B08_Att_3_Seed_Analysis_Request_Form_Revised_2023.docx
DOCX document 38 KB Posted
- Attached to
- FY24 STAND ALONE SEED BUY Federal contract opportunity
- Solicitation number
- 140L3724R0001
About this file
This Seed Analysis Request Form is used by contractors and certified samplers to provide seed testing information to a seed laboratory for the Bureau of Land Management's (BLM) FY24 Stand Alone Seed Buy solicitation. Contractors must complete the form and send it along with every seed delivery to one of three BLM regional seed warehouses after samples are taken. The form collects identifying information on the seed lot such as species, variety, seed vendor, lot number, location, and size. It also specifies the tests requested, certification class, number of bags sampled, date sampled, and any seed treatments. Contractors authorize the seed lab to release test results to the BLM and seed vendor. Test results will be sent to the seed vendor email and BLM address provided.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140L3724R0001_Amd_0001.pdf | ||
| B08_Att_2_AOC_collection.docx | DOCX document | |
| B08_Att_4_Itemized_Delivery_Sheet.xlsx | XLSX spreadsheet | |
| B08_Attachment_1_Requested_Seed_Fall_2023_Stand_Alone_Seed_Buy.xlsx | XLSX spreadsheet | |
| Sol_140L3724R0001.pdf |
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Text version
SEED ANALYSIS REQUEST FORM
This Attachment must be completed by the Contractor and Certified Sampler to provide Seed Testing Information to a seed laboratory as described in the Inspection and Acceptance Section of the Solicitation. Contractor must send this Seed Analysis request form with every seed delivery to the BLM receiving warehouse after samples are taken. (With split lots, seed samples will be sent to each receiving warehouse.)
Spread Sheet ID# (SSID#)
Kind of Species
Common Name
Variety or Germplasm ID. / Gen.
Eco-Region & Seed Zone
G0 County, State, Elev, Precip
Seed Vendor Name
Vendor Lot Number
Samplers Affiliated Agency
Name of Sampler, Print
Signature of Sampler & Date
Lab sample will be sent to
Lot Information
| Certification Class |
| Yes |
| No |
| Tests Requested |
Total Pounds
| Certified | ||
| ☐ | ☐ | Purity |
| ☒ |
Number of Bags
| Selected | ||
| ☐ | ☐ | TZ |
| ☒ |
Bag Size
| Source Identified | ||
| ☐ | ☐ | Noxious |
(All Western States)
Number of Bags Sampled
| Non-Certified | ||
| ☐ | ☐ | Species Check (Annual non-Native Bromes) |
| ☒ |
Date Sampled
| Seed Treated? | ||
| ☐ | ☐ | Rush |
| ☒ |
Date Sample Sent to Lab
| If treated please list type |
| Results sent to vendor & BLM |
| ☒ |
| Remarks: |
| Vendor email address: |
Contractor: The seed sampling and testing costs shall be borne by the contractor.
I hereby authorize the Seed lab to release the test result to the government upon completion of the test.
Signature__________________________________ Date_________
Seed Lab: All test results will be sent to the seed vendor email address and the BLM at the following address: blm_id_seed_all@blm.gov
Office/Organization Purchasing Seed
| Pounds Delivered |
| Send Test To: |
| Bill To: |
Boise Regional Seed Warehouse 1962 Commerce Ave Boise, ID 83705 Phone: 208-384-3277 (Cedrick Sweet)
| blm_id_seed_all@blm.gov |
| CONTRACTOR |
Ely Regional Seed Warehouse 1111 Medlyn Way Ely, NV 89301 Phone: 775-296-2204 (Cody Coombs)
| blm_id_seed_all@blm.gov |
| CONTRACTOR |
Shoshone Seed Warehouse 329 N Highway 75 Shoshone, ID 83352 Phone: 208-732-7208 (Tony Owens)
| blm_id_seed_all@blm.gov |
| CONTRACTOR |
| Seed Tags attached to this form prior to sampler filling out paperwork: |
| ☐ |
| Yes ☐ No |
ATTACHMENT 3
File details come from the government source that posted it. Updated .