-Affidavit

of John Martin, M.A./ M.S

l, John W. Martin, M.A. / M.S., after being sworn, state as follows

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.

Certification of Business Records

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).

Further the Affiant sayeth not

I AM OF SOUND MIND, CAPABLE OF MAKING THIS AFFIDAVIT, AND AM PERSONALLY

ACOUAINTED WITH THE FACTS HEREIN, AND I AFFIRM UNDER THE PENALTIES FOR
PERJURY THAT THE FOREGOING REPRESENTATIONS ARE TRUE AND ACCURATE.

D^TED'. 27 OF O<-\obeC 2018

John W. Martin, M,A. / M.S

Subscribe sworn before m , a Notary Public,

this > day of 2018

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

ldentilication:'16346823 THOMAS RYAN Client: Help at Home, lnc. - St. Charles

DOB: 11i30/1969 Account#: 131898 255 38th Ave Ste E
Sex: M Requisition #: 14917831
Collected by: Ashley Davis Accession#; 161212-18179 St. Charles, lL 6017 4-5410
Collected: 12/0912016 Specimen Type: URINE Phone: (630)443-1800
Received: 12h212O16 4:14 PM Fax: (630)443-1850
Reported; 1211512016 5.49 PM
Test Reason: DCFS Active Referral

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

' E51 - Urine 7 Panel

6MA,AMP,COC,CR,OPI, PCP,THC

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

DETECTED EIA 500 ng/mL

DETECTED LC/MSil\,lS 100 ng/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-

Specimen Validity Tests

Result
Creatinine 24.6 mgtdL Colorimetric

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

Clty, Slat€ andZlpl St Chades, lL 60174-3363

Agency Phone: (530)443-1800
Agency Fax: (830)443.1850

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.

X Thomas Ryen QEn016

COLLECTORVERI ON
I cenity lhel thk bovs perstn follollvlag aslabnshed prDlocols, and he spedmen has been pnpedy sealed and labelad.

x Ashlev Davls 12t9t2016

Labsl uEags examFle

L Tighten cap.
2, Place secufity sgal acEss
ths lid as shown.
3. Plsce petent I.D.labsleround
bottle as shown.

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

Result Sum Tests Ordered

le Ethyl Glucuronide (EtG) detected by LC/lVlSiN4S (3990 ng/mL) . . 047 - Alcohol (Ethanol)
r Ethyl Sulfate (EtS) detected by LC/MS/MS (1'180 ng/ml) : . 646 - EtG 500
. Specimen is dilute (see Creatinine) ..E51 -lJrineTPanel
6MA,AM P, COC, C R, OPI. PC P,THC

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

Specimen Validity Tests

Resuli Method r i Reference Rande :
'botorimeiric .l .. L:
13.1 ms/dl I =?o.T,g/gL_ l

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

Page 1 of 1 16346823 THOMAS RYAN

- Printed 10/19/2018 9:53 ANil 161227 -15580 Q245
Laboratory Dl:ug Test AnEowooo
I.=\
-/
TOXTCOLOGY
LABORATORY,
Test Requisition Form

{49?9083
lllllllilililililflilr
Number:131898
AgencyNam6: Holp at Home, lnc, -St. Chade6
Address: 1750 E Maln Sl Sne 100

Clty, Siate and AFt Sl ChEdes. lL 601743383

Agedcy Phone: (630)443-1 800
Agency Faxt (630)443-1 Eso

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.

x Nore Tavlor t2!2a2016 3!)ora

Collaclonaate cbll9clonlth.

