VS 4-54 Brucellosis Test Record Market Cattle Testing Program

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

BRUCELLOSIS TEST RECORD MARKET CATTLE TESTING PROGRAM

STATE

SAMPLES DRAWN AT (“X” One) LIVESTOCK MARKETS SLAUGHTER ESTAB.

ESTAB. NO.

CERTIFICATTION I CERTIFY THAT I HAVE COLLECTED AND CORRECTLY IDENTIFIED EACH BLOOD SAMPLE LISTED BELOW.

TESTING LABORATORY

TEST RESULTS

NAME AND ADDRESS OF PLACE WHERE SAMPLES WERE DRAWN

LABORATORY

NEG.

ADDRESS

SUS.

SIGNATURE

DATE

REA.

DATE

SIGNATURE

TOTAL

TUBE NO.

SALES TAG OR BRAND

BACK TAG NUMBER

EAR TAG NUMBER

VACC. TATTOO

AGE

BREED

SEX

LABORATORY RESULTS

COUNTY

HERD OWNER’S NAME

ADDRESS

BAPA RST

CARD

STT SPT

RIV

CF

TEST IN TREP.

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VS 4-54 Previous editions are obsolete. APR 2009

Copy Designations

Part 1 – Office Copy

Part 2 – Office Copy

Part 3 – Office Copy

Part 4 – Livestock Market Copy