Sales Route Survey RepresentativeWIN ID(Required)Customer NameNotesAddress Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How many service bays?(Required)Waste Generator Status?(Required) CESQG SQG LQG Sections(Required) Section 1: Billing Info Section 2: Decision Maker Info Section 3: UMO Service Section 4: Used AF Service Section 5: Used Filters Section 6: Parts Washers Section 7: Separators Section 8: Lube Oil Assessment Section 9: Body Shop Questions Section 10: Allied / CWS / Miscellaneous Section 11: Lost to Competitors Section 12: Small Business Section 13: Business Card Section 1: Billing InfoBill To Address Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is the remit to address same as the bill to address? Yes No Remit To Address Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Collect W9 Yes No If yes, upload W9 now(Required) Drop files here or Select files Max. file size: 50 MB. Market CategoryPlease SelectAggregateAgriculture FarmsAutomotiveConvenience SitesDealershipEducationEnvironmentalIndustrialLubeMilitaryMunicipalitiesNoble SatelliteMarinaResidentialService GarageUtilitiesUnknownSection 2: Decision Maker InfoDecision Maker / Location Manager NameDecision Maker / Location Manager TitleDecision Maker / Location Manager Email Decision Maker / Location Manager PhoneDecision Maker Department Recovery Industrial Services Parts Washers Other Would the decision maker like to receive service receipts via email? Yes No Not Sure Is There An Alternate Contact?Please SelectYesNoAlternate Contact NameAlternate Contact Role / Designation / TitleAlternate Contact Email Alternate Contact PhoneSection 3: UMO ServiceUO - Are They A Used Oil Service Customer?(Required)Please SelectYesNoUO - Do They Have a Burner?(Required) Yes - Separate Burner Tank Available Yes - Burner Connected to Main Line No UO - Do we need to leave gallons in the burner tank? Yes No Not Sure Annual Gallons (UMO)Price / Gallon (UMO)UO - What is the burner tank capacity?UO - Does the burner tank need to be serviced in summer? Yes No Not Sure UO - Pls mention any other special comments related to the burner serviceUO - Do They Need Service Now?Please SelectYesNoUO - Please indicate the level of urgency(Required)Please Select12345Comments for RFS (Used Oil)This field is hidden when viewing the formUO - Next Pickup Date MM slash DD slash YYYY UO - Number Of Tanks?(Required)Please Select12345OtherUO Tank 1 - Size (Gallons)(Required)Please Select55 Gallon Drum2252755005501000OtherUO Tank 1 - Custom Tank Size(Required)Please enter only a numberUO Tank 1 - 80% Full Anticipated By MM slash DD slash YYYY UO Tank 1 - Location(Required)Please SelectInsideOutside (Unlocked)Outside (Locked)OtherUO Tank 1 - Location DescriptionUO Tank 1 - Current Tank VolumePlease SelectEmpty20%40%60%80%FULLUO Tank 1 - Photos Or Video Drop files here or Select files Max. file size: 50 MB. UO Tank 2 - Size (Gallons)(Required)Please Select55 Gallon Drum2252755005501000OtherUO Tank 2 - Custom Tank Size(Required)Please enter only a numberUO Tank 2 - Current Tank VolumePlease SelectEmpty20%40%60%80%FULLUO Tank 2 - 80% Full Anticipated By MM slash DD slash YYYY UO Tank 2 - Location(Required)Same As Tank 1InsideOutside (Unlocked)Outside (Locked)OtherUO Tank 2 - Location DescriptionUO Tank 2 - Photos Or Video Drop files here or Select files Max. file size: 50 MB. UO Tank 3 - Tank Size (Gallons)(Required)Please Select55 Gallon Drum2252755005501000OtherUO Tank 3 - Custom Tank Size(Required)Please provide only a numberUO Tank 3 - Current Tank VolumePlease SelectEmpty20%40%60%80%FULLUO Tank 3 - 80% Full Anticipated By MM slash DD slash YYYY UO Tank 3 - Location(Required)Same As Tank 1InsideOutside (Unlocked)Outside (Locked)OtherUO Tank 3 - Location DescriptionUO Tank 3 - Photos Or Video Drop files here or Select files Max. file size: 50 MB. UO Tank 4 - Size (Gallons)(Required)Please Select55 Gallon Drum2252755005501000OtherUO Tank 4 - Custom Tank Size(Required)Please provide only a numberUO Tank 4 - Current Tank VolumePlease SelectEmpty20%40%60%80%FULLUO Tank 4 - 80% Full Anticipated By MM slash DD slash YYYY UO Tank 4 - Location(Required)Same As Tank 1InsideOutside (Unlocked)Outside (Locked)OtherUO Tank 4 - Location DescriptionUO Tank 4 - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. UO Tank 5 - Size (Gallons)(Required)Please