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

Labo€lory Dircctors MarkJ. De[4eo,IV.D.] Richard R. Witber, M.D

^kdfudtA'JeEwal@ies C LIA Licens€ * 05D0707$a

ldentification: 16346823 THOMAS A RYAN Client: Family Guidance Centers, lnc-Aurora

DOB: 11130/1969 Account #: 132654 751 Aurora Blvd
Sex: tvl Requisition #: 15005384
Collected by: Martin lvlurguia Accession #: 161230-14541 AURORA, tL 60505-2155
Collected: 1212912016 01:09 PM Specimen Type: URINE Phone: (603)80'1-0017
Receivedi 1213012016 4:22PM Fax: (603)801-0018
Reported: 1213112016 a:55 AM

Tests Ordered
: . None Detected; none of the analytes tested were detected . 047 - Alcohol (Ethanol)

: ' !,ry9i'"! i: dil's (.99 gf_1!li*l . E51 - Urine 7 Panel

6I\4A,AMP,COC,CR,OPI, PCP,THC

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

Specimen Validity Tests

, Result .l.Method Reference Range
rne 8.5 mg/dl Colorimetric >20 mg/dL
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.

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

Page 1 of 1 16346823 THOIVAS A RYAN

- Printed 10/19/2018 9:53 ANI
161230-14541 W473
Laboratory Dnug Test 11REowooo
I -< TOX ICO LOGY
LABORATO RY-
Test Requisition Form -\ 6rnphy.
an Ne.le

15005384
lllilililill]lliltll
Agency Number: 132654
Agency Name: Family Guldance Centers, lnc-

Addrcss: 751 Auro€ Blvd

City, State and zlpl Auora, lL €050$2155

Agency Phone: (603)601-0017
Agenoy Faxl (603)801-0018

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.

Thomas A. Rven 1212912016

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

Label usage examFle

1. Tighten cap,
2. Place security seal across
the lld as shown.
3. Place Paiient LD.labelaround
bottle as shown.

LABORATORY STAFF ONLY

seellntact? Labels Match?
x DEC 30 2010
RECEIVED
AT LABI d Ay (nltial -B-€ B E'd DN6

Tear afi ed Fo!,lde to donot

 REDWOOD 3650WtrMid Blrd., Saik nos, CA 95403

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

Page 1 of 1 16346823 THOIVAS RYAN

* Printed '1 0/19/2018 9:53AM
170131-08045
Laboratory'Drug Test flnrowooo
|E\_( TABORAIO
TOX rCO LOGY
RY.
Test Requisition Form

15142649
llilil11|iltililililll
Agency Number: 131898
Agency Nalne: Help at Home, lnc. - Sl. Charles
Address, 1750 E Mein St S'te 100

Clty, ststb nnd zlF: St Chades, lL 60174-3363

AgehcyPhone: (630)443-1800
Agency Fax: (630)443-f 850

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 -

x V Nora Tavlor 1 n7l2o17 7'rtL On

6thc'lon D.to cnlec otll-

Label usage example

1. TightEn cap.
2. Place securiiy seal across
the lid as shown.
3. Place paUont l.D- Iabel around
bottle as thown.
E

LAB TORY STAFF ONLY

seal lnt!ct? Labels Metch?
RECEIVED X
AT LABI -RYe o No c\qY.! o No

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

Labotalory Dircclors: [4ark J. Delv,leo,l'/.D.i Richad R. Wlber t\,,t.D

MPibt Drle a)desNp rt t@is CLIA Licens€ # 05D0707584

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

Specimen Validity Tests

i Test iResult Reference Range
-. -.,-.:;t""a.:.:-.-. --.. .-
Creatinine 178.4 mgldL Colorimetr c >20 mg/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- 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

Page '1 of 1 '16346823 THOMAS RYAN

.Printed 10i 19/2018 9:54AM 170210-12720
 1-\nrowooo
Laboratory Drug Test I -1 IOXTCO LOGY
..=\ LAB ORATORY-
Test Requisition Form

15'19636s
llilililr ililililil
Number:131898
Agency Namer Help at Home, lnc. - St. Charles
Addressl '1750 E Maln St Ste 100

City, State .nd Zip St Ch6d€s, lL 60174-3363

Agency Phone: (630)443-1800
Agency Fax: (630)443-1850

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,

Thomas Rvan ?J8t2017

ECTOR VERIFICATIOII
lhal fhis spac]met ion lha abow petson tolhwing eslabllshed ptolocols, snd lho speclman has bean pbpely sealad anc! lebehd

x v Nora Tavlor 2tBt2D17 lDl'7(ta*.,

C.l,eclion tul€ edl€arDn TI/'1B

Label lsage orernple

l, Tlghlen c6p,
2. Place security seai acroeg
th6 lid as shown.
3. Plec€ paliert l.D. label aound
E botile ss showr.
E!
B

