Beruflich Dokumente
Kultur Dokumente
I received my M.A. in Biological science in 1971 and my M.s. in Medical rechnology in 1979 from
Sonoma State University, and serve as the Technrcal Consultant / Certifying Scientist and
Custodian of Records for Redwood Toxicology Laboratory.
z Redwood roxicology Laboratory is located in santa Rosa, cA and is licensed by the california
State Department of Public Health with CLIA certification by the Federal Department of Health and
Human Services.
ln my capacity as Technical Consultant / Certifying Scientist, I am familiar with the procedures
employed to ensure the chain of custody of samples, the testing of those samples, and the validity
of the test procedures employed by our laboratory.
4 The procedures employed by this laboratory are set forth in detail below:
A. Each specimen can be uniquely identified with a Specimen lD number that is preprinted on
the evidence sealing tape that covers the top of the specimen container. This Specimen lD
number corresponds to the same number on the signed Chain of Custody (COC) form.
Additionally, both the Donor and the Collector/Observer sign the COC and the Donor initials
the evidence sealing tape. The sealed specimen container is then placed into a small, sealed
and tamperproof specimen bag with the COC. The sealed specimen bag is then placed into
a sealable transport bag and sealed. The transport bag is given to a courier (UPS, FedEx,
etc ).
B. Upon delivery to Redwood Toxicology Laboratory, the receiving staff signs a shipping
manifest, indicating receipt of the specimen shipment.
C. After receiving the specimen package, the Accessioning staff opens the package, checks to
ensure that the specimen bags are properly sealed, and verifies that the Specimen lD Number
on the container matches the Specimen lD number on the signed COC. The Accessioner then
verifies that both the Donor and the Collector have signed the COC, and that all ofthe required
information is on the COC. The Accessioner then initials and dates the COC form indicating
that the specimen was received sealed and intact and that the labeis match. Specimens not
received sealed and intact will be tested, however the Laboratory will note specimen/Coc
deficiencies on the final report.
D. At this time, laboratory accessioning staff will enter specimen demographic information
into the laboratory information system (LlS) and assign a unique laboratory barcode
number to the sample. The new unique barcode number label is placed on the specimen
container. ln addition, a unique laboratory accession number will be assigned to each
specimen.
E. The specimen is opened by testing personnel, and a portion/aliquot is withdrawn for screening
analysis by enzyme immunoassay (ElA). This preliminary screening is performed, which
includes the following drug classes (other drug classes are available and will be indicated on
the specimen report when tested): Amphetamines, Cocaine, Methamphetamine, Opiates,
Cannabinoids, PCP, Benzodiazepines, Barbiturates, Methadone, and Oxycodone, etc. The
EIA testing is based on competition between drug in the sample and enzyme labeled drug
for binding sites on specific drug antibodies. Enzyme activity decreases upon binding to
the antibody, so the drug concentration in the sample can be measured in terms of enzyme
activity. Active enzyme converts NAD to NADH, resulting in an absorbance change that
is measured spectrophotometrically. The absorbance change in the sample is compared
to that in the calibrator, and a positive or negative result is determined.
F. lf the preliminary screening test for any of the drugs is none detected, then the result is
reported as none detected for those drugs.
G. lf the preliminary test demonstrates a presumptive positive response, a confirmation test by
Liquid Chromatography/Tandem Mass Spectrometry or Gas Chromatography Mass
Spectrometry will be performed. For example, if the screening EIA test shows a presumptive
positive for Cannabinoids, the analyst will perform the confirmation test for Cannabinoids. This
is performed by the analyst removing another portion/aliquot from the original specimen, and
proceeding to do an analysis for '1 1-nor-9-carboxy-THc (THC-COOH) which is the primary
metabolite found in urine. Or, if the screening test shows a presumptive positive for Cocaine,
the specimen is resampled and confirmed for Cocaine metabolite, Benzoylecgonine (primary
metabolite). The analytical techniques of Liquid Chromatography/Tandem lvlass Spectrometry
(LC/IVIS/MS) and/or Gas Chromatography Mass Spectrometry (GC/MS) combine the
separating power of liquid chromatography or gas chromatography with the high sensitivity
and specificity of mass spectrometry, These LC/MS/MS or GC/MS procedures give the
molecular weight of the compounds in addition to the fragments that are unique and specific
to each drug, for conclusive identification. lt is important to note that there are cut-off levels for
both screening and confrrmation. Forthe specimen to be called positive, it must be above the
cut-off on both the screen and the confirmation. A positive specimen is retajned frozen in the
laboratory for one (1) year. A negative sample will be held for five (5) days.
H, Both the prefiminary screen (ElA) and the confirmation (LC/MS/MS or GC/MS) must be
positive for the test to be reported as positive. Internal chain of custody is maintained for all
screening and confirmation procedures. Test results are reviewed and certifled by a Certifying
Scientist for all positives.
l. The attached report(s) record the testing results ofthe urine screen and confirmation for Drugs
ofAbuse conducted on the specimen(s) in accordance with the procedures as identifled in this
affidavit.
5. I have reviewed all of the associated records in regard to the urine sample as identified in the
attached report(s),
6. All of the procedures identified in this affidavit were followed in regards to the sample(s) identified
in the attached report(s).
7. As a result ofthe procedures employed by Redwood Toxicology Laboratory, I can state that both
the Chain of Custody and the test results are reliable and accurate.
8. Based on the test results for this/these specimen(s), it is my opinion that the Donor for this/these
specimens did ingest or consume the drugs of abuse/metabolites identified in the attached
report(s).
9. Attached is a copy or copies ofthe Laboratory Report(s) for this affidavit. This Laboratory Report(s)
is/are maintained in the normal course of business activity as a business record
10. The attached document(s) is/are the report(s) of urine drug testing for drugs of abuse, conducted
on the specimen(s) as identified in the attached report(s).
1'1. The above identified specimen(s) was/were received by Redwood Toxicology Laboratory under
sealed and controlled conditions and that the specimen(s) Was/were properly identified,
accessioned, and tested in accordance with the Standard Operating Procedures of Redwood
Toxicology Laboratory.
12. Redwood Toxicology Laboratory keeps records of the procedures and analytical results, and
issues reports derived from those results, in the regular course of business,
13. l, John W. Martin, serve as the Technical Consultant / Certifying Scientist and Custodian of
Records for Redwood Toxicology Laboratory in accordance to licenslng requirements set forth by
the California State Department of Public Health and CLIA certification bythe Federal Department
of Health and Human Services; thus, I am the custodian of the records contained herein.
14. lt is the regular course of the business of Redwood Toxicology Laboratory for an employee or
representative, at or near the time of, with knowledge of the act, event, condition, option or
diagnosis, cantained within the record, to make the records or to transmit information to be
included in the record.
'15. The attached document(s) are the original or exact duplicates of the original business records
maintained by ^ Redwood Toxicology Laboratory in regards to
\rnow\ql:., Rlavr (Donor).
SEAL
PATRiCIA ANN DETWEILER
NotaryPubl'c -Catiforf ia
50nofia County
cornmkrion f 2201904
My Comm. ExpkesJun 24,2021
REDWOOD 3650Weslwhd Blld , Sanb Ros, CA 95403
R TOX ICO
L OGY
LABORATORY.
Plom:707 577.795s // 800 25t2t59
Laboratory Direclorc: [4ark J. DsNleo, tV.D.tRchard R. Wtber. M.D.
^lad$r|fuAhlBg,a]prtM@l$ CLlALicens€ # 05D07075EE
Fiii'ql R€_s!ltSummary
I .I9.:t" 93.9t"!*.-, ....__.
