Attachment 4

IDENTIFICATION OF MATERIAL IMPORTED THROUGH QUARANTINE
T - __________     P. I. _____________________     DATE ARRIVED __________________

FROM LAB CULTURE: _______________	FIELD COLLECTED: _________________________

IDENTIFICATION AT ORIGIN:	__________________________________________________

IDENTIFICATION AT ORIGIN BY:	__________________________________________________

IDENTIFICATION AT TAMU; FAMILY:	__________________________________________________

GENUS:	________________     SPECIES: ________________	     AUTHOR: _____________

IDENTIFIED BY:	______________________________	 DATE: ___________________________

CONSIGNED TO:	______________________________     DATE: _________________________

DISPOSITION OF VOUCHER SPECIMENS: ________________________________________________

__________________________________________________________________________________

COLLECTION DATA
ORIGINAL HOST INSECT(S):	L = Laboratory	F = Field

		FAMILY		GENUS			SPECIES		AUTHOR
	L
1)	F 	____________________________________________________________________
	L
2)	F 	____________________________________________________________________
	L
3)	F 	____________________________________________________________________
	L
4)	F	____________________________________________________________________

ORIGINAL HOST PLANT(S):	L = Laboratory	F = Field

		FAMILY		GENUS			SPECIES		COMMON NAME
	L
1)	F 	____________________________________________________________________
	L
2)	F 	____________________________________________________________________
	L
3)	F 	____________________________________________________________________
	L
4)	F	____________________________________________________________________


LOCATION: __________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________


COLLECTOR: ______________________     COLLECTION DATE: _____________________________

NOTES: _____________________________________________________________________________

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