Feed and Forage Testing Application Form For Beef Cattle by aya20861

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									                                               Feed and Forage Testing Application Form
                                                    For Beef Cattle and Dairy Cattle

                                                                 Client Information
Name: ______________________________________________________________________                                Date:           _______________________

Address: ____________________________________________________________________                               Sample No: _______________________

City: _________________________________          State: _____    Zip: __________                            Phone:          _______________________

Date Received in County Office: _____________________           County: ____________________                Agent:          _______________________

                                             Animal Classes (Please check only the most important class)
Beef Cattle:
 Dry Cows           hd _____      wt _____        Stocker hd (steers) _____     hd (heifers) _____    wt _____       exp. ADG ________
 Lactating Cows     hd _____      wt _____        Feedlot hd (steers) _____     hd (heifers) _____    wt _____       exp. ADG ________
 Heifers            hd _____      wt _____        Other ___________________________________________


Dairy Cattle:        Lactating Cows _______                Dry Cows _______               Heifers ________               wt. _______
  Group           Num            Wt.                 Milk lb.         Fat%               Days in Milk
     1         ___________      ___________       ___________        ___________       _____________
     2         ___________      ___________       ___________        ___________       _____________       Other:                  ______________
     3         ___________      ___________       ___________        ___________       _____________       Milk price, $/cwt       ______________
                                                      Test(s) Requested (Check all appropriate.)

 ___ F1 Hays and Silage (NIR + nitrate + minerals)                        ___ F7     Routine Feed Analysis (Includes minerals)
 ___ F2 Hays and Silage (NIR + nitrate, excluding minerals)               ___ F8     Proximate Analysis (Protein, Fat, Fiber, Moisture &Ash)
 ___ F3 Hays and Silage (NIR only)                                        ___ F10    Crude Protein
 ___ F4 Hays and Silage (Wet Chemistry) includes minerals                 ___ F14    Nitrates
 ___ F5 Hays and Silages (Wet Chemistry) excludes minerals                           Other: __________________________________
 ___ F6 Hays and Silages (Wet Chemistry)                                             Other: __________________________________
                                                               Type of Feed and Forage
Please check the one most appropriate type from the list below. Checking more than one type will delay the delivery of the lab report. If the sample is a
mixture of ingredients, check the appropriate mixed feed and list ingredients in the space provided on the enclosed worksheet.
 Silage:                       Hay:                                      Grain:                                     By-products:
 ___ Corn                      ___ Alfalfa                               ___ Corn                                   ___ Soybean hulls
 ___ Sorghum (Silage)          ___ Annual Ryegrass                       ___ Grain Sorghum                          ___ Cottonseed hulls
 ___ Small grain               ___ Bahia                                 ___ Wheat                                  ___ Peanut hulls
     ___ Wheat                 ___ Bermudagrass                          ___ Barley                                 ___ Citrus pulp
     ___ Rye                       ___ Alicia                            ___ Oats                                   ___ Brewers grains, wet
     ___ Barley                    ___ Coastal                           ___ Triticale                              ___ Poultry litter
     ___ Oats                      ___ Coastcross                            Other:                                 ___ Wheat midds
 ___ Sorghum (grain)               ___ Common                                                                           Other:
 ___ Alfalfa                       ___ Tift 44                           Protein Source:
 ___ Other legume                  ___ Tift 78                           ___ Soybean Meal 48                        Mineral Mixes:
 ___ Grass                         ___ Tift 85                           ___ Soybean Meal 44                        ___ Base mix
 ___ Mixed                         ___ Mixed                             ___ Cottonseed Meal                        ___ Premix
      Other:                       ___ Russell                           ___ Peanut Meal                            ___ Trace-mineral mix
                                   Other (specify): __________           ___ Whole Cottonseed                           Other:
 Green Chop:                   ___ Fescue/Orchardgrass                   ___ Protein Supplement
 ___ Corn                      ___ Millet                                (% Protein             )                   Mixed Feeds:
 ___ Sorghum (silage)          ___ Small Grain                                                                       Complete Feed ________
 ___ Small grain                   ___ Wheat                            Other not listed:                               (list ingredients separately)
     ___ Wheat                     ___ Rye                              ____________________________                 Silage/grain mix
     ___ Rye                       ___ Barley                           ____________________________                    Silage: _____       Grain: _____
     ___ Barley                    ___ Oats                             ____________________________
     ___ Oats                  ___ Grass/Legume Mix
 ___ Alfalfa                   ___ Peanut                                Please send all samples and forms to:                  For Lab Use Only
 ___ Other legume              ___ Perennial Peanut                        Ag & Environmental Services Laboratories
 ___ Grass                     ___ Other Legumes                           Feed & Environmental Water Laboratory                Lab # ________________
 ___ Mixed                     ___ Sorghum hybrids                         2300 College Station Rd
                                    Other:                                                                                      04/01/08 Rick Hitchcock
      Other:                                                               Athens GA 30602-4356
                                        Feed Formulation


If you want a state specialist to formulate a diet for you, list the ingredients you have available and
their cost in the spaces provided. If you want a commercial product, attach a copy of the feed tag
from the product.


  Ingredient:                   Cost:             Pounds:




If this sample is a complete feed, please list the ingredients used and the pounds / batch below.
Providing this information will improve the accuracy of the recommendation you will get with the
analysis.


  Ingredient:                                     Pounds:

								
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