Salt Request Form
Date Requested
*
-
Month
-
Day
Year
Your Name
*
First and Last
Your Phone Number
*
Zone
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Delivery Location 1
*
Please Select
BISON 7090 Industrial, Comber
ESSEX PLAZA 53 Arthur Ave, Essex
OPTIMIST PARK BELLE RIVER 705 Notre Dame St, Belle River
SHEPLEY TRUCKING 2964 County Rd. 12, Essex
OTHER
Delivery Location 2
*
Please Select
ATLAS TUBE CENTRE 447 Renaud Ln, Belle River
BATTERY PLANT 9655 Twin Oaks Dr, Windsor
FLEX N GATE 538 Blanchard Park
GREEN VALLEY PLAZA 1300 Tecumseh Rd, Tecumseh
LFX HQ 1125 Cnty Rd 42, Belle River
OTHER
Delivery Location 3
*
Please Select
SERBIAN CENTRE 6770 Tecumseh Rd, Windsor
WYANDOTTE
OTHER
Delivery Location 4
*
Please Select
AP PLASMA WINDSOR - 5250 Outer Drive
LENNOX 2977 St. Etienne, Windsor
WALKER TRANSPORT YARD 1790 Provincial Rd, Windsor
OTHER
Delivery Location 5
*
Please Select
AMAZON 2945 Dodge Dr. Windsor
LENNOX 2977 St. Etienne, Windsor
HOWARD YARD 474 Charles, Windsor
SYNCREON
OTHER
Delivery Location 6
*
Please Select
COLONIAL TOOL 1691 Walker Rd., Windsor
STELLANTIS 2199 Chrysler Centre, Windsor (Gate 8 on Grand Marais)
OTHER
Delivery Location 7
*
Please Select
OUELLETTE HOSPITAL 1030 Ouellette Ave, Windsor
OTHER
Delivery Location 8
*
Please Select
HOTEL-DIEU GRACE HOSPITAL 1453Prince Rd., Windsor
MELOCHE WINDOWS 6144 Morton, Windsor
TECHNICUT TOOL 2285 Ambassador Dr, Windsor
OTHER
Delivery Location 9
*
Please Select
COLCHESTER MARINA 101 JACKSON HARROW
DIAGO 110 St. Arnaud, Amherstburg
OTHER
Delivery Location 10
*
Please Select
PEARSON SPRING - 208 Wigle St. Kingsville
LEAMINGTON HOSPITAL 194 Talbot St W, Leamington
LEAMINGTON WALMART 288 Erie St. S, Leamington
OTHER
Delivery Location 11
*
Please Select
ST. CLAIR COLLEGE 2000 Talbot, Windsor
OTHER
Delivery Location 12
*
Please Select
ROUNDHOUSE, 3155 Howard Ave, Windsor
OTHER
Delivery Date
*
-
Month
-
Day
Year
Date
CURRENT INVENTORY
Current amt of rock salt skids on site
*
20 kg bags / 56 bags per skid
Current amt of ice melt skids on site
*
22 kg bags / 49 bags per skid
Current amt of bulk salt on site (measure in terms of tri-axle)?
*
1 tri-axle is approx 24 tons
Current amt of brine on site (gallons)?
*
1 tank is 3000 gallons
PRODUCT REQUEST
Requested amt of rock salt skids
*
20 Kg bags / 56 Bags per skid, only delivered by the full skid
Requested amt of ice melt skids
*
22 kg bags / 49 bags per skid, only delivered by the full skid
Requested amt of tri axles
*
1 tri axle is approx 24 tons
Requested amt of gallons
*
1 tank is 3000 gallons
Delivery Notes:
Submit
Should be Empty: