INDOOR GROW FORM
Project Name
Requested By
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Company Name
*
Contact Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province Zipcode
Country
OFFICE NUMBER
E-mail
*
mobile NUMBER
INDOOR GROW ROOMS
Number of indoor grow rooms
Select Number
NO OF HEAT STAGES PER ROOM
Select Number
NO OF COOLING STAGES PER ROOM
Select Number
NO OF HID GROW LIGHTS PER ROOM
Select Number
NO OF LED GROW LIGHTS PER ROOM
Select Number
Number of CO2 METERS PER ROOM
Select Number
Number of DEHUMIDIFIERS PER ROOM
Select Number
FERTIGATION MANAGER - IRRIGATION
How many Irrigation Valves?
Select Number
How many Drippers per zone?
Select Number
Size of dripper
2 Liters/hr
2.2 Liters/hr
4 Liters/hr
WATER FLOW RATE IN
GPM
LITERS/MINUTE
Other
Water flow rate per zone
Size of irrigation line
1"
1 - 1/2"
2"
3"
4"
Other
WATER PUMP VOLTAGE
120 V AC
220 Volts Single Phase
230 Volts 3 - Phase
480 Volts 3 - Phase
575 Volts 3 - Phase
Other
FREQUENCY of Electricity
50 Hz
60 Hz
Number of FERTILIZER INJECTORS REQUIRED
Select Number
POWER VOLTAGE AVAILABLE
220 Volts Single Phase
230 Volts 3 - Phase
480 Volts 3 - Phase
575 Volts 3 - Phase
Other
Frequency AVAILABLE
50 Hz
60 Hz
OZONE WATER TREATMENT SYSTEM
Type OF CROP
EX: TOMATOES, CUCUMBER, CANABIS, PEPPER, STRAWBERRY...ETC
TYPE OF SUBSTRATE DO YOU USE?
CO-CO PEAT
ROCKWOOL
PEAT MIX
PERLITE
LAVA ROCK
Other
WATER FLOW RATE IN
GPM
LITERS/MINUTE
METER3/HR
Other
Water flow rate
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
SIZE OF FRESH WATER HOLDING TANK
EX: 5000 LITERS
SIZE OF TREATED WATER HOLDING TAnk
EX: 5000 LITERS
DO YOU REQUIRE RO SYSTEM?
YES
NO
DO YOU REQUIRE MEDIA FILTER?
YES
NO
DO YOU REQUIRE CARBON FILTER?
YES
NO
USAGE IN GPD (PER DAY)
EX: 2500 GPD
CARBON PRE-FILTER FOR RO REQUIRED?
YES
NO
DO YOU REQUIRE WATER STERILIZATION?
YES
NO
HOW MANY WATER TANKS NEED TO BE STERILIZED?
Select Number
SIZE OF WATER STORAGE TANK
FRESH WATER SOURCE
water source
CITY WATER
WELL WATER
POND WATER
RAIN WATER
Other
WATER STREAM
DITCH
RIVER
Other
PUMP GPM REQUIRED
PUMP METER3/MINUTE REQUIRED
MEDIA FILTER REQUIRED?
YES
NO
Additional Notes
Submit
Should be Empty: