Ull 1?535 F?i?l?l??l?i?d b?UI-i?i U?'dtl" l?i li?il??J t'i?i 33 ?19503 '3 I Build A Heilhy Business? 5000 MANCHESTER ST. LOUIS, MO 63110 FacatMtLe Silent Health Intonation Management DATE: PHONE NUMBER EM (314) rm: meme? EM (314) NUMBER OF PAGES INELIJDENG COVER SHEET El URGENT El FDR newee El etsass COMMENT El PLEASE aaeL-e El PLEASE seems Con?dential Notice: The document accompanying this fax transmission may contain con?dential infometiott belonging to the sendet which is the legally privileged. The in?onnadon is intended ONLY fot the use of the individual or entity named above. Ifyou are not the intended recipient, you ate hereby noti?ed that any disclosure, copying, distribution or the taking of action in eelianee on or regarding the contents of this faxed intonation is suietly prohibited. If you have received this fax in mot, please immediately notify us by telephone or arrange tie: the tents-n of the original document to us. '7 HealthCaIe 12-Aug-2?14 BJC CORP HEALTH SVCS PH: {314} COLL. 5173 ID: SITE RUDE: GUARDIAN MEDICAL LOGIST NEE. NIB N13 REASON FOR TESTING: SAMPLE TYPE: val-CI.-.- URN CREATIMINE INITIAL TEQT Clinical Reference Labaraunru NAME: WILEON, DARREN DOB: N13 GENDER: N13 SLIP REF ID: N73 REFERENCE 1: REFERENCE 2: RESULT I STATUS - 331.2 HIGH RESULT STATUS 12:37 SAMPLE In: nexus/14 03112114 REPORTED: 95112114 EAR: [3141 NONDOT DEFAULT SITE GUARDIAN moan UNIT SITE PHONE: SITE FAX: 903? accrnamm mm mm scams?: :5 9mm (8661 CUTOFFIBHPECTED VALUES - I I I I I. ?uwnrriaxpEcTEn VALUES comma: museums .. . . . . NEGATIVE 3m: NEGATIVE icon ng/mL MARIJUANA METABOLITE . . . . NEGATIVE sn ngImL . . . . . . .. NEGATIVE 2000 ngme PRENCECLIDINE . . . . . . .- NEGATIVE 25 ngme LAB DIRECTOR: PHD. DABFT REPORT CERTIFIED Page 1 Copyright 2014 Clinical Reference Laboratory. All Rights Reaervad. 3433 Quivira Read. Lenexa. Kansas 66215. CLE.BJC.CMGT.DEFNDN and of repay: I 14 ll?ll?b - I twisting :?kn?irm are an lhe buck gram 3} r: we -. . Halt.me newsman Ii I er- - I-v- u- I H. ?3'1 MTE gauge-143? . I 3,5: No. 616$. mu 65% 95' PM 6.43919 SCREEHIHG Er?21 3L TI ME .I -II .55?ax-54:? - I .955 gum was nun Punne Number - 5.1. a. f? In Ream: Duty manpramm llz'r::lu II I 'Ii?ri?m' II. 1 'Il "hug"- matmemcmi . I 4" .Il fying informalion pmva'ded an the - it?r/v Data Munth Day Yw? I . ".111 I. r- J-ALCOHOL not lbs-slam technician who Will b5 conducting the their mfarm). I cm?fy that! how: cunducfcd alcnhot I am quali?ed to opmte I31: testing dcvic?s} iden??cd, ?rm. I .- I ?u :Hir- I I. ?bawgc: a sum WI 15-Minutc ?rain :1 am? - bs?fc?' ?rm in the 13m bifow [me raring mm is mt dall?gm? to my) I. Im?'?be?eg'su?mgi?mmnm Acrivnu" on mm' mama?37m 'nesun India03319:! to Each can? aft?tvfama arpn'nfed directly mam Street 3:533 Lam} Company City, Stale, Zip Phone. Number 1.. - PI 35?1/5/ I ?w'lggj'a?h'iaiag- Date Mun'lh Buy Year 3 -: L. . . Iii! Emma; IF ms:- RES um 15 ?.03 on GHEII. - fo ten. the results ofvmich are accurately rccurdcd on this perfmm arm-sensitive du?cs. or Inmate heavy equipment W3 0! - gag-m . Date Month Dny' Year mums