Page 1


Hair and Fingernail Testing - Alcohol & Drugs Hair and Fingernail Drug Panels

Panels: 17 16 15 14 12 10

9

7

5

Amphetamines

l l l l l l l l l

Cannabinoids

l l l l l l l l l

Cocaine

l l l l l l l l l

amphetamine, MDA, MDEA, MDMA, methamphetamine carboxy-THC

benzoylecgonine, cocaethylene, cocaine, norcocaine

Opiates

6-MAM, codeine, hydrocodone, hydromorphone, morphine, norhydrocodone

l l l l l l l l l

Phencyclidine

l l l l l l l l l

Benzodiazepines

l l l l l l l l

Barbiturates

l l l l l l l l

Methadone

l l l l l l l

Propoxyphene

l l l l l l l

Oxycodone

l l l l l l

Meperidine

l l l l l

Tramadol

l l l l l

Fentanyl

l l l l

Sufentanil

l l l l

Ketamine

l l l

Buprenorphine

l l

Zolpidem

l

phencyclidine (PCP) alprazolam, diazepam, midazolam, nordiazepam, oxazepam, temazepam amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital EDDP, methadone propoxyphene, norpropoxyphene oxycodone, oxymorphone, noroxycodone normeperidine tramadol

norfentanyl norsufentanil ketamine, norketamine buprenorphine, norbuprenorphine zolpidem (e.g. AmbienÂŽ)

2


Window of Detection: Up to 3 Months Additional Add Ons and Available Options For Hair and Fingernail Additional Add Ons and Available Options

Add On

Stand Alone

6-β-Naltrexol (naltrexone metabolite), butorphanol (e.g. Stadol®), nalbuphine (e.g. Nubain®), naloxone (e.g. Narcan®), naltrexone (e.g. Revia®)

EtG (Direct Ethanol Biomarker)

Propofol Glucuronide

Diphenhydramine diphenhydramine

High-Potency Opioids (HPOs)

ethyl glucuronide

propofol glucuronide (e.g. Diprivan®)

Drug and alcohol biomarkers may show up in keratin specimens within hours of ingestion, depending on the dosage, with concentration levels maximizing 2 weeks after ingestion. Environmental exposure may be detected immediately.

Fingernail Fingernails provide a test specimen that is at the cutting edge of drug and alcohol testing. Composed of keratin, the same material as hair, fingernails are simple to collect and easy to ship and store. As the nail grows, substances can pass from the blood vessels below the nail into the keratin fibers where they become trapped. Biomarkers become locked in keratin fibers along the entire length of the nail. Nail keratin is 4 times thicker than hair keratin, more stable, and extremely difficult to adulterate, resulting in a longer window of detection for fingernail testing than for hair testing, up to 3 months for alcohol, and up to 6 months for substances of abuse.

USDTLprovided hair and nail collection materials. Collection instructions can be found at www.USDTL.com.

Fingernail specimens are clipped and collected by the donor in front of a trained collection staff member. A clipping of 2-3 mm long (about the width of a quarter) from all 10 fingernails will provide about 100 mg of specimen. For EtG, add-ons and/or tests above 10-panel, 150 mg of specimen is required. 2-3 mm

Hair Hair testing is a powerful tool for the detection of drug and alcohol abuse. Hair provides a long-term history of drug and alcohol abuse by trapping biomarkers in the keratin fibers of the growing hair strand. When collected close to the scalp, hair can provide up to a 3 month history of drug and alcohol abuse. Hair offers a specimen that is simple to collect, somewhat difficult to adulterate, and easy to ship. A 1.5 inch specimen of about 200 strands of hair (about ¼ inch in diameter, the size of a #2 pencil) closest to the scalp will give 100 mg of hair. For EtG, add-ons and/or tests above 10-panel, 150 mg of specimen is required.

