GREENHOUSE FORM
Project Name
Requested By
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Company Name
*
Address
*
Street Address
Street Address Line 2
City
Province Zipcode
Country
OFFICE NUMBER
*
Contact Name
*
First Name
Last Name
mobile number
E-mail
*
Greenhouse
GreenHouse Size in Meters or Feet?
Meters
Feet
Enter GreenHouse Size
Length
Width
Type of GreenHouse
Poly House
Glass House
Number of Hot Water Zones
Select Number
HOW MANY HOT WATER VAlVES PER Zone
Select Number
HOW MANY HOT WATER mixing VAlVES PER Zone
Select Number
Number of On/Off Steam Valves per Zone
Select Number
Number of Heat Valves per Zone
Select Number
Number of roof vents motor per Zone
Select Number
Number of Side Vents Motors
Select Number
Number of shade Motors
Select Number
Number of Cooling Fans (Gable End)
Select Number
Number of fresh Air Louvers (Gable End)
Select Number
Number of Cooling pads with water pump
Select Number
Number of Fog or Misting per zone
Select Number
Number of HID Grow lights per zone
Select Number
Number of LED Grow lights per zone
Select Number
Number of CO2 meters per zone
Select Number
Fertigation Manager
How many Irrigation Valves?
Select Number
How many Dripper per zone?
Select Number
Size of dripper
2 Liters/hr
2.2 Liters/hr
4 Liters/hr
Water flow rate per zone
in GPM
Size of irrigation line
1"
1 - 1/2"
2"
3"
4"
Other
water pump voltage
220 Volts Single Phase
230 Volts 3 - Phase
480 Volts 3 - Phase
575 Volts 3 - Phase
Other
Frequency of Electricity
50 Hz
60 Hz
NO of fertilizer injectors required?
Select Number
voltage requirement
120 V AC
220 Volts Single Phase
230 Volts 3 - Phase
480 Volts 3 - Phase
575 Volts 3 - Phase
Other
Frequency requirement
50 Hz
60 Hz
Additional Notes
Water Treatment
WHAT TYPE OF CROP GROWN?
Ex: Tomatoes, Pepper, Canabis, Cucumber etc..
WHAT TYPE OF SUBSTRATE DO YOU USE
Co - Co Peat
RockWool
PeatMix
Perlite
Lava Rock
WATER FLOW RATE IN
GPM
Meter3/Hr
Liters/Minute
Other
do you recycle irrigation water?
Yes
No
do you require water filteration
Yes
No
SIZE OF LEACHATE WATER HOLDING TANK IN LITERS
Ex: 5000 Liters
fresh water holding tank size
Ex: 5000 Liters
treated water holding tank size
Ex: 5000 Liters
do you require ro system
Yes
No
do you require water STERILIZATION?
Yes
No
how many tanks need to be sterilized?
Select Number
Fresh Water Source
WATER SOURCE
City Water
Well Water
Pond Water
Rain Water
Other
WATER STREAM
Ditch
River
pump gpm required
media filter required?
Yes
No
size of water storage tank
Submit
Should be Empty: