FORM 3 OMB APPROVAL
OMB Number 3235-0104
Expires September 30, 1998
Estimated average burden
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment
Company Act of 1940
(Print or Type Responses)
- --------------------------------------------
1. Name and Address of Reporting Person 2. Date of Event-
Requiring Statement
WASILEWSKI JOSEPH M. (Month/Day/Year)
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(Last) (First) (Middle) June 19, 1999
16 HILL ROAD
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(Street) 3. IRS or Social Security
Number of Reporting
LINCROFT, NEW JERSEY 07738 Person (Voluntary)
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(City) (State) (Zip)
4. Issuer Name and Ticker or Trading Symbol
U.S. Laboratories Inc. (USLB)
5. Relationship of Reporting Person 6. If Amendment, Date of
to Issuer Original
(Check all applicable) (Month/Day/Year)
|X|Director [ ]10% Owner
[X]Officer (give [ ]Other (specify
title below) below)
___________________
7. Individual or Joint/Group Filing
(Check Applicable Line)
|X| Form filed by One Reporting Person
___ Form filed by More than One Reporting
Person
<TABLE>
<CAPTION>
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security 2. Amount of 3. Ownership 4. Nature of Indirect Beneficial Ownership
(Instr. 4) Securities Form: Direct (Instr. 5)
Beneficially (D) or
owned Indirect
(Instr. 4) (I) (Instr. 5)
<S> <C> <C> <C>
COMMONS STOCK 4,207 D
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filed by more than one reporting person, see instruction
5(b)(v).
<PAGE>
FORM 3 (continued)
<TABLE>
<CAPTION>
TABLE II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
- --------------------------------- ----------------- ----------------------------------- ----------- ------------ -------------------
1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of
(Instr. 4) cisable and Underlying sion or ship Indirect
Expiration Derivative Security Exercise Form of Beneficial
Date (Instr. 4) Price Deri- Ownership
(Month/Day/Year) of vative (Instr. 5)
Deri- Security:
vative Direct
Security (D) or
Indirect
(I)(Instr.
5)
- --------------------------------- ----------------- ----------------------------------- ----------- ------------ -------------------
Amount
Date Expira- or
Exer- tion Title Number
cisable Date of
Shares
- --------------------------------- -------- -------- ------------------------ -------- ----------- ------------ -----------------
<S> <C> <C> <C> <C> <C> <C> <C>
Incentive Stock Options 04/01/99 04/01/02 Common Stock 15,151 $6.00 D
- --------------------------------- -------- -------- ------------------------ -------- ----------- ------------ -----------------
Incentive Stock Options 04/01/99 04/01/02 Common Stock 15,151 $6.00 D
- --------------------------------- -------- -------- ------------------------ -------- ----------- ------------ -----------------
Incentive Stock Options 04/01/019 04/01/02 Common Stock 15,151 $6.00 D
- --------------------------------- -------- -------- ------------------------ -------- ----------- ------------ -----------------
Incentive Stock Options 04/01/02 04/01/02 Common Stock 4,547 $6.00 D
- --------------------------------- -------- -------- ------------------------ -------- ----------- ------------ -----------------
- --------------------------------- -------- -------- ------------------------ -------- ----------- ------------ -----------------
Explanation of Responses:
*If Mr. Wright's employment with the Company of its Subsidiaries changes from
full-time to part-time status or its interrupted by leave of absence, the Board
of Directors may delay vesting for such period as it deems reasonably
appropriate.
</TABLE>
/S/ JOSEPH M. WASILEWSKI September 7, 1999
** Signature of Reporting Person Date
**Intentional misstatements or omissions of
facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
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