b'CHIP SAMPLE CONTAINER LABEL Use Avery Labels for 2x3.5 or similar for sterile container or sealed baggie. SAMPLE NO. ___________ DATE: _____________ SAMPLE NO. ___________ DATE: _____________LOCATION__________________________________ LOCATION__________________________________RENOVATION ADDRESS:_________________ RENOVATION ADDRESS:_____________________________________________________ ________________________________________________________________________ ____________________________________ SAMPLE NO. ___________ DATE: _____________ SAMPLE NO. ___________ DATE: _____________LOCATION__________________________________ LOCATION__________________________________RENOVATION ADDRESS:_________________ RENOVATION ADDRESS:_____________________________________________________ ________________________________________________________________________ ____________________________________ SAMPLE NO. ___________ DATE: _____________ SAMPLE NO. ___________ DATE: _____________LOCATION__________________________________ LOCATION__________________________________RENOVATION ADDRESS:_________________ RENOVATION ADDRESS:_____________________________________________________ ________________________________________________________________________ ____________________________________ SAMPLE NO. ___________ DATE: _____________ SAMPLE NO. ___________ DATE: _____________LOCATION__________________________________ LOCATION__________________________________RENOVATION ADDRESS:_________________ RENOVATION ADDRESS:_____________________________________________________ ________________________________________________________________________ ____________________________________ SAMPLE NO. ___________ DATE: _____________ SAMPLE NO. ___________ DATE: _____________LOCATION__________________________________ LOCATION__________________________________RENOVATION ADDRESS:_________________ RENOVATION ADDRESS:_____________________________________________________ ________________________________________________________________________ ____________________________________ 2010- 2014 AWDI, LLC All Rights Reserved Do not Reproduce without Permission'