Chapter 5 - Sampling and Testing

5.9 Forms

5.9.1 CFIA/ACIA 1461 specimen identification (label)

CFIA/ACIA 1461 specimen identification (label). Identification label to be attached to sample, when submitted to laboratory.

Purpose:

Identification label to be attached to sample, when submitted to laboratory. See section 5.8 (Sample submission procedures).

Guidelines for completion:

This form is printed on Tyvek™, so that it will not disintegrate if it becomes wet.

It must be written on using ballpoint pen, permanent marker, or other non-water-based ink which will not easily dissolve or rub off.

Print clearly.

Sampled at (name): The name of the company at which the sample was collected. For example: "Jones Meats Ltd.".

Sampled at (location): The municipality in which the establishment is located.

Est. No.: If a registered establishment, the establishment registration number.

Sample of: Identify the specimen. Be as specific as possible. For example, "diaphragm", "kidney", "liver".

Species: The species of animal from which the sample was collected. Where appropriate, identify the production class, for example "Veal", "Broiler", "Sow".

Sample no.: If the sample was collected as part of a monitoring plan, indicate the sample identification number, for example "H2009MPM1234".

Job system number: The system number assigned by the Lab Sample Tracking System when the sample was entered and the sample submission form was generated. This allows the sample to be matched up with the sample submission form, and with the data entered in LSTS. This is particularly important if more than one sample is included in one shipping container.

Sample plan code: If the sample was collected as part of a monitoring plan, indicate the sample plan code, for example "2009_M8BEF01".

Product held: Indicate whether there is product under detention awaiting the results of analysis. This can affect sample priority.

Laboratory: The name or location of the laboratory to which the sample is being submitted.

Date sample taken: The date on which the sample was collected. In the case of carcasses, give the date of slaughter, even if the sample was collected from the carcass at some subsequent date.

Inspector: Print the inspector's name.

Date received: Leave this space blank. It is for use at the lab.

The form should be affixed to the sample bag in a manner that won't easily come loose during shipping. The hole can be used to tie the label to the bag. For histopathology, the label can be taped to the outside of the formalin jars.

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