PPE Order Form

Landy Bio-Resources, LLC Tel: 1-877-688-7558 Fax: 301-216-2575

Product / Item # / Size / $/cs. / CS Ordered / $ Total / Feature Description / Unit Qty
Lab Coat
(I.) / LC001P / S / Polypropylene, White or Blue, Snap Front, Elastic Wrists, Regular Collar, Hook, 3pkt. / 30/cs
LC002P / M
LC003P / L
LC004P / 1XL
LC005P / 2XL
LC006P / 3XL
LC007P / 4XL
Lab Coat
(II.) / LC001 / S / SMS Polypropylene, Ceil Blue, Snap Front, Knit Cuff & Collar, Hook, 2pkt. / 30/cs
LC002 / M
LC003 / L
LC004 / 1XL
LC005 / 2XL
LC006 / 3XL
LC007 / 4XL
LC004NB / 1XL / SMS Polypropylene, Navy Blue, Snap Front, Knit Cuff & Collar, Hook, 2pkt.
LC005NB / 2XL
LC006NB / 3XL
Lab Coat
(III.) / LC008 / S / SF (Substitute of Tyvek), White, Water/Liquid/Blood Proof, More Breathable, Snap Front, Knit Cuff & Collar, Hook, 2pkt. / 30/cs
LC009 / M
LC010 / L
LC011 / 1XL
LC012 / 2XL
LC013 / 3XL
LC014 / 4XL
Coverall
(I.) / CA002 / M / SMS Polypropylene, White, Zipper Front, Elastic Wrist & Ankle & Waist / 25/cs
CA003 / L
CA004 / 1XL
CA005 / 2XL
CA006 / 3XL
CA007 / 4XL
CA008 / 5XL
CA003CB / L / SMS Polypropylene, Ceil Blue, Zipper Front, Elastic Wrist & Ankle & Waist
CA004CB / 1XL
CA005CB / 2XL
CA006CB / 3XL
CA007CB / 4XL
CA004NB / 1XL / SMS Polypropylene, Navy Blue, Zipper Front, Elastic Wrist & Ankle & Waist
CA005NB / 2XL
CA006NB / 3XL
CA007NB / 4XL
Coverall
(II.) / CA009 / M / SF (Substitute of Tyvek), White, Water/Liquid/Blood Proof, More Breathable, Zipper Front, Elastic Wrist & Ankle & Waist / 25/cs
CA010 / L
CA011 / 1XL
CA012 / 2XL
CA013 / 3XL
CA014 / 4XL
CA015 / 5XL
Product / Item # / Size / $/cs. / CS Ordered / $ Total / Feature Description / Unit Qty
Coverall
(III.) / CA004Q / 1XL / SMS Polypropylene, White, Zipper Front, Elastic Wrist & Waist, Open Ankle / 25/cs
CA005Q / 2XL
CA006Q / 3XL
Bouffant
Cap / BC004B / 24” / Polypropylene, Blue / 100/bg, 10bg/cs
BC004W / 24” / Polypropylene, White
Surgeon
Cap / BC003 / U* / Non-Woven Sanitary Fabric, Gray, Tie On / 100/bx
Facial Mask / FM001 / U* / Polypropylene, Blue, Ear Loop, / 50/bx, 20bx/cs
FM002 / U* / Polypropylene, Blue, Tie-On,
Cone Mask / FM004 / U* / White, N95, NIOSH Rated. Double Elastic Strips / 20/bx,
12bx/cs
FM003B / U* / Blue, Soft Molded, Anti-Dust, Elastic Strip / 50/bx, 20bx/cs
Shoe Cover / SC001 / U* / Polypropylene, Blue,
Non-Slip Tread / 300/cs
SC011 / U* / Polyethylene (CPE), Blue
Seamless Bottom
Sleeve / SV005U / 18” / SMS Polypropylene, White, Elastic on Both Ends / 200/cs
SV012U / 18” / SF (Substitute of Tyvek), White, Water/Liquid/Blood Proof, More Breathable, Elastic on Both Ends
Cover
Gown / CG005U / U* / Spun Bond Polypropylene, Yellow, Elastic Wrists, Tie on Neck, Wrap on Waist with Straps, / 10/bg, 5bg/cs
CG016 / M / SF (Substitute of Tyvek), White,
Water/Liquid/Blood Proof, More Breathable, Knit Cuff, Tie on Neck with Velcro, and Wrap around Waist with Straps / 30/cs
CG017 / L
CG018 / 1XL
CG019 / 2XL
CG020 / 3XL
Glove / GV002B / S / Nitrile, 9.5”, Blue, Powder Free, Accelerator & Protein Free, Chemical & Tear & Puncture-Resistance, ASTM D6319 / 100/bx,
10bx/cs
GV003B / M
GV004B / L
GV005B / XL
GV014W / S / Latex, 9.5”, White, Powder Free, Fully Textured, Superior Grip, Non-Slip Beaded Cuff, Increased Tear-Resistance, ASTM D3578 / 100/bx,
10bx/cs
GV015W / M
GV016W / L
GV017W / XL
GV014LP / S / Latex, 9.5”, White, Lightly Powdered, Fully Textured, Rolled Cuff, Non-Medical, Ambidextrous / 100/bx,
10bx/cs
GV015LP / M
GV016LP / L
GV017LP / XL
GV014Y / S / Latex, 9.5” Light Yellow, Powder Free, Textured, Non-Slip Beaded Cuff, Chemical Resistance, ASTM D3578 / 100/bx,
10bx/cs
GV015Y / M
GV016Y / L
GV017Y / XL
Grand Total / $.

U* -- Universal Fit No Handling & Shipment Fees

Contact Person: ______Tel: ______E-Mail: ______

Fax: ______PO#: ______Order Date: ______

Shipped to: ______

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Landy Bio-Resources, LLC Tel: 1-877-688-7558 Fax: 301-216-2575

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