EA) Roof Cap - Flat Membrane   (EA) Roof Cap - Flat Membrane (1/8")

*Door Section

Compatrments Compartment # 1     No Door     26" 30" 34" 36" 42" 48" 54" 60"   66" 78" 84" Width         Height    Left Hinge    Right Hinge     Front Left Right Back 2     No Door       Width         Height    Left Hinge    Right Hinge     3     No Door       Width         Height    Left Hinge    Right Hinge     4     No Door       Width         Height    Left Hinge    Right Hinge     R-Series Door Door Size W Door Swing Wall Location

Finishes

R-Series Door standard plug finish is 22 ga stainless steel on exterior.

Door Frame Ext.   Select 26ga Emb Galv 26ga Emb Galv White 26ga Emb Galv Beige 26ga Emb Galv Brown .032 Emb Alum (Std) .032 Emb Alum White 22ga S/S 430 Rolled 20ga S/S 430 Rolled Int.   Select 26ga Emb Galv 26ga Emb Galv White 26ga Emb Galv Beige 26ga Emb Galv Brown .032 Emb Alum (Std) .032 Emb Alum White 22ga S/S 430 Rolled 20ga S/S 430 Rolled Ext.   Select 26ga Emb Galv 26ga Emb Galv White 26ga Emb Galv Beige 26ga Emb Galv Brown .032 Emb Alum (Std) .032 Emb Alum White 22ga S/S 430 Rolled 20ga S/S 430 Rolled Int.   Select 26ga Emb Galv 26ga Emb Galv White 26ga Emb Galv Beige 26ga Emb Galv Brown .032 Emb Alum (Std) .032 Emb Alum White 22ga S/S 430 Rolled 20ga S/S 430 Rolled Left Center Right       Ext.   Int.   Ext.   Int.   Left Center Right       Ext.   Int.   Ext.   Int.   Left Center Right       Ext.   Int.   Ext.   Int.   Left Center Right       Door Plug Door Centerline

Tile & Grout

Pit/Recess Depth (inches):   Depth (inches):   Depth (inches):   Depth (inches):   Depth (inches):   Depth (inches):   Depth (inches):   Depth (inches):   Depth (inches):   Depth(inches):   Depth(inches):   Depth(inches):   Tile & Grout Leveling Sand

Door Accessories

Compartments Compartment # 1 Plug   n/a 36" 48" 18"   n/a .063 Dia Tread 16ga S/S 3/16" Dia Tread Frame   n/a 36" 48" 18"   n/a .063 Dia Tread 16ga S/S 3/16" Dia Tread H Height Finish Plug   n/a 36" 48" 18"   n/a .063 Dia Tread 16ga S/S 3/16" Dia Tread Frame   n/a 36" 48" 18"   n/a .063 Dia Tread 16ga S/S 3/16" Dia Tread H Height Finish   n/a 24" 38"                 2 Plug     Frame     H Height Finish Plug     Frame     H Height Finish                   3 Plug     Frame     H Height Finish Plug     Frame     H Height Finish                   4 Plug     Frame     H Height Finish Plug     Frame     H Height Finish                   Exterior Kickplate Interior Kickplate Ramp 3rd Hinge Spring Hinge Kit Foot Treadle Strip Veiw Port 3-Way Switch OSHA Switch Dial Therm. Identify the following as (L) Shipped Loose, (S) Surface Mounted by Factory or (R) Recess Mounted by Factory. Kolpak Alarm   n/a (L)Loose (S)Surface (R)Recess   n/a (L)Loose (S)Surface (R)Recess   n/a (L)Loose (S)Surface (R)Recess   n/a (L)Loose (S)Surface (R)Recess Modularm 75 Modularm 75B OTHER Alarm:

Buck Openings

Note: If Door Type is Sliding or Buyout Swing Door, Standard Kolpak Light, Switch and Thermometer is provided!   Compartments Compartment # 1   n/a Glass Doors Door by others No Door   n/a Front Left Right Back Width:   Height:     2     Width:   Height:     3     Width:   Height:     4     Width:   Height:     Door Type Which Wall? Door Size: A.F.F.

Buck Opening Accessories

Identify the following as (L) Shipped Loose, (S) Surface Mounted by Factory or (R) Recess Mounted by Factory Factory installed items should be identified as installed: (I) Inside or (O) Outside, and include (L) Left Side or (R) Right Side of opening.   Compartments Compartment # 1   n/a L,O,L L,O,R L,I,L L,I,R S,O,L S,O,R S,I,L S,I,R R,O,L R,O,R R,I,L R,I,R   n/a L,O,L L,O,R L,I,L L,I,R S,O,L S,O,R S,I,L S,I,R R,O,L R,O,R R,I,L R,I,R   n/a L,O,L L,O,R L,I,L L,I,R S,O,L S,O,R S,I,L S,I,R R,O,L R,O,R R,I,L R,I,R   n/a L,O,L L,O,R L,I,L L,I,R S,O,L S,O,R S,I,L S,I,R R,O,L R,O,R R,I,L R,I,R   n/a L,O,L L,O,R L,I,L L,I,R S,O,L S,O,R S,I,L S,I,R R,O,L R,O,R R,I,L R,I,R   n/a L,O,L L,O,R L,I,L L,I,R S,O,L S,O,R S,I,L S,I,R R,O,L R,O,R R,I,L R,I,R 2             3             4             Alarm Thermometer Switch Strip Curtain

Refrigeration (* if required)

Compartments Compartment # 1   n/a Hermetic Semi-Hermetic   n/a Air Cooled Water Cooled   n/a Inside Outside   n/a Pre-Assmbled Romote Pre-Charged Lines   n/a R-22(Clr Only) R-404A 2           3           4           Herm / Semi A / W Cooled Indoor / Out Model Type Refrigerant Voltage   115-60-1 208/230-60-1 208/230-60-3

Refrigeration Accessories

Compartments Compartment # 1     n/a 1-Tier, PR & PCL 2-Tier, PR & PCL   n/a 10Ft Std PreCharged Line 20Ft PreCharged Line 30Ft PreCharged Line 40Ft PreCharged Line                   2                         3                         4                         Special Coils Compressor Racks PCL Line Length (10' increments) Medium Temp Time Clock Heat Exchanger Head Pressure Control (in lieu of fan cycling) PCL System Controls for 2 evaporator coils PR System Controls for 2 evaporator coils Suction Accumulator Condensate Evaporator Oil Separator Wire Harness (average 30' lines)

Final Comments or Items not found on this Quote Identification Form:

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FORM: 403.1-X, Rev. Date: 07/19/2005

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