TPS Lab 4915 West Monte Cristo Road Edinburg, Texas Telephone: FAX: TPSLab.com

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1 TP ab 4915 West Monte Cristo Road dinburg, Texas Telephone: FAX: TPab.com B / CHARG TO: COUTAT GROWR PAT AP AAY General nformation Cover heet CT D: AO PROGRAM PACKAG FU RVC PACKAG D RPORT TO: COUTAT GROWR BOTH COUTAT AM: P/O o : TPHO o : -MA: COMPAY: ADDR: TOW: TAT / PROVC: ZP / POTA COD: COUTRY (F OT U..A. OR CAADA): GROWR COTACT AM: TPHO o : -MA: GROWR / COMPAY: P/O o : ADDR TOW: TAT / PROVC: ZP / POTA COD: COUTRY (F OT U..A. OR CAADA): FRTTY PRACTC RCOMMDATO: FARM / OCATO AM: COVTOA / CHMCA OCATO FORMATO UTAAB ORGAC RRGATO MTHOD: O-DRYAD PVOT WATR OURC F RRGATD CUD A COPY OF YOUR A RRGATO WATR MRA AAY, F AVAAB: MUCPA / CO-OP - ORGA OURC, F KOW: RVR W AK AK - DPTH: FT M RVR / CRK DRP FOOD PRKR MCROJT W - DPTH: FFUT FT M PROBM OR COMMT: FD HTORY TRUCTO: D:\T P \T P \T P FORM\ ATP-PAT-MUT-5P.doc RV. 5/21/2016 7:29 PM

2 PAT AMP UBMTTA AD CHA OF CUTODY ab Use Only: AB os FROM TO COUTAT: GROWR: P/O o : DAT OF PATG: DAY C MRGC: AMP TAK BY: ROW PACG: Date Received: By: CT D: HT OF CROP / VARTY: DAT AMP TAK: AB o (AB U OY) AMP / TATO D. (MAX. 6 CHAR) AMP TYP PTO AF WHO PAT PAT HGHT CH CM B U D FRUTG TAG B O O M F R U Z T COTTO COOR GROWTH Q U A R FAT DARK GOOD OD GOOD POOR YOW TUTD DAMAG CT WD/HA WATR O GHT MODRAT HAVY URFAC MOTUR DPTH +++ MUDDY ++ <= 2 + > 2 -- > 4 = WTD COMMT, OBRVATO & AT FRTZR APPCATO D:\T P \T P \T P FORM\ ATP-PAT-MUT-5P.doc RV. 5/21/2016 7:29 PM

3 ORDR COMPAY: P/O o : FD / OCATO: CT D: HT TOTA $ TOTA HT TOTA $ TOTA HT TOTA $ TOTA HT TOTA $ TOTA D:\T P \T P \T P FORM\ ATP-PAT-MUT-5P.doc RV. 5/21/2016 7:29 PM

4 TRUCTO OT AY AF OR PTO W DO! TH AMPG GUD FOR CTD PAT OUR F CHDU or call us. U PA PAPR BAG FOR AMP. DO OT U PATC OR D BAG. AMP MUT B THOROUGHY WAHD AD COMPTY DRD-OUT BFOR BG BAGGD. DO OT D AMP THAT T COTA MOTUR. DO OT D AMP THAT HAV DD. AMP MUT T B VG WH THY AR TAK. PROBM OR COMMT / FD HTORY: Please provide as much detail as possible. All information is considered when interpretations are being done and recommendations made. Print / Use as many ample ubmittal, Observations and Order forms as necessary for the same Company for the same Farm / ocation. Use separate Field og section for more than four fields / sample blocks or different crops. All fields on a Field og will be on the same report. Field Ds remain the same throughout the growing season. COUTAT: f you want a separate report for each client, use a separate submittal form for each client. Otherwise, all clients shown on the form will be on the same report. AMP / TATO.D.s must be consistent throughout the season for the log reports. The quantities shown below are for average size or mature leaves and petioles. f the leaves or petioles are smaller than average or are from young plants, please send proportionately more. PTO (Full eaf tems - ewest, Fully xpanded and Mature) PR AMP: Melons 40 Cotton 30 quash 20 Tomatoes 12 Celery 10 Pumpkins 15 Carrots 40 ugar Beets 25 Potatoes 15 ettuce 8 Cucumbers 40 oybeans 35 Grapes 40 Beans 40 Peanuts 30 trawberries 35 AV (ewest, Fully xpanded and Mature) PR AMP: Onions 8 Cabbage 8 Pecans 25 Trees arge eaves 15 Broccoli 8 Cauliflower 8 Trees mall eaves 35 Alfalfa 40 Corn 8 Oats 8 Fruit Trees 40 mall Grains 15 Carrots 10 Peppers 25 Olives 40 Garlic 20 Tobacco 20 ugar Cane 15 orghum 30 Timothy 40 Mid-Rib eaf and tem ee our paper on this crop for sampling details and schedule at AskThePlant.com. TRATOA AMP Must be washed and thoroughly dried before shipping. mport permits are required. ee TPab.com for forms and instructions. AVAAB ee Fee chedule for descriptions and prices. D:\T P \T P \T P FORM\ ATP-PAT-MUT-5P.doc RV. 5/21/2016 7:29 PM

5 OT ABOUT TH FORM FRT PAG eeds to be filled out only at the beginning of the season. f you know your CT D, please write it in the box. COD & THRD PAG Print as many of these as necessary. f you know your CT D, please write it in the box. PAYMT / CHARG CTO COMPAY: P/O o : FD / OCATO: TOTA CHARG: $ PAYMT MTHOD: CAH CHCK UMBR: CRDT CARD ORDR To help protect your privacy, the following may be telephoned or FAXed: VA MasterCard Discover American xpress CARD o : XP. DAT: / COD: AM O CARD: BG ADDR: TOW: TAT / PROVC: ZP / POTA COD: COUTRY (f not U..A. or Canada): D:\T P \T P \T P FORM\ ATP-PAT-MUT-5P.doc RV. 5/21/2016 7:29 PM

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