1/4”

3


Hair Exposure Testing (ChildGuard®) - Drugs of Abuse Window of Detection: Up to 3 Months

Hair Exposure (ChildGuard®) Drug Panels

Panels: 9

7

5

Amphetamines

l l l

Cannabinoids

l l l

Cocaine

l l l

Opiates

l l l

Phencyclidine

l l l

Benzodiazepines

l l

Barbiturates

l l

Methadone

l

Propoxyphene

l

amphetamine, MDA, MDEA, MDMA, methamphetamine carboxy-THC, native-THC benzoylecgonine, cocaethylene, cocaine, norcocaine 6-MAM, codeine, hydrocodone, hydromorphone, morphine phencyclidine (PCP) alprazolam, diazepam, midazolam, nordiazepam, oxazepam, temazepam amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital EDDP, methadone norpropoxyphene

We Can Help You Help Them When a child or someone under guardianship is exposed to illegal substance abuse they often also face other coexisting obstacles to a normal life - neglect, abuse, violence, and other vulnerabilities. Substance abuse is a disease, one that often prevents adults from doing what is in a child’s best interests. Our environmental exposure test for children can help. Our hair environmental exposure test is the only drug test designed to detect passive exposure to drugs and detect both native drugs and drug metabolites in the hair specimen. Drug metabolites are produced in the body only if drugs have been ingested. Children in drug exposed environments are most often not drug users themselves, so drug metabolites are typically absent in child specimens. However, the hair, like a sponge, can absorb non-metabolized drug (native drug) if it is exposed through things such as touching or being in contact with drugs or drug users.

Native Only

USDTL ChildGuard® Positives Standard Testing

Positives

Metabolite Only

For illustration only. Not based on actual statistics.

Standard hair tests with other labs will only report a positive exposure result if drug metabolites are detected, even when the native drug is in the child’s hair specimen. Our hair environmental exposure test reports a positive result if either native drugs or drug metabolites are detected. A hair exposure test can provide evidence of drugs in a child’s environment for the past 3 months. A positive test result suggests that the child has experienced one or more of the following: passive inhalation of drug smoke, contact with drug smoke, contact with sweat or sebum (skin oil) of a drug user, contact with the actual drug, or accidental or intentional ingestion of illegal drugs.

4

Native & Metabolite


Ingestion Vs. Exposure Hair Testing - THC Example

Hair Testing: THC Ingestion Screening

The Screening Test for cannabinoids detects many members of the drug class if present.

Confirmation

The Confirmation Test for this example would test for the specific Cannabinoid Carboxy THC. If the levels are above the cutoff levels for the confirmation test, the results will report out positive.

Screening Cutoff Level: Cannabinoids = 1 pg/mg

THC (Native) Carboxy THC Other Cannabinoids

Confirmation Cutoff Levels: Carboxy THC = 0.05 pg/mg

THC (Native) Carboxy THC

Presence of Carboxy THC in a hair specimen indicates INGESTION.

Hair Testing: THC Exposure Screening

The Screening Test for cannabinoids detects many members of the drug class if present.

Confirmation

The Confirmation Test for the example above would test for the specific Cannabinoids THC and Carboxy THC. If the levels are above the cutoff levels for the confirmation test, the results will report out positive.

Screening Cutoff Level: Cannabinoids = 1 pg/mg

THC (Native) Carboxy THC Other Cannabinoids

Confirmation Cutoff Levels: Carboxy THC = 0.05 pg/mg THC (Native) = 10 pg/mg

THC (Native) Carboxy THC

Presence of only THC (Native) in a hair specimen indicates EXPOSURE.

Benefits of Using Hair Exposure (ChildGuardÂŽ) Testing Admissible in court.

No age limit for exposure testing.

Tests for exposure AND ingestion.

Non-invasive, non-intrusive collection.

5


PEth Testing - Alcohol PEth Phosphatidylethanol (PEth) in blood specimens offers the most objective, sensitive, and reliable method for measuring direct alcohol biomarkers. PEth is an abnormal phospholipid formed in red blood cells, where it exists as part of the cell membrane. Research suggests a PEth test can differentiate between incidental exposure (e.g. ethanol-based hand sanitizers) and the intentional consumption of alcohol. PEth is a mid to long-term alcohol biomarker, and a positive result (measuring PEth species 16:0/18:1) is an indication of alcohol exposure during up to approximately the last 2-4 weeks prior to specimen collection.

