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Operation Date:

Form of Fertilizer: Select from List Liquid Solid (granular) Gas (anhydrous)

Which crop was this applied to: Select from list Corn Soybean Wheat Oats Alfalfa multiple crops (explain in Comments) other (explain in Comments)

Application Type: Select from List (1) Broadcast - surface applied (2) Placed in the row - surface applied (3) Placed in the row - injected (4) Placed between rows - surface applied (5) Placed between rows - injected (6) Placed between every other row - surface applied (7) Placed between every other row - injected (8) Diagonally injected across field (9) Other (explain in Comments)

What is the chemical formulation of the fertilizer applied? (example: urea, superphosphate, etc.)

Was a stabilizer (e.g. inhibitor or slow release) used?
Select from List Yes No

If you apply a fertilizer blend (multiple sources), create a different entry for each product.

Option A	Option B
Product Rate (lbs of product per acre):	Use this side if you know the quantity applied per nutrient. Do not combine multiple applications though as we need to know the dates associated with each.
Fertilizer Formulation (report in percent): Example: 100 lbs/acre of 18-46-0 was applied. 100 should be entered as the product rate (above) with 18 in the %N box and 46 in the %P2O5 box below. The elemental form of each will be calculated in the database using these values. % N (Nitrogen) % P2O5 (Phosphate) % P (Phosphorus) % K2O (Potash) % K (Potassium) % S (Sulfur) % Zn (Zinc) % Mg (Magnesium) % Ca (Calcium) % Fe (Iron)	Fertilizer Formulation (report in pounds per acre): lbs N (Nitrogen) per acre lbs P2O5 per acre (Phosphate) lbs P (Phosphorus) per acre lbs K2O (Potash) per acre lbs K (Potassium) per acre lbs S (Sulfur) per acre lbs Zn (Zinc) per acre lbs Mg (Magnesium) per acre lbs Ca (Calcium) per acre lbs Fe (Iron) per acre

Current soil pH of the site:

Target soil pH of the site:

Application Rate:

What is the Neutralizing Index value of the material?

Source of Manure e.g. hog, etc.:

What is the composition of this manure?
Select from ListFarmyard manureGreen manureStrawSlurry animal wasteCompostBean cakeHuman wastePoultry wasteSewage sludgeMeat or blood mealOther

What was the application method?
Select from List Broadcast without cultivation Broadcast with cultivation Injected (e.g. knifed) Other

Was a stabilizer (e.g. inhibitor or slow release) used?
Select from List Yes No

Application Rate:		gallons per acre tons per acre L per hectare Mg per hectare

Nutrient analysis of manure:
% N (Total Nitrogen (TKN))
% P₂0₅ (Phosphate)
% K₂0 (Potash)
% S (Sulfur)
% Ca (Calcium)
% Mg (Magnesium)

Please include additional metadata about the sampling event where appropriate. You can enter free-form comments to further describe the sampling that was done. The actual data for these sampled are stored elsewhere.

Sample Growth Stage
Canopy Height (meters)

Hybrid or Variety Planted:		(ex: Pioneer 1234)
Maturity of Hybrid or Variety:		For corn, the relative maturity (85-125). For soybean, a value between 1.0 and 4.0
Seeding Rate:		seeds per hectare seeds per acre lbs per acre
Note: To convert bu/acre to lbs/acre use: rye (56 lbs/bu), alfalfa (60 lbs/bu), and wheat (60 lbs/bu).

How was the crop terminated? Select from List Herbicide Tillage Herbicide and Tillage Crimping (rye only) Other

If biomass samples were collected, please enter the date of sampling. If sampled more than once, enter each date.
Date 1: Date 2:

Management information not found for this year.

Enter the total amount applied during the growing season:

centimeters inches

What method was used for irrigation? Select from List overhead (pivot/linear system) sprinkler subsurface drip flood (furrow/gravity)

If answered "Yes" or "Yes and No"; how was the crop residue removed from the applicable plots?
Select from List Burning Mechanical Mechanical - Cobs Only Mowed Not Applicable Other

What amount of residue was removed? Enter the:
Biomass weight

Moisture content (%)

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Application Date:

Note: Report all seed treatments. This includes standard seed treatments done by the company or dealer; look on the hybrid bag for the product names. Do not report the product rate.

Timing: Seed Applied

Application made to or for: Select from ListCornSoybeanRyeWheatAlfalfaOther

Product Name Applied (example: Poncho)
1.
2.
3.
4.

