

*(W )

*(W )
* * 

 
 
* 

* 

 
Box
#
LAB NUMBER
(lab use only)
* SAMPLE ID *CURRENT CROP CROP LAST YEAR
FIELD
ACRES
NEMATICIDE
APPLIED
(
SOIL
TYPE
PLANT APPEARANCE
SYMPTOM
DISTRIBUTION
 
! !"#"#"##$#$#%%
#
$
"
&
'
-
NEMATODE ASSAY SUBMISSION—DIAGNOSTIC
* REQUIRED
□ ()$
□ *+%()!$
NCDA&CS Agronomic Division Nematode Section
 !"#$%%-
&!'(&)*+),- '.  !"#$#
&!%%$$-$hps://www.ncagr.gov/divisions/agronomic-services
PAYMENT CLIENT ADVISOR
),,,,,,,,
),,,,,,,,
-
□ ./
□ (
□0-
(1+234+*5+6
___________________________
* 1+378%+5-
___________________________
PALS Client Account # PALS Client Account #
+58 Stunted Yellow Dead
□44+8*83:;(<)#=
Thank you for using agronomic services to manage nutrients and safeguard environmental quality. — Steve Troxler, Commissioner of Agriculture
/012/34
5653578
9730/0:;9
TAKING FIELD SAMPLES FOR DIAGNOSTIC NEMATODE ASSAY
+*43:+3> 87++4
:++47?:+*43%+5+4:++45@
18;+23443843%+5+7+* *@
145+41+7853+*A84+ 
5+4518*7533+B3:+
%+5; +8841?: 518@
+43:+ 3*+:3278+9;;
COLLECTING ROOT AND SOIL SAMPLES
+38518%+1+78543:+3 +*847
+884%+5+*4 5:3+% C@
4>9 18D 373:5+4
+251+5;518 +*84+7
+884%+5 5+28C4
9  1843:+44;% A84
5+ +C4>+885@
18%+528* ;
+ 518>+888#=+38+
%+5 ++E+(=F"3 413+@88
>=FG3 3+2+8+1;388
+@H*187:11+D358 @
H*%*8893 +38  7 ++*: 8
53D4;
443++ +38518>*753I:++
5393 43:+3;+88++518
%+518D 373:5+4+2
51+57*+%+54418;+8@
8: ++>5+2 18%*88
%+5 +3893  +28+14J4++1*88
3%+5 :+*4;K%*88 ?3:+C
 4 3:+38>+88+5+% 588
A7+*++;
!;
!; 8 5183187:>8 7:
: 8+?1+385+3>4183 323@
3+L5+45187+D;03 
11+13A84*573 11+234@
4+ 7+D; 3*5734A+*
5183 87++>435*+@
1+4+ *573 +8*5
+ 3%+5;4518+ 87++
1+518;
#; %%838338+H*34>1*D
+38344+385187+D443
8+:93  3:++38518%+@
5+%+5+ :++533233+M+38
:87++;
$; /1518+*+% 43*83: +
2+34+2 :;51858+745@
:47 3% ?13 *?+%
;
"; +4883%+5+H*4:43:
A84 3+>+123>51+5>4
1N+%C4+ *7533+
%+5; 33%+5+37+8*8
%+*43:+3+% 1+785;%+*
28+518%+5 5A84+
 +38:87++>18*83
87++>+;;323L8
34833%+43:+3>18
5?++% 3+ 3%+5+%+5;
Thank you for using agronomic services to manage nutrients and safeguard environmental quality. — Steve Troxler, Commissioner of Agriculture
SUBMITTING SAMPLES