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Work Order |
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Total Number
of Samples: |
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Reservations?: |
Sample Submittal?: |
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www.paleoresearch.com |
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Date Needed (Must be Approved): |
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2675
Youngfield St Golden Co 80401 (303)
277-9848; Fax (303) 462 2700 |
Purchase Order No.: |
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Please
Fill Out All Fields In GRAY (Customer)
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Client Information |
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Billing Information |
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Name: |
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Name: |
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Company: |
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Company: |
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Address: |
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Address: |
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City, State: |
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Zip: |
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City, State: |
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Zip: |
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Phone: |
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Fax: |
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e-Mail: |
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Phone: |
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Fax: |
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In Order to Complete
Any Work In A Timely Manner Please
Fill Out The Following |
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Site Information Required |
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Work Requested |
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Please Include the Following information
with your Sample(s) and "Work
Order" Form. |
Type |
# of Samples |
Special Instructions |
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Site Name and Number |
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Pollen |
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Location |
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Pollen/Starch |
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Feature Description |
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Phytolith |
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Environment/ Vegetation |
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Starch Only |
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Cultural Affiliation |
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Pollen and Parasite |
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Provenience for Samples |
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Parasite Only |
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Site Description |
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Macrofloral |
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Dates |
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Botanical ID (Isolated Find) |
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Maps |
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C-14 I.D. |
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w/ Site Locations Marked
and UTM's |
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Macro C-14 |
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w/ Sample Locations marked in Site |
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Protein |
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P.E.T |
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Note: RUSH
- Can cost up to 50% more than |
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Standard scheduled pricing. |
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Fiber |
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Reservations help with scheduling
and workflow. |
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They Are guidelines - not set in stone. |
Other |
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Notes: |
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