Ethyl Glucuronide (EtG) detected by LC/MS/MS . 047 - Alcohol (Ethanol)
. Ethyl Sulfate (EtS) detected by LC/MS/MS (3870 ng/ml) . 646 - EtG 500
Drug Tests
lscreen Confirmetiort
... ' .Result , . Method cutoff i
Alcohol (Ethanol)
--.
- ..
..,...i .. . i
Not detected 0.04 gidl
Amphetamines 500 Not detected EIA 500 ng/mL
Cocaine 150 Not detected EIA 150 ngi mL
l
Ethyl Sulfate (EtS) DETECTED (3870 ns/mL) LC/MS/MS 25 ng/ml
Opiates Not detected EIA 300 ng/mL
6-Monoacetylmorphine (6-MAN4) Not detected EIA 10 ng/ml
Phencyclidine (PCP) Not detected EIA 25 ng/mL
THC (Mariuana) Not detected EIA 50 ng/mL
THC/Creatinine Ratio (EIA) NA-
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzymejmmunoassay GC-FID - cas Chromatography _ Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay cc/Ms - Gas chromatography / Mass spectrometry
RIA- Radiojmmunoassay LC/MS/MS - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; positives - aftet three months
Page 1 of 1
16346823 THOMAS RYAN
. Printed 10/19i2018 9:52 A[4 161212-18179 Q357
flnrowooo
Laboratory DruE Test I -1 TOXTCOLOGY
..=\
L ABO RATO RY,
Test Requisition Form all AE'E conpfiy.
14917831
ililililIt illilltil
Agancy Number: 131898
Agency Name: Help at Home, hc, -St, ChErlos
Addr6ss: 1750 E Main StSte 100
DONOR INFORMATION
Donor Namgi Thomas Ryan Tesis R€quested:
D6nor unlque ld: 16346823 047 - Alcohol (Elhanol)
DOB: 1l/30/1969 Se* M Ob!€rved: Yes, 6{6 ' EtG 500
Specirfien Typei URINE E51 - Screen 7, 6-[rAN4, AMP500, COCl50
Specllnen Tempelalure: t,\v
Test Reason: DCFS Active R6f6rrsl
,
.1 . -"..
DONOR CERTIFICATION
thal I ptovid€n 6y spacinen to the colleclor End thalrdve not adultezled 11 lh any nanndr. The specimgn was sealed ln ny Vesence wilh a lamper
se,L me tutumetioD ptovided on lhi6 tom Edd Dn the label alfixed to the speclmen canlalnet k catlF-d, I authon2e Radwood foxi@logyLeborato to
lie lesls ,/sled ard lo rerorso ti,e results ot t t6 lest io flEa P AT HoME, lMc. - sf. cMRLEs.
COLLECTORVERI ON
I cenity lhel thk bovs perstn follollvlag aslabnshed prDlocols, and he spedmen has been pnpedy sealed and labelad.
e oq
I..ABORATORY AFF ONLY n
seal Lab ?
RECEIVED
AT U\B:
x ENo Cl Yes o B
Tsron$dDdlde to donor
aE\
REDWOOD
TOX ICOLOGY
LABO RATORY,
3650WsMid Blvd ,
Phore 707 577.79ss
Sdra F0s, CA 95403
// 300r5t2r59
Labolalory Directors: [4ark J Delvso,lV.D. Ricfad R. Wlb€r, [4.0
j\hrfud'}EAldeMrl@iP:'
CLIA Lice.se # 05D0707588
Identification: 16346823 THOMAS RYAN clieni: Help at Home, lnc. - St. Charles
DOB: 11130/1969 Account#: 131898 255 38th Ave Ste E
Sex: M Requisition #: 14979083
Collected by: Nora Taylor Accession#: 161227 -15580 St. Charles,ll 60174-5410
Collected: 12t22t2016 Specimen Type; URINE Phone: (630)443-1800
Received: 1212712016 3:31 PM Fax; (630)443-1850
Reported: 12t3012016 2t16 PM
Test Reason: DCFS Active Referral
Drug Tests
:co nfirmiltion
Drug , Result cutoff ]Method . cutoff
hanol) Not detected 0.04 g/dL
nes 500 Not detected EIA 500 ng/mL
Cocaine 150 Not detected EIA 150 ng/mL
eftryt Clucuioniae
Ethyl Glucuronide (EtG) DETECTED EIA 500 no/mL
Ethyl Glucuronide (EtG) DETECTED (3990 ng/nL) LC/MS/MS 100 ng/mL
Ethyl sulfare (Ets) DETECTED (1180 ns/mL) LC/MSi IV]S 25 ng/mL
Opiates Not detected EIA 300 ng/mL
Not detected EIA 10 ng/mL
Not detected EIA 25 ng/mL
THC (Marijuana) Not detected EIA 50 ng/mL
-rnClCreliinine nailo EtA)
t
Commenls:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA- Enzyme Assay TLC - Thin Layer Chromatography
EIA- Enzymelmmunoassay GC-FID - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/MS - Gas Chromatography / Mass Spectrometry
RIA- Radio-lmmunoassay LC/MS/MS - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; Positives - after three months
{49?9083
lllllllilililililflilr
Number:131898
AgencyNam6: Holp at Home, lnc, -St. Chade6
Address: 1750 E Maln Sl Sne 100
INFORMANON
DonorName: Thomas Ryan iests Roquesied:
Donorl,lnlqua ld: 16346823 047 - Alcohol (Ethanol)
DOB: 11/30/'1969 Sex: M Obgsrvsd: Yes &lE- ErG 500
Speclmon Type: IIRINE E51.- Screen 7, 6.MAl'r, AMP500, COC150
Slecim€n Tempersturei qbo
Te6t Ria60n: DCFS Aclive Referal
CE TION
cay tlEt ny lhet nol o it e oy fiannal Tho soeled in nl
fh [,ris lab afrxo d /s atdlodze loxt.'bgy Lt bt,atary Io
Ndom tost HEIP T HOME tNc, s f. CHARLES.
12nU2D16
COLLECTOR VERIFICATION
I cedity that ve parc;on IallrwlRg edablLhed ptulo.oLs, end lhe speainen has baen p@Fpdy sdatsd and tabeled.
lrbslusage exampl€
1, Tighten cap.
2, Plac€ secudty seal across
lhe lid as showlr.
3. Plac4 Fatent l.O. label aEund
bottle as shown.
LABORATORY STA}F ON LY
'd
Seal LahalE h? E
RECENED
AT LABI
$16
trNo trN.
r? REDWOOD
TOX ICO L
LABORATORY"
OG Y
3650 Wslwiid Blvd , S6nb
Phrne:707-577 7959 //
R*a,
3001552159
CA 95403
Tests Ordered
: . None Detected; none of the analytes tested were detected . 047 - Alcohol (Ethanol)
Drug Tests
Confirmation
,. 1P".""r":" -il6"t"#*-
, i n..,rit'' Method Method Cutoff
Alcohol (Ethanol) Not detected 0.04 g/dL
Amphetamines 500 Not detected EIA 500 ng/mL
Cocaine 150 Not detected EIA '150 ng/ml
-Opiates Not detected EIA 300 ng/ml
6-lvlonoacetylmorphine (6-N4AM) Not detected EIA 10 ng/mL
Phencyclidine (PCP) Not detected EIA 25 ng/mL
THC (Marijuana) Not detected EIA 50 ng/mL
THC/Creatinine Ratio (ElA) NA
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
- results have been reviewed by laboratory certifying scientists.