Select55 Gallon Drum2252755005501000OtherUO Tank 5 - Custom Tank Size(Required)Please provide only a numberUO Tank 5 - Current Tank VolumePlease SelectEmpty20%40%60%80%FULLUO Tank 5 - 80% Full Anticipated By MM slash DD slash YYYY UO Tank 5 - Location(Required)Same As Tank 1InsideOutside (Unlocked)Outside (Locked)OtherUO Tank 5 - Location DescriptionUO Tank 5 - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. Others - What is the approximate number of UO tanks and capacity?Others - Comments about tank location?UO - Are there additional storage available for overlfow? No Yes Not Sure UO - Pls provide notes about the additional capacity for overflowUO - Are The Tanks Plumbed Together?Please SelectYesNoUO - Notes (Are Tanks Plumbed Together)UO - Is A Gauge Available?Please SelectYesNoUO - How Is The Tank Filled?Please SelectPumpedGravity FilledOtherUO - Notes (How is the Tank Filled)UO - Type of Frequency Fixed Will Call Tele Market Seasonal UO - Suggested Service Frequency (Weeks)(Required)Please SelectNo Change124812244852Not SureUO - Last Time It Was Picked Up?Please SelectLast weekLast monthLast quarter6 Months agoMore than 6 months agoUO - What is the recommended First Pickup Week?UO - How many new oil gallons is the customer buying in a month?UO - Did we get a visual confirmation?(Required)Please SelectYesNoUO - NotesSection 4: Used AF ServiceAF - Are They an AntiFreeze Customer?(Required)Please SelectYes - Mixed With OilYes - Separate Tanks(s)NoAF - Do They Need Service Now?(Required)Please SelectNoYesAF - Please indicate the level of urgency(Required)Please select12345Comments for RFS (AntiFreeze)AF - Number Of Tanks(Required)Please Select12345AF Tank 1 - Size (Gallons)(Required)Please Select55 Gallon Drum2755001000OtherAF Tank 1 - Custom Tank SizeAF Tank 2 - Size (Gallons)(Required)Please Select55 Gallon Drum2755001000OtherAF Tank 2 - Custom Tank SizeAF Tank 3 - Size (Gallons)(Required)Please Select55 Gallon Drum2755001000OtherAF Tank 3 - Custom Tank SizeAF Tank 4 - Size (Gallons)(Required)Please Select55 Gallon Drum2755001000OtherAF Tank 4 - Custom Tank SizeAF Tank 5 - Size (Gallons)(Required)Please Select55 Gallon Drum2755001000OtherAF Tank 5 - Custom Tank SizeAF - NotesSection 5: Used FiltersF - Are They a Filters Customer?(Required)Please SelectYesNoF - Do They Need Storage Setup?Please SelectYesNoF - Do They Need Toters or Bins?Please SelectTotersBinsDrums PriceFilter Bin PriceF - Do They Need Service Now?Please SelectYesNoF - Please indicate the level of urgency(Required)Please select12345F - Comments for RFS (Filters)This field is hidden when viewing the formF - Next Pickup Date MM slash DD slash YYYY F - Type of Frequency (Weeks) Fixed Will Call Telemarket Seasonal F - Service Frequency / Suggested Service Frequency For Will Calls(Weeks)Please SelectNo Change36122448Not SureF - Which of the following does the customer have?(Required) Bins Toters Drums F - Number Of Bins(Required)Please Select12345F - Bin Location(Required)Please SelectInsideOutside (Unlocked)Outside (Locked)OtherF - Bin Location DescriptionF - Bin Photos Or Videos Drop files here or Select files Max. file size: 50 MB. F - Do the Filter Bin(s) have wheels?Please SelectYesNoF - Number Of Toters(Required)Please Select12345F - Do the Toter(s) have wheels?Please SelectYesNoF - Number Of Drums(Required)Please Select12345F - 80% Full Anticipated By MM slash DD slash YYYY F - Last Time It Was Picked Up?Please SelectLast weekLast monthLast quarter6 Months agoMore than 6 months agoF - Recommended First Pickup DateF - Was the data visually confirmed?(Required)Please SelectYesNoF - NotesSection 6: Parts WashersPW - Do You Have Parts Washers?