Schedule a Field Sample

NORTH CAROLINA

Crop ready for its sample to be taken?

Submit this form 30 days prior to harvest.

Hemp License Number

Name on Hemp License

Address of License

City

State

Zip Code

Phone Number

County

Preferred Date of Sampling
Please give us a 3-day window to come take the sample.
What 3 days will your crop be ready for a sample? For example, November 1 -3.

Select a date

Field Sample Information

SAMPLE 1

Contact Name if Different than License Name

Contact's Phone

Address of Hemp to be Sampled

County

City

State

Zip Code

Variety Name

Date Planted

Notable Growing Issues (e.g. disease, weather, pests)

If you have more than one sample, please continue. Otherwise click here to go to bottom of page to submit the form.

SAMPLE 2

Address of Sample if different than Sample 1

City

State

County

Zip Code

Variety Name Sample 2

Date Planted Sample 2

Notable Growing Issues (e.g. disease, weather, pests)

Have more samples to test? Please continue. Otherwise click here to go to bottom of page to submit the form.

SAMPLE 3

Address of Sample if different than Sample 1

City

State

County

Zip Code

Variety Sample 3

Date Planted Sample 3

Notable Growing Issues (e.g. disease, weather, pests)

Have more samples to test? Please continue. Otherwise click here to go to bottom of page to submit the form.

SAMPLE 4

Address of Sample is different than Sample 1

County

City

State

Zip Code

Variety Sample 4

Date Planted Sample 4

Notable Growing Issues (e.g. disease, weather, pests)

Have more than four samples to test? Please call 855-776-8570 to add more samples to your appointment.

For AgWin HATS to conduct the pre-harvest sampling, the licensee and/or designated representative must be present on the day/time of sampling.

*Indicates required field before form is submitted

Once your form is submitted, we will contact you to schedule a date and time the sample will be taken. We will then contact your State Inspector once the sampling has been scheduled.

Thank you for scheduling your test. We will be in touch soon to schedule your appointment.