Enclosure_4_-_Death_Report.pdf
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- Attached to
- Vet Services at BLM Palomino Valley Federal contract opportunity
- Solicitation number
- L15PS00416
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Enclosure 4 - National WH B Facility at Palomino Valley - Death Report
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| L15PS00416_SOW _Clauses_and_Provisions.pdf | ||
| Enclosure_2_-_Inspection_Report.pdf | ||
| Enclosure_3_-_WH B_Coggins_Test_Record.pdf | ||
| Sol_L15PS00416.pdf | ||
| Enclosure_1_-_Supplies_Furnished_by_BLM.pdf |
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Text version
ENCLOSURE 4
NATIONAL WH&B CENTER
AT PALOMINO VALLEY
DEATH REPORT
DATE:_______________________ (COMPLETE THIS SIDE IF ANIMAL UNMARKED)
HERD AREA:________________________
ID NUMBER:_________________ ____(H-HORSE, B-BURRO, M-MULE)
SEX: (F-FEMALE, M-MALE)____AGE_____
CAUSE OF DEATH: (PICK FROM THE FOLLOWING)
___GI GATHER INJURY COMPLICATIONS ___PC CHRONIC POOR CONDITION
___LM LAMENESS ___BF BROKEN LIMB
___SH SPINAL/HEAD INJURY ___RI RESPIRATORY ILLNESS
___BL BLINDNESS ___CL COLIC
___FC FOALING COMPLICATIONS ___GC GELDING COMPLICATIONS
___NT NO TEETH ___ST STRANGLES
___MY MYOPATHY ___LK LIVER/KIDNEY/LIPEMIA
___CD CONGENITAL DEFECT ___CT CANCER/TUMORS
___HM HEMORRHAGE ___CN RABIES-CENTRAL NERVOUS SYSTEM
___PS DANGEROUS/SAFETY HAZARD ___NA NEGLECT/ABUSE
___UN UNADOPTABLE ___OA OLD AGE
___ST STRUCK BY LIGHTNING ___EI EQUINE INFECTIOUS ANEMIA
___IT INFLICTED TRAUMA ___UD UNDIAGNOSED
___EUTHANIZED ___FOUND DEAD COMMENT: (REQUIRED)
SIGNED__________________________________
DATE:_______________________ (COMPLETE THIS SIDE IF ANIMAL UNMARKED)
HERD AREA:________________________
ID NUMBER:_________________ ____(H-HORSE, B-BURRO, M-MULE)
SEX: (F-FEMALE, M-MALE)____AGE_____
CAUSE OF DEATH: (PICK FROM THE FOLLOWING)
___GI GATHER INJURY COMPLICATIONS ___PC CHRONIC POOR CONDITION
___LM LAMENESS ___BF BROKEN LIMB
___SH SPINAL/HEAD INJURY ___RI RESPIRATORY ILLNESS
___BL BLINDNESS ___CL COLIC
___FC FOALING COMPLICATIONS ___GC GELDING COMPLICATIONS
___NT NO TEETH ___ST STRANGLES
___MY MYOPATHY ___LK LIVER/KIDNEY/LIPEMIA
___CD CONGENITAL DEFECT ___CT CANCER/TUMORS
___HM HEMORRHAGE ___CN RABIES-CENTRAL NERVOUS SYSTEM
___PS DANGEROUS/SAFETY HAZARD ___NA NEGLECT/ABUSE
___UN UNADOPTABLE ___OA OLD AGE
___ST STRUCK BY LIGHTNING ___EI EQUINE INFECTIOUS ANEMIA
___IT INFLICTED TRAUMA ___UD UNDIAGNOSED
___EUTHANIZED ___FOUND DEAD COMMENT: (REQUIRED)
SIGNED__________________________________
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