tBlethod lnaex
.EA- EnzymeAssay TLC - Thin Layer Chromatography
EIA - Enzymejmmunoassay GC-FID - cas Chromatography - Flame lonization Detector
ELISA- Enzyme-Linked lmmunosorbent Assay GC/|\4S - Gas Chromatography / l\4ass Spectrometry
RIA - Radioimmunoassay LC/|\4S/MS - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed ot as follows: Negatives - after two days; Positives - after three months
15005384
lllilililill]lliltll
Agency Number: 132654
Agency Name: Family Guldance Centers, lnc-
DONOR INFORMATION
Donor Nanel Thomas A. Ryan Tests Requested:
Donor Unlquo ld: 16346823 047 - Alcohol (Ethanol)
DOB: 11/30/1S59 S6xi M Ob6alv6dr Yes E51 . soleon 7. 6-MAM. AMP500, CoC150
Speqlmen TyFe: URINE
SFeslmen Tempersturel
T€it Reason:
DONOR CERTIFICA]ION
I cellfy lhal I p.fuvl.le.l my spadftan to lhe colteclor and lhal ! hsve not adt lt'raled lI In any ndnne'. The speclndn was sealad h my f/esenae wilh a Enpe|-
aqdeA seal, ihe inlomAidn pmvidsd an lhis lotm ahd on the lab.l alixad lo ths speclmen conlainet ls corecL I auhodze Redwood foxictlogy bboratary lo
penolm the tests listed and to release lhe resl,fl8 oftiTis tesl to FAMILY CUIDANCE CENTER9 rNC - /4URoRA.
RVERIFICATIOH
I @ ty lhet thts spacinen wzs collacled tom the ebove paF,on lolbwing eslablished ptotocals, aN lha spacrnen has ba'n Nopedy sealed and labebd
x S/g,alfi,
Martln Muroula
ColledolsNane
Pl29lm16
cd1/ttiyDst
0l r09 PM
Cdledhnnna
R TOX ICO LO GY
LABORATORY"
Pione:707 5i7 7959 // 800 255215s
Laboraiory D retols warkJ. DeVI€o, M.D.rRichard R. Wlber, i,,l.D.
Ma,bdaltkAbegdql]di|4.is CLIA License # 0500707568
ldentificationr 16346823 THOMAS RYAN Client: Help at Home. lnc. - St. Charles
DOB: 11i30/1969 Account #: '131898 255 38th Ave Ste E
Sex: M Requisition #: 15142649
Collected by: Nora Taylor Accession #: 170131-08045 St. Charles, lL 60174-5410
Collected: 01127 /2017 Specimen Type: URINE Phone: (630)443-1800
Received: 0113112017 1t40 PM Fax: (630)443-1850
Reported: o2/o1t20't7 6.37 AM
Test Reason: DCFS Active Referral
TeBts Ordered
. None Detectedt none of the analytes tested were detected . 047 - Alcohol (Ethanol)
. 646 - EtG 500
. E52 - Urine 10 Panel
6MA,AMP,BAR,BZO,COC,CR,MTD,
OPI,PCP,THC
Drug Tesls
Sc teen ]Confirmation
Drug Metho ;!ic;"i-- thod .Cutoff
Alcohol (Ethanol) Not detected EA 0.04 g/dL
Amphetamines 500 ' Not detected EIA 500 ngimL
Barbiturates Not detected EIA 200 ngimL
Benzodiazepines r Not detected EIA 200 ng/mL
Cocaine 150 Not detecled EIA 150 ngiml
Ethyl Glucuronide (EtG) Not detected EIA 500 ng/mL
Methadone Not detected EIA 150 ng/mL
Opiates Not detected EIA 300 no/ml
6-l\.4onoacetylmorphine (6-NIAM) Not detected EIA 10 ng/mL
Phencyclidine (PCP) ' Not detected EIA 25 ng/mL
, ruoi altectea EIA 50 ng/ml
tA) rNA
..---,......*...,:199'-T-."-Lv3ri9j-tv..J""1"--
r Test
:Creatinine
-.,,ri.::-.-*i.le.:Yl!....*-.",,--
69.8 mg/dl
"-.. .:!999q
Colorimetric
Reference Range
>io isi)dL '
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzyme-lmmunoassay GC-FID - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosolbent Assay GC/lvlS - Gas Chromatography / Mass Speckometry
RIA - Radio-lmmunoassay LC/lVlS/MS - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; Positives - after three months
15142649
llilil11|iltililililll
Agency Number: 131898
Agency Nalne: Help at Home, lnc. - Sl. Charles
Address, 1750 E Mein St S'te 100
OONOR INFORMATION
lDonor Name: Thomas RyBn Tests Requestedi
Donor unlque ld: 16346823 047 - Alcohol (Ethanol)
DOB: 1113011965 Sexi M Observed: Yes 646 - EtG 500
Speclmen TlFe: E52- Screen 10, 6-MAM, AMP500, COC150, Balb
Speclmen Ternpersture: EqE
Tesl Reason: DCFS Actiw Referal
DONOR TION
Iceftity lhal I pnvid.d ny specinan lo lie co]lgclot ana! lhat I hav6 nal adul',eftlEd ll in dny nanneL Tha specinen was sealed in my prcsonce wik a tawet-
evident s$1. The infomallan prcvlded on this t?rm ahd on lhe label af*ed to lhe specinen conlaiBr is .orccL I ahuiza Rade1od Toxholqy L,abanloty to
p€ddm lhg lesls lisled and la rpt€€se lhs ,psu/ls otlhis testtd HELP AT HOME, INA . Sf. ctGElES-
X Thomas Rvah
rcts tuaae
1D7nO17
COLLEC VERIFICATION
I centy lhal frcm -
5
, T€a ofi sd pEvalgriS/donor
D REDWOOD TOXICO LOGY
LABORATORY-
3650 Wsir id Blld . Sanrs FoM cA 9s403
Ph0i er 707.577.7959 // 300255.215S
ldentification: 16346823 THOMAS RYAN Client: Help at Home, lnc. - St. Charles
DOB: 11t30t1969 Account#: 131898 255 38th Ave Ste E
Sex: M Requisition #: 15196365
Collected by: Nora Taylor Accession#: 170210-12720 St. Charles, lL 6017 4-5410
Collected: o2ro8t2017 Specimen Type: URINE Phone: (630)443-1800
Received: O2l1Ol2O'17 4:21 PM Faxi (630)443-1850
Reported: 0211112017 7t36 AM
Test Reason: DCFS Active Refenal
Tests Ordered
: . None Detected; none of the analytes tested were detected . 047 - Alcohol (Ethanol)
. 646 - EtG 500
. E52 - lJrine 10 Panel
6IV]A,AMP,BAR,BZO,COC,CR,MTD,
OPI,PCP,THC
Drug Tests
Screen 'Confirmation I
i
iResull Method lCutoff Method
l
Alcohol (Ethanol) Not detected EA 0,04 g/dl
Amphetamines 5OO Not detected EIA 500 ng/mL
Barbiturates Not detected EIA 200 ngiml
Benzodiazepines Not deteaed EIA 200 ng/mL
Cocaine '150 Not detected EIA 150 ngTm L
Ethyi Glucuronide (Etc) Not detected EIA 500 ng/mL
lvlethadone Not detected EIA 150 ng/mL
Opiates Not detected EIA 300 ng/mL
6-Monoacetylmorphine (6-IMAM) Not detected EIA 10 ng/mL
Phencyclidine (PCP) Not detected EIA 25 ng/mL
THC (Marijuana) n 6i iiiiteciea EIA '50 ng/ml
THC/Creatinine Ratio (ElA) NA
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA- Enzymeimmunoassay GC-FID - cas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/MS - cas Chromatography / Mass Spectrometry
RIA - Radioimmunoassay LC/MS/MS - Liquid Chromatography Tandem lvlass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; Positives - after three months
15'19636s
llilililr ililililil
Number:131898
Agency Namer Help at Home, lnc. - St. Charles
Addressl '1750 E Maln St Ste 100
DONOR INFORMATTON
DonorName: Thomss Ryan Tests Requested:
Donor unlque ld: 16346823 047 - Alcohol (Ethanol)
DOB| 1'l130/1969 Sex: M Observed: Y€s 646 - Erc 500
Speclmen TyFa: E52. Screen '10, 6-MAM, AMP500, COC|50, Bado
speclmsn Temp€ratute;
Test ReEson:
Elts
DoFS Active Referal
DONOR CERTIFIC
I cartily lhal ptovialed tiy spscinsn to lho @llotLn ehd that I hsvo not adulta@leal it in Eny nenrcr. The spaclmdn wos ssalod in my prcsenco Mth s tefiper.