PEth

Red Blood Cell Membrane (Phospholipids)

Red Blood Cell

= Ethanol

PEth is immediately formed in the presence of ethanol (BAC). Degradation appears to be spontaneous hydrolysis. Currently, there’s no identified metabolic degradation mechanism. Accumulation and degradation are disproportionate, leading to a reservoir buildup.

Formation

Degradation

Blood Membrane Reservoir

PEth testing has been: • Shown to improve self-reporting of alcohol use in several research studies • Used successfully to reduce recidivism rates in Wisconsin’s 12-month driver’s safety plan following DUI convictions • Approved by the Federal Aviation Administration for use in airline pilot Human Intervention Motivation Study (HIMS) programs • Beneficial in child custody cases, drug courts, and professional health programs *Please contact adultandchild@usdtl.com if you would like to receive detailed information about these studies.

6


Window of Detection: 2-4 Weeks Dried Blood Spots We offer PEth testing in both dried blood spots and whole blood. Dried blood spot collection is the fastest, most convenient way to test for PEth. Five dried blood spots from a finger puncture (or 5 ml of blood from a standard blood draw using a gray-topped anticoagulation tube) is all that is required for PEth testing. Standard collection supplies provided include 2 lancets, 2 alcohol prep pads, gauze, a collection card, and the dried blood spot drying box. We also provide the Custody and Control form for the collection, which includes all necessary bar code stickers to maintain a proper chain of custody. Unlike venipuncture, dried blood spot collection is performed by the specimen donor and can be observed by any staff member, after a short training session. The dried blood spot drying box makes collection even easier by eliminating drying wait time.

Dried blood spot collection materials. Collection instructions can be found at www.USDTL.com.

Dried Blood Spot Collection is as easy as: 1. Puncture

2. Drop

3. Instant Seal & Ship

Benefits of Using Dried Blood Spots Universal sample.

Always available.

No blood draw needed.

Observed donor collection.

No hazardous shipping.

Used by State Medical Boards, DUI Courts, and HIMS Programs.

7


Alcohol Biomarkers - Think 3/3/3

As a rule of thumb for alcohol testing, think 3/3/3 - three days, three weeks, three months - to figure out which test, and which window of detection, meets your needs.

Direct biomarker testing is accomplished in several

Whe n req uesti alcoh ng ol tes ting, thin

k 3/3

/3

8

different specimen types, including alternative matrices such as hair and fingernails. A positive EtG result in fingernail or hair specimens can indicate multiple occurrences (six or more) of high alcohol consumption within a three month window of detection prior to testing. PEth is detected in dried blood spot specimens and can indicate high alcohol consumption within the three weeks prior to specimen collection. An EtG/EtS positive result in urine can indicate alcohol consumption within three days of specimen collection.

DA

The most objective alcohol testing results are accomplished using direct alcohol biomarkers such as phosphatidylethanol (PEth), ethyl glucuronide (EtG), and ethyl sulfate (EtS). PEth, EtG, and EtS are direct products of alcohol metabolism. In contrast, indirect biomarkers (e.g. MCV and CDT, among others) indicate physiological effects of alcohol consumption on the body, and can often be confounded by non-alcohol related factors such as disease states, changes in liver function, infection, and even pregnancy.

3


URINE

S

EtG

ON

M

W

EE

EtG/EtS

KS

PEth

S

AY

Indicates high alcohol consumption within 3 weeks of collection

Indicates multiple occurrences of high alcohol consumption within 3 months of collection

TH

Indicates alcohol consumption within 3 days of collection

BLOOD

NAIL & HAIR

3 3

9


Choosing the Right Drug Test

Alcohol

Window of Detection / History of Use Urine

Hair

Detection: 2-3 Days Biomarker: EtG & EtS Adulteration Level: Easy Collection: Requires Notice

Detection: Up to 3 Months Biomarker: EtG Adulteration Level: Moderate Collection: May Need Notice

LOT

3 an 90

Dried Blood Spot

1

8761

1 68

W10

TM

tm

Wha

r Here

Cove

001

3344

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e: __

Nam

Date

ion:

ollect

of C

___

____

e________ ___ ____ o h__n____D__ __________________ ____ Jo /__1__8

____

____

__ ____

Detection: 2-4Weeks Biomarker: PEth Adulteration Level: Difficult Collection: No Notice Required