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

Final Result Summarv

, . None Detected; none of the analytes tested wete detected. )047-
| 646 -
. E52 - Urine 10 Panel
6MA,AMP,BAR, BZO,COC,CR,IV]TD,
OPI,PCP,THC

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

_:1"" Specimen Validity TesG

Result .-:
.!4eth9d I Reference Range
Colorimetric >20 mg/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 - 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

Page 1 of 1 16346823 THOMAS RYAN

. Printed 10/19/2018 9:54 AII 170222-1191A
Laboratory Dl,ug Test rl REDWOOD
TOXICOLOGY
LABORATORY.
Test Requisition Form an Nete corwly,

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.

Thomas Ryan 2t1712017

COLLECTOR VERIFICATION
l.eflfi! was ooilgc lhe abole pelson followlng $lablished p@toaols, and the apaahen his been prapady sealsd and labeled,

x Ashlev Davis 2117nU7 3.llnn

.;'

Label usago example

1. Tigfrbn cap.
2. Flace secldty seal across
the lld as shor.n.
3. Plac€ patlent l.O.labelamund
F' bottle as shown.

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

Final ReBult Summary Tests Ordered

I . Ethyl Glucuronide (Etc) detected by LC/|VIS/MS (771 ng/mL) . 047 - Alcohol (Ethanol)
. Ethyl sulfate (Ets) detected by Lc/Msit\ts (315 ng/mL) . 646 - EtG 500
. Specimen is dilute (see Creatinine) . E52 - Urine '10 Panel l

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

Specimen Validity Tests

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

Page 1 of 1 '16346823 THOMAS RYAN

" Printed 10/19/2018 9:54 AN4 17 0509-18257 Q273
 f-\nrowooo
Laboratory Drug Test I ToxrcoLocY
.E\
-/ L AB O RATO RY-
Test Bequisition Form

15639338
iltilllllllililililtil
n Number: l318gg
Agency Name: Help at Home, lnc. - St. Chsrles
Addr63s: 255 38lh Ave Ste E

Cltyt Slrt6 and ZiD: St. Chartes, lL 601?4-5410

Agency Phone: (630)443-1800
Agency Faxi (630)44n850

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,

X Ashlgv Davi6 51512017

Label us€g6 €x.mple

1. Tighton c€p.
2. Place seqtri9 seal acbss
lhe lid as 6hown.
3. Place pqtient l.D, Iabsl aroutrd
botlle as shown.

LAB TORY STAF

seal I Metch? 8
RECEIVED
AT LABI Etlkqa,
ONo Ya trNo
P
Tear of, snd pFdd. to donor
t) REDWOOD
IOX]COLOGY
LABORATORY"
35s0W*windBvd, S,nto Ros,
PhDiBr 707.5771gss //
CA 9s403

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
***- -

. 646 - EtG 500

. E52 - Urine 10 Panel
6I\4A,AIV]P,BAR,BZO,COC,CR,MTD,
: OPI,PCP,THC

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

Amphetamines 500 Not detected EIA 500 ng/ml

Barbiturates Not detected EIA 200 ng/mL
Benzodiazepinea 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 detected EIA 150 ng/ml
Opiates Not detected 300 ng/ml
6-Monoacetylmorphine (6-MAM) Not detected EIA 10 ng/mL
Phencyclidine (PCP) Not detected EIA 25 ng/mL
THC (Marijuana) t'loi oeteaeo EIA s0 ng/mL
THC/Creatinine Ratio (ElA) NA

Specimen Validity Tests

Test rence Rande l
L.l:f" -.:
Creatinine 50.2 mg/dL Colorimetric >20 ntdi**-__

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

Page 1 of 1 16346823 THOMAS RYAN

- Printed 10/19/2018 9:55 ANI 180220-12363
 lllllll,ll llllillill
A en Number:131898
n2o3s,2
"!|,'iffi".
Ag€ncy Name: Help al Home, lnc. - St. Charles
Address: 255 38th Ave Sle E

