<table style="width:100%;">
<colgroup>
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 0%" />
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<col style="width: 0%" />
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<col style="width: 2%" />
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<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 4%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="15"><strong>INDIVIDUAL ANIMAL</strong></td>
<td colspan="10"><strong>1. FACILITY</strong></td>
<td colspan="39"><strong>2. CHEMICAL</strong></td>
<td></td>
<td colspan="7"><strong>3. PHASE</strong></td>
<td colspan="7"></td>
</tr>
<tr class="even">
<td colspan="15"><strong>NECROPSY RECORD</strong></td>
<td colspan="10"></td>
<td colspan="39"></td>
<td></td>
<td colspan="3"></td>
<td colspan="11">CHRONIC</td>
</tr>
<tr class="odd">
<td colspan="15" rowspan="2"></td>
<td colspan="10" rowspan="2"></td>
<td colspan="15"><strong>4. DAYS ON TEST</strong></td>
<td colspan="13"><strong>5. DOSE</strong></td>
<td colspan="11"><strong>6. ROUTE</strong></td>
<td></td>
<td colspan="3"></td>
<td colspan="11">SUBCHRPONIC</td>
</tr>
<tr class="even">
<td colspan="15"></td>
<td colspan="13"></td>
<td colspan="11"></td>
<td></td>
<td colspan="3"></td>
<td colspan="11">REPEATED DOSE</td>
</tr>
<tr class="odd">
<td colspan="25"><strong>7. STUDY – TEST NUMBER</strong></td>
<td colspan="20"><strong>8. SPECIES/STRAIN</strong></td>
<td colspan="19"><strong>9. SEX</strong></td>
<td colspan="15"><strong>10. ANIMAL NUMBER</strong></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="5">-</td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="16"><h1 id="mouse-b6c3f1">MOUSE B6C3F1</h1></td>
<td><h1 id="section"></h1></td>
<td colspan="18"><h1 id="female">FEMALE</h1></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="79"></td>
</tr>
<tr class="even">
<td colspan="43"><strong>11. HISTOLOGY NUMBER</strong></td>
<td colspan="2" rowspan="2"></td>
<td colspan="16"><strong>12. DEATH DATE</strong></td>
<td colspan="3"></td>
<td colspan="15"><strong>13. BODY WEIGHT (G)</strong></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td></td>
<td></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td></td>
<td></td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="5"></td>
<td colspan="3"><strong>.</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="79"></td>
</tr>
<tr class="odd">
<td colspan="25"><strong>14. DISPOSITION</strong></td>
<td colspan="20"><strong>15. CONDITION</strong></td>
<td colspan="34"><strong>16a. IDENTIFICATION INFORMATION</strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="8">OTHER*</td>
<td colspan="3"></td>
<td colspan="6">DACC</td>
<td colspan="3"></td>
<td colspan="6"></td>
<td colspan="3"></td>
<td colspan="8">CANN/NTT</td>
<td colspan="5">VERIFIED</td>
<td colspan="2"></td>
<td colspan="17">ID NUMBER:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="4">MSAC</td>
<td colspan="3"></td>
<td colspan="8">TSAC</td>
<td colspan="3"></td>
<td colspan="6">ACCK</td>
<td colspan="3"></td>
<td colspan="6">FRESH</td>
<td colspan="3"></td>
<td colspan="8">PT CANN</td>
<td colspan="34"><strong>IDENTIFICATION COMMENT:</strong></td>
</tr>
<tr class="even">
<td></td>
<td colspan="4">SSAC</td>
<td colspan="3"></td>
<td colspan="8">NATD</td>
<td colspan="3"></td>
<td colspan="6">MISS</td>
<td colspan="3"></td>
<td colspan="6">AUTO/TT</td>
<td colspan="3"></td>
<td colspan="8">OTHER *</td>
<td colspan="34"></td>
</tr>
<tr class="odd">
<td colspan="25" rowspan="2">* DEFINE OTHER:</td>
<td colspan="20" rowspan="2">* DEFINE OTHER:</td>
<td colspan="15" rowspan="2"><strong>16b. WET TISSUE
REVIEW</strong></td>
<td colspan="2"></td>
<td colspan="17">PERFORMED</td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="17">NOT REQUIRED</td>
</tr>
<tr class="odd">
<td colspan="79"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>17a. ORGAN</strong></td>
<td colspan="3"><p><strong>17b.</strong></p>
<p><strong>NEC</strong></p></td>
<td colspan="7"><p><strong>17c.</strong></p>
<p><strong>WGT</strong></p>
<p><strong>(MG)</strong></p></td>
<td colspan="3"></td>
<td colspan="9"><strong>17a. ORGAN</strong></td>
<td colspan="5"><p><strong>17b.</strong></p>
<p><strong>NEC</strong></p></td>
<td colspan="4"><p><strong>17c. WGT</strong></p>
<p><strong>(MG)</strong></p></td>
<td colspan="2"></td>
<td colspan="7"><strong>17a. ORGAN</strong></td>
<td colspan="5"><strong>17b. NEC</strong></td>
<td colspan="3"><p><strong>17c. WGT</strong></p>
<p><strong>(MG)</strong></p></td>
<td colspan="4"></td>
<td colspan="10"><strong>17a. ORGAN</strong></td>
<td colspan="3"><p><strong>17b.</strong></p>
<p><strong>NEC</strong></p></td>
<td colspan="3"><p><strong>17c. WGT</strong></p>
<p><strong>(MG)</strong></p></td>
</tr>
<tr class="odd">
<td colspan="11">ADRENAL GL.</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">INTEST SMALL</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">LYMPH NODE</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">SALIVARY GLS</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="11">BLOOD</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">DUODENUM</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">BRONCHIAL</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">SKELETAL MUSCLE</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="11">BLOOD VESSEL</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">JEJUNUM</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">MEDIASTINAL</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">SKIN</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="11">BONE</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">ILEUM</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">MANDIBULAR</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">SPINAL CORD</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="11">BONE MARROW</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">INTEST