Order form

2 River Labs
3951 Performance Dr. Suite C, Sacramento, CA 95838
Lic# C8-18-0000022-TEMP
Title: Sampling Manifest

Work Order# (Lab Use Only)

CLIENT/ DISTIBUTOR








PRODUCER/ MANUFACTURER




(F) Full COA (RD) R&D (FM) Foreign Material (MB) Micro Bacteria (MO) Moisture (PE) Pesticide (PO)Potency (RS) Residual Solvents (F3) Full COA Phase 3 (RD3) R&D Phase 3 (MY) Mycotoxins (T) Terpenes (WA) Water Activity (HM)Heavy Metals

Sample Information

Sample Number

Product Description (Plant, Concentrate,
Edible, Topical, etc.)

Strain Name

Batch Number

Total Batch Size

Sample Size

Test(s) Requested

Terpene Claim

01

02

03

04

05

06

07

08

09

10

11

12

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