HORTICULTURAL APPLICATIONS SOIL, WATER & PLANT TESTING LABORATORY
NESB Room A-319, Ft. Collins CO 80523-1120 970-491-5061
PLEASE CIRCLE     PRICE PER
DATE:__________________________     ANALYSIS REQUESTED 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) for prices
  Street/PO Box Routine + Boron, Molybdenum, Cadmium, Lead  
____________________________________________________ Routine + Nitrate OR Salinity on Subsoil  
City State Zip Code Routine + Salinity + Nitrate on Subsoil  
PHONE:______________________FAX:__________________ NOTE: A subsoil is a separate sample taken from the 8"-24" depth  
COUNTY:_______________________SAMPLE ID:_____________________ below your surface sample.  
E-mail Address________________________________________    
CLIENT TYPE (Check One) MINIMUM CHARGE  
Homeowner Nursery /Garden Center PRICES SUBJECT TO CHANGE WITHOUT NOTICE  
___Operator ___Extension Agent Dealers/Distributor    
___Consultant ___Government/School Lawn Care Company Please do not pay by check until you receive an invoice.  
Golf Course ___Regulatory Agency ___ Other   If you are paying by credit card, please complete the following information.  
By accepting service or goods, I agree to submit payment in Name on Card        
full to Colorado State University upon receipt of invoice or Card Number        
University Billing Statement. Late Payment charges of 1.5% Mastercard   Expires    
per month and other penalties specified may be assessed Visa   V Number *    
for late payment.       * V number is located on the back of the card on the signature line, the last three numbers.  
PLEASE CIRCLE ALL THAT APPLY. See the reverse side for sampling information
The following information will help us give you a written explanation of the laboratory results:
1. The sample is from: 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? Is it an existing lawn?_____________ If so, how old is the lawn?______________________________
A. Sprinkler C. Drip 5. About how much water do you apply each time you irrigate/water?
B. Flood D. Other please specify_________ A. Less than 1 inch. B. 1-3 inches C. 4-6 inches D. More than 6 inches
6. How often do you irrigate/water? Daily_______ Once per week_______ Twice per week______Other_____________________
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).
10. If you wish to have a fertilizer recommendation based on organic fertilizers please answer the following questions.
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   % phosphorus   % potassium   pH Salts (mmhos/cm)  
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 revised 02-09-2007