PLANT SAMPLE INFORMATION FORM
timberleafsoiltesting.com
39648 Old Spring Rd. Murrieta, CA 92563 | phone: 951.677.7510 | [email protected]
Grower:
Farm/Garden Name:
City:
Address:
County:
Phone:
This is a: Family Garden
State:
Zip:
Email:
Mini Farm
Farm
Demo
Lawn
Landscape
Other ________________
BACKGROUND INFORMATION (complete in as much detail as possible)
Size of Garden:
Date of Last Soil Test:
Poor
This is Natural Soil
Drainage: Good
Fair
Equipment Used:
Lawn & Garden Tractor
Organice Garderner? Yes
New Fill
Roto-Tiller
Plow
Old Fill
Disc
No
Tillage Method:
Hand Digging Tools
How long has the garden represented by this sample been in production (state total years)?
SAMPLE #
CROP
AGE OF PLANTS
(week after emergence)
PLANT PART
SAMPLED
FERTILIZER
APPLIED
PLANT APPERANCE
Whole Plant:
Leaves:
Normal:
Abnormal:
Top 6”:
Describe:
Petiole:
Whole Plant:
Leaves:
Normal:
Abnormal:
Top 6”:
Describe:
Petiole:
Whole Plant:
Leaves:
Normal:
Abnormal:
Top 6”:
Describe:
Petiole:
Whole Plant:
Leaves:
Normal:
Abnormal:
Top 6”:
Describe:
Petiole:
OTHER COMMENTS:
DO NOT PLACE WET SAMPLES IN PLASTIC BAGS AS THEY MAY MOLD
The information on this form was provided with permission from A&L Eastern Agricultral Laboratories, Inc., Richmond, Virginia.