Tennessee Quality Milk Laboratory
Bulk Tank Milk Sample Submission Form
Send Samples To:
University of Tennessee
Tennessee Quality Milk Laboratory
2506 River Drive
436 Animal Science
Knoxville, TN 37996
Phone 865-974-8672
Fax 865-974-7249
Email: tqml@utk.edu
For Lab Use Only
Date Received:
Lab No:
Sample Temp: Frozen/Cold/Warm/Hot
Sample Volume: OK/Marginal/Low
Sample Condition: Good/Poor/Other______
Technician:__________________________
Final Report:
Date collected
Producer’s Name __________________________________
Date shipped
Comments
Submitter’s Name
Farm Name _______________________________________
Address
Address
City
State
Phone
Zip
City
Fax
State
Phone
Email
Zip
Fax
Email
Bill to: Submitter
Tests Available
Producer
Report Results By: Phone
Fax
Email
Place an “x” in the boxes for desired tests
Basic Bulk Tank Milk Screening (Aerobic SPC & SCC)
Complete Bulk Tank Milk Screening (Aerobic SPC, SCC, PIC & LPC)
Expanded Bulk Tank Milk Screening (Aerobic SPC, SCC, PIC, LPC, Coliform count, Staph count & Strep count)
Mycoplasma culture
Individual tests may also be ordered.
Sample Id
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Basic
Complete
Expanded
Mycoplasma
Individual test
Individual test
Individual test
Individual test
Individual test
Individual test
Individual test
Screening
Screening
Screening
Culture
SPC
SCC
PIC
LPC
Staphylococcus
Streptococcus
Coliform
Count
Count
Count
Complete this form and include with shipment. When submitting bulk tank milk samples, be sure samples are shipped in a cooler with plenty of ice or cold packs.
Visit our website www.tqml.utk.edu for complete description of tests and prices.