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Door Seal Survey
Loading Dock Seal / Shelter Survey
Please complete either the interactive form below
OR
download
this PDF
and fill it out onsite. When done please mail a photo of it and your loading dock back to
quotes@partsbrite.com
Contact
First Name *
Last Name *
Email *
Phone
Site / Location
Diagram: Dock and Door Dimensions
Dock and Door Dimensions
A
Door Width (in) *
B
Door Height (in) *
C
Door Spacing (in) *
D
Top Clearance *
E
Dock Height (in) *
F
Door to Obstruction *
G
Bumper Projection (in) *
Do you service trucks with liftgates?
Select…
Yes
No
Liftgate Projection (in)
Diagram: Approach Level & Slope
Approach Level & Slope
Approach Level *
Select…
Level
Decline
Incline
Distance A (in) *
Distance B (in) *
Slope % *
Formula: ((Dock Height − A) ÷ B) × 100
Diagram: Pleats & Materials
Pleats & Materials
Base Material *
22oz
40oz
Wear Pleats? *
Select…
Yes
No
Pleat Exposure *
Select…
4"
8"
Pleat Material *
22oz
40oz
45oz
Photos
Upload up to 6 photos.
Upload Photos
Notes
Submit Survey