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Schedule a Field Sample

OTHER STATES

Crop ready for its sample to be taken?
Submit this form 30 days prior to harvest.
If you have multiple crop addresses, please submit a request for each address.

Hemp License Number

Name on Hemp License

Phone Number

Email

Crop Address

City

State

Zip Code

County

Contact Information if Different from the Above

Name

Contact's Phone

Email

Anticipated Harvest Date

(Note: the sample must be taken within 30 days before harvest)

Special Instructions, if any

Sample 1 Variety Name

Field Sample Information

Date Planted

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

Sample 2 Variety Name

Date Planted

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

Sample 3 Variety Name

Date Planted

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

Sample 4 Variety Name

Date Planted

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

Sample 5 Variety Name

Date Planted

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

Sample 6 Variety Name

Date Planted

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

*Indicates required field before form is submitted

Have more than six 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.

As of April 10, 2023, the prices have changed. It will cost $500 for the first sample, $300 for samples 2 - 4, and the price for all samples taken over 4 on the same day within 3 miles of each other will be $200.The results from the sample will be complete within 72 hours. plus shipping time.

The sampler will place a label on each sample box containing a unique QR Code, along with the following message.

THIS PACKAGE CONTAINS AN APPROVED AGRICULTURE SAMPLE TO BE TESTED FOR USDA. HANDLE WITH CARE

Once your form is submitted, we will contact you for payment and to schedule a date and time for the sample to be taken.

An appointment date and time for sampling will only be made once payment is made, so please make plans to be sampled in advance. We cannot guarantee that if payment is made on one day, sampling can be scheduled for the next day.

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

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Submit Form NC

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