Download Soil Sample Instruction Sheet Template for Free

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Publication 452-125
Revised 2015
Virginia Tech
Soil Testing Laboratory
Routine (soil pH, P, K, Ca, Mg, Zn, Mn, Cu, Fe, B, and estimated CEC) $10.00 $16.00
Organic Matter – Determines percentage in soil – no recommendation given $4.00 $6.00
Soluble Salts – Determines if fertilizer salts are too high $2.00 $3.00
Send in payment along with soil sample and form; make check or money order payable to “Treasurer, Virginia Tech.”
COST PER SAMPLE
IN-STATE OUT-OF-STATE
SOIL TESTS DESIRED AND FEES
SOIL INFORMATION
Last Lime Application
Months Previous Pounds per 1,000 sq. ft.
0 – 6
7 – 12
13 – 18
19+
0
10 – 50
51 – 100
101 – 150
151+
SAMPLE
IDENTIFICATION
Your Sample Box
Number or Name
(Up to 5 digits)
PLANT TO
BE GROWN
Insert Plant Code #
from list at right
PLANT CODE LIST
Lawn: Kentucky Bluegrass,
Fescue, or Ryegrass
201 Establishing New Lawn
202 Maintaining Lawn, Repair of
Bare Spots
Lawn: Bermudagrass,
Zoysiagrass, or St. Agustine
203 Establishing New Lawn
204 Maintaining Lawn, Repair of
Bare Spots
Garden
210 Vegetable Garden
211 Flower Garden
212 Roses
Acid-Loving Shrubs
240 Azaleas
241 Andromedas
242 Camellias
243 Laurel
244 Rhododendron
Non-Acid-Loving Shrubs
and Trees
245 Shrubs - Lilac, Forsythia,
Boxwood, etc.
246 Trees - Pine, Maple, Oak, etc.
Fruits
220 Apples
221 Blackberries
222 Blueberries
223 Currants
224 Gooseberries
225 Grapes
226 Nectarines
227 Peaches
228 Pears
229 Plums
230 Quince
231 Raspberries
232 Sour Cherry
233 Strawberries
234 Sweet Cherries
House Plants
250 Potted House Plants
Soil Sample Information Sheet for
Home Lawns, Gardens, Fruits, and Ornamentals
Please Print
(Form expires January 2017)
INSTRUCTIONS: See other side for sampling instructions. For a recommendation, be sure to ll in the plant code number.
Place check marks ( √ ) where appropriate. Use another form for commercial crop production. Send samples, forms, and
payment to Virginia Tech Soil Testing Lab, 145 Smyth Hall (MC 0465), 185 Ag Quad Ln, Blacksburg VA 24061, in a sturdy
shipping carton weighing less than 37 pounds. Processing will be delayed if soil is not received in an ofcial sample box. See
www.soiltest.vt.edu for more information.
Ofce Use only
Extension
Unit Code:
Date sampled:
____________
MM/DD/YY
Your Name: ____________________________________________________________________________
E-mail: _______________________________________________ Phone: ________________________
Mailing Address: ________________________________________________________________________
_______________________________________________________________________________________
City: _______________________________________ ZIP Code (required): _______________________
County Where Soil is Located (required): __________________________________________________
Copy Report To (Consultant, etc.): __________________________________________________________
Their E-mail: ___________________________________________________________________________
Soil Sample Instruction Sheet Template
source: pubs.ext.vt.edu
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