Att_3_Seed_Analysis_Request_Form_Revised_2023.docx
DOCX document 38 KB Posted
- Attached to
- BLM FY23-1 Spring Consolidated Seed Buy.
- Solicitation number
- 140L3723R0003
About this file
This document contains a seed analysis request form and information about a related federal contract opportunity for seed purchases. The seed analysis request form is to be completed by contractors and certified samplers when delivering seed shipments to Bureau of Land Management receiving warehouses. It requests identification information for the seed lot as well as sampling details. Test results are to be provided to both the seed vendor and BLM. The related federal contract opportunity is a solicitation issued by the BLM Idaho Region for its FY23-1 spring consolidated seed buy. It provides an avenue for contractors to supply native seed stock for land reclamation and restoration projects.
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Other files
| File | Type | Posted |
|---|---|---|
| Att_2_AOC_collection.docx | DOCX document | |
| Attachment-1-Bid_Sheet_Spring_2023.xlsx | XLSX spreadsheet | |
| Sol_140L3723R0003.pdf | ||
| Attachment_4_Itemized_Delivery_Sheet.xlsx | XLSX spreadsheet |
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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 Downy Brome) |
| ☒ |
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 prior to sampler filling out paperwork: |
| ☐ |
| Yes ☐ No |
ATTACHMENT 3
File details come from the government source that posted it. Updated .