04l08/2010 18:27 FAX IgJ UU<::/ VUJ .NMS I LABS 1 CONFIDENTIAL NMS Labs 3701 Wels/'! Road, PO Box 433A, WillOWGrove. PA 19090-0437 PhOne: (215) 657-4900 Fax: (215) 657-2972 a-mall: nms@nmSla!)S.COm RobertA. Middleberg. PhD. DA8FT, DABCC-TC. LabClratory Director Toxicology Report Report Issued 04/06120101B:20 Last Report Issued 04/06/201016:00 Patient Name Patient 10 Chain Age Gender Workorder Page' or4 MALENKO, MILA NP 10061521 3Y Female 10061521 To: M60403 Northern Sun Family Health Care 53 Main Street Topsham, ME 04086 Positive Findings: .l.!.rl1ti Matrl~ SQUL~ Urine Urine Urine Result SEE COMMENT PQsitiYe 6& Compound OIL Methamphetamine Ratio Theobromine Methamphetamine mcg/mL ng/mL See Detailed Findings section for eddltlonallnforrnation Testing Requested: Analysis Code DescrIptIon 0329U 1452U 6945H Amphetamines (DIl RatiO)~TIrlne Drug-Facilitated Sexual Assault Survey 2, Urine (Forensic) Drug Screen 5, Hair (Forel'lSic) Specimens Received: ID TuboJContaim:r Volumel Masa Matrix SOUn:1I MigcellaneoU!a Information Collection DBtelTime 001 White Plastic Container 002 White Envelope 03114/201016:30 03/11(201016:00 Urine Head Hair 40mL 0.677 9 All sample volumes/weights are approximations. specmens received on 03/1612010. v.7
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04l08/2010 18:27 FAX IgJ UU<::/ VUJ
.NMSI LABS 1
CONFIDENTIALNMS Labs3701 Wels/'! Road, PO Box 433A, WillOWGrove. PA 19090-0437
Other than the above findings, exammatlen ofthB specimen(SI) submitted did not reveal any poslth'8 findings oftoxicolugical 61gnlflCiJnclt by procedures outlined In the accompan)'lng AniJlysls Summary.
Reference Comments:1. OIL Methamphetamine Ratio - Urine;
If the D/L Methamphetamine ratio is grealerthan 0.' 3, the Methamphetamine found is probably the result of theUSB of the DEA Schedule II CNS stimulant (d-methamphetamine).
2. Hair Length - Head Hsir
Head Hair:Hair collected from t\"le back of the head grows at a rate of appro;(imately 1 centimeter (em) per month withaome individual variability.
Body Hair:Body hair grows at a rate of approximately 0.5 centimeters (em) per month. However, because body hair has alonger period of growth latency, the period of time represented by any portion of body hair Is more variable thewfor head hair.
3. Methamphetamine - Urine:
d-Methamphetarnlne Is a DEA schedule II stimulant drug capable of causing hallucinations, aggressivebehavior and irrational reactions. Chemically, there are two forms (isomers) Of methamphetamine: 1- and d-methamphetamine. The l-isomer is used In non-prescription Inhalers as a decoflgBstant and has weak eNS-stimulatory activIty. The d-isomer "as been used therapeutioelly as an anore;<lgenic agent in the treatment ofobesity and has potent eNS-, cardiac- and circulatory-stimulatory ectivity. Amphetamine and norephedrine(phenylpropanolamine) are metabolites of methamphetamine. d-Methamphetamine is an abused substancebecause of Its stimulatory effects and is also addictive.
High doses of methamphetamine can also elicit restlessness, confusion, hallUCinations, circulatory collapse andconvulsions.
4. Thsobromme (xanmecse) - Urine:
Theobromine is a rnethylxanthine alkaloid found in tea and cocoa products and has been reported to pass intothe breast milk of nursing mothers. Theobromine has the general properties of the xanthinea, including diuresisand smooth muscle stimulation.
Chain of custody documentation has been maintained for the analyses performed by NMS Labe.
Unless alternate arrangements are made by you, the remainder of the submitted specimens will be discarded six: (6)weeks from the date of this report; and generated data will be discarded five (5) year!! from the date the analyses wereperformed.
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6NMS[ __ I ABS I
CONFIDENTIAL
Analysis Summary and Reporting Limits:
Acode 0329U -Amphetarnines (DfL Ratio), Urine
WorkorderChaInPatient 10
1006152110061521NP
Page 3 of 4
Workorder 10061521 was electronicallysigned on 04/06/2010 15:07 by:
...- ---------)./1 .
C/ .Laura M. Labay, Ph.D., DABFTForensic Toxicologist
-Analysis by Gas CnrornatographylMess Spectrometry (GC/MS) for:
~ompou[ld
OfLArnphBtamine Ratio
Rpl. Limit
N/A
ComoounQ
OIL Methamphetamine Ratio
Rpt. Limit
NfA
-Analysis by Enzyme Immunoassay (EIA) for:
Acode 1452U - Drug-Facilitated Sexual Assault Survey 2. Urine (Forensic)
Compound
Barbiturates
Bel1zodiazepinas
CannabinoidsCocaine I Metabolites
Rpt. JJmll0.30 mcg/mL
50 ngfmL20 ng/mL
300 ng/mL
Compound
Methadone
OpiatesPhencyc!icline
Propoxyphene
Bpl, Lirnit
300 ng/rnL
300 ngfrnL
25 ngfmL
300 ng/mL
-Analysis by Gas Chromatography/Mass Spectrometry (GC/MS) for:
Compound
Gamrna-Hydroxybutync Acid
Bot. Limit
2.0 mcg/mL
Compound Rpt l jrojt
-Analysis by Gas Chromatography/Mass Spectrometry (GC/MS) for: The following is a general list of compoundclasses included in the Gas Chromatographic sCreen. The detection of any particular compound is concentration-dependent. Please note that not all known compounds inclucled in each specified class or heading are Induded.Soma specific compounds outside these classes are also included. For a detailed list of all compounds endreporting limits included in this screen, please contact NMS Laba.
