DATE:_____________________ Please Check Analysis Desired

FULL NAME:_______________________________________ Farm & Ranch Package PER

SAMPLEpH, salts, organic matter, NO3, P, K, $15.00

BUSINESS:_________________________________________Farm & Ranch Plus

Mailing Address:______________________________________ pH, salts, organic matter, NO3, P, K, Zn, Fe, S $18.00

_________________________________________________ Routine (General Fertility Package) pH, salts, organic matter, NO3, P, K, Zn, Fe, Cu, Mn, B lime & texture estimates $35.00

CITY:________________STATE________ ZIP___________Routine + Texture analysis by Hydrometer + $13.00

PHONE:____________________ FAX:________________Routine + Sodium Evaluation (SAR) + $7.00

E-MAIL: __________________________________________Routine + Chromium, Molybdenum, Cadmium, Lead + $10.00

COUNTY:________________________________________Routine + C:N Ratio + $28.00

Where did you hear about us? Routine + Nitrate or Salinity on Subsoil Sample + $8.00 PRICES SUBJECT TO CHANGE WITHOUT NOTICE Routine + Nitrate and Salinity on Subsoil Sample +$10.00

LABORATORY FIELD ACRES IRRIGATION ( CHECK ONE) CROP INFORMATION HAY AND PASTURE CROPS

(CHECK APPROPRIATE BOXES)NUMBER ID # ALFALFA STAND IS: GRASS-LEGUME MIX:

DO NOT WRITE BELOW

(FO

R

YO

UR

IN

FOR

MA

TIO

N)

RO

W

FLO

OD

SPR

INK

LER

SU

B

DR

YLA

ND

IRR

IGA

TIO

N W

ATE

R

NIT

RA

TE-N

ITR

OG

EN

(NO

3-N

) PPM

MANURE TO BE

APPLIED TONS/A

LAST YEAR'S CROP

CROP TO BE GROWN

VARIETY (REQUIRED

FOR POTATOES

AND BARLEY)

YIELD GOAL

TO B

E S

EED

ED

PRES

ENTL

Y

ESTA

BLI

SHED

UP

TO

25%

LEG

UM

E

25-7

5 %

LEG

UM

E

GR

EATE

R T

HA

N 7

5 %

LE

GU

ME

COMMENTS: Note special problems, fertilizer applied since last crop

C.S.U EXTENSION AGENT____________________________VISIT OUR WEB SITE AT: http://www.soiltestinglab.colostate.eduBy accepting service or goods, I agree to submit payment in full to Colorado State University upon receipt of invoice or University Billing Statement.Late payment charges of 1.5% per month and other penalties specified may be assessed for late payment. REVISED 3-1-2015

Soil, Water & Plant Testing LabCampus Delivery 1120 NESB A-319

Fort Collins CO 80523-1120

AGRICULTURALSOIL SAMPLE INFORMATION