City, Sta{e and Zip: St. Chades, tL60j74-5410

AgencyPhone: (630)443-1800
Agency Fax: (630)443-19S0

*
*
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

!.!brl u€rge axfitld

t, Ti!r{e.! cap.
a
2. Flai6 ;adldty !6s: ,eioss
1tx lid ss sh.&n.
3, lJrca pstsnt t.O, labd $o!Fd
*n"\f;H&€*t

ORAfOTY
rffilt:tH M.Ra+,&w

fi€9aVEO SFsl h i Labolr |htctr:

A? LAA:
tlit t* {3 l,r.

.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

i Final Result Summary : .. Tests ordered ,.......

--......
. Hydrocodone detected by LC/MS/IVIS (351 ng/mL) :. 047 - Alcohol (Ethanol)
Presence of Hydrocodone indicates Hydrocodone ingestion and/or as a . 646 - EtG 500
minor metabolite of Codeine. . E52 - Urine 10 Panel
. Hydromorphone detected by LC/MS/N4S (245 ng/mL) 6IV]A,AIV]P,BAR, BZO,COC,CR,MTD,
Presence of Hydromorphone indicates Hydromorphone ingestion, and/or as OPI,PCP,THC
a metabollte of Hydrocodone, and/ot as a minor metabolite of Morphine or
Codeine.

Drug Tests
Screen Confi.mation
Drug
Alcohol (Ethanol)
Resull
Not detected EA
thod
,,,Lcil9i -,,,.i
0.04 g/dl
I ethod Cutoff

Amphetamin;s 500 Not detected EIA 500 ngiml

rates Not detected EIA 200 ngiml
: Benzodiazepines Not detected 200 ng/ml
, Cocaine 150 ' Not detelted F '150 ng/ml
: Ethyl Glucuronide ( EtG) Not detected 500 ng/mL
lvlethadone Not detected EIA 150 ng/ml

'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

Specimen Validity TesG

Test Reference
5i,t9"1...,"1
Creatinine 103.3 ms/dL Colorimetric >20 mg/dL

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.

Page 2 of 2 16346823 THOI\4AS RYAN

* Printed 10/19/2018 9:55 Al/l 1A0226-11962 LO153
 gifflffilruef r :rlsffiqei4ffiep;!: '':llTini:43r" .:. rlrl'

17234855
illtilIililtx,il1il]l
Agency Number: 13189E
Agency Namer He{p at Home, lnc. - St. Chades
255 38th Ave Ste E

City, State and Zip St. Charles, lL 60174-5410

Agency Phone: {630)443-1800
Agency F€x: (630)443-1850 ?
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_-

x Thomas Rvan z22na18 i

!r
COLLECTOR VERIFICATION 4
abava pereon following eslablisbod p/oloools and lhe specilr'en has beeh pmpedy sedled and iabelad

it
x Edshondre Coney 2122t201e ,,J E
*

3.
5
6
*
F
u

Label usage exarnple P

1. Tighten cap. \
2, Plece security seal across
the lid as shown.
3, Plac€ patient LD. label aro,rnd iti
bonle as shown.

V Zasueia
LABORATORY STAFF NLY

Eg2 "eL!!"-- i t-aoets tttatcnt I

RECEIVED
AT LAB:
X
o,," i'3 '- o ^r" l*-\-r"-=g ,"
_'
f\nrowooo
Ll TOXlCOLOGY
3550 Wenui|d Blvd , snra Bsa, cA 95403
Piorc: 707-t77.7959 // 300.2551159
LABORATORY.
=\ LaboEiory Direclorsi llark J. D€M€o,lv,l.D-t R clard R. U/ilber,l9.D-
CLIA Lic€nse # 05D0707588

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

: , Fi4al Result Summary

l-.,;iij..," !et"9'a"'.a
. None Detected; none of the analytes tested were detected j . 047 - Alcohol (Ethanol)
:r 646 - EtG 500
:
, . E52 - Ljrine 10 Panel
oMn,nN4p, enn, gzo,coc,cR,MTD,
OPI,PCP,THC