.l
avidenl seal. ThE inlamalbn pmvlded oa thls fom and on tho label alllxBd to the specinen containe.le aoaacL I adkotize Redwofu To cotqy tf.bo?toty to
pedbdn lhe t*ts lEhd and to ,e/esse the rEsrrr/s ot tfub test lo HELP AT HOME, tNC. . Sf. CftARtFS,
ECTOR VERIFICATIOII
lhal fhis spac]met ion lha abow petson tolhwing eslabllshed ptolocols, snd lho speclman has bean pbpely sealad anc! lebehd
R. Apiag
STAFF ONLY
Seal lntact? LabEls M
RECEIVED
x FtB 1 0 Z[1lr
AT LAB: By
trNo tr No
5
T.r otl otrd PovrdE to donor
a REDWOOD
TOXICOLOGY
LABORA]ORY.
36s0wedwiid Blld., saita Ros, cA 95!!3
Phore:707.577.7959 // 800 25t2r59
Labo€lory Direclors: [4ark J. De[4eo, Nl.D.j R chard R. \^,ilb€r. [,4.0.
dtt! ahtrsdpd adpil:Be
^ht&t CLIA Lic€ns€ # 05D0707588
ldentification: 16346823 THOMAS RYAN client: Help at Home, lnc. - St. Charles
DOB: 11/30/1969 Account #: 131898 255 38th Ave Ste E
Sex: M Requisition #: 15246133
Collected by: Ashley Davls Accession #: 17 0222-11918 St. Charles, lL 60174-5410
Collected: 02t't7 t2017 Specimen Type: URINE Phone: (630)443-1800
Received; 0212212017 3.58 PM Fax: (630)443-1850
Reportedr 0212312017 6:39 AM
Drug Tests
Screen , Confirmation
Cutoff
Alcohol (Ethanol) Not detected EA 0.04 g/dl
Amphetamines 500 Not detected EIA 500 ng/mL
Ba rbitu rates Not detected EIA 200 ngimL
Benzodiazepines Not detected EIA 200 ngimL
Cocaine 150 Not detected EIA 150 ng/mL
-rttryi
ciucurdnioe 1etc1 ruot aetectea EIA 500 ng/mL
l\ilethad on e I Not detected EIA 150 ng/mL
Opiates Not detected EIA 300 ng/ml
6-Monoacetylmorphine (6-lvlAM) ttot deticted EIA 10 ng/mL
Phencyclidine (PCP) Not detected EIA 25 ng/mL
THC (Marijuana) i Not detected EIA 50 ng/mL
THC/Creatinine Ratio (ElA) N
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA- Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzyme-lmmunoassay GC-FID - cas Chromatography - Flame lonization Detector
ELISA- Enzyme-Linked lmmunosorbent Assay GC/MS - cas Chromatography / Mass Spectrometry
RIA - Radio-lmmunoassay LC/MS/MS - Liquid Chromatography Tandem l\4ass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; Positives - after three months
1524G133
ililililililililililil
Ageney Number: 131898
NEms:
Agency H6lpat Home, lnc, - Sl. Chsdes
Addressr 1750 E Maln St Ste 100
Zip:
City| Stat6 end St Charles, lL 60174.3363
AgencyPhoner (630)4,13-1800
AsencyFax: (630)443.1850
DONOR INFORMATION
Donor Namo: Thomas Ryan Tests Requgst€d:
Donor Unlqoe ld: 16346823 M7 - Alcohol (Elha[ol)
DOB: 11/30/t969 Sex: M observed: Y€s €46 - ErG 500
Speclmen Type: URINE E52 -Screen 10,6-MAM. AMP500, coc150, Barb
Speclmen Temperature
T6st Reeson:
i qa'
D CERTI
I Dtovklea! fiy sp,cim'n lo lhs cdleclo! aN lhal I have nol adulleEled il in any nenne/. Thd specingn
I cadity thal ssalsd in ny prcsenca tdh a lanpat-
^es
evldont sedl.Ihd lnlarmatbn pmvlded on thls lozn and on the ldbel dffied to tha specinon @ntdtnet Is coqect. I aulhotiza Redwod loxlctlqy lf,bo|?lory to
pdotm the terls llsle.! and lo .er€sss lrs lssulh otlr,,t test lo HELP Af HoW INc. - sI. CHiRLES.
COLLECTOR VERIFICATION
l.eflfi! was ooilgc lhe abole pelson followlng $lablished p@toaols, and the apaahen his been prapady sealsd and labeled,
.;'
STA v
Seal lntact? tlbsls Malch?
RECElvED 22.2911
fr* ox. y'","
AT LAB:
"
A
TRE ottandpEvldolodonor
RE DWOOD 3650W$rwird Bt!d.,Smb Ros, CA 95403
t.1 TO X ICO LOGY Phoiq 707 577.7sss // 800.255.2159
BORAIORY-
Laborutory Oirelolsi[4ark J. DeMeo, tvt.D.i Richad R. Wtbsr. tvl.D
Itr tn dh6 ab6 stdtpd 6rv.dd CLIA Li@ns€ # 05D0707588
ldentification: 16346823 THOMAS RYAN Client: Help at Home, lnc. - St. Charles
DOB: 11130/1969 Account#: 131898 255 38th Ave Ste E
Sex: M Requisition #: 15639338
Collected by: Ashley Davis Accession #i
17 0509-18257 St. Chades, lL 60174-5410
collectedr 0510512017 Specimen Type: URINE Phone: (630)443-1800
Receivedi 05109/2017 7:12PM Fax: (630)443-1850
Reported: 05112120'17 2:30PM
Test Reason: DCFS Active Referral
6MA,AMP,BAR, BZO,COC,CR,I\4TD,
OPI,PCP,THC
Drug Tests
Screen Confirmation
DrUg Result Method lCutoff i Method Cutoff
Alcohol (Ethanol) Not detected EA 0.04 g/dl
Amphetamines 500 Not detected EIA 500 ngimL
Barbiturates Not detected EIA 200 ng/mL
eenzooiazepinei Not detected EIA 200 ng/ml
, Not detected EIA 150 no/mL
nide
Ethyl Glucuronide (EtG) DETECTED EIA g/m L
Ethyl Glucuronide (EtG) DETECTED (771 ng/ml) LC/t\4SiMS '100 ng/m L
Ethyl Sulfate (EtS) DETECTED (315 ns/mL) LC/MSitvtS 25 ngimL
Methadone Not detected 150 ng/mL
Opiates Not detected EIA 300 ng/ml
6-Monoacetylmorphine (6-MAM) Not detected EIA 10 ng/mL
:Phen cyclidine (PCP) Not detected EIA 25 ng/mL
THC (Marijuana) Not detected EIA 50 no/mL
NA
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA- Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzyme-lmmunoassay GC-FlD - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/MS - Gas Chromatography / Mass Spectrometry
RIA- Radio-lmmunoassay LC/MS/l\4S - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; positives - after three months
15639338
iltilllllllililililtil
n Number: l318gg
Agency Name: Help at Home, lnc. - St. Chsrles
Addr63s: 255 38lh Ave Ste E
DONO FORMATION
OonorName: Thomas Ryan Tests Requssted:
Donor Unlqle ld: 16346a23 047 - Ajcohol (Elhanol)
DOB: 11130/1969 Sex: M obsersedi Yes 646 , Eic 500
Speclmen Type: URINE E52 ' Screen 10,6-MAM, AMP500, COCl50, Bat!
