**\[PARK NAME\] SOIL INSPECTION**

**Field Inspection Report**

Inspector's name & date of inspection:

Vendor's name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Mining Permit #: \_\_\_\_\_\_\_\_\_\_\_\_

Vendor's address &

Telephone number:

**Field Location**

Street Address:

Legal description:

(Sec.T.Rge.)

ASCS Map & Field \#

**Field History**

Last crop (date/type):

Last herbicide treatment

(date/chemical name):

Depth of soil removed &

length of time stockpiled:

**Soil Survey**

Soil analysis done (attach if available) YES NO

Analysis completed by:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
date:

Soil classification:

pH and Nutrient analysis:

**Weed Inspection List** (State Listed Noxious Weeds)

**In Field** **Near Field**

Category 1: Y N \# Y N \# Comments

  ---------------------------------- --- --- ---- --- --- ---- ---------------
  Canada Thistle -- *Cirsium                                   
  arvense*                                                     

  Field Bindweed -- *Convolvulus                               
  arvensis*                                                    

  Whitetop - *Cardaria draba*                                  

  Leafy Spurge -- *Euphorbia esula*                            

  Russian Knapweed - *Centaurea                                
  repens*                                                      

  Spotted Knapweed - *Centaurea                                
  maculosa*                                                    

  Diffuse Knapweed - *Centaurea                                
  diffusa*                                                     

  Dalmation Toadflax *-- Linaria                               
  dalmatica*                                                   

  Oxeye Daisy -- *Chrysanthemum                                
  leucanthemum*                                                

  Sulfur Cinquefoil - *Potentilla                              
  recta*                                                       

  St. Johnswort - *Hypericum                                   
  perforatum*                                                  
  ---------------------------------- --- --- ---- --- --- ---- ---------------

Category II:

  ---------------------------------- --- --- ---- --- --- ---- ---------------
  Dyers Woad - *Isatis tinctoria*                              

  Purple Loosestrife -- *Lythrum                               
  salicaria*                                                   

  Orange Hawkweed *-- Hieracium                                
  aurantiacum*                                                 

  Meadow hawkweed comples --                                   
  *Hieracium pratense, floribundum,                            
  piloselloides*                                               

  Tansy Ragwort - *Senecio jacobea*                            
  ---------------------------------- --- --- ---- --- --- ---- ---------------

Category III:

  ---------------------------------- --- --- ---- --- --- ---- ---------------
  Yellow starthistle *-- Centaurea                             
  solstitialis*                                                

  Common Crupina - *Crupina                                    
  vulgaris*                                                    

  Rush Skeltonweed - *Chondrilla                               
  juncea*                                                      
  ---------------------------------- --- --- ---- --- --- ---- ---------------

Other non-native agronomic or weedy Species of Concern (Species, extent
of infestation, concern):

Comments:

Inspector signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Vendor signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_