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

Specimen Validity Teats

:r:r'-:..' t'
Method Reference Range
..,"i.t",Y.[.
52.6 mg/dL Colorimetric >icimdlor

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

Page 1 of 1 '16346823 THOMAS RYAN

. Printed 10/'19/2018 9:56 AM 140302-127 A5
 :;r{itrs1n

17273745
lllilllillril ilil]t
en Number;131898
Agency Name Help al Home, inc. - 51. Charies
Address: 255 38lh Ave Ste E

City, Slate and Zip St. Chades, lL 60174-5410

Agency Phonel (630)443-1800
Agency Faxi (630)443-1850
i
;
(
DONOR INFORMATION
4
Donor Name: Thomas Ryan Tesls Requested: ;
Donor Unique ldt 18346823 047-Alcohol iElhanol) i
OOB: 11l30i1969 Sex: M Observed: Yes 646 - EtG 500 g
Specimen typel URINE E52 - Screen 10, 6-MAM, AMP500, COC150, Barb 6.
SPecimen Temperaturei fuo !
Test Reasoni ocls Lctu" n"r.,'"t
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

Thonras Ryan 3/112418

E
r
COLLECTOR VERIFICATION $
I ce!1ify lh4t thk specinen was cotexted tftm lhe above ielsod iofloBing est€ biGhed prcbcarq €nd rhe specime, has bee, prope.jy ssated and talatetl
a
X t
_ Nora Tavlor
cDlktlofs riade
3t1t2418 ti:t?,* F
g
J
E
z
e
a

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

R TOX ICO LOGY

LABO RATORY"
Plrone:707.5?7.7959 // 80O25t2t59
Laboratory Dlrcclou:lvark J. Del\4eo, M.D.t Richard R. ll/itber, t\t.0.
Mnkt d the ABe qaw at M B ie s CLIA License # 05D0707588

ldentification 16346823 THOMAS RYAN Client: Help at Home, inc. - SL Charles

DOB: 11/30/1969 Account #: 131898 255 38th Ave Ste E
Sex: tvl Requisition #:'17297536
Collected by: Edshondra Coney Accession #; 180307-12199 St. Charles, lL 60174-5410
Collected: 03/06t2018 Specimen Type: URINE Phone: (630)443-1800
Received: 03/07i2018 3:40 PM Fax: (630)443-1850
Reported: O3l07l2O1A fl:07 PM
Test Reason: DCFS Active Referral

':_l
.Fi#!,!9"y!,lqtry".v Tests Ordered'
t None Detected; 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 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

Specimen Validity Tests

Reference Range
:qelled ---
'Creatinine 73.8 mg/dL Colorimetric >2cj'riigidl

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

City, State and Zip Sl. Charles, lL 60174-5410

Agency Phone: (6301443-1800
Agency Fex: lt
{630)443-1850
F
&
DONOR INFORMATION
-[homas
Donor Name: Ryan Tests Requested:
Donor Unique ld: 16346823 C47 - Alcohol (Etfanol)
DOB: 11t30/1e69 Sex: M Observed: Yes 646 - ErG s00 E
Specimen Type: URINE E52 - Screen 10, 6-MA,V, AMP500, COC150, Barb g
Specimen Temperature:
Test Reason:
fi""
DCFS Active Refen6l

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

tt-,. ,.-.. i""t" ordered

. None Detected; none of the analytes tested were detected '. 047 - Alcohol (Ethanol)

'. 646 - EtG 500

'. E52 - Urine 1O Panel
6IV]A,AMP.BAR.BZO.COC,CR,MTD.
. OPI.PCP.THC

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

Specimen Validity Tests

i Test , , Result Rel:renc: Ri.lg:
-l Y."lld >20 mg/dL -::,
:Creat tnlne 29.2 n'gldL Colorimetric

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.

