Organization:

First Name:

Last Name:

Current Address

Location:

Site Location:

Sample ID:

Elevation:

(m)

Stand age:

(yrs)

Mapsheet:

Opening:

Estimated Site Index

(m @ 50 years)

Percent Live Crown

Deg

Min

Latitiude

Deg

Min

Longitude

BEC:

Zone

Subzone

Site series

Has this stand been fertilized with a nitrogenous fertilizer within the past two years?

Yes

No

Date:

Crown Position:

Upper

Middle

Lower

Stand Origin:

Plantation

Natural (fire origin)

Natural (harvest origin)

Foliage Age:

Current year

1-year-old

Greater than 1-year-old

Mixed ages

Diagnosis is based on:

Individual Sample

Composite Sample

Number of trees per composite:

Pertinent site/stand information:

Very wet or dry soil conditions

Needle cast of blight

Stem cankers or rusts

Animal damage to crop trees

Laboratory:

Pacific Soil Analysis

MoF Lab

Griffin Labs

Norwest

Other

Foliar Analysis (% dry weight)::

N

%

P

%

K

%

Ca

%

Mg

%

S

%

ppm:

SO4

ppm

Cu

ppm

Zn

ppm

Fe

ppm

Mn

ppm

B

ppm