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Liquid Fertilizer Application Solutions
2106 F Ave, Kearney, Nebraska 68847
(877) 218-1981
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GX20 Intelligent Chemical Mixer - Questionnaire
Home
Products
GX20 Intelligent Chemical Mixer
Questionnaire
Contact Information
*
marked fields are required.
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
Contact Information
*
Customer:
Dealership Name:
Customer Contact:
Dealership City & St:
Phone:
Salesperson:
*
Email:
Salesperson Email:
City & St:
Salesperson Phone:
AgXcel Representative:
AgXcel Representative Phone:
Dry Treating
Dry Treating Facility Type:
Rolling Auger
Mixing Barrel
Other
Type of Chemical using?:
Is the Dry Plant Indoor or Outdoor:
Rate of OZ per ton for treatment? (A):
Size of Chemical Hut required:
Rate of OZ per ton for treatment? (B):
Are the Chemicals Compatible:
Rate of OZ per ton for treatment? (C):
Could Chemical Freeze?:
Yes
No
Chemical Hut required?:
Yes
No
Rate of OZ per ton for treatment? (D):
Speed of Dry Auger in TONS per minute:
What kind of Dry will be Treated:
MESA
UREA
POTASSIUM
N
OTHER
Is the Auger speed adjustable?:
IF YES - What are the details?:
Notes:
IRRIGATION INJECTION
Type of Product?:
Fertilizer
Chemical
Other
What Brand and Model is the Pivot?:
Injection Rates Gallons/Hour (GPH):
Injection Rates Gallons/Acre (GPA):
How Long Is the Pivot?:
How Many Acres Does Your Pivot Cover?:
How Many Tanks Will You Draw From?:
Time it Takes Your Pivot Take To Cover The Acres?:
What Size is/are the Tank(s)?:
What is the Operating P.S.I. of the Irrigation?:
What Kind of Power Supply?:
12V
120V
240V
480V
How is the Electrical to the Pivot Wired?:
What Style Plug Will Be Providing Power to the GX20? (Need Plug # i.e. L16 - L20):
Does the Pivot Need to be Running in Order to Provide the GX20 With Power?:
Do You Have AgSense?:
Yes
No
Does Your Pivot Have Any Emergency Shutoffs?:
Yes
No
Would You Like Integration Into It?:
Yes
No
If Yes, Please Describe:
Location Of AgSense Module?:
Notes:
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