(Required)Please SelectYesNoHow Many Aqueous Based Parts Washers Do You Have?Please Select123456789101 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 1 - AQ PW - Price1 - AQ PW - Size (In Gallons)1 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 1 - AQ PW - Notes (Pls Include Model No. if available)2 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 2 - AQ PW - Price2 - AQ PW - Size (In Gallons)2 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 2 - AQ PW - Notes (Pls Include Model No. if available)3 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 3 - AQ PW - Price3 - AQ PW - Size (In Gallons)3 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 3 - AQ PW - Notes (Pls Include Model No. if available)4 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 4 - AQ PW - Price4 - AQ PW - Size (In Gallons)4 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 4 - AQ PW - Notes (Pls Include Model No. if available)5 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 5 - AQ PW - Price5 - AQ PW - Size (In Gallons)5 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 5 - AQ PW - Notes (Pls Include Model No. if available)6 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 6 - AQ PW - Price6 - AQ PW - Size (In Gallons)6 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 6 - AQ PW - Notes (Pls Include Model No. if available)7 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 7 - AQ PW - Price7 - AQ PW - Size (In Gallons)7 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 7 - AQ PW - Notes (Pls Include Model No. if available)8 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 8 - AQ PW - Price8 - AQ PW - Size (In Gallons)8 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 8 - AQ PW - Notes (Pls Include Model No. if available)9 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 9 - AQ PW - Price9 - AQ PW - Size (In Gallons)9 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 9 - AQ PW - Notes (Pls Include Model No. if available)10 - AQ PW - Is it Leased or Customer Owned? Leased Customer Owned 10 - AQ PW - Price10 - AQ PW - Size (In Gallons)10 - AQ PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 10 - AQ PW - Notes (Pls Include Model No. if available)How Many Solvent Based Parts Washers Do You Have?Please Select123456789101 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 1 - S PW - Price1 - S PW - Size (In Gallons)1 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 1 - S PW - Notes (Pls Include Model No. if available)2 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 2 - S PW - Price2 - S PW - Size (In Gallons)2 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 2 - S PW - Notes (Pls Include Model No. if available)3 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 3 - S PW - Price3 - S PW - Size (In Gallons)3 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 3 - S PW - Notes (Pls Include Model No. if available)4 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 4 - S PW - Price4 - S PW - Size (In Gallons)4 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 4 - S PW - Notes (Pls Include Model No. if available)5 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 5 - S PW - Price5 - S PW - Size (In Gallons)5 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 5 - S PW - Notes (Pls Include Model No. if available)6 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 6 - S PW - Price6 - S PW - Size (In Gallons)6 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 6 - S PW - Notes (Pls Include Model No. if available)7 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 7 - S PW - Price7 - S PW - Size (In Gallons)7 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 7 - S PW - Notes (Pls Include Model No. if available)8 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 8 - S PW - Price8 - S PW - Size (In Gallons)8 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 8 - S PW - Notes (Pls Include Model No. if available)9 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 9 - S PW - Price9 - S PW - Size (In Gallons)9 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 9 - S PW - Notes (Pls Include Model No. if available)10 - S PW - Is it Leased or Customer Owned? Leased Customer Owned 10 - S PW - Price10 - S PW - Size (In Gallons)10 - S PW - Photos Or Videos Drop files here or Select files Max. file size: 50 MB. 10 - S PW - Notes (Pls Include Model No. if available)Section 7: SeparatorsS - Do You Have A Separator?