VS 4-33A Brucellosis Test Record - Continuation Sheet

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OMB Approved 0579-0047 Exp. 00/00/0000

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

BRUCELLOSIS TEST RECORD-CONTINUATION SHEET Complete all entries on VS Form 4-33 before using this form.

HERD NUMBER

PAGE NO.

HERD OWNER – LAST FIRST INITIAL

DATE BLED

VETERINARIAN

TUBE NO.

2

RECORD ALL IDENTIFICATION NUMBERS

VACC TATTOO

AGE

BREED

SEX

FLDT

LABORATORY RESULTS

TEST IN TERP.

REMARKS AND ADDITIONAL INFORMATION

REACTOR TAG NUMBER

RAP

FPA

CARD

RIV

CF

VS Form 4-33A Replaces edition date of (2/92), which may be used

APR 2009