MILK CULTURE SUBMISSIONFORM
Clinic No.
Clinic
Address Postal code
City Phone
Veterinarian Required: Fax
Email
Owner unique ID (max. 40 characters)
Dairycomp ID (ANIMAL ID FIELD):
Address
Premises ID Farm postal code
Phone Fax
Email
Important. Please read. Contact Information must be supplied with all samples submitted for testing to the Animal Health Lab (“AHL”). Agricultural animal testing carried out through AHL is
subsidized by the Government of Ontario. By submitting samples for testing to AHL, the submitter acknowledges that s/he is the owner or is a duly authorized agent of the owner. The
submitter acknowledges and agrees that AHL may share test results and contact information as it deems necessary for the purposes of relevant legislation regarding reportable or notifiable
diseases and for the purpose of surveillance of animal or public health in Ontario.
Species: Breed:
History
***Clinician/submitter: Please see reverse of this form and enter ID’s as in the example provided***
*Total number of animals milking on sample day ____. Samples submitted Fresh (never frozen) Frozen
Lab use only
Any questions? Please contact the lab.
Email: ahlinfo@uoguelph.ca
Website: http://ahl.uoguelph.ca
AHL GUELPH: 519-824-4120 ext: 54530, Fax: 519-821-8072
AHL KEMPTVILLE: 613-258-8320, Fax: 613-258-8324
Mastitis testing
Culture only (mast)
Culture and antimicrobial susceptibility testing (mast)
Bulk tank - culture only (bulkc)
Somatic cell counts – Fresh milk only (scc)
Beta – lactamase testing – on Staphylococcus aureus isolates
Mycoplasma sp. testing
Mycoplasma sp. culture, individual milk (mculm)
Mycoplasma sp. culture, bulk tank milk (mculb)
Mycoplasma bovis - PCR (mbpcr)
Bacterial counts - bedding
Bacterial total aerobic count, bedding (tab)
Bacterial total coliform count, bedding (tcb)
Bacterial total aerobic and coliform count, bedding (tacb)
Bacterial counts – colostrum/milk
Bacterial total aerobic count, colostrum/milk (tam)
Bacterial total coliform count, colostrum/milk (tcm)
Bacterial total aerobic and coliform count, colostrum/milk (tacm)
*****Please check all applicable tests*****
# Specimens Received ______
Initial_____
Specimens Received by:
Courier
Drop-off
AHLMastitis (2018-05-01)
Page 1 of 2
AHL - Guelph Courier Address
UoG Animal Health Lab-PAHL
419 Gordon Street-Bldg 89
Guelph, ON N1G 2W1
Attn: Specimen Reception
Animal Health Laboratory
Laboratory Services Division
79 Shearer Street
Kemptville, Ontario
K0G 1J0
SAMPLES TAKEN Date: _________/_____/_____(yyyy/mm/dd) Time of day _____:_____ Date sent________/____/____ (yyyy/mm/dd)
SUBMITTED BY Veterinarian Owner Other BILL Veterinarian Other
***Veterinarian required for interpretation, milk will not be processed without one***
ANIMAL HEALTH LABORATORY
MILK CULTURE WORKSHEET
Page 2 of 2
Owner Unique ID Farm/Barn
Vial # Animal ID
AHL
data field→
Animal/Client Sample ID field
Producer
ID field
For
BACT
use only
Primary cow ID
(Cow mgmt # or
name)
Secondary
Cow ID (if
available)
(LH, LF,
RH, RF,
C or BT)
(Clinical
Non-
clinical)
1 BESSIE 321 LH CL
NC
LEGEND
C
Composite
BT
Bulk tank
CL
Clinical
NC
Non-clinical
Vial # Animal ID
AHL
data field→
Animal/Client Sample ID field
Producer
ID field
For
BACT
use only
Primary cow ID
(Cow mgmt # or
name)
Secondary
Cow ID (if
available)
(LH, LF,
RH, RF,
C or BT)
(Clinical
Non-
clinical)
17 BERTIE 213 RH CL
NC
AHLMastitis (2018-05-01)
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
BT
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