Coy N. Haraway, President 8501 Macon Road - Cordova, TN  38018 U.S.A Phone: (901) 753-DUST   Fax: (901) 753-3878
Information Sheet
Company:	____________________________________________________
Address:	____________________________________________________
	____________________________________________________
City, State, Zip Code	____________________________________________________
Telephone:	____________________________________________________
Contact Person:	____________________________________________________
(name and title)

1. How many Loadout Chutes do you have? ________________________________

2. Do you have any dust control system on the loadouts? Yes ______ No __________

            If so, what type? _______________________________________________________

            _____________________________________________________________________

            _____________________________________________________________________

3. What are the types of grain/other material being handled? __________________________

             _____________________________________________________________________

             _____________________________________________________________________

4. What is the flow rate of grain/other material from each loadout chute? _________________

            ______________________________________________________________________

            ______________________________________________________________________