Urine Drug Screen

URINE DRUG SCREEN

Collected, analysed and reported in accordance with AS/NZS 4308:2001.
[+] yes, [-] no

Collection information:
  Collector's name: 
  Collector's accreditation number:

Employer: 
  Employer contact:

Reason/s for test:
[-] pre-employment
[-] random
[-] post incident
[-] return to duty
[-] periodic
[-] reasonable suspicion
[-] follow-up

Test information:
  Collection date: 
  Collection time: 
  Specimen ID number: 
  Test kit manufacturer/name: 
  Test batch/lot number: 
  Test expiry date:

Test validity results:
[+] pass, [-] fail
# Acceptable ranges in {braces}.

[+] temperature {33-38 deg c read within 4 minutes}
[+] creatinine {>1.8 mmol/l}
[+] nitrite {nil}
[+] gluteraldehyde {nil}
[+] ph {4-11}
[+] specific gravity {1.005-1.020}
[+] bleach {nil}
[+] pyridium chlorochromate {nil}
[+] Overall PASS

Drug screen results:
The sample was tested using an immunoassay point-of-care test for:

1. Amphetamines (amphetamine, methamphetamine)
2. Cocaine metabolites
3. Marijuana metabolites
4. Opiates (including codeine, morphine and 6-AM)
5. Benzodiazepines

Findings: [+] yes, [-] no
[-] Negative
[-] Non-negative: further laboratory analysis required.

Comments: 
-

Urine Drug Screen

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