WPC <b/ᴢഢraԺ~:r96@ẄiVk|.],Dd^zHjD)\ةE[)|̎…D-鮔X={ M08W5@f#T8]豄3\5D%VQN| 6Ϟa=io(S-6cŒGEq4PîoYw=}0md3aȑ.'Zf`ёcKB{R >PI魖ㇵWҌ!g tM%۟^6upp9d 'MTf*;pIڴ:ޭ1A^tmɎەuZ< Og2- k<(H0َ$_ztO\6Pf"A3!Yso֤-ʸF3o<"~yF;%U*0 0U. 0~0 0$ 0h B: BW Bt B D3 U2 D+ > 0 0 0( AQ o fa B 0#UNP %M(N^ w4 m\  `Times' RESEARCH ANIMAL RESOURCES CENTER ,RARC UW - Madison,0RARC UW - Madison .   Hl [4Heading 1Heading 1C<6X9`(CourierC   XXX?\  `Times? <6X9`(CourierH 4Heading 2Heading 2       H_ p4Heading 3Heading 3  ,   ,"t t h!$,      J@HHP X`h!$J  h:Default ParaDefault Paragraph Font d d d d 'dxdKr`Wingdings'dxd Level 1 Level 2 Level 3 Level 4 Level 5(2A$ s!HH..      XpXXXXpXXXp  (2A$ s!HH..      XpXXXXpXXXp  ($C<< c e A"..      XpXXXXpXXXp  _E1HHP X`h!$XEXXp* ddd Xdd Xdd X!!,wbZ,ZZ,ZZ,Zb+  >+ >  & % TESTSDESIRED VG/    V  %&__ -# - BACTERIOLOGY   Tissuesdesired___________________________________  ___AntibioticSusceptibility       ___    ___    '   ' _HISTOPATHOLOGY_    (tissue)____________________________________________   NECROPSY J;#   J  Y  K7 c  ks#{+!#HHXK__ // _ 6,!0 6  YN4[[ c  ks#{+!#XN MYCOLOGY  // Tissuesdesired___________________________________     ___ 0//0 0 CYTOLOGY //  J;#   J    __ 6,!0 6   PARASITOLOGY     ___ 00 0 OTHER ___________________________________________ J;#   J  6,!330 6____External___Fecal______Gills  33   0330 0 L;#33   L   __ =,! 0 = SKINEXAMINATION !  4#" 4  ?,!#0 ? 3)'$    3 XpXTable_A d#|x(s$HH..      XpXXXXpXXXp 0&d9 Z6Times New Roman RegularX38Z Aq5SF\XfeU s!HH..      XpXXXXpXXXp  _         XXp AccessionNo.___________    XpXCOMPARATIVEPATHOLOGYLABORATORY  ResearchAnimalResourcesCenter,389EnzymeInstitute u      &    1710UniversityAvenue,UniversityofWisconsinB  Ԍ [ Ќ   Madison,WI537264087 Aq   ,  6"t t h!$X6    H%t t `h!$tt XH  ClinicalLab608/2636464@..@.._Histo_ԀLab608/2620933@..@..FAX608/2652698  Ԍ 'W Ќ ,  - Xtt `X-   VXXpAQUATICSPECIES  =  K (XBS2 IK  E1HHP X`h!$XEVSubmissionDate   P     X ProtocolNumber__________________________________________'[6 1 a  Directchargenumberrequiredforbilling :DEPTID____________FUND________PROGRAMCODE_______ " R PROJECT_________(ifapplicable)  InternalWorkOrderNumber:______________________(ifapplicable)  C  Nameofdepartmentalbillingofficer( required)  X      ` Telephone   h  !  $   4  (    &     *(* LabAnimalVeterinarian_____________Investigator     ` Department_________________________ $  x   T Ԍ  %  Ќ  ContactPerson   P    Dept.Address     `      h  !  $      XTelephone P    Email X      ` FAX     h  !  $ ' l     XSpecies_______________________Strain/Breed____________________________ԀBiolevel_________________________   No.    󀀀Age_________Sex______________ID   ` 󀀀AnimalRoomNo. h  !  $    SpecimenSubmitted:__________________________________________________________________________________  ЀLive T _q _  T  Dead T _q _  TԀ   P _Euthanized_Ԁ T _q _  T   X Methodanddrugused__________________ * Date&timeofDeath___________________________________________________________________________________ Jz Experimentalprocedures,drugs,dietand/or_transgene_/mutation:   `      h  !  $    K(X"J[:2K History  " Freshwater:_____  Marine______   SystemSize:______gal   ` Numberofanimalsinsystem____  Y  YHowlonghassystembeensetup? __________________  Temperature__________  9 Y  YWatersource____________________  Waterappearance________________  Lastwaterchange_________ a Y  YAppearance/behavior/appetitechange,etc.  _________________________________________________________________  _____________________________________________________________________________________________________ x  Recently,havemoreanimalsofasimilarageand/orclassdiedshowingsimilarsignsofillness(if yesexplain)?Isthereany 7g! newintroductionsandwhen? _________________________________________________________________________ &" _____________________________________________________________________________________________________ # Arethereanynewintroductions(ifsowhen)? X __________________________________________________________ t$ TreatmentsandDates: P ________________________________________________________________________________ 3 c% _____________________________________________________________________________________________________  "&  WaterQuality !'  DO:_____________mg/l P  Temp.___________    pH____________ p"( Y  YAmmonia________mg/l P  Nitrites_________mg/l    Salinity_________ppt # * Y  YHardness_________mg/l P  Alkalinity_________mg/l  Chlorine__________mg/l  %P", ZJFzx5 p @X@EH&! ! &)#  HIHIH$H$ HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI HIHIHIHI H$H$HIHI CHARGES:   P     X   AnimalWeight________________