Att_3_Seed_Analysis_Request_Form_revised_072024.docx

DOCX document 34 KB Posted

Attached to
BLM FY25-1 Spring Consolidated Seed Buy.
Solicitation number
140L3725R0003
Issued by

About this file

This is a Seed Analysis Request Form template that must be completed by contractors to authorize testing and associated fees for seed lots being delivered to the Bureau of Land Management (BLM). The form has two main sections: Section A requires contractors to provide seed vendor details, species information, delivery locations (Boise, Ely, Shoshone), and requested tests including purity, TZ, noxious weed testing for Western States, species check for annual non-native Bromes, and rush testing.

Section B is completed by the BLM sampler and includes sampling details such as certification status, number of bags sampled, and sampling date. The form specifies that all testing costs are contractor responsibilities, and results must be sent to both the vendor and BLM at blm_id_seed_all@blm.gov. This form is Attachment 3 to solicitation 140L3725R0003 for the BLM FY25-1 Spring Consolidated Seed Buy being conducted by the Department of Interior Bureau of Land Management Idaho Region.

View the file

Other files

Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

SEED ANALYSIS REQUEST FORM

This Attachment must be completed by the Contractor to provide authorization for testing and associated fees. Contractor shall fill out section A, sign the document, and email this form to the BLM for every seed lot being delivered.

SECTION A – TO BE FILLED BY CONTRACTOR

Seed Vendor Name

Seed Vendor Email (for test results)

Seed Species

Common Name

Seed Variety or Germplasm

Eco-Region & Seed Zone

Seed Lot Number

Spread Sheet ID# (SSID#)

Delivery locations & pounds
Boise-_______ lbs, Ely- _______ lbs, Shoshone-_______ lbs

Tests Requested

Purity
☒
TZ
☒

Noxious (All Western States)

Species Check (Annual non-Native Bromes)
☒
Rush
☒
Results sent to vendor & BLM
☒

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_______________

SECTION B – TO BE FILLED BY SAMPLER/BLM

Samplers Affiliated Agency

Name of Sampler, Print

Signature of Sampler

Date Sample Taken

Lab sample will be sent to

Seed Lot Sampling Information

Total Pounds

Certified
☐
Number of Bags
Selected
☐
Bag Size
Non-Certified
☐
Number of Bags Sampled
Source Identified
☐
Date Sampled
AOC/other
☐

Seed Laboratory Instructions:

· All test results will be sent to the seed vendor email address listed above and the BLM at the following address: blm_id_seed_all@blm.gov

· Testing fees will be charged to the contractor listed in Section A.

ATTACHMENT 3

File details come from the government source that posted it. Updated .