Sample Submission


Wonderland Labs
770 Sycamore Ave, 122-493
Vista, CA 92083
USA

LABORATORY USE ONLY

Date Received:NULL Shipment ID:

Wonderland Job #:

NULL

NULL

PO #:

CLIENT INFORMATION

INVOICE TO Same as Primary Contact

Name/Company:

Name/Company:

Address:

Address:

Attn:

Attn:

Email:

Email:

Phone:

Phone:

Additional Copies To:

 

Name:

Email:

Name:

Email:

ANALYSIS

Sample ID

Lot Number

Expected %

Description

Analysis Requested

Special Instructions:

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A LA CARTE PRICING (FULL PANEL IS $359)

Biological

Heavy Metals

ID/Percentage

BIO panel only = $119

HM panel only = $129

ID panel only = $119

APC / Coliforms ($20.00)

Arsenic ($35.00)

Identity Testing/Confirmation**

Salmonella $35.00)

Cadmium ($35.00)

Alkaloid/Lactone Identification

E. coli ($35.00)

Lead ($35.00)

Alkaloid/Kavalactone %

Staphylococcus ($35.00)

Mercury ($35.00)

Alkaloid/Lactone Lineup

Yeast & Mold ($20.00)

Nickel (* EXTRA $25.00 CHARGE)

** Basic Identity Testing Only

PLEASE NOTE: Once testing has started, there are no cancellations and the client is responsible for 100% of the original testing costs. Most testing begins upon payment evidence, so the cancellation window is very small. Client also acknowledges the physical minimum time limits for testing Heavy Metals (4-6 days) Biological (8-12) regardless of "RUSH" status. These are non-binding estimates.

ALL SAMPLES DESTROYED IMMEDIATELY AFTER TESTING UNLESS REQUESTED OTHERWISE.

AUTHORIZATION

This requisition for Laboratory Services, when signed by the Client, becomes a binding contract including the Terms and Conditions as described on www.Wonderland-Labs.com. Client hereby requests Wonderland Labs to perform the above services.

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Signature Certificate
Document name: Sample Submission
lock iconUnique Document ID: e4978c8e917f9f51e3b02639000555b3db10b181
Timestamp Audit
November 18, 2019 8:04 pm PSTSample Submission Uploaded by Keith Cleversley - hotline@florascience.com IP 27.147.202.199
November 20, 2019 9:43 am PSTFacility Manager - manager@florascience.com added by Keith Cleversley - hotline@florascience.com as a CC'd Recipient Ip: 27.147.202.199
November 20, 2019 9:43 am PSTLab Tech - info@wonderland-labs.com added by Keith Cleversley - hotline@florascience.com as a CC'd Recipient Ip: 27.147.202.199
November 20, 2019 9:46 am PSTFacility Manager - manager@florascience.com added by Keith Cleversley - hotline@florascience.com as a CC'd Recipient Ip: 27.147.202.199
November 20, 2019 9:46 am PSTLab Tech - info@wonderland-labs.com added by Keith Cleversley - hotline@florascience.com as a CC'd Recipient Ip: 27.147.202.199
November 20, 2019 12:55 pm PSTFacility Manager - manager@florascience.com added by Keith Cleversley - hotline@florascience.com as a CC'd Recipient Ip: 27.147.202.199
November 20, 2019 12:55 pm PSTLab Tech - info@wonderland-labs.com added by Keith Cleversley - hotline@florascience.com as a CC'd Recipient Ip: 27.147.202.199