Page 1 of 1 16346823 THOMAS RYAN

.Printed 10/19/2018 9:56 AM 180329-08958
 17415238
ilililtIilllI|iltil]t
en Number: 131898
Ageney Name Help at Home, lnc. - SL Charles
Address: 255 38th Ave Sle E

City, State and Zap st. chanes, lL 60174-5410

{630F43-r800
Agency Fax: (630)443-1850
I
4
DONOR INFORMATION
I
Donor Name: Thomas Ryan Tests Requested: a
Donor Llnique ld: 16346823 047 - Alc.hol (Ethanol)
:
DOB: 11/3011969 Sex: M Observed: Yes 6{6 - ErG 500 d
Specimen Type: URINE E52 - Screen 10, 6-t1Al,ii A[rP500, COC150 Barb i
Specimen Temperature I tl' g
DCFS Active Referral

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

LABORATONY STAFF ONLY R, Johnren

Seallntact? Labels Match?
RECEIVED
AT LA8:
X ONt t1^t* aNo
Ay .V
f\ntowooo
I TOX CO rOGY
36s0 \4slwiid B vd , smla FNa, cA 9540,3
-a Phois 707.577t 959 // 30025t2159
LABORATO RY. fax 707.5t.0385
=\
M td dr|At*staJpdi ME ris
Laboratory D rcciors tllaft J. DeM€o, M.D.t Richard R. Wtber. N4.0.
CLIA License # 0500707588

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.
.

. 047 - Alcohol (Ethanol)

. 646 - EtG 500
. E52 - ljrine 10 Panel
6IV]A,AIV]P,BAR, BZO,COC,CR,MTD,
OPI,PCP,THC

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

6-Monoacetylmorphine (6-MAM) Not detec'ted EIA 10 ng/mL

: Phencyclidine (PCP) Not detected EIA 25 nglml
THC (Marijuana) Not detected EiA 50 ng/ml
THC/Creatinine Ratio (ElA) NA

Specimen Validity Tests

Test. :
..-...-
'': Result
-.-:!---:l-*-
, Reference Range
-.....;,....-,-
25.4 mg/dL Colorimetric >20 mg/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 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

Page 1 of 1 16346823 THOIV]AS RYAN

- Printed 10/19/2018 9:57 AM
180409-16695
 17473672
lfllllt ilfl I il llilI llt
A en Number: 131 898
Agency Namei Help at Home. lnc. - St Chades
Address: 255 38th Ave Ste E

City, State and Zip St. Chades, lL 60174-5410

Agency Phone: (630)443-1800
Agency Fax: (630)443-1850
*
&
5
DONOR INFORMATION i
0onor Name: Thornas Ry€n lests Requested: q
0onor [Jnique Id: f6346823 047 - Alcohol (Ethanol)
DOB: l1l30i 1S6S Ser: M Observedl 646 - ErG 500 T

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

X Edshordra Coney 4/5t2018 1 . L',n./1 4

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p

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3, Placs pr:lenl l.D. tehal a.ound
bctlle a! shoi;!r"

!.g.RAI6RY SIA:F OIILY

lntact? llrt€ ?
nFc€tyEo
Al TAA: Y4. : ,{, vor CJ i|r
-t=( REDWOOD
TOX CO LOGY
tABO
3650 WNtw id
Phons:702577 i959
glvd
, Smta Ro*,
//
CA S5403

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

,t- .- Final Result Summary

I i .. Tests Ordered
'. None Detected: 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 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

Specimen Validity Tests

; -_-i "_ -::--:--_
iTest
i . Result Method lReierenie Range ;
Creatinine 151.7 mg/dl Colorimetric 0 mg/dl

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

Page 1 of 1 16346823 THOI\4AS RYAN

. Printed 10/19i20'18 10:03 AM 180413-1007 2
 :jiir :.". u

17505937
lllllilililtilIilt]t
nc Number: 131898
Agency Name Help al Home. lnc. - St. Charles
Addressl 255 3Bth Ave Sle E

City, State and Zlpi S1. Char1e3. lL 60174-5'410

(630)443-1800
Agency Fax: {630)443-1850

?
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 $
!:
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
E

c
f
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
I
to,'e/ease lre .€sLr/is or lr/is 1es! lo HELP AT HOME. lNC - Sl: CIiARLES

