Soil Survey Form - http://www.dirtdoc.com
    Copyright © 2005 Oak Hill Consulting - All Rights Reserved
    Helping Farmers Understand Their Soil

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------INSTRUCTIONS--------
In order for me to help you with your soil improvements, 
I need additional information about your present soil condition 
and any additives you have used in the past.

Step 1 - Fill out this FORM.

Step 2 - Collect your soil samples

Step 3 - Make check out to Rodney Heinen $60 per soil sample.

Step 4 - Mail all to:

c/o Rodney Heinen
Oak Hill Consulting
462X Rd
Wetmore, Ks 66550

Land Owner Name:

Farm, Ranch, or Company Name:

Address:			City: 

State:  			Zip Code:

Country:

Home Phone:			Work Phone:

Cell Phone:			Pager Number: 

Fax:Email:

Answer these questions

1.What type of crop do you intend to grow?


And are you Grazing (head per acre) or producing Hay (tons per acre)


2.What is your fertilizer budget per acre?

3.Circle the Type of Soil 

Sandy		Sandy Loam		Clay		Gumbo	Other

4.Do you have a current complete soil test?

Yes 			No

5.What is your Moisture Level? (average rainfall per growing season)

Irrigated			Normal Rainfall

6.Have you ever used herbicides or pesticides on your crop?

Yes 			No 

If Yes, list products and percentage used


7.Have you seen your neighbors using herbicides close to your field?

Yes 			No 

If Yes, list what they might be spraying for, or what chemicals are they possibly using

8.How much water has been applied through irrigation or rainfall?

9.List whether your water is 

Hard                	Soft

10.Has there been drought conditions?

Yes 			No

If Yes how Long of a period and when?

11.Were there flood conditions?

Yes 			No 

If Yes, how long did the ground stay saturated?

12.Describe the problems you are having.