Substance Abuse Testing Report
Background Screeners of America
9333 Melvin Ave
Northridge, CA 91324
Phone: 866-570-4949
Fax: 866-570-5656
Background Screeners of America
9333 Melvin Ave
Northridge, CA 91324
Phone: 866-570-4949
Fax: 866-570-5656
| File Number | 1421969 |
| Report To |
Corporate Management Group MN (570-2G) 404 Broadway Ave Saint Paul Park, MN 55071 Phone: 9524127044 Fax: - |
| Report Date | 09-25-2019 |
| Order Date | 09-25-2019 Rachel Prickett |
| Type | Corporate Management Group MN eScreen |
Application Information
| Applicant | THAO, JACKSON | SSN | XXX-XX-8934 |
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DOB | - |
| RACHEL@CORPMGMTGROUP.COM | ||||||
| Address(es) | 3900 CLOVER STREET | City / State / Zip | SAINT PAUL, MN 55127 |
Occupational Health
5 Panel eScreen Drug Test
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5 Panel eScreen eCup
Substances Screened For: Amphetamines; Cannabinoids; Cocaine; Opiates; Phencyclidine |
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| Results |
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| Search Date | 09-25-2019 11:30 AM MDT | |||
| Reason For Testing |
Preemployment
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| Contact Email Address |
RACHEL@CORPMGMTGROUP.COM
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| Specimen Id |
193137554
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| Result Comments | ||||
| Social Security # |
XXX-XX-8934
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| Collection Date / Time |
2019-09-25 12:24:58
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| Collection Location |
37129
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| Collected By | |||
| Certifying Scientist | |||
| Laboratory |
eCup
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| Medical Review Officer |
Dr. Stephen Kracht
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| Additional Info |
Address: 8140 Ward Parkway
ChainOfCustody: 53988637 City: Kansas City ClientName: Corporate Management Group MN DOB: 1994-08-18 ExternalDonorID: e9f48183372 OtherIDType: D Phone: 888-382-2281 State: MO VerificationDate+Time: 2019-09-25 12:30:19 WorkPhone: 612-865-1139 Zip: 64114 |
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Result: Negative
Result Text: Marijuana(CLASS) Specimen Type: Urine Additional Information: Screening Cutoff: 50 ng/mL Confirmation Cutoff: 15 ng/mL Result: Negative Result Text: Cocaine(CLASS) Specimen Type: Urine Additional Information: Screening Cutoff: 300 ng/mL Confirmation Cutoff: 150 ng/mL Result: Negative Result Text: Amphetamines(CLASS) Specimen Type: Urine Additional Information: Screening Cutoff: 1000 ng/mL Confirmation Cutoff: 500 ng/mL Result: Negative Result Text: Opiates(CLASS) Specimen Type: Urine Additional Information: Screening Cutoff: 2000 ng/mL Confirmation Cutoff: 2000 ng/mL Result: Negative Result Text: PCP(CLASS) Specimen Type: Urine Additional Information: Screening Cutoff: 25 ng/mL Confirmation Cutoff: 25 ng/mL |
| NOTE: Confidential Information - To Be Used As Per State And Federal Laws. Misuse May Result In A Criminal Prosecution. This statement of controlled substance abuse screen is reported in Accordance with part 40 of Federal rule s382.407. |
Disclaimer
| This report is furnished to you pursuant to the Agreement for Service between the parties and in compliance with the Fair Credit Reporting Act. This report is furnished based upon your certification that you have a permissible purpose to obtain the report. The information contained herein was obtained in good faith from sources deemed reliable, but the completeness or accuracy is not guaranteed. |