90 BULLETIN - 949, IT. S. DEPARTMENT OF AGRICULTURE. 
(Name and location of laboratory.) 
Report on Sample of (Miscellaneous Materials). 
Laboratory No 
,ame 
192. 
Identification marks 
Submitted by 
Sampled 
Sampled from 
Quantity represented 
Source of material 
Location used or to be used 
Examined for 
192. 
Received , 192. 
TEST RESULTS. 
Respectfully submitted, 
(Title.) 
