According to the Paperwork Reduction Act of 1995. no persons are required to respond lo a collection ol information unfess it displays a valid 0MB control number. Tne valid 0MB control number for this 

 intorrtiation collection is 0579-0084. The time required to complete this information collection is estimated to average 3 hours per response, including the time tor reviewing instructions, search existing data 

 sources, gathenng and maintaining the data needed, and completing and reviewing the collection of inlormation. 



U.S. DEPARTMErrr OF AGRICULTURE 



ANIMAL AND PLAtfT HEALTH INSPECTION SERVICE 



VETERINARY SERVICES 



TUBERCULOSIS TEST RECORD - CONTINUATION SHEET 

 Complete all entries on VS Form G-22 before using this lorm. 



HERD NUMBER 



PAGE NO 



FORM 



APPROVED 

 I 0MB NO. 

 I 0579-0084 



HERD OWNER'S NAME - LAST 









FIRST 











INITIAL 



DATE READ 





VETERINARIAN 









^ IDENTIFICATION 



ACE 



BREED 



SEX 



RESULTS 



REACTOR 

 TAG NO 



1 



IDENTIFICATION 

 NUMBER 



AGE 



BREED 



SEX 



RESULTS 



REACTOR 



1 



NUMBER 



SIZE 



NRS 



SIZE 



NRS 



TAG NO 





1 

















26 

















2 

















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9 

















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i 





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VS FORM 6-22B 

 (FEB 99) 



(Previous editions are obsolete ) 



16-19 



