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2. 
3. Department of Economic Development
   Rail Use Survey
5. Company Name
6. Person Completing Form
8. Contact Name
9. Contact Title/Person
11. Phone number
12. Email
14. Address
16. 1) Are you interested in the potential use of a shared Trans-loading facility?

    1. Yes

    1. No
18. 2) How do you currently ship your goods and materials?

    1. Truck

    1. Rail

    1. Both

    1. Other
20. 3) Will you be:

    1. Shipping

    1. Receiving

    1. Both
22. 4) What is the commodity? (per Standard Transportation Commodity Code descriptions)
24. 5) What weekly volume of traffic do you anticipate (in carloads)?
26. 6) Is the volume:

    1. Steady

    1. Seasonal
28. 7) Potential number of jobs created?
30. 8) Potential of company expansion and investment with rail service?
32. 9) How will your product be loaded / unloaded?
34. 10) What type of railcars will you use?
36. 11) Will the railcars be:

    1. Norfolk Southern

    1. Privately Owned

    1. Leased
38. 12) What are the origin-destination pairs for your traffic?
40. 13) How many car spots will your facility need?
42. 14) How frequently will you require rail service?

    1. Daily

    1. Twice/Day

    1. Twice/Week

    1. Other
44. 15) Are there any other issues to be considered?
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46. 1. Receive an email copy of this form.
47. Email address

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