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Name...................: JOHN Q. SAMPLE 
Social Security #......: 999-99-9999
Tracking Codes.........: 

Date Requested.........: 2002-07-09 15:41

________________________________________________________________________________
________________________________Drug Test Result________________________________

----------------------------- 10 Panel Drug Screen -----------------------------

Entered by ............: ADMINISTRATOR
Collection Date........: 07/03/02 

Name of Donor..........: JOHN Q. SAMPLE
Social Security .......: 999-99-9999
Region.................: VERICORP
Chain of Cust..........: 5608605
Test Results...........: POSITIVE FOR MARIJUANA 

Tests for the following drugs: 
Amphetamines, Cocaine, Marijuana, Opiates, Phencyclidine, Barbiturates, 
Benzodiazepines, Methadone, Methaqualone, Propoxyphene 

As part of AmCare Occupational Health Mgmt. Services, the individual 
listed above was processed at a SAMHSA/NIDA approved laboratory of Quest 
Diagnostic Laboratories and all SAMHSA/NIDA guidelines were followed. 
All positive screening tests are confirmed by Gas Chromatography/Mass 
Spectrometry and Certified Medical Review Officer intervention prior to 
reporting.

                              --- End of Report ---