sFeoinen Temperatur€: qqo
Test Roa8oh: DCFS Aclive ReferEl
N
I .aM lh31 I provided ny
9paalnon to th6 colladot and lhol I hew nol a.lulb'€ta.l ll in any mannei Tha sptainen was sealed ln W prcsanca with a tsdrpa''
evldont sedl, ThE info nation pftv{ded on i,le tonn an.l on lhe label afrixad b nE spodnen @n!6lnet is coned, I auholze Re.lwod Toxlcnlogy laboEtory h
perfom the lesb lbled and to lhe /P.sufrs of this test lo HELP AT HOME, lNC. - Stl Clr R!ES.
'E'basa
X 51512A17
COLLECTOR VERIFI
lce y !!43 I€,isan blowlng ei'€bfishad pmlocols, and the speclnen ttas basn pmpedy sealed and kheled,
900255 ?,59
Laboraiory Drcctorc:l,lark J. Del',leo, M.D.;Richad R. Wlber, [4.0
it it dtEAta.gMrtMIBM CLLq License # 05D0707588
Identification: 16346823 THOMAS RYAN Client: Help at Home, lnc. - St. Charles
DOB: 11l30i 1969 Account #: 131898 255 38th Ave Ste E
Sex: M Requisition #: 17203902
Collected by: Edshondra Coney Accession #: 1 8O22O-1 2363 St. Charles, ll 60174-5410
Collected: 02t16t2018 Specimen Type: URINE Phone: (630)443-1800
Received: 02/20/2018 3:43 PM Fax: (630)443-1850
Reported: 0212112018 5:OB AM
Teat Reason; DCFS Active Referral
.
.-:--. * - *Fiels":pll9Hn9arv
None Detected: none of the analytes tested were detected
-i.il+z
-
Tests Ordered
nr"onJiiitrinoil
***- -
Drug Tesis
lScreen lconfirmation
..: : t,:... .
Til;',""-"r,
Alcohol (Ethanol)
,
4. ui..... - 'l
Result
Not detected
:
uettt6d lcutoft
EA 0 01 g.i-dl
: naetnoo lCuton
Comments
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzyme-lmmunoassay GC-FlD - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/MS - Gas Chromatography / l\4ass Spectrometry
RIA- Radioimmunoassay LC/MS/MS - Liquid Chromatography Tandem l\4ass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; Positives - after three months
*
*
DONOR INFORMATION
Donor Name: Thomas Ryan
:
Donoi Unique ld: 16346823
Tests Requested:
047 - Alcohol (Elh.nol)
:
DOB; 11/30/1969 Sex: M Observedi Yes 646 - ErG 500
7d
4
Specim€n Typ€: I-IRINE E52 - Screen 10, 6-MAM, AMP500, COCt50, Barb
Specimen Temperature q+" 3
DCFS Actrve Refedel E
E
DONOR CERTIFICATION !
E
I ce!1w that I ptovided ny spe.inen ta the tolecto I and that I hew no-t-adllterctod I n any mann fb6 sp€cjrnen was seefed i, ny prcsence wnh a Ompar
k
evicJonl seal. The infoortation ptuvidsd on this fom and an the label affi\ed ta tte spetmen contanet is catect I aLtha.iza
RedeftDe Taxjcotogy Labotatory ta !
io @/ease the ,€sr,ls o t this test to HELP AT HjME, /tVC. . sL cHAStEs.
t
2!1812018 te
COLLECTOR V ICATION 6
I w*ty ahove c€tso? foltDwi.g estqhlbhed p.atocots, and the soecj,.En hss been ptupedy seated ard tabeteiJ, t
i
?,1612018 t' I
t
:
1
ORAfOTY
rffilt:tH M.Ra+,&w
.t;
REDWOOD W*$/ Sflra R@,
r? IOX
3650 nd Blvd , CA 95403
ICO LOG Y Ph. is 707 577.79ss // 300.2512159
LABORATORY" [ar ?0i 577.0365 Laboratory Direclorsi llark J. D€lvleo, M.D.iRichad R. Wlber, [,1.D.
Mall* d he Atft w!, al Mr@ris. CLIA Lic€ns€ # 05D0707588
ldentification: 16346823 THOI\4AS RYAN client: Help at Home, lnc. - St. Charles
DOB: 11130/1969 Account#: 131898 255 38th Ave Ste E
Sex: M Requisition #: 17234855
Collected by: Edshondra Coney Accession#: 180226-11962 St. Charles, lL 60174-5410
Collected: o2t22t2018 Specimen Type: URINE Phone: (630)443-1800
Received: 0212612018 1:33 PM Fax: (630)443-1850
Reported: 03/01/2018 9:55 PM
Test Reason: DCFS Active Referral
Drug Tests
Screen Confi.mation
Drug
Alcohol (Ethanol)
Resull
Not detected EA
thod
,,,Lcil9i -,,,.i
0.04 g/dl
I ethod Cutoff
'opiarti
iates DETECTED EIA 300 ng/mL
Codeine Not detected LC/tvtS/t\4 S 100 ng/mL
Hydrocodone DETECTED (351 ng/mL) LC/Mts/MtSl '100 ng/mL
Hydromorphone DETECTED (245 ng/mL) LC/tvtS/t\4 100 ng/mL
Morphine Not detected LC/IV]S/M 100 ng/mL
6-Monoacetylmorphine (6-MAM) Not deiected EIA 10 n g/mL
Phencyclidine (PCP) Not detected EIA 25 ng/mL
THC (Marijuana) Not detected EIA 50 ng/mL
THCiCreatinine Ratio (ElA) NA
Page I of 2 ,I6346823
THOMAS RYAN
- Printed 10/19/2018 9:55 ANil 180226-11962 1O153
REDWOOD 36s0WsMid Bl!d., Sanra Rm, CA 954c
t-<
^ TOXICO LOGY Phon6 707 5i7795S // 300255t159
tABO RATORY" L€boratory Direclors: [4ark J. DeMeo, N4.0.iRlchad R. Wlb€r [,1.0
CLIA License # 0500707s88
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and flnal
results have been reviewed by laboratory certiiying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzymelmmunoassay GC-FID - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosobent Assay GC/|\4S - Gas Chromatography / Mass Spectrometry
RIA - Radioimmunoassay LCi l\4S/lVlS - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days, Positives - after three months.