Thomas Rvan 4i't 1,|ZA1A E

E
5
CTOR VERIFICATI
a rr]r* r,&r,, person lallowlng aslablished prclaeols, Efid lhe specinel has been prcpeiy sealed and labeted

ii
X Edshond.a Conev 4t11t2018 t,?-t-,, iIt
n

-:
r' e
$
E
3
;;

Lrbct !s3q6 eFnple

1. fighld.l €&p.
2. *taa€ s€aurit seal ecios;
:
lire lid ai sltown,
3. Flace gaiient r.D. I'bel arr6d
Sattl€ as sha.rn.

g Fui*vx
I{BORAIORY STA,F"''LY
s 6sl inlril? Lab.l. Mrt.fr?
fiicruEo x
.' LA8: --ti-n"l!-- g ih
 l-\nrowooo 3650 Wsrwld gtvd.. sai ra Ro$ cA ss4{3
I TOx O tOGY
-a C Plione:707'577.7959 // 300 25t2159

-\LA8c)RArOeV, laboralory Direclorsi ftlaln J. Dellleo M.0.; Richard R. W tbef, [4. D

CLIA Llc€nse # 05D0707588

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)

Specimen Validity Tests

Teet Result Method Reference Range
:Creatinine 116.2 ml/dL Coioiimetric >20 mg/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 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

Page 1 of 1 '16346823 THOMAS RYAN

- Printed 10/19/2018 10:04 AM
180509-05873
 lltilr{til{ililllt 17658579

A nc Number:'131898
Agency Nemei Help at Home, lnc - St. Chades
Address: 255 38th Ave Sle E

City. Stete and Zip St. Charles. lL 60174-51'10

{530)443-1800
Agency Farl (630)443-1850 :

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

j
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

{
s 5nDUq
'
COLLECTOR VE ICATION I
I
fran thl abcv€ persan lallawing aslabltshed prolocols, and (he specinen has been prcpe!1y seatetl and labeled.
l
:
X Edshohdla Conev 5r7 t201a Z;\b*n
i lne
tt,.€tan
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'

Lrbel ,3a0! lxamr!

1, Tight€n cap,
:. ?bce aecutt $€€l aitua3
ll€ lid ae sha",:.r.
3, Pl3.s palient l.O. lFtrel *..rnr;
bgltb Bi shown.
:ar

!'AORATORY 5
ge.l lraa'.? Lahol5 Match?
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AT LA3: "*- t""_, ::Y'3 3n.
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 a REDWOOD
TOX COLOGY
LABORATORY"
3650 WesMind
Plr
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

. -.- . --*... ...

.".,-,,r, Fitl_199-91!-9ymm3ry
None Detected; none of the analytes tested were detected
Tesls Ordered
. 047 - Alcohol (Ethanol)
. 646 - EtG 500
. E52 - Urine 10 Panel
6MA,AMP,BAR,BZO,COC,CR,MTD.
OPI,PCP,THC

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

Specimen Validity Tests

_"1
: Teit ReEult Method Reference Range
Cre atinine 80.8 mg/dL Colorimetric >20 mg/dL

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

City, State and Zip St. Charles. lL 60174-5410

Agency Phonei (630)4.13-1400
Agency Fax: (630i443-1850
;
I
DONOR INFORMATION
Donor Namel
Donor Unique ldi
Thonras Ryan Tests Requesled: i
16346823 047 - Alcdhol (Fthanol)
DOB: 11/30/1s6.o Sex: M Observed 646 - ErC 500
Specimen Type: URINE E52 - Screen 10, 6-MAM, A[,,P500, COC150, Barb
Specimen Temperature o, ^o
lw )
DCFS Act ve Refer€l

{
DONOR CERTIFICATION
i
t
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
:
COLLECTOR VERIFICATION :
aoove aatsor lolaw E esl. trhs-po D.atocols and lhe steai44.1 ha\ Dee. prcoe4/ seateo and labeted.

X Edshondra Conev 6122/241e '-l.0io-

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