1/__11

____

____

____

Other Drugs of Abuse

1 Day

10

Urine Detection: 2-3 Days Adulteration Level: Easy Collection: Requires Notice

Hair Detection: Up to 3 Months Up to 12 months for body hair* Adulteration Level: Moderate Collection: May Need Notice


When Choosing a Test That’s Right For You, Consider These 5 Factors:

Fingernail Detection: Up to 3 Months Biomarker: EtG Adulteration Level: Difficult Collection: May Need Notice

1. Range of testing (Drug Panel) 2. Desired window of detection 3. Specimen type 4. Level of adulteration potential 5. Notice required before collection

6 Months

Hair: Exposure Detection: Up to 3 Months Adulteration Level: Moderate Collection: May Need Notice

Fingernail Detection: Up to 6 Months Up to 12 months for toenail* Adulteration Level: Difficult Collection: May Need Notice *Collection of toenail and body hair should only be used if the primary matrices are not available. Regarding collection: Fingernail and toenail cannot be mixed; head hair and body hair cannot be mixed.

11


Alcohol & Drugs Detected in Adult & Child Specimen Panels See individual specimen pages for all possible add-ons.

Drug Analytes Window of Detection

6-MAM (Opiates) 6-β-naltrexol (High Potency Opioids) alfentanil (Fentanyl) alprazolam (Benzodiazepines) amobarbital (Barbiturates) amphetamine (Amphetamine) benzoylecgonine (Cocaine) buprenorphine (Buprenorphine) butalbital (Barbiturates) butorphanol (e.g. Stadol®) carboxy-THC (Cannabinoids) carisoprodol (e.g. Soma®) (Carisoprodol) clonazepam (Benzodiazepines) cocaethylene (Cocaine) cocaine (Cocaine) codeine (Opiates) diazepam (Benzodiazepines) EDDP (Methadone) ethanol (1 drink/hour) (Ethanol) ethyl glucuronide (EtG) (Ethanol) * ethyl sulfate (EtS) (Ethanol) fentanyl (Fentanyl) flunitrazepam (Benzodiazepines) flurazepam (Benzodiazepines) hydrocodone (Opiates) hydromorphone (Opiates) ketamine (Ketamine) lorazepam (Benzodiazepines) MDA (Amphetamine) MDEA (Amphetamine) MDMA (Amphetamine) meperidine (Meperidine) meprobamate (Carisoprodol)

12

Nail Up to

6 month

Hair Up to

3 month

ChildGuard® Up to

3 month

Urine

Blood

2-3 days

1-3 days


Drug Analytes Window of Detection

Nail

Hair

ChildGuard®

Up to

Up to

Up to

6 month

3 month

3 month

Urine

Blood

2-3 days

1-3 days

methadone (Methadone) methamphetamine (Amphetamine) midazolam (Benzodiazepines) morphine (Opiates) nalbuphine (e.g. Nubain®) (High Potency Opioids) naloxone (e.g. Narcan®) (High Potency Opioids) naltrexone (e.g. Revia®) (High Potency Opioids) native-THC (Cannabinoids) nitrazepam (Benzodiazepines) norbuprenorphine (Buprenorphine) norcocaine (Cocaine) nordiazepam (Benzodiazepines) norfentanyl (Fentanyl) norhydrocodone (Hydrocodone) norketamine (Ketamine) normeperidine (Meperidine) noroxycodone (Oxycodone) norpropoxyphene (Propoxyphene) norsufentanil (Sufentanil) oxazepam (Benzodiazepines) oxycodone (Oxycodone) oxymorphone (Oxycodone) pentobarbital (Barbiturates) phencyclidine (PCP) (Phencyclidine) phenobarbital (Barbiturates) phosphatidylethanol (PEth) (Ethanol) ** propofol glucuronide (Propofol) propoxyphene (Propoxyphene) secobarbital (Barbiturates) sufentanil (Sufentanil) temazepam (Benzodiazepines) tramadol (Tramadol) triazolam (Benzodiazepines) zolpidem (e.g. Ambien®) (Zolpidem) zolpidem phenyl-4-carboxylic acid (Zolpidem) Note: Metabolites are listed in bold. Drug classes are listed in parentheses. * Nail window of detection for alcohol is up to 3 months, other substances of abuse up to 6 months. ** PEth is a long-term biomarker with a 2-4 week window of detection in blood. See page 6.