17234855
illtilIililtx,il1il]l
Agency Number: 13189E
Agency Namer He{p at Home, lnc. - St. Chades
255 38th Ave Ste E
E
DONOR INFORI.lATION b
Donor Namei Thomas Ryan Tests Requested: E
Donor Unique ld: M7 . Alc!hol (Elhanol) E
6
DoBr 11130/1969 Sex: M Obseffed: Yes 646 - EIG 500
i
Specimen Type; URIN E52. Screen 10, 6-MAM, AMP500, COC'150, Balo
Specimen Temperature {tl b i
Test Rsai;n: DCFS Active Refenal
:
E
OONOR CERTIFICATION
I cenily ltut I pmvidad mv specimen to the collectot eftl thet I heva not edulleztdd t in any mannet. fhe sryirnen was seaieci in my ptasence v'ith a lanpaL v
evidenl sea| The intomatioh ptovided on this tom and on lhe tsbet afrred to Ihe spectman aatainet is cot@ct. I aulhoize Redwood Taxtcnlogi/ Labarabry lo rI
s_-
it
x Edshondre Coney 2122t201e ,,J E
*
3.
5
6
*
F
u
V Zasueia
LABORATORY STAFF NLY
ldentification: 16346823 THOMAS RYAN Clienti Help at Home, lnc. - St. Chafles
DOB: 1'1130/1969 Account#: 131898 255 38th Ave Ste E
Sex: tvl Requisition #: 17273745
Collected by: Nora Taylor Accession #: 180302-127 85 St, Charles, lL 60174-5410
Collected: 0310112018 Specimen Type: URINE Phone: (630)44$1800
Received: O3lO2l2O18 4:35 PM Fax: (630)443-1850
Reported: O3lO2l2O18 9:52 PM
Test Reaaon: DCFS Active Referral
Drug Tests
lScreen Confirmation
Drug Method
Alcohol (Ethanol) Not detected EA 0.04 g/dL
Amphetamines 500 Not detected EIA 500 ng/mL
Barbiturates Not detected EIA 200 ng/mL
Benzodiazepines Not detected EIA 200 ng/mL
Cocaine 150 Not detected EIA 150 ng/mL
Ethyl Glucuronide (EtG) Not detected EIA 500 ng/mL
Methadone Not deiected EIA 150 ng/mL
Opiates Not detected EIA 300 ng/mL
6-Monoacetylmorphine (6-MAM) Not detected EIA 10 no/ml
Phencyclidine (PCP) Not detected EIA 25 ng/ml
,
THC (Marijuana) Not d;tected EIA 50 ng/ml
THC/Creatinine Ratio (ElA) NA
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certitying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA- Enzymeimmunoassay GC-FID - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/|\4S - Gas Chromatography / lvlass Spectrometry
RIA - Radioimmunoassay LC/MS/MS - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; Positives - after three months
17273745
lllilllillril ilil]t
en Number;131898
Agency Name Help al Home, inc. - 51. Charies
Address: 255 38lh Ave Ste E
OONOR CERTIFICATION $
lpavlded my spec'''en ta the rolleclot and lhat I haw naladuhetaled il ih any nan.eL The speciman was sealed ir nr p?sence v/ith slan ::
L The ntornAlion ptudded an this foiR end ah the lab'l aftu@d lo lhe spectm1n carlaine. iE corect I suthoize Redqaad TcxicDL,g
isled and to rcleesg the rcsults ot tnb b.t to HELP AT H)ME. tNC. - ST CHARLES $
Z
9
s
3
r
l.abelusage exahple !
1, Tighleo cap.
2. Place security sealacross
:
ihe lid as shov]n.
3. Place paiient l.D- abelarotrnd
botlle as shovn
LABORATORY STAFF ON
Seallntacl? Labr{s Match?
i RECEIVED
X o*
LAB By
o ,.(,*
REDWOOD 365i1Wsrw ld Brld.. Santa BNa CA 9s403
':_l
.Fi#!,!9"y!,lqtry".v Tests Ordered'
t None Detected; none of the analytes tested were detected . 047 - Alcohol (Ethanol) '-.,,-'.',]
Drug Tests
IScreen lConfirmation
Result Method , cutoff. l r'ir"traa
Alcohol (Ethanol) Not detected 0,0a s/d!., ..
Arnphetamines 500 Not detected EIA 500 ngimL
Barbiturates Not detected EIA 200 ng/mL
BenzoOiizepines Not detected etl 200 ng/mL
ocaine 150 Not detected EIA
15! ns/mL
Ethyl Glucuronide (EtG) Not detected EIA 500 ng/mL
Methadone Not d;t;cted EIA 150 ng/mL
Opiates Not detected EIA 300 ng/ml
6-lvlonoacetylmorphi ne (6-MAN4) Not detected EIA 10 ng/ml
Phencyclidine (PCP) Not detected EIA 25 ng/mL
THC (Marijuana) Not detected rA 50 ng/mL
THC/Creatinine Ratio (ElA) NA
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzyme-lmmunoassay GC-FlD - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/MS - Gas Chromatography / Mass Spectrometry
RIA - Radioimmunoassay LC/MS/MS - Liquid Chromatography Tandem Mass Spechometry
Specimens are disposed of as follows: Negatives - after two days; positives - after three months
Page 1 of '1
16346823 THOMAS RYAN
.Printed 10/19/2018 9:56 AM 180307 -12199
17297536
||ililililililIIilI]t
n Number; 131898
AgeDcy Narne Help al Home, lnc. - St. Chades
Address: 255 38lh Ave Ste E
DONOR CERTIFICATION *;
lhat I ptavided ny specimen to the calleclof and that ! have rlal adullgft'ted I in any mqnner The specihen wes sealed in ny oresence wilh s lanpar- !
se'l 7he infomlation F,rcvided on this fam and o, the labelafltred tolhe specinen containe. is crrcc[I authanze Redsrad Toxtcol.Ey Laknatatr lo s
the lgsls llsled and io ftlqase ilre ras!/ts ci li/i lesl lo I4ELP AT HAME, INC. - ST, CHARLES.
!
f
i!erlq:3y!:*
lt ttltta.rt
at&201$ E.
---- e
COLLECTOR VERIFICATlON {
abave petsan rolawing establbhed prc/ocale. and the specilj.en has been prcpcdy sealed and labeted
g"
X Edshondra Coney 3i6t2018 .i'15:r,", *
:
p,
T
b
Labelusege example s
1. Tlghtef cap.
2 Place seclrrily seala4ross
the lid as shown.
3. Place patiert )D. l6belaround
botlle as shown,
J. Med
LABORATORY STAFF ONLY
MAR ll7 AM Seal lntaat? Labels Match?
RECEIVED
AT LAB: t@ t
A Y4 nNa
/n
,.. D Nl
M^P rl t 2flln
REDWOOD 3650 W*rw id 9vd, Saik Bos, CA 95403
R IOXICOLOGY
LABO RATORY-
Plron€ 707.577t959 // 80025t?159
LaboElory ojrE lols:NlarkJ. Delveo, [4.0.i R chard R. Wlber, M D.
rftrbdnlwrJm{@0lunryix CLIA L c€ns€ # 05D0707588
ldentification: 16346823 THOIV]AS RYAN Client: Help at Home, lnc. - St. Charles
DOB: 1113011969 Account#: 131898 255 38th Ave Ste E
Sex: M Requisition #: 17419238
Collected by: Nora Taylor Accession#: 180329-08958 St. Chades, lL 60174-5410
Collected: 03127 t2018 Specimen Type: URINE Phone: (630)4431800
Received: 0312912018 2:03 PM Fax: (630)443-1850
Reported: 0312912018 9:29 PM
Test Reason: DCFS Active Referral
Drug TestE
l_
iconfirmrtion
Screen
.Drug .
*..1
l Result !ry:!!91-:ct!9l ;;il;J*ta;i.;il"
.'-.'.'''.|...''.'..:..'.:..'
