Existing Truck Scale

Foundation Questionnaire
Use this form to provide data about an existing vehicle scale foundation

Dealer Company Name:____________________________________________Sales Person:____________________________

Rice Lake Customer Number:____________________________ Email:_____________________________________________
Phone:___________________________________ Address:_______________________________________________________
City:________________________________________________________________ State:____________ Zip:_________________

Profile Requirements

Is grout or shim required? oGrout oShim

2 Section Foundation Measurements

A D G
B E
C F

H K
I
J

L O R
M P
N Q
L + O + P = Length of Pit (A or B)

0551 New 04/19

Existing Truck Scale
Foundation Questionnaire
Use this form to provide data about an existing vehicle scale foundation

Dealer Company Name:____________________________________________Sales Person:____________________________

Rice Lake Customer Number:____________________________ Email:_____________________________________________
Phone:___________________________________ Address:_______________________________________________________
City:________________________________________________________________ State:____________ Zip:_________________

Profile Requirements

Is grout or shim required? oGrout oShim

3 Section Foundation Measurements

A D G
B E
C F

H K
I L
J M

N Q T
O R U
P S V
Verify that N + Q + R + S+ T = Length of Pit (A or B)

0551 New 04/19

Existing Truck Scale
Foundation Questionnaire
Use this form to provide data about an existing vehicle scale foundation

Dealer Company Name:____________________________________________Sales Person:____________________________

Rice Lake Customer Number:____________________________ Email:_____________________________________________
Phone:___________________________________ Address:_______________________________________________________
City:________________________________________________________________ State:____________ Zip:_________________

Profile Requirements

Is grout or shim required? oGrout oShim

4 Section Foundation Measurements

A D G
B E
C F

H K N
I L O
J M

P S V Y
Q T W Z
RV U X
P + S + T + U+ V + W + X = Length of Pit (A or B)

0551 New 04/19

Existing Truck Scale
Foundation Questionnaire
Use this form to provide data about an existing vehicle scale foundation

Dealer Company Name:____________________________________________Sales Person:____________________________

Rice Lake Customer Number:____________________________ Email:_____________________________________________
Phone:___________________________________ Address:_______________________________________________________
City:________________________________________________________________ State:____________ Zip:_________________

Profile Requirements

Is grout or shim required? oGrout oShim

5 Section Foundation Measurements

A D G
B E
C F

H K N Q
I L O
J M P

R U X AA DD
S V Y BB
T W Z CC
R + U + V + W+ X + Y + Z + AA + BB = Length of Pit (A or B)

0551 New 04/19

Existing Truck Scale
Foundation Questionnaire
Use this form to provide data about an existing vehicle scale foundation

Dealer Company Name:____________________________________________Sales Person:____________________________

Rice Lake Customer Number:____________________________ Email:_____________________________________________
Phone:___________________________________ Address:_______________________________________________________
City:________________________________________________________________ State:____________ Zip:_________________

Profile Requirements

Is grout or shim required? oGrout oShim

6 Section Foundation Measurements

A D G
B E
C F

H K N Q
I L O R
J M P S

T W Z CC FF
U X AA DD GG
V Y BB EE HH
T + W + X + Y+ Z + AA + BB+ CC + DD + EE + FF = Length of Pit (A or B)

0551 New 04/19

Existing Truck Scale
Foundation Questionnaire
Use this form to provide data about an existing vehicle scale foundation

Dealer Company Name:____________________________________________Sales Person:____________________________

Rice Lake Customer Number:____________________________ Email:_____________________________________________
Phone:___________________________________ Address:_______________________________________________________
City:________________________________________________________________ State:____________ Zip:_________________

Profile Requirements

Is grout or shim required? oGrout oShim

7 Section Foundation Measurements

A D G
B E
C F

H K N Q T
I L O R U
J M P S

V Y BB EE HH KK
W Z CC FF II LL
X AA DD GG JJ
V + Y + Z+ AA + BB+ CC + DD + EE + FF + GG + HH + II + JJ = Length of Pit (A or B)

0551 New 04/19