Certificate Of Embryo Recovery
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A. CERTIFICATE OF EMBRYO RECOVERY
Breed _______________________________
Ear Tag
Donor Name
____________________________________________ No. ______ ____________________________ or Tattoo __________________
CC
Owner __________________________________________________ Address __________________________________________________________
Onset
AM
__________________________________________________________________________________________ Estrus Date ______________
PM
Yr. Mo. Day
Service Sire
____________________________________________ No. ______ ____________________________ Breeding Date ______________
CC
Yr. Mo. Day
ID Code _____________________
Freeze Date or Batch No. ________________ Sexed Semen X or Y ___
Recovery Date _____________
Yr. Mo. Day
Service Sire
____________________________________________ No. ______ ____________________________ Total Recovered ____________
CC
No. Cleaved/Degen. _________
ID Code _____________________
Freeze Date or Batch No. ________________ Sexed Semen X or Y ___
No. Unfertilized ____________
No. Transferred _____________
No. Frozen ________________
Signature ________________________________________________ Firm ______________________________________________________________
Practitioner or Leader of the Embryo Production Team Recovering Embryos
ET Code _________________
C. CERTIFICATE OF FREEZING
(see reverse side for coding instructions)
Type of Container: Straw ____ Other ____ Each container labeled to show firm code, breed, reg. no. of donor, freeze date and straw no.
Embryo
Cane
Straw
No. Embryos/
No. X
Trypsin
Code
Code
Zona
Manipulated
No.
No.
Straw
Washed
Treated
Stage
Quality
Intact
N, D, F, M or U
Comments
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
____________
____________ ____________ _________ _________ ________ ________ ________ ____________ ________________________
Time from recovery to onset of freezing ________ (hrs.) Cryprotectant and concentration, equilibration, final molality and cooling procedure
____________________________________________________________________________________________________________________________
How Frozen:
Seed Temp. __________
Cooling Rate __________
Plunge Temp. __________
Other ______________________________
Recommended method of thawing and dilution ________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Signature ___________________________________________________
Firm _______________________________________________________
Practitioner or Leader of the Embryo Production Team Freezing the Embryos
ET Code ______________________ Phone (
) _______________
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