13


Urine Testing - Alcohol & Drugs Urine Drug Panels

Panels: 17 16 15 14 12

9

7

5

Amphetamines

l l l l l l l l

Cannabinoids

l l l l l l l l

Cocaine

l l l l l l l l

Opiates

l l l l l l l l

Phencyclidine

l l l l l l l l

amphetamine, MDA, MDEA, MDMA, methamphetamine carboxy-THC

benzoylecgonine codeine, hydrocodone, hydromorphone, morphine phencyclidine (PCP)

Benzodiazepines

α-hydroxyalprazolam, 7-aminoclonazepam, nordiazepam, 7-aminoflunitrazepam, 2-hydroxyethylflurazepam, lorazepam, α-hydroxymidazolam, 7-aminonitrazepam, oxazepam, temazepam, α-hydroxytriazolam, α-hydroxyvalprazolam

l l l l l l l

Barbiturates

l l l l l l l

Methadone

l l l l l l

Propoxyphene

l l l l l l

Oxycodone

l l l l l

Meperidine

l l l l l

Tramadol

l l l l l

Fentanyl

l l l l

Sufentanil

l l l l

Buprenorphine

l l l

Carisoprodol

l l

Zolpidem

l

amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital EDDP, methadone norpropoxyphene oxycodone, oxymorphone normeperidine tramadol

alfentanil, fentanyl, norfentanyl sufentanil (e.g. Sufenta®), norsufentanil buprenorphine, norbuprenorphine carisoprodol (e.g. Soma®), meprobamate (e.g. Equagesic®) zolpidem (e.g. Ambien®), zolpidem phenyl-4-carboxylic acid

14


Window of Detection: 2-3 Days Additional Add Ons and Available Options for Urine Additional Add Ons and Available Options

Add On

Stand Alone

6-MAM

x

Direct Ethanol Biomarkers

Propofol Glucuronide

6-MAM

ethanol, ethyl glucuronide, ethyl sulfate propofol glucuronide (e.g. Diprivan®)

Urine provides the middle ground in drug testing, showing a history of drug exposure shorter than fingernails and hair, but longer than oral fluid (not offered at USDTL). A specimen of 10 ml provides information on the last 2-3 days of substance use history. We confirm all positive screening results by LC-MS/MS or GC-MS, and offer customized urine testing panels with over 50 drug and alcohol biomarkers. Urine collection materials. Collection instructions can be found at www.USDTL.com.

Chain of Custody For All Specimens The movement and location of physical evidence from the time it is obtained until the time it is presented in court is the legal definition of chain of custody. The results of any alcohol or substance abuse test performed at USDTL may eventually be presented as evidence in a court of law, and this is why USDTL maintains universal chain of custody for all specimens regardless of the client source of testing specimens. A well-maintained and legal chain of custody begins at the time of specimen collection and continues uninterrupted until test results have been presented in court, if necessary.

1. The specimen container must be sealed with an intact security seal. 2. The sample must be accompanied by a Custody and Control Form with an ID number matching the number on the specimen container. 3. The Custody and Control Form must be signed and dated by an authorized agent from the client.

CONTROL #

®

FOR POSITION ONLY

3487001

STEP 1: COMPLETED BY COLLECTOR OR AUTHORIZED REPRESENTATIVE USDTL-002 (3-14)

ACCOUNT INFORMATION:

Picture ID Verified M

Donor SSN or Donor I.D. No.