Justification for action. Note: This may include any measurements of pest abundance or relevant economic thresholds.

Reference. Note: This may include a discussion with an IPM consultant (e.g., county or university extension specialists) or published guideline (e.g., online IPM newsletter) used in the decision making process that led to the use of a pest-management strategy (e.g., application of herbicide, insecticide, or fungicide).

Any additional comments?

Note: If you tank-mixed several herbicides together enter each product individually under Product Applied and the respective rate for each.

Note: You do not need to separate products like Bicep II Magnum into active ingredients unless you think it is unknown or confusing. If this is the case, insert active ingredients under Comments.

Note: Report all seed treatments. This includes standard seed treatments done by the company or dealer; look on the hybrid bag for the product names. Do not report the product rate.

Timing: Select from List Fall Application Burndown Only Seed Applied Preplant Only Burndown and Preplant Pre Emerge Post Emerge Harvest Aid

Application made to or for: Select from List Corn Soybean Rye Wheat Alfalfa Other

Total liquid application rate: (optional)		gallons per acre L per hectare
Application Pressure: (optional)		psi kPa

Method of application: Select from List Ground Aerial

Product Name Applied (example: Bicep II Magnum)	Product Rate Applied	Rate Units
1.		oz (dry) oz (liquid)	per hectare per acre
2.		oz (dry) oz (liquid)	per hectare per acre
3.		oz (dry) oz (liquid)	per hectare per acre
4.		oz (dry) oz (liquid)	per hectare per acre

If an adjuvant was applied, select the appropriate type: Select from List Not Applicable Non-Ionic Surfactant (NIS) Crop Oil Other

Target weeds (enter up to 10)

1.		2.
3.		4.
5.		6.
7.		8.
9.		10.

Developmental stage of crop e.g. V3

Justification for action. Note: This may include any measurements of pest abundance or relevant economic thresholds.

Reference. Note: This may include a discussion with an IPM consultant (e.g., county or university extension specialists) or published guideline (e.g., online IPM newsletter) used in the decision making process that led to the use of a pest-management strategy (e.g., application of herbicide, insecticide, or fungicide).

Any additional comments?

Note: If you tank-mixed an insecticide with a herbicide or fungicide, enter each separately under their respective categories.

Timing: Select from List Seed Applied In-furrow Post Emerge

Method of application: Select from List Ground Aerial

Application made to or for: Select from List Corn Soybean Rye Wheat Alfalfa Other

Total liquid application rate: (optional)		gallons per acre L per hectare
Application Pressure: (optional)		psi kPa

Product Name Applied (example: Warrior)	Product Rate Applied	Rate Units
		oz (dry) oz (liquid)	per hectare per acre

If an adjuvant was applied, select the appropriate type: Select from List Not Applicable Non-Ionic Surfactant (NIS) Crop Oil Other

Target insects (enter up to 10)

1.		2.
3.		4.
5.		6.
7.		8.
9.		10.

Developmental stage of crop e.g. V3

Justification for action. Note: This may include any measurements of pest abundance or relevant economic thresholds.

Reference. Note: This may include a discussion with an IPM consultant (e.g., county or university extension specialists) or published guideline (e.g., online IPM newsletter) used in the decision making process that led to the use of a pest-management strategy (e.g., application of herbicide, insecticide, or fungicide).

Any additional comments?

Note: If you tank-mixed a fungicide with a herbicide or insecticide, enter each separately under their respective categories.

Timing: Select from List Seed Applied Vegetative Application Reproductive Application

Method of application: Select from List Ground Aerial

Application made to or for: Select from List Corn Soybean Rye Wheat Alfalfa Other

Total liquid application rate: (optional)		gallons per acre L per hectare
Application Pressure: (optional)		psi kPa

Product Name Applied (example: Quilt)	Product Rate Applied	Rate Units
		oz (dry) oz (liquid)	per hectare per acre

If an adjuvant was applied, select the appropriate type: Select from List Not Applicable Non-Ionic Surfactant (NIS) Crop Oil Other

Target pathogens (enter up to 10)

1.		2.
3.		4.
5.		6.
7.		8.
9.		10.

Developmental stage of crop e.g. R1

Justification for action. Note: This may include any measurements of pest abundance or relevant economic thresholds.

Reference. Note: This may include a discussion with an IPM consultant (e.g., county or university extension specialists) or published guideline (e.g., online IPM newsletter) used in the decision making process that led to the use of a pest-management strategy (e.g., application of herbicide, insecticide, or fungicide).

Any additional comments?