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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)
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