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Date *Phone
Farm/Corporate Name (ie. Valleyview Farm Ltd.) *Contact Name *Name of Farm to be Sampled (ie. Home Farm)
911 Location Code (ie 35471 Perth Road 23) Lot Concession Township County
Other crop - please specify Alfalfa Barlage Barley - Spring Barley - Spring - underseeded Barley - Winter Barley - Winter - underseeded Beans - Field Beans - Green Beans - Kidney Beans - Lima Beans - Navy Beans - Snap Beans - Soy Beans - Wax Beans - white Brocolli Brocolli - Organic soil Buckwheat Buckwheat - underseeded Corn - Grain Corn - Seed Corn - Silage Corn - Sweet Flax Hay Pasture Hay Pasture - direct seeded Hay Pasture - unimproved Mixed Grain Mixed Grain - underseeded Nursery Sod Oatlage Oats Oats - underseeded Peas - Field Potatoes - Early Potatoes - Early - organic soil Potatoes - Late Rapeseed - Winter Rye Rye - underseeded Soybeans Strawberries - Established Strawberries - New Tobacco - Burley Tobacco - Dark Tobacco - Flue-Cured Tomatoes - Market Tomatoes - Processing Trefoil Treefoil - direct seeded Triticale Triticale - underseeded Turnips Wheat - Hard Red Spring Wheat - Hard Red Spring - underseeded Wheat - Hard Red Winter Wheat - Hard Red Winter - underseeded Wheat - Soft Red Winter Wheat - Soft Red Winter - underseeded Wheat - Soft White Spring Wheat - Soft White Spring - underseeded Wheat - Soft White Winter Wheat - Soft White Winter - underseeded Other
Yield Goal bushels per acre pounds per acre tons per acre
Previous Crop for Crop Year 2003 Crop Year 2004 Crop Year 2005
Previous Other Crop - please specify Alfalfa Barlage Barley - Spring Barley - Spring - underseeded Barley - Winter Barley - Winter - underseeded Beans - Field Beans - Green Beans - Kidney Beans - Lima Beans - Navy Beans - Snap Beans - Soy Beans - Wax Beans - white Brocolli Brocolli - Organic soil Buckwheat Buckwheat - underseeded Corn - Grain Corn - Seed Corn - Silage Corn - Sweet Flax Hay Pasture Hay Pasture - direct seeded Hay Pasture - unimproved Mixed Grain Mixed Grain - underseeded Nursery Sod Oatlage Oats Oats - underseeded Peas - Field Potatoes - Early Potatoes - Early - organic soil Potatoes - Late Rapeseed - Winter Rye Rye - underseeded Soybeans Strawberries - Established Strawberries - New Tobacco - Burley Tobacco - Dark Tobacco - Flue-Cured Tomatoes - Market Tomatoes - Processing Trefoil Treefoil - direct seeded Triticale Triticale - underseeded Turnips Wheat - Hard Red Spring Wheat - Hard Red Spring - underseeded Wheat - Hard Red Winter Wheat - Hard Red Winter - underseeded Wheat - Soft Red Winter Wheat - Soft Red Winter - underseeded Wheat - Soft White Spring Wheat - Soft White Spring - underseeded Wheat - Soft White Winter Wheat - Soft White Winter - underseeded Other
Yield Attained bushels per acre pounds per acre tons per acre
Tillage Type Tillage Type - choose one Minimum Tillage No Till Conventional Tillage Legume Amount None Less than one third One third to one half More than one half Legume Age in years
Comments help
check this box if NO manure was applied in the last 3 years
Application Rate Unit of Measure - choose one gallons per acre tons per acre
Sample Number (if available)
Application Method - choose one: Spreader Gun Injection Other (specify)
Days to Cover
Application Rate Unit of Measure - choose one gallons per acre tons per acre help
Application Method - choose one: Spreader Gun Injection Other (specify) Days to Cover
Application Rate Unit of measure - choose one gallons per acre tons per acre
Nitrogen (N) lbs/acre Phosphate (P2O5) lbs/acre Potash (K2O) lbs/acre