Alcohol (Ethanol) rubiJ,ii"it"J EA 0,04 s/dl
Amphetamines 500 Not detected EIA 500 ng/mL
B a rbitu rates Not detected EIA 200 ng/mL
Benzodiazepines Not detected EIA 200 ng/mL
Cocaine 150 Not detected EIA 150 ng/ml
ronide (EtG) Not detected EIA 500 ngimL
Not detected EIA 150 ng/ml
Opiates Not detected EIA 300 ng/mL
6-Monoacetylmorphine (6-MAlvl) Not detected EIA 10 ng/ml
Phencyclidine (PCP) Not detected EIA 25 nglmL
THC (Marijuana) Not detected EIA 50 ng/mL
THC/Creatinine Ratio (ElA) NA
Comrnents:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA- Enzyme-lmmunoassay GC-FID - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/l\ilS - Gas Chromatography / l\4ass Spectrometry
RIA - Radiolmmunoassay LC/l\4S/l\4S - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days: Positives - after three months.
a
*
DONOR CERTIFICATION
5
l cadtr lhat I ptavided tha callect r and thgl I ha'le nol adultetaled il in any tnanner. The specinen |9as sealed in ny Presenae wilh a tafipe.
ny sp€ci']'9n lo
evident seal Thc, lniomaiDn Novided an lhis n n and on lhe tabel trHed to the specimen camaineris canect. I authoBe Redtogd Taxoalagy Labo.alary ta
/Eled 3nd to ,€/ease lne /€srlas of thIS IESI IO HELP ATHOME, /,!C,, ST CHARLES I
2
;
X Thomas Rvan 3t27 !2018 a
-i
COLLECTOR VERIFICATION E
specimen was collecled f.am lhe ahave person bllowing 6stabllsi,6d p.oiocols, €rd lhe specinen has beeh pmpedy seated and labeled $
;
c
Nora Tavlor 3/21/2018 ?t r?f*
g
!
e
!
e
g
x
I
4
4
R
Labelusage example *
-fighten
I cap. 1
2 Pl€ce gecurjly sealacross
lhe lid as shown.
3 Plac€ patient LD label around
ldentification: 16346823 THOMAS RYAN client: Help at Home, lnc. - St. Charles
DOB: 11t30/1969 Account #: 131898 255 38th Ave Ste E
Sex: IVI Requisition #: 17473672
Collected by: Edshondra Coney Accession #: 180409-16695 St. Charles, lL 6017 4-5410
Collected: o410512018 Specimen Typel URINE Phone: (630)4431800
Received: 04to9t20't8 3:o2 PM Fax: (630)443-1850
Reported: 04h012O18 12:36 AM
Test Reason; DCFS Active Referral
t' " -"r" "' _-'i:'_ ---
:t.. Final Result Summary Tests Ordered
: . None Detected; none of the analytes tested were detected.
.
Drug Tests
, Screen Confirmation
Druq
,-.*.1 :Resiilt:i I Method Cutoff rMethod
Alcohol (Ethanol) Not detected 0.04 g/dL
Amphetamines 500 Not detected EIA 500 ng/mL
Barbiturates Not detected EIA 200 ng/mL
BenzooiazJpines Not detected EIA 200 ng/mL
Cocaine 150 Not detected EIA 150 ng/ml
Ethyl Glucuronide (Etc) Not detected EIA 500 ngimL
l\4ethadone Not det;cted EIA 150 ng/mL
Opiates Not detected 300 ng/mL I
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists,
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA- Enzyme-lmmunoassay GC-FID - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosobent Assay GC/MS - cas Chromatography / lvlass Spectrometry
RIA- RadioJmmunoassay LC/I\4S/MS - Liquid Chromatography Tandem l\4ass Spectrometry
Specimens are disposed of as follows: Negatives - aftet two days; Positives - after three months
Specimen Type:
Specimen Temperature
URINE 852 - Screen 10 6-MAM, AMP500, COC150, Barb i
Test Reason: DbFb eaive Retenat
*
t
DONOR CERTIFICATION
iry spe.iman to lh€ eollectot tnd llrat I haw nal?dult€rsled it in any mannet, fho specimen was ,eelad h ny p.e6enc9 with a tanper-
! cetllty thal I ptovidBd
t
evldent seal. The inlo,malion Navided o!1 this fDm and on the label elf&ed ta lhe specinen cjntainet is corccl. t authutizs Radwoad ioyi4okgy Laborctary lo F
t6led and to release the rcsults o/ri/s /ssl Ir dEtP a r HoME, /rvc. -sl CHARLES.
F
I
4J-r12418 r,
I
COLLECTOR VERIFICATION t
g
from lhe abave persan lolotviag eslabtished prcIo.Dts. 8nd rre sp€cfner tus 6e€ n pra9ly sealed and tabeted
E
g.l
e
:
p
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ka.l t.rga t rmglr
'l- lighten cnF.
,, Ptv! slru.ity sqal aqm3s
tbe hd a? *bolv!l.
3, Placs pr:lenl l.D. tehal a.ound
bctlle a! shoi;!r"
30025t2159
RATORY" L€boralory Dir€ciors: &l€rk J. DeMeo, Nl.D.iRichard R. Wlb€r, L,l.D.
I@]s d taa14.Nw rt .l@ie! CLIA Lic€nse # 05D0707548
ldentification: 16346823 THOMAS RYAN Client Help at Home, lnc. - St. Charles
DOB: 11130/1969 Account#: 131898 255 38th Ave Ste E
Sex: tvl Requisition #: 17505937
Collected by: Edshondra Coney Accession#: 180413-10072 St. Charles, lL 60174-5410
Collected: o4l1'112018 Specimen Type: URINE Phone: (630)443-1800
Received: 04h312018 1:34 PM Fax: (630)443-1850
Reportedi 04h312O18 8:48 PM
Tesl Reason: DCFS Active Referral
Drug TesG
Sbreiin Confirmation
Drug ' Restltr:: '. Methqd Cutoff
ol (Ethanol) Not detected EA 0.04 g/dl
Amphetamines 500 Not detected EIA 500 ng/mL
Baftiturates Not detected EIA 200 ng/mL
Benzodtazeptnes Not detected EIA 2OO ng/ml
Cocaine 150 Not detected EIA 150 ng/mL
Ethyl Glucuronide (EtG) Not detected EIA 500 ng/mL
Methadone Not detected EIA 150 ng/mL
Opiates Not detected EIA 3oo ns/.! . .......
6-lMonoacetylmorphine (6-MAM) Not detected EIA 10 ng/mL
Phencyclidine (PCP) Not detected EIA 25 ng/mL
THC (lMarijuana) Not detected EIA 50 ng/ml
THC/Creatinine Ratio (ElA) NA
Commentsl
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory cedirying scientists.
