VS 4-38 Brucellosis Ring Test Rack Chart

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are 0579-0047 and 0579-0048. The time required to complete this information collection is estimated to average .083 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

OMB APPROVED 0579-0048, 0579-0047

UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE VETERINARY SERVICES

BRUCELLOSIS RING TEST RACK CHART

PLANT NAME						STREET ADDRESS							CITY
PLANT NUMBER			DATE COLLECTED			COUNTY							RACK NUMBER
ROUND NUMBER			GRADE “A” OR OTHER (Specify)			MILK			CREAM				NUMBER OFSAMPLES
						FROM	TO		FROM		TO
SAMPLES COLLECTED BY						DATE SAMPLES TESTED			LABORATORY TECHNICIAN
Arrange samples in mailing cartons according to patron numbers recorded on rack charts.
31	32	33		34	35	36		37		38		39		40
21	22	23		24	25	26		27		28		29		30
11	12	13		14	15	16		17		18		19		20
1 VS FORM 4-38 JAN 2009	2	3		4	5	6		7		8		9		10