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Agronomic Services — Sample Information Forms

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The first section of forms below are published in Adobe Acrobat (PDF) format.
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Sample information forms are revised from time to time. Use the most recent version whenever possible and provide your e-mail address so we can notify you when your reports are complete.

Online Submission of Soil Sample Information

Please submit soil and nemtode sample information electronically through the PALS website by creating a secure login account. Soon, online submission will be available for other types of agronomic samples.

Sample Information Forms
forms to print, fill out by hand and submit via mail

Soil sample Information forms
      Routine samples (form AD-1)
      Diagnostic (problem) samples (form AD-2)
      Soil samples for research (form AD-12)
      Soil samples for heavy metals analysis (form AD-13)

Nematode assay sample information forms
      Routine samples (form AD-3)
      Continuation page for routine samples
      Diagnostic (problem) samples (form AD-5)
      Continuation page for problem samples
      Phytosanitary certification (form AD-14)

Plant/Waste/Solution/Media sample information forms
      Plant tissue samples (form AD-4)
      Waste or compost samples (form AD-9)
      Source water or nutrient solution samples (form AD-7)
      Soilless media samples (form AD-8)

Cooperative Research Agreement (form AD-11)
— prerequisite for ALLsamples submitted for research purposes

Last Update March 31, 2016



NCDA&CS Agronomic Services Division, Colleen M. Hudak-Wise, Ph.D., Director
Mailing Address: 1040 Mail Service Center, Raleigh NC 27699-1040
Physical Address: 4300 Reedy Creek Road, Raleigh NC 27607-6465
Phone: (919) 733-2655; FAX: (919) 733-2837