Name:_________________________________________ Date:________________
Address: _______________________________________Zip:________________
Sample represents _____ acres. Sample name or number (12 characters or less):______________
| ___ | Hay; alfalfa & mixtures containing more than 50% alfalfa |
___ | Millet, sudangrass, sudangrass hybrids |
| ___ | Hay; legumes other than alfalfa (clover, trefoil, etc.) and mixtures containing more than 50% of such legumes | ___ | Orchardgrass, reed-canarygrass, tall fescue, ryegrass |
| ___ | Hay; timothy, bromegrass, "grass" | ___ | Mixed legume-grass pasture |
| ___ | Small grains or soybeans | ___ | Grass pasture |
| ___ | Other (specify) ____________________ | ___ | Horse pasture |
4. Manure/organic waste applied or to be applied for this crop (check one):
___None, ___Undecided, ___Cow, ___Liquid cow, ___Poultry (fresh),
___Poultry (moist-crumbly), ___Poultry (dry), ___Liquid poultry, ___Mycellium, ___Other
Month(s) of application:________________________________________________
Rate (fill in one): ______tons/acre, ______slurry gallons/acre, ______bu/A, ______cu ft/A
5. Manure/organic waste previously applied to this field:
___None, ___Cow, ___Poultry, ___Other (specify)________________.
Number of years applied:_____.
Rate: ______bu/A, ______cu ft/A tons/acre:___0-15, ___16-25, ___26-35, ___35+ gallons/acre:___0-5,000 ; ___5,001-8,000 ; ___8,001-11,000 ; ___11,000+