Method lndex
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzyme-lmmunoassay GC-FlD - Gas Chromatography - FIame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/MS - Gas Chromatography / Mass Spectrometry
RIA - Radiolmmunoassay LC/IMS/MS - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; Positives - after three months
17505937
lllllilililtilIilt]t
nc Number: 131898
Agency Name Help al Home. lnc. - St. Charles
Addressl 255 3Bth Ave Sle E
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DONOR INFORMATION ,i
:;
Donor Namei Thomas Ryan Tests Requested: a
Donor Unique ld; 16346823 047 - Alcohol (Ethanol)
DOB; 1'1l30/1969 Sex: l,.i Observed 646 - EIG 500 $
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Specim€n Type: URIN E E52 - Scr8en 10 6-N4Atl, A[4P500. COC150, Barb t
Specimen Temperaturet tlr p
Test Reason: DCFS Actrve Refenal E
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DONOR CERTIFICATION
lcenirylhal lpmvlded ny specimen lalha callectat and that I have not adbiter.ted n j^ anv manne..lhe sDecim'n e/as seated in ny pra9enre with a lanper-
iDformalon p.arided on this fo.m and an lhe label anxad ta the spDcinen clntainet is corEct. Jarthanze Re d\taad Taxlcolosy Laboftltty lo
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to,'e/ease lre .€sLr/is or lr/is 1es! lo HELP AT HOME. lNC - Sl: CIiARLES
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I TOx O tOGY
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ldentification; 16346823 THOMAS RYAN Client: Help at Home, lnc. - St. Charles
DOB: 11l30/1969 Account#: 131898 255 38th Ave Ste E
Sex: M Requi6ition #: 17658579
Collected by: Edshondra Coney Acqession#: 180509-05873 St. Charles, ll 6017 4-5410
Collectedl 0510712018 Specimen Type: URINE Phone: (630)443-1800
Received: 05/09/2018 12:06 PM Fax: (630)443-1850
Reportedi 05/09i2018 7:38 PM
Teat Reason: DCFS Active Referral
a-. :
Tests Ordered
. None Detected; none of the analytes tested were detected . 047 - Alcohol (Ethanoi)
. 646 - EtG 500
. E52 - Urine 10 Panel
6MA,AMP, BAR,BZO,COC,CR,I\4TD,
OPI,PCP,THC
Drug Tests
Screen Confin1lation
lorus ':;':t:.
["."]..........-.. =.=-""",,,,,"-..
Result od Cutoff
Alcohol (Ethanol) -'i,ili deiealii EA 0.04 g/dL
s 500 Not detected EIA 500 ng/mL
Not detected EIA ng/ml
.200
Benzodiazepines Not detected EIA 200 ng/mL
ine 150 Not detected EIA 150 ngi mL
Ethyl Glucuronide (EtG) Not detected ErA 500 ng/mL
Methadone Not detected EIA 150 ngimL
Opiates Not detected EIA 300 ng/mL
6-Monoacetylmorphine (6-MAM) Not detected irA 10 ng/ml
.Phencyclidine (PCP) Not detected EIA 25 ng{m L
THC (Mar4uana) Not detected EIA 50 ng/mL
THCiCreatinine Ratio (ElA)
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard operating procedures and final
results have been reviewed by laboratory certifying scientists.
Method Index
EA - Enzyme Assay TLC - Thin Layer Chromatography
EIA - Enzyme-lmmunoassay GC-FlD - Gas Chromatography - Flame lonization Detector
ELISA - Enzyme-Linked lmmunosorbent Assay GC/MS - Gas Chromatography / Mass Spectrometry
RIA - Radio-lmmunoassay LC/MS/l\4S - Liquid Chromatography Tandem Mass Spectrometry
Specimens are disposed of as follows: Negatives - after two days; Positives - after three months
A nc Number:'131898
Agency Nemei Help at Home, lnc - St. Chades
Address: 255 38th Ave Sle E
OONOR INFORMATION l
Donor Name: Thomds Ryan Tests Requested:
Donoa [Jnique ld: 16346823 047 - Alcohol (Elhanol)
0OBr '11130,/1969 Sexi [, Observedi Yes 646 - EtG 500 I
!
Specilnen Typel INE E52 - Screen 10, 6-[4At1, Atv1P500, COC150. Barir
Specinen Temperature
$LO
FS Aclive Refenal
1
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DONOR CERTIFICATION
I ptoidad ny specinen ta tho cbllector snd thal I have not adultetated it in any ma 1e. rN fie.Jda. kas sea er r hy esence *'h a taaE*:
Provided a lhie lafi aa!1on lhe label afrixed to lhe specinen cohtainer is carcct I autho.ize Redw.srl Torinlagy Labomtary ta i
se fi€ .esu/s oflhls lesl lo HELP AT HOUE INC S]: CHARLFS 1
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COLLECTOR VE ICATION I
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fran thl abcv€ persan lallawing aslabltshed prolocols, and (he specinen has been prcpe!1y seatetl and labeled.
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TOX COLOGY
LABORATORY"
3650 WesMind
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Blld, Sanb Fosi,
one: 707-57 7-79 59 //
CA 95.403
3001551159
Laboralory Dir€clors: l\4ark J. De[4eo, tV.D.] Richad R. Wb€r. tV.D
ttt2n tu at r\a Attffi s@ rt M!9M s CLIA Licens6 # 05D0707588
ldentification: 16346823 THOMAS RYAN Client: Help at Home, lnc. - St. Charles
DOB: 11l30/1969 Account#: 131898 255 38th Ave Ste E
Sex: M Requisition #: 17942403
Collected by: Edshondra Coney Accession #: 180626:-10221 St. Charles, lL 60174-5410
Collected: o6/22t2018 Specimen Type: URINE Phone: (630)443-1800
Received: 06/2612018 2:49 PM Fax: (630)443-1850
Reported: 0612712018 12:29 AM
Test Reason: DCFS Active Referral
Drug Tests
Screen Confirmation
Result Method Cutoff
Alcohol (Ethanol) Not detected 0.04 g/dL
Amphetamines 500 Not detected 500 ng/ml
Barbiturates Not detected EIA 200 ngi mL
BenzoOiazepines Not detected EIA 200 ngi mL
ine 150 Not detected EIA 150 ng/mL
Ethyl Glucuronide (Etc) Not detected EIA 500 ng/mL
Methadone Not detected EIA 150 ng/mL
Opiates Not detected EIA 300 ng/ml
6-Monoacetylmorphine (6-MAM) Not detected EIA 10 ng/mL
Phencyclidine (PCP) Not detected EIA ng/m L
_ ....25
THC (N4arijuana) Not detecte; EIA 50 ng/m L
THC/Creatinine Ratio (ElA) NA
Comments:
Analytical testing has been performed in accordance to all Redwood Toxicology Laboratory standard opetating procedures and final
results have been reviewed by laboratory certifying scientists.
Method lndex
EA- EnzymeAssay TLC - Thin Layer Chromatography
EIA - Enzyme-lmmunoassay cC-FlD - Gas Chromatography - Flame lonization Detector
ELISA- Enzyme-Linked lmmunosorbentAssay GC/N4S - cas Chromatography / Mass Spectrometry
RIA - Radio-lmmunoassay LC/MS/MS - Liquid Chromatography Tandem lMass Spectrometry
Specimens are disposed of as follows: Negatives - after two daysi Positives - after three months
Page 1 of ,16346823
1
THOIV]AS RYAN
- Printed 10/19/2018 10:04
AlVl 180626-10221
17542403
Itffflrillfltililillil
ency Number: 13'1 898
Agency Narhe Hetp af Home, lnc - Sl. Charles
Address: 255 38lh Ave Sle E
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DONOR CERTIFICATION
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i aetify lhAI I ptovidad specinten 16 the co oclor arci lhal I hare nol adultercte,J iL n aoy nennel 'tLta specifitei was seBled in fiy pt.,Eetce v,lilh I latljpe,
ny I
htamallah prcvided an this fotm tod on loe tabel at'liyed to fie sDecic'en cohlainet is conecl. I authotue Recr,,E.d iolicttaqf Labo.aioty iD ;
rcleese the resljlts 6a tbis test to HELP AT H)ME. tNC . s,t tH.4RlEs i
!
I
x Thomas Rvan 6n2r2018 t
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COLLECTOR VERIFICATION :
aoove aatsor lolaw E esl. trhs-po D.atocols and lhe steai44.1 ha\ Dee. prcoe4/ seateo and labeted.
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