LARGE</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">MESENTERIC</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">SPLEEN</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="11">BRAIN</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">CECUM</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">OTHER</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">STOMACH</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="11">CARCASS</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">COLON</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">MAMMARY GL</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">THYMUS</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="11">CAVITIES</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">RECTUM</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">MESENTERY</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">THYROID GL</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="11">CLITORAL GL</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">KIDNEY</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">NOSE</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">TISSU ENOS</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="11">ESOPHAGUS</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">LACRIMAL GL</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">OVARIES</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">TONGUE</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="11">EYE</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">LARYNX</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">OVIDUCT</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">TOOTH</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="11">GALLBLADDER</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">LIVER</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">PANCREAS</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">TRACHEA</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="11">HARDERIAN GL</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9">LUNG</td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">PARATHYROID GL</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">URETER</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="11">HEART</td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9"></td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">PERIPH NERVE</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">URINARY BLADDER</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="11"></td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9"></td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">PHARYNX</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">UTERUS</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="11"></td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9"></td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7">PITUITARY GL</td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">VAGINA</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="11"></td>
<td colspan="3"></td>
<td colspan="7"></td>
<td colspan="3"></td>
<td colspan="9"></td>
<td colspan="5"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="7"></td>
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="10">ZYMBALS GL</td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="79"></td>
</tr>
<tr class="odd">
<td colspan="3"><p><strong>18a.</strong></p>
<p><strong>TRIM</strong></p>
<p><strong>ID</strong></p></td>
<td colspan="11"><strong>18b. ORGAN</strong></td>
<td colspan="13"><p><strong>19.</strong></p>
<p><strong>SITE</strong></p></td>
<td colspan="9"><strong>20. MORPHOLOGY</strong></td>
<td colspan="8"><p><strong>21.</strong></p>
<p><strong>SIZE</strong></p></td>
<td colspan="11"><p><strong>22.</strong></p>
<p><strong>DISTRIBUTION / COLOR</strong></p></td>
<td colspan="4"><ol start="23" type="1">
<li><p><strong>TGL</strong></p></li>
</ol></td>
<td colspan="20"><p><strong>24.</strong></p>
<p><strong>NOTES</strong></p></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="11"></td>
<td colspan="13"></td>
<td colspan="9"></td>
<td colspan="8"></td>
<td colspan="11"></td>
<td colspan="2"><strong>A</strong></td>
<td colspan="2"><strong>B</strong></td>
<td colspan="20"></td>
</tr>
</tbody>
</table>

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+-------------------+-------------------+----+-----------------------+
|                   |                   |    |                       |
+-------------------+-------------------+----+-----------------------+
| **25.             | **28. PROBABLE    |    | **30. CORRECTION      |
| P                 | CAUSE OF          |    | COMMENTS:**           |
| ROSECTOR/NECROPSY | MOR               |    |                       |
| DATE**            | IBUNDITY/DEATH:** |    | **PAGE 1 OF           |
|                   |                   |    | \_\_\_\_\_**          |
+-------------------+-------------------+----+-----------------------+
| 26. **P           | **29.             | *  |                       |
| ATHOLOGIST/DATE** | CLINICAL/REMOVAL  | *Y |                       |
|                   | OBSERAVTIONS:**   | /N |                       |
|                   |                   | ** |                       |
+-------------------+-------------------+----+-----------------------+
|                   |                   |    |                       |
+-------------------+-------------------+----+-----------------------+
| **27.             |                   |    |                       |
| TRIMMER/DATE**    |                   |    |                       |
+-------------------+-------------------+----+-----------------------+
|                   |                   |    |                       |
+-------------------+-------------------+----+-----------------------+
| **31.             |                   |    |                       |
| PATHOLOGIST/TRIM  |                   |    |                       |
| DATE**            |                   |    |                       |
+-------------------+-------------------+----+-----------------------+
|                   |                   |    |                       |
+-------------------+-------------------+----+-----------------------+
| **REVISED 6/02**  |                   |    |                       |
+-------------------+-------------------+----+-----------------------+