DATE:_____________________ Please Check Analysis Desired FULL NAME:_______________________________________ Farm & Ranch Package PER SAMPLE pH, salts, organic matter, NO 3 , P, K, $1 BUSINESS:_________________________________________ Farm & Ranch Plus Mailing Address:______________________________________ pH, salts, organic matter, NO 3 , P, K, Zn, Fe, S $18.00 _________________________________________________ Routine (General Fertility Package) pH, salts, organic matter, NO 3 , 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 + $2 .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 (FOR YOUR INFORMATION) ROW FLOOD SPRINKLER SUB DRYLAND IRRIGATION WATER NITRATE-NITROGEN (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 BE SEEDED PRESENTLY ESTABLISHED UP TO 25% LEGUME 25-75 % LEGUME GREATER THAN 75 % LEGUME COMMENTS: Note special problems, fertilizer applied since last crop C.S.U EXTENSION AGENT____________________________ VISIT OUR WEB SITE AT: http://www.soiltestinglab.colostate.edu By 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 Lab Campus Delivery 1120 NESB A-319 Fort Collins CO 80523-1120 AGRICULTURAL SOIL SAMPLE INFORMATION