(Required)Please SelectYesNoS - What is the Size of the Separators?S - What is the Service Frequency?Please SelectQuarterlySemi AnnualAnnualWill CallNot SureS - Do You Have Traps?Please SelectYesNoS - How Many Gallons of Traps do You Have?S - Do You Have Trenches?Please SelectYesNoS - How Many Feet of Trenches do You Have?S - Where is the Separator Located?S - Did you stick the tank? Yes No Separator PriceSeparator Shape Square Rectangular Cylindrical Separator sizeS - Upload Separator Images Drop files here or Select files Max. file size: 50 MB. Section 8: Lube Oil AssessmentSection 8.1 Current Supplier InfoCurrent DistributorRelationship Strength Light Medium Strong Length of Relationship (Years)What are the biggest challenges you face in managing lubricants? Storage & Inventory OEM Mandates Dispensing Equipment Failure Cost Effective Alternatives Others Dealership Service NotesLines of Business OfferedSection 8.2 Bulk EquipmentBulk equipment? Owned Leased Provided None Who owns them?What is the outclause on the contract?Copy of the contract Drop files here or Select files Max. file size: 50 MB. No of TanksTank 1 Capacity (Gallons)Tank 2 Capacity (Gallons)Tank 3 Capacity (Gallons)Section 8.3 Product Group8.3.1. Passenger Car Engine OilsPCEO - Product Description Syn Blend SP/GF-6 High Mileage Syn Blend SP/GF-6 Full Syn SP/GF-6 Full Syn dexos1 Gen 3 Full Syn Euro Spec SN/GF-6 Syn Blend SP/GF-6 - How many grades does this product have? 1 2 3 Grade 1: Syn Blend SP/GF-6 5W-20 5W-30 10W-30 Grade 1 - Syn Blend SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Syn Blend SP/GF-6 5W-20 5W-30 10W-30 Grade 2 - Syn Blend SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 3: Syn Blend SP/GF-6 5W-20 5W-30 10W-30 Grade 3 - Syn Blend SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)High Mileage Syn Blend SP/GF-6 - How many grades does this product have? 1 2 Grade 1: High Mileage Syn Blend SP/GF-6 5W-30 10W-30 Grade 1 - High Mileage Syn Blend SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: High Mileage Syn Blend SP/GF-6 5W-30 10W-30 Grade 2 - High Mileage Syn Blend SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Full Syn SP/GF-6 - How many grades does this product have? 1 2 3 4 Grade 1: Full Syn SP/GF-6 OW-16 OW-20 5W-20 5W-30 Grade 1 - Full Syn SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Full Syn SP/GF-6 OW-16 OW-20 5W-20 5W-30 Grade 2 - Full Syn SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 3: Full Syn SP/GF-6 OW-16 OW-20 5W-20 5W-30 Grade 3 - Full Syn SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 4: Full Syn SP/GF-6 OW-16 OW-20 5W-20 5W-30 Grade 4 - Full Syn SP/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Full Syn dexos1 Gen 3 - How many grades does this product have? 1 2 3 Grade 1: Full Syn dexos1 Gen 3 OW-20 5W-20 5W-30 Grade 1 - Full Syn dexos1 Gen 3 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Full Syn dexos1 Gen 3 OW-20 5W-20 5W-30 Grade 2 - Full Syn dexos1 Gen 3 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 3: Full Syn dexos1 Gen 3 OW-20 5W-20 5W-30 Grade 3 - Full Syn dexos1 Gen 3 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Full Syn Euro Spec SN/GF-6 - How many grades does this product have? 1 2 Grade 1: Full Syn Euro Spec SN/GF-6 OW-40 5W-40 Grade 1 -Full Syn Euro Spec SN/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Full Syn Euro Spec SN/GF-6 OW-40 5W-40 Grade 2 - Full Syn Euro Spec SN/GF-6 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)8.3.2. Automotive Driveline FluidsATF - Product Description Dexron/Mercon ATF Full Syn Multi-Vehicle ATF Dexron/Mercon ATF - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Full Syn Multi-Vehicle ATF - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)8.3.3. Heavy Duty Diesel Engine OilsHDDEO - Product Description Heavy Duty CK-4 Natural Gas Engine Oil Full Syn CK-4 Heavy Duty CK-4 - How many grades does this product have? 1 2 Grade 1: Heavy Duty CK-4 10W-30 15W-40 Grade 1: Heavy Duty CK-4 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Heavy Duty CK-4 10W-30 15W-40 Grade 2: Heavy Duty CK-4 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Natural Gas Engine Oil - How many grades does this product have? 1 2 Grade 1: Natural Gas Engine Oil 15W-40 Other Grade 1: Natural Gas Engine Oil - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Natural Gas Engine Oil 15W-40 Other Grade 2: Natural Gas Engine Oil - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Full Syn CK-4 - How many grades does this product have? 1 2 Grade 1: Full Syn CK-4 15W-40 Other Grade 1: Full Syn CK-4 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Full Syn CK-4 15W-40 Other Grade 2: Full Syn CK-4 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)8.3.4. HD Driveline & Tractor FluidsHDTF - Product Description Full Syn Heavy Duty