E. Matrix:

Hair Location of Hair Head Hair

F. Reason for Test:

Body Hair

Nail Location of Nail Finger Toe

Oral Fluid

Environmental Exposure (Child Guard)

Court Order

Urine

Pre-employment

Return to Duty

Follow-up

G. Drug Tests to be Performed:

H. Collection Site Information:

Random

Other

Reasonable Suspicion/Cause

Post-Accident

Other (Specify)

■ ■ ■ ■ ■ ■ ■ ■ ■

Default Panel

AMERICAN SOLUTIONS FOR BUSINESS • KATHY PETRICK 952-470-1020

Blood Whole Blood Blood Spot

■ ■ ■ ■ ■ ■ ■ ■

5 Drug Panel 7 Drug Panel 9 Drug Panel 10 Drug Panel 12 Drug Panel 14 Drug Panel 15 Drug Panel 16 Drug Panel 17 Drug Panel

Urine EtG-EtS Urine EtGEIA Nail EtG Hair EtG PEth Propofol Glucuronide Confirm Only Other

STEP 2: COMPLETED BY COLECTOR Read urine specimen temperature within 4 minutes. Is temperature

M

M

Split

Single

STEP 3: Collector affixes container seal(s). Collector dates seal(s). Donor initials seal(s). Donor completes STEP 5. STEP 4: CHAIN-OF-CUSTODY - INITIATED BY COLLECTOR AND COMPLETED BY LABORATORY I certify that the specimen given to me by the donor identified in STEP 1 of this form was collected, labeled, sealed, and released to the Delivery Service noted in accordance with applicable requirements.

USPS UPS

PRESS HARD - YOU ARE MAKING MULTIPLE COPIES

There are several key elements that must be present when specimens arrive at USDTL:

FORENSIC DRUG TESTING CUSTODY AND CONTROL FORM

United States Drug Testing Laboratories, Inc. 1700 S. Mount Prospect Road|Des Plaines, IL|60018 Main: 847-375-0770|www.USDTL.com|Fax: 847-375-0775

STEP 5: COMPLETED BY DONOR (OPTIONAL) I certify that I provided my specimen to the collector; that I have not adulterated it in any manner; each specimen was sealed with a tamper-evident seal in my presence; and that the information and numbers provided on this form and on the label affixed to each specimen is correct.

FOR USDTL USE ONLY

Laboratory Certification I certify that the specimen received with this form was sealed in the appropriate container Printed USDTL Accessioner’s Name

with the seal intact, and the identification number and/or name on this form matches that on the specimen, and the specimen was transferred to temporary laboratory storage.

FOR POSITION ONLY

3487001

CONTROL NO.

A

FOR POSITION ONLY

3487001

CONTROL NO.

B (SPLIT)

X

Signature of USDTL Accessioner

USE TO SEAL SPECIMEN

SPECIMEN SEAL

USE TO SEAL SPECIMEN

SPECIMEN SEAL

/

Date

/

Date (Mo. Day Yr.) Donor’s Initials

/

/

Date (Mo. Day Yr.) Donor’s Initials

/

/

FOR POSITION ONLY

3487001 FOR POSITION ONLY

3487001

COPY 1 - LABORATORY COPY

An unbroken chain of custody ensures specimen integrity in several ways that preserve the legal usefulness of alcohol and drug testing results.

15


Leading for Decades, Developing for Tomorrow

Hair testing offered to identify exposure of children living in households where cocaine has been used.

First offering of 5-drug panel meconium testing for in utero drug exposure.

1991

1994

Offered a 5 drug panel test in hair.

First offering of a 12-drug panel for newborn testing using meconium.

First offering of a forensically defensible (screen + confirm) reference laboratory drug analysis of nail clippings.

2005

First development of EtG/EtS direct alcohol biomarker testing in urine. First reference laboratory to test for the direct alcohol biomarker PEth in whole blood.

2006

2007

Launched the first 5-drug panel using an umbilical cord tissue segment.

16

Initiated research on the use of umbilical cord tissue for drugs of abuse testing.

2004

Initiated research on PEth direct alcohol biomarker testing in whole blood.


Hair and Nail PEth Oral Fluid

Offered the first test for a direct alcohol biomarker (FAEE) in meconium.

Hair Exposure Testing (ChildGuardÂŽ) Urine Newborn (for hospital use only)

1998

Introduced oral fluid drugs of abuse testing.

1999

Nail testing for drugs of abuse begins using nail scrapings.

2001

Developed illicit prescription opiate testing in hair and oral fluid.

