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FLUID INITIAL DRUG SCREEN RESULT FORM TM Specimen ID Number q q q q q q q q q (PRINT) Date (Mo/Day/Yr) ALCOHOL SCREEN (If Performed) (If different than collector) DONOR RESULTS SHOWN ABOVE 2009. Inverness Medical. All rights reserved. http://www.employee-drug-testing-ace.com/employment-drug-screening-resources/employee-drug-screening-and-testing-library PN: 2410 Peel label and discard! Check Cap to ensure that it is secure and tight. Place Oral Device results side down ove.

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