Manual Trans Fluid Full Syn Allison TES-295/389® (Suitable) ATF Caterpillar T-04 Fluid Universal Tractor Fluid Full Syn Heavy Duty Manual Trans Fluid - How many grades does this product have? 1 2 Grade 1: Full Syn Heavy Duty Manual Trans Fluid 50W Other Grade 1: Full Syn Heavy Duty Manual Trans Fluid - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Full Syn Heavy Duty Manual Trans Fluid 50W Other Grade 2: Full Syn Heavy Duty Manual Trans Fluid - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Full Syn Allison TES-295/389® (Suitable) ATF - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Caterpillar T-04 Fluid - How many grades does this product have? 1 2 3 Grade 1: Caterpillar T-04 Fluid 10W 30W 50W Grade 1: Caterpillar T-04 Fluid - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Caterpillar T-04 Fluid 10W 30W 50W Grade 2: Caterpillar T-04 Fluid - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 3: Caterpillar T-04 Fluid 10W 30W 50W Grade 3: Caterpillar T-04 Fluid - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Universal Tractor Fluid - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)8.3.5. Hydraulic FluidsHF - Product Description Anti-Wear EX Hydraulics Low-Temp Hydraulics Zinc Free Hydrualics Anti-Wear EX Hydraulics - How many grades does this product have? 1 2 3 Grade 1: Anti-Wear EX Hydraulics 32 46 68 Grade 1: Anti-Wear EX Hydraulics - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Anti-Wear EX Hydraulics 32 46 68 Grade 2: Anti-Wear EX Hydraulics - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 3: Anti-Wear EX Hydraulics 32 46 68 Grade 3: Anti-Wear EX Hydraulics - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Low-Temp Hydraulics - How many grades does this product have? 1 2 3 Grade 1: Low-Temp Hydraulics 22 32 46 Grade 1: Low-Temp Hydraulics - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Low-Temp Hydraulics 22 32 46 Grade 2: Low-Temp Hydraulics - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 3: Low-Temp Hydraulics 22 32 46 Grade 3: Low-Temp Hydraulics - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Zinc Free Hydrualics - How many grades does this product have? 1 Grade 1: Zinc Free Hydrualics 46 Grade 1: Zinc Free Hydrualics - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)8.3.6. Gear OilsGO - Product Description Conventional Full Synthetic Conventional - How many grades does this product have? 1 2 Grade 1: Conventional 80W-90 85W-140 Grade 1: Conventional - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Conventional 80W-90 85W-140 Grade 2: Conventional - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Full Synthetic - How many grades does this product have? 1 2 Grade 1: Full Synthetic 75W-90 75W-140 Grade 1: Full Synthetic - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Full Synthetic 75W-90 75W-140 Grade 2: Full Synthetic - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)8.3.7. GreasesG - Product Description All Purpose Lithium 2 Hi Temp Lithium 2 Moly Supreme 2 (5% Moly) Construction Red No.2 Ultra Calcium Sulfonate 2 (5% Moly) All Purpose Lithium 2 - How many grades does this product have? 1 2 Grade 1: All Purpose Lithium 2 NLGI 2 Other Grade 1: All Purpose Lithium 2 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: All Purpose Lithium 2 NLGI 2 Other Grade 2: All Purpose Lithium 2 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Hi Temp Lithium 2 - How many grades does this product have? 1 2 Grade 1: Hi Temp Lithium 2 NLGI 2 Other Grade 1: Hi Temp Lithium 2 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Hi Temp Lithium 2 NLGI 2 Other Grade 2: Hi Temp Lithium 2 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Moly Supreme 2 (5% Moly) - How many grades does this product have? 1 2 Grade 1: Moly Supreme 2 (5% Moly) NLGI 2 Other Grade 1: Moly Supreme 2 (5% Moly) - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Moly Supreme 2 (5% Moly) NLGI 2 Other Grade 2: Moly Supreme 2 (5% Moly) - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Construction Red No.2 - How many grades does this product have? 1 2 Grade 1: Construction Red No.2 NLGI 2 Other Grade 1: Construction Red No.2 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Construction Red No.2 NLGI 2 Other Grade 2: Construction Red No.2 - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Ultra