Developed the first test for the direct alcohol biomarker, PEth, using newborn heel sticks or umbilical cord blood spots.

Development of the first test for in utero exposure to designer stimulants (Bath Salts).

2011

2010 Wha

2012

2013

tma

n 903 TM

LOT

W101

6887

611

3344

001

First to offer PEth testing in dried blood spots.

Nam Date

e: ____

Cove

r Here

____ ____ ____ of Coll ____ ecti ____ on: ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ _ ____ ____ ____ ___

Jo

hn 1/11 Doe /18

Launched first commercial forensic test for a long-term alcohol biomarker in umbilical cord tissue (EtG).

17


Partner With Us

Want to boost the scope of your drug testing? We’re the LAB for that.

Pa

Exp an d

TL

Your Company Here

with Specialty e p Dr co S ug ed ring With US e D rtn

Look Back Days / Weeks

Your Company Here

ers k r a om mens i B i t irec B ro pec D S • h ader Researc te rna Ex e t l A pa nd ed Menus •

A partnership with USDTL couldn’t be easier.

You rC o

Look Back Weeks / Months

Exceeding the . . . ny Co pa m m Competition Here

Competition Here

Competition Here

Your Company Here

Competition Here

Competition Here

18

Competition Here

Competition Here

Competition Here

For more information, contact our Business Development Team at adultandchild@usdtl.com.

on titi pe

• No Partnership Fees • No Additional Equipment • Free Collection Supplies

ng sti Te

g stin Te

Tra dit i

ope of Dr l Sc ug a on


Glossary of Terms • Account Set-up Glossary of Terms Adulterate — When a donor tries to affect their test specimen (hair, urine, etc.) in order to reduce or eliminate the amount of drug and alcohol biomarker in the specimen, they are attempting to adulterate the specimen. Biomarker — a measurable substance whose presence is indicative of ingestion or exposure to specific substances. Chain of Custody — The chain of custody is a paper trail of specimen collection, and is necessary to maintain the legal validity of testing results should they need to be presented in court as evidence. It records custody, control, transfer and analysis of a test specimen as it moves through the testing process. Chain of custody (a.k.a. chain of evidence) proves that the evidence given in court concerning a drug test is the same evidence collected from the donor. Chain of custody proves that no one tampered with the evidence. A court can exclude the evidence if proper chain of custody was not maintained. GC-MS, LC-MS/MS (Gas Chromatography — Mass Spectrometry, Liquid Chromatography — Tandem Mass Spectrometry) — Chromatography/Mass Spectrometry instruments are state-of-the-art tools we use to screen and confirm our test specimens. Keratin — A protein found in several biological tissues including nails, hair, skin, feathers, animal hooves, and others. Keratin forms fibers in tissues, which are very effective at capturing and trapping drug and alcohol biomarkers. Window of Detection — The length of time following ingestion that a substance can be detected in a test specimen.

Account Set-up 1. Contact our Adult and Child Business Development team, to request an Account Application and pricing. 2. We will call you to discuss services, supplies and pricing. 3. Complete the online Account Application which is the first phase of the account setup forms. 4. Then you will receive a follow-up email, which will include the contract and supply order form to fill out online. 5. The account process finalization will begin once all requested forms have been submitted. Please allow for 3-5 business days to finalize your account setup and ship supplies. 6. Account will be finalized by a Client Services Associate and supplies shipped within 3-5 business days of receiving the completed paperwork. 7. You will be sent a USDTL Client ID # and policies. Adult and Child Business Development team contact information: Phone: 800-235-2367 Email: adultandchild@usdtl.com If you already have an existing account with us, please direct questions to Client Services at clientservices@usdtl.com.


Information is up to date as of December 18, 2018. Our services are not intended to diagnose, treat, cure or prevent any disease. For forensic use only.

Profile for USDTL

USDTL Adult & Child Drug Testing Services Catalog  

This catalog covers details regarding drug and alcohol testing in advanced specimens such as hair, nail and dried blood spot for adults, and...

USDTL Adult & Child Drug Testing Services Catalog  

This catalog covers details regarding drug and alcohol testing in advanced specimens such as hair, nail and dried blood spot for adults, and...

Profile for usdtl