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Web: www.axisfortox.

com
Phone: (317) 759-4TOX

Laboratory Case Number: 3122309 Subject's Name: GLOMB, JAYDEN

Client Account: 20702 / FSC01-Geffre Agency Case #: 17-1167


Physician: Date of Death: 05/11/2017
Report To: Forensic Science Center Test Reason: Other
ATTN: EMR Investigator: JH
2825 E. District Street Date Received: 05/15/2017
Tucson, AZ 85714 Date Reported: 05/24/2017
FX: 520-724-8610

Laboratory Specimen No: 40650703 Date Collected: 05/12/2017


Container(s): 01:RTB Blood,HEART Test(s): 70531 Drugs of Abuse - Extended

Analyte Name Result Concentration Units Therapeutic Range Loc


AMPHETAMINES Negative
BARBITURATES Negative
BENZODIAZEPINES Negative
CANNABINOIDS Negative
COCAINE/METABOLITES Negative
FENTANYL Negative
METHADONE/METABOLITE Negative
OPIATES Negative
OXYCODONE/METABOLITE Negative
PHENCYCLIDINE Negative
PROPOXYPHENE/METABOLITE Negative
ALCOHOL
Methanol Negative
Ethanol POSITIVE
Ethanol, Quant 0.023 % (w/v) Not Established
Acetone Negative
Isopropanol Negative
ANALGESICS Negative
ANESTHETICS Negative
ANTICONVULSANTS Negative
ANTIDEPRESSANTS Negative
ANTIHISTAMINES Negative
ANTIPSYCHOTICS Negative

GLOMB, JAYDEN
Laboratory Case #: 3122309
Printed Date/Time: 05/24/2017, 14:35 Page: 1 of 3
Web: www.axisfortox.com
Phone: (317) 759-4TOX

Laboratory Specimen No: 40650703 Continued..

Analyte Name Result Concentration Units Therapeutic Range Loc


CARDIOVASCULAR AGENTS Negative
GASTROENTEROLOGY AGENTS Negative
NARCOTICS Negative
NEUROLOGY AGENTS Negative
SEDATIVES/HYPNOTICS Negative
STIMULANTS Negative
UROLOGY AGENTS Negative

Specimens will be kept for at least one year from the date of initial report.

GLOMB, JAYDEN
Laboratory Case #: 3122309
Printed Date/Time: 05/24/2017, 14:35 Page: 2 of 3
Web: www.axisfortox.com
Phone: (317) 759-4TOX

Laboratory Specimen No: 40650704 Date Collected: 05/12/2017


Container(s): 01:VIT_CON Vitreous,EYE Test(s):

Analyte Name Result Concentration Units Therapeutic Range Loc


ALCOHOL Negative
Methanol Negative
Ethanol Negative
Acetone Negative
Isopropanol Negative

The Specimen identified by the Laboratory Specimen Number has been handled and analyzed in accordance with all applicable requirements.
Laboratory Director GLOMB, JAYDEN Case Reviewer
Laboratory Case #:3122309
George S. Behonick, Ph.D., F-ABFT Print Date/Time:05/24/2017, 14:35
Page: 3 of 3
This individual may not have performed any of the analytical work.

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