Service Request Service Request First and Last name* Elevator and Location* Phone Number of Person In Contact* Aproximate Date of Service* MM slash DD slash YYYY Aproximate Arrival of Cars : Hours Minutes AMPM Type of Grain* Spring Wheat Yellow Corn Yellow Soybeans Type of Service* Choose OneUnit TrainDET TrainProbe Number of Cars (if probing) Results Requested* Full Grade Protein Vomitoxin Fallling Number Aflatoxin Composite Type* Single Car 5 Car 10 Car Seals* 2 per car NPGIS Employee Sealing 5 Per car NPGIS Employee Sealing 2 Per car Elevator Employee Sealing 5 Per car Elevator Employee Sealing No seals NPGIS is not responsible for any broken/missing seal, or any charges incurred after NPGIS personnel leaves loading Facility Comission Company* Where to Send Large Composite, or Other Website
