Plant Analysis Spectrum Analytic Inc.

Sample Information 1087 Jamison Road NW

Washington C.H., OH 43160-8748
800-321-1562
Prepared For Company
Name Name

Address Address

City State Zip City State Zip

Date Phone Number Fax Number

Company Contact Person Email

Sample Information Fertilizer Applications

Sample ID
❑ lbs/Acre ❑ lbs/1000 ft2 ❑ Other _________
Date Planted or Last Cut Height or age
Method Date N P2O5 K2O Other (specify)
Plant (common or scientific name)

Growth Stage (choose one) Plant Part Sampled (choose one)

❑ Seedling ❑ Whole Plant (no roots)
❑ Early Growth ❑ Recently Matured Leaf
❑ Bloom ❑ Ear Leaf (corn)
❑ Fruiting ❑ Flag Leaf (small grain)
❑ Mature ❑ Y Leaf (rice)
❑ Top 6" (alfalfa, grasses) Lime Type Rate Date

❑ Feekes Stage ❑ Leaf Opposite Fruit (grapes) Manure Date

❑ Petiole
Sludge Date
❑ V/R Stage ❑ Current Year Lateral Tip
❑ Other ❑ Fruit/Grain Compost Date
❑ Wrapper Leaf (cabbage/lettuce)
Other (e.g., foliar nutrients, fungicides) Date
❑ Tip Leaflet (GH tomatoes)
❑ Other

Plant Conditions Soil Conditions

Appearance (describe if abnormal) Soil Type
❑ Sand ❑ Silt ❑ Loam ❑ Clay ❑ Muck
❑ Yes
Is a soil sample being sent with this sample?
Previous Crop Yield ❑ No
Rainfall (last 2 weeks) Drainage Air Temperature (last 2 weeks) If Yes If No
Soil Sample ID Date of Last Test
❑ Drought ❑ Poor ❑ Below Normal
❑ Low ❑ Fair ❑ Normal Lab
❑ Normal ❑ Good ❑ Above Normal
pH OM %
❑ High ❑ Excessive
Irrigation (last 2 weeks) Soil Lab Number P ❑ lb/A K ❑ lb/A
❑ ppm ❑ ppm
❑ None
Mg ❑ lb/A Ca ❑ lb/A
❑ Sprinkler Total applied inches ❑ ppm ❑ ppm

❑ Surface Flood Other

❑ Drip Tube

Send at least a rounded double handful (softball size) of plant tissue.

Do not ship sample in a plastic lined container.
See Plant Analysis Guide for complete sampling instructions. Rev.04202009