Soil Testing for PCN Application Form - SASA
Soil Testing for PCN Application Form - SASA
Soil Testing for PCN Application Form - SASA
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<strong>Application</strong> <strong>for</strong> Potato Cyst Nematode <strong>Soil</strong> Test:Seed Potatoes including Farm Saved Seed<strong>Application</strong> must be submitted on, or be<strong>for</strong>e, the 31 st August in the year be<strong>for</strong>e planting, to <strong>SASA</strong>Headquarters, SPCS Administration, Room A14, Roddinglaw Road, Edinburgh EH12 9FJ.APPLICANT / OCCUPIER DETAILSName of Applicant:Full postal address:Name of Occupier:If different from ApplicantFull postal address:Postcode: Tel: Postcode: Tel:Having read the <strong>Soil</strong> <strong>Testing</strong> <strong>for</strong> Potato Cyst Nematode (<strong>PCN</strong>) Leaflet, I apply <strong>for</strong> the areas detailed overleaf to betested <strong>for</strong> <strong>PCN</strong>. I declare that I am the occupier of the land (or his authorised agent) and to the best of myknowledge and belief all the in<strong>for</strong>mation supplied is full and correct in every aspect.I agree to pay the necessary fees in respect of this application.Signature of Applicant:Date:Signature of Occupier:If different from ApplicantDate:INSTRUCTIONS FOR COMPLETING THE FORMAll applicants must provide a sketch map overleaf in respect of all fields to be tested. The sketch must clearlyshow the location of the field, the total area, the division into sampled units, if required, and any areas not to besampled. The drill direction must be indicated.If you wish the whole field area to be sampled and <strong>for</strong> <strong>SASA</strong> to divide the field equally into the maximum numberof sampled units, please tick the box. Otherwise please indicate the number of sampled units on the <strong>for</strong>m and thearea of each sampled unit on a sketch map (see example below).EXAMPLE OF COMPLETED FIELD AREA DETAILS AND SKETCH MAPField IdentificationFID No. (LPID)Total Area of Field(Ha)Divide into maximum allowablenumber of equal partsIf notNumber of Sampled UnitsPresent CropWinter or Spring SownYear last Cropped with Potatoes(Ware or Seed)NJ 76411 / 5552619.52Spring2002NIntended Year of Planting 2012Test typeIf crop to be grown <strong>for</strong> export pleasestate country of destinationSeed (<strong>for</strong> Seed PotatoClassification Scheme)Ware/Farm Saved Seed-
LOCATION OF FIELDS TO BE SAMPLEDFarm Code No:A separate <strong>for</strong>m must be completed <strong>for</strong> each farm code number.Name of Farm:FIELD AREA DETAILS AND SKETCH MAPSField IdentificationFID No. (LPID)Total Area of Field(Ha)Divide into maximum allowablenumber of equal partsIf notNumber of Sampled UnitsPresent CropWinter or Spring SownYear last Cropped with Potatoes(Ware or Seed)NIntended Year of PlantingTest typeIf crop to be grown <strong>for</strong> export pleasestate country of destinationSeed (<strong>for</strong> Seed PotatoClassification Scheme)Ware/Farm Saved SeedField IdentificationFID No. (LPID)Total Area of Field(Ha)Divide into maximum allowablenumber of equal partsIf notNumber of Sampled UnitsPresent CropWinter or Spring SownYear last Cropped with Potatoes(Ware or Seed)NIntended Year of PlantingTest typeIf crop to be grown <strong>for</strong> export pleasestate country of destinationSeed (<strong>for</strong> Seed PotatoClassification Scheme)Ware/Farm Saved SeedField IdentificationFID No. (LPID)Total Area of Field(Ha)Divide into maximum allowablenumber of equal partsIf notNumber of Sampled UnitsPresent CropWinter or Spring SownYear last Cropped with Potatoes(Ware or Seed)NIntended Year of PlantingTest typeIf crop to be grown <strong>for</strong> export pleasestate country of destinationSeed (<strong>for</strong> Seed PotatoClassification Scheme)Ware/Farm Saved SeedField IdentificationFID No. (LPID)Total Area of Field(Ha)Divide into maximum allowablenumber of equal partsIf notNumber of Sampled UnitsPresent CropWinter or Spring SownYear last Cropped with Potatoes(Ware or Seed)NIntended Year of PlantingTest typeIf crop to be grown <strong>for</strong> export pleasestate country of destinationSeed (<strong>for</strong> Seed PotatoClassification Scheme)Ware/Farm Saved Seed