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SOIL ANALYSIS SAMPLE FORM SAMPLING DATE INVOICE ADDRESS (if different) Name Address Zip code Town Phone nr Fax Email CUSTOMER DATA Name Address Zip code Town Phone nr Fax Email SAMPLE INFO Kind of analysis Plot name Plot size Soil type Sampling depth Repeated sample? Acid loving crop? O Soil Balance (BBA) SAMPLE TAKEN BY Name Your consultant O Nova Bioscan (NBS) O Chroma O Soil Food Web (SFW) O sand O clay O peat O 0-20 cm O 0-40 cm O No, this is the first O Yes, date: O Yes O No O other: O other: Sample number VIC: Crop on this plot last year: Crop on this plot next year: Only for perennial crops: Type of crop Species O Tree nursery: O Open field crop: O Strawberry prod.: O Strawberry plant prod.: O Flower bulbs: O Fruit: O Other: Type of crop Species O Tree nursery: O Open field crop: O Strawberry prod.: O Strawberry plant prod.: O Flower bulbs: O Fruit: O Other: Type of crop O O O O O O O Fertilisers applied past year: Would you like to receive a tailormade fertiliser advice: O No O Yes, namely O Compost tailormade mixture (MoM) O Fertiliser advice during cultivation Remarks/specific demands: Duration (years)