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HORTICULTURAL APPLICATIONS |
SOIL, WATER & PLANT TESTING LABORATORY |
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NESB Room A-319, Ft. Collins CO 80523-1120 970-491-5061 |
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PLEASE CIRCLE |
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PRICE PER |
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ANALYSIS REQUESTED |
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SAMPLE |
| FULL NAME:__________________________________________ |
Routine (pH, EC, organic matter, NO 3 , P, K, Zn, Fe, Cu, Mn, lime & texture estimate) |
please call |
| ADDRESS:____________________________________________ |
Routine + Sodium Evaluation (SAR) |
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for prices |
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Street/PO Box |
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Routine + Boron, Molybdenum, Cadmium, Lead |
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Routine + Nitrate OR Salinity on Subsoil |
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State Zip Code |
Routine + Salinity + Nitrate on Subsoil |
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| PHONE:______________________FAX:__________________ |
NOTE: A subsoil is a separate sample taken from the 8"-24" depth |
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| COUNTY:_______________________SAMPLE ID:_____________________ |
below your surface sample. |
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| E-mail Address________________________________________ |
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| CLIENT TYPE (Check One) |
MINIMUM CHARGE |
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| Homeowner |
Nursery /Garden Center |
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PRICES SUBJECT TO CHANGE WITHOUT NOTICE |
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| ___Operator |
___Extension Agent |
Dealers/Distributor |
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| ___Consultant |
___Government/School |
Lawn Care Company |
Please do not pay by check until you receive an invoice. |
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| Golf Course |
___Regulatory Agency |
___ Other |
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If you are paying by credit card, please complete the following information. |
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| By accepting service or goods, I agree to submit payment in |
Name on Card |
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| full to Colorado State University upon receipt of invoice or |
Card Number |
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| University Billing Statement. Late Payment charges of 1.5% |
Mastercard |
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Expires |
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| per month and other penalties specified may be assessed |
Visa |
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V Number * |
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| for late payment. |
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* V number is located on the back of the card on the signature line, the last three numbers. |
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| PLEASE CIRCLE ALL THAT APPLY. |
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See the reverse side for sampling information |
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| The following information will help us give you a written explanation of the laboratory results: |
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| 1. The sample is from: |
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2. What do you plan to grow at the site or what is currently growing at the site? |
| A. Lawn |
D. Greenhouse |
G. Reclamation site |
A. Vegetables B. Flowers C. Turfgrass D. Trees E. Other____________ |
| B. Vegetable garden |
E. Golf course |
H. Other (please specify) |
3. Will this site be irrigated/watered? Yes_________ or No____________ |
| C. Flower bed |
F. Container plantings _________________ |
If you are growing turf please answer the following: Is this site to be Seeded_______Sodded?________ |
| 4. If yes which method? |
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Is it an existing lawn?_____________ If so, how old is the lawn?______________________________ |
| A. Sprinkler |
C. Drip |
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5. About how much water do you apply each time you irrigate/water? |
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| B. Flood |
D. Other please specify_________ |
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A. Less than 1 inch. |
B. 1-3 inches C. 4-6 inches |
D. More than 6 inches |
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| 6. How often do you irrigate/water? Daily_______ Once per week_______ Twice per week______Other_____________________ |
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| 7. If possible, indicate the types of previous crops or plants that grew at this site.__________________________________________________ |
| 8. What have you added or plan to add to the soil?___________________________________________________________________________ |
| 9. Is there a specific problem with this site? Yes________ |
No___ _________________________________________________________________________ |
| If yes, please describe the problem, what caused the problem and why you think it was the cause (use a separate sheet if necessary). |
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| 10. If you wish to have a fertilizer recommendation based on organic fertilizers please answer the following questions. |
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| What is the type of material that will be used for organic fertilizer?______________________________________________________________ |
| Do you know the nutrient levels in the organic fertilizer? Yes________No________ |
If so please supply the following information for the organic fertilizer. |
| % nitrogen |
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% phosphorus |
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% potassium |
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pH |
Salts (mmhos/cm) |
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| MAILING ADDRESS: (U.S. Mail) CSU Soil, Water & Plant Testing Lab, NESB Room A-319, Ft. Collins CO 80523-1120 (Other Carriers) add: 200 W. Lake Street below lab name. |
| VISIT OUR WEB SITE AT: http://www.extsoilcrop.colostate.edu/SoilLab/soillab.html |
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revised 02-09-2007 |