UPS DE-INSTALLATION FORM

PLEASE ANSWER ALL QUESTIONS SO WE CAN PROVIDE YOU WITH THE BEST PRICING.

This list of Questions is designed to help in identifying the scope of work needed, the type chemistry of batteries, to determine what equipment and supplies are needed to safely move, package, label, and transport the batteries in a safe manner. Once we have the information, we can decide what is needed, including if needed, special trucks with a lift gate, liftrucks, pallet jacks, pallets, spill kits, crane, work crew. By having all these details, Battery Solutions can provide a comprehensive quote on the project, and lesson the chance of any unforeseen cost. If your batteries are already out of the ups system and packaged for pickup we would only quote you for that scenario.

Battery Solutions can decide on a plan of action to remove, or pickup the batteries based on the answers to these questions. Please answer yes, no, Or in the comment box.

Fields marked with a red * are required fields.

First Name*
Last Name*
Company*
Street Address
Street Address 2
City
State
Zip Code
Telephone Number*
Fax Number*
E-mail address*

1. Are the batteries still on the racks? YES NO

2. Are the racks two or three layers high?

3. Are the connector bars removed? YES NO

4. Are the earthquake supports removed? YES NO

5. Are the batteries on the floor? YES NO

6. Are the batteries inside a UPS unit? YES NO

7. Are the batteries on pallets? YES NO

8. If on pallets, are the batteries properly secured to the pallet by banding and shrink-wrap? YES NO

9. Are the pallets labeled with class 8 corrosive labels? YES NO

10. Are the batteries on the ground floor or what floor? YES NO
Floor:

11. Are the batteries in the basement? YES NO

12. Is there a freight elevator YES NO
If so, how much weight can it carry? lbs.

13. How far is it to the loading area from the batteries? Ft.

14. Are there any steps, carpeting, ramps or obstacles in the way of the pallet jack when pushing the batteries to the loading area? YES NO

15. Are the doorways wide enough to get the pallet through the doors to the loading area? YES NO

16. Is there a liftruck available on site to load the pallets on to the truck? YES NO

17. Is there a loading dock and dock plate? YES NO

18. Is the loading dock a regular semi trailer height? YES NO

19. Is there room to stage all the pallets before loading? YES NO
If not how many can be staged?

20. What hours are available for the truck to show up?

21. Does any area of the floor between the batteries and where they will be moved through need to be covered with masonite? YES NO

22. Are there caps on the batteries or spark arrestors? YES NO

23. Are there any battery spill kits on site for emergency spills? YES NO

24. Are any of the batteries leaking or cracked. YES NO

25. Is the site a unmanned site? YES NO

What are the Battery types?
WET FLOODED CELL
VRLA LEAD ACID NONSPILLABLE
OTHER TYPES

Weight each

Quantity

Total Wt.

Battery Manufacturer

Model Number

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