sag/2:117 mum/va: asp

03/29/2017 1

Fednrul Regulated 



our, Inc.
Am MRO

525 Czbri'b Park Drwe
Sama Ana. CA 92701
(eoop mam

 

r0: CAO: cansmaunn Cums DOT
ms 5 sum 5mg Sm 500 1719 24 TH 
Sacramsmo, CA 95511 COLLEEN HARD IN comm

SACRAMENTO. CA 95816

Forensic Alcohol Testing Report


Tm: Isa nozmcanan ofa whim/led substance res! rem on:

mm: NEman anal Reasnn mum: Pesl Acudem
Donor ID: Tcohnlolan: MicheHe a,

Date neponed- mos/201s EBT ac:
Couscunn Vansy Ind, A Fair Mam szaha

225 s' cnmamn

Vbsaua' CA 93291

1559) 527 3222

 

 

gens" Result:
smm' UK Date Cnllecled: nz/oa/zme
Fluid' Bream Vlme Yesled: 1554
Level: 0 sequcnoo m5
Dllpoiltlon: "'Negafive'"

 

 

 

This submnce (ell ms candunted In accordance 49 CFR Pm 4n.
Commom .


1 ,1

3/29/2011 





T0: 
1515 5022/ 31:19 519' 500
Saqamamm CA 95311

cm, Inc.
Ann: MRO

03/29/2017
Fodulal 

525 Cahrlb Park Drive
Sama Ana, CA 92701

(sun) 440-3754

cAcc Cunsewaflun sows DOT

1719 24 TH STREET

COLLEEN HARDIN Dnma/y unmask

SACRAMENTO, CA 95316

Medical Review Officer Report

This /s a nat/'i/cabbn o/a comm/led substance test mum on:

al Tested: Naman Finnau
Damn ID:
Cnllocllon sun: Vauey 1m 5Fam Meu- V'saua
225 s. 

V15a1ia.cA 03291

15591527 - 3222

Lzboralory: Quest Diagnosfles

Sunni/MM Included In usx profile:

-Conflduntial-

Rmon var Tm:
sum" Ina:

Date a! Collect/om
Lab Acousllonfi:
Rep/"led Dale:
MRO:

MRO Rae-ma Dan:
MRO Rapm Dale:
MRO Date can:
Speck/Mn me:
Pnnel:

This Cantrelled substance lest was nominated In ace/alliance win. 48 CFR Fan an.

 

 

 

Tm mull Is: Negalive 

 



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P051 Arnhem
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02/04/2015

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