Calcium Sulfonate 2 (5% Moly) - How many grades does this product have? 1 2 Grade 1: Ultra Calcium Sulfonate 2 (5% Moly) NLGI 2 Other Grade 1: Ultra Calcium Sulfonate 2 (5% Moly) - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Grade 2: Ultra Calcium Sulfonate 2 (5% Moly) NLGI 2 Other Grade 2: Ultra Calcium Sulfonate 2 (5% Moly) - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)8.3.8. Anti-FreezeAF - Product Description LD/HD Extended Service Interval HOAT LD Extended Life NAPS FREE OAT HD Extended Life NAPS FREE OAT LD/HD Extended Service Interval HOAT - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)LD Extended Life NAPS FREE OAT - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)HD Extended Life NAPS FREE OAT - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)8.3.9. Additional LinesAL - Product DescriptionAdditional Lines - Product DetailsBrandVolumeFrequencyPre packaged / Storage ContainerStorage Capacity (Gallons)Price (Current)Section 9: Body Shop QuestionsPaint gun cleanerSolvent gun cleanerModel numberQuantityService frequencyCurrent Price per serviceCurrent VendorCommentsAqueous gun cleanerModel numberQuantityService frequencyCurrent Price per serviceCurrent VendorCommentsMinimizerModel numberQuantityService frequencyCurrent Price per serviceCurrent VendorCommentsBody Shop Hazardous MaterialWaste solvent based paintQty Generated/MonthUnit of MeasureContainer SizeCurrent Disposal PriceCurrent VendorCommentsWaste aqueous based paintQty Generated/MonthUnit of MeasureContainer SizeCurrent Disposal PriceCurrent VendorCommentsWaste paint solidsQty Generated/MonthUnit of MeasureContainer SizeCurrent Disposal PriceCurrent VendorCommentsPaint booth filtersQty Generated/MonthUnit of MeasureContainer SizeCurrent Disposal PriceCurrent VendorCommentsThinnerQty Purchased/MonthUnit of MeasureContainer SizeCurrent PriceCurrent VendorCommentsSection 10: Allied / CWS / MiscellaneousHow Many Products Do You Have?Select Product12345Product 1 - NameProduct 1 - FrequencyProduct 1 - NotesProduct 1 - Pictures Drop files here or Select files Max. file size: 50 MB. Product 2 - NameProduct 2 - FrequencyProduct 2 - NotesProduct 2 - Pictures Drop files here or Select files Max. file size: 50 MB. Product 3 - NameProduct 3 - FrequencyProduct 3 - NotesProduct 3 - Pictures Drop files here or Select files Max. file size: 50 MB. Product 4 - NameProduct 4 - FrequencyProduct 4 - NotesProduct 4 - Pictures Drop files here or Select files Max. file size: 50 MB. Product 5 - NameProduct 5 - FrequencyProduct 5 - NotesProduct 5 - Pictures Drop files here or Select files Max. file size: 50 MB. Section 11: Lost to CompetitorCompetitors(Required) HCCI Synergy Universal Other Competitor Name(Required)Section 12: Small BusinessUO - Existing Tank CapacityUO - Maximum Collection EventPlease indicate the tank size (for small business) 55 Gal Drum 225 250 275 500 550 1000 Other Pls attach any other required images Drop files here or Select files Max. file size: 50 MB. NotesSection 13: Business CardPhoto Of Business Card Drop files here or Select files Max. file size: 50 MB. General InfoDid you ask the contact about their need for PFAS services?(Required) Yes No If no, please askDid you ask the contact about their need for Emergency Response Services?(Required) Yes No If no, please askDid you ask the contact about their need for Technical Services?(Required) Yes No Please select the services that the contact may be interested in Chemical Distribution Healthcare Services Pipeline Services Refinery Oil & Waste Processing Remediation Services Retail Services T&D Services Transformer Services If no, please askDid you ask the contact about their need for Industrial Services?(Required) Yes No Please select the services that the contact may be interested in Daylighting Services Industrial Services LDAR Services Lodging Services Oil Field Transport / Prod Services Speciality Mechanical Services Right of Way Services Drill Rig Services Seismic Services Infrastructure & Utility Services Upstream If no, please askDid you ask the contact about their need for Field Services?(Required) Yes No Please select the services that the contact may be interested in Daylighting Services Event Services Field Services If no, please askPhoneThis field is for validation purposes and should be left unchanged.
