Hair and Fingernail Drug Panels

17 16 15 14 12 10 9 7 5

Amphetaminesamphetamine, MDA, MDEA, MDMA, methamphetamine l l l l l l l l lCannabinoidscarboxy-THC l l l l l l l l lCocainebenzoylecgonine, cocaethylene, cocaine, norcocaine l l l l l l l l lOpiates6-MAM, codeine, hydrocodone, hydromorphone, morphine l l l l l l l l lPhencyclidinephencyclidine (PCP) l l l l l l l l lBenzodiazepines alprazolam, diazepam, midazolam, nordiazepam, oxazepam, temazepam l l l l l l l lBarbiturates amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital l l l l l l l lMethadone EDDP, methadone l l l l l l lPropoxyphene propoxyphene, norpropoxyphene l l l l l l lOxycodone oxycodone, oxymorphone l l l l l lMeperidine normeperidine l l l l lTramadoltramadol l l l l lFentanylnorfentanyl l l l lSufentanilnorsufentanil l l l lKetamineketamine, norketamine l l lBuprenorphinebuprenorphine, norbuprenorphine l lZolpidemzolpidem (e.g. Ambien®) l

2

Hair and Fingernail Testing - Alcohol & Drugs

Panels:

FingernailFingernails 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 four 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.

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 ten fingernails will provide about 100 mg of specimen. For EtG, add-ons and/or tests above 10-panel, 150 mg of specimen is required.

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.

Additional Add Ons and Available Options For Hair and Fingernail

Additional Add Ons and Available Options Add On Stand Alone

Diphenhydraminediphenhydramine ✓ ✓High-Potency Opioids (HPOs)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)ethyl glucuronide ✓ ✓Propofol Glucuronidepropofol glucuronide (e.g. Diprivan®) ✓ ✓

3

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

1/4”

Window of Detection: Up to 3 Months

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.

2-3 mm

4

Hair Exposure Testing (ChildGuard®) - Drugs of Abuse

9 7 5

Amphetaminesamphetamine, MDA, MDEA, MDMA, methamphetamine l l lCannabinoidscarboxy-THC, native-THC l l lCocainebenzoylecgonine, cocaethylene, cocaine, norcocaine l l lOpiates6-MAM, codeine, hydrocodone, hydromorphone, morphine l l lPhencyclidinephencyclidine (PCP) l l lBenzodiazepines alprazolam, diazepam, midazolam, nordiazepam, oxazepam, temazepam l lBarbituratesamobarbital, butalbital, pentobarbital, phenobarbital, secobarbital l lMethadone EDDP, methadone lPropoxyphene norpropoxyphene l

Hair Exposure (ChildGuard®) Drug Panels

ChildGuard® is the only child hair test designed to detect exposure to native drugs and drug metabolites.

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

For illustration only. Not based on actual statistics.

Metabolite Only

Native & Metabolite

Native Only

Standard Testing

Positives

USDTLChildGuard®

Positives

Panels:

5

iStock photo

Benefits of Using Hair Exposure (ChildGuard®) Testing

Tests for exposure AND ingestion.

Admissible in court.

things such as touching or being in contact with drugs or drug users.

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.

No age limit for exposure testing.

Non-invasive, non-intrusive collection.

Window of Detection: Up to 3 Months

PEth Testing - Alcohol

PEthPhosphatidylethanol (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 the 2-3 weeks prior to specimen collection.

6

Red Blood Cell

Red Blood Cell Membrane(Phospholipids)

PEth

= 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.

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 programs• Beneficial in child custody cases, drug courts, and professional health programs*Please contact forensictesting@usdtl.com if you would like to receive detailed information about these studies.

Formation Degradation

Blood Membrane Reservoir

Benefits of Using Dried Blood Spots

7

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

Dried Blood SpotsWe 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 anticoagulation tube collection) 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 requisition 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 wait time.

1. Puncture 2. Drop 3. Instant Seal & ShipDried Blood Spot Collection is as easy as:

Universal sample. Always available.

No phlebotomist needed. Collection is performed by donor.

Window of Detection: 2-3 Weeks

8

Alcohol Biomarkers - Think 3/3/3

D 3 M3

Indicates multiple occurrences of high alcohol

consumption within 3 months of collection

3

EtG/EtS

EtG

PEth

Indicates alcohol consumption within 3 days

of collection

Indicates high alcohol consumption within

3 weeks of collection

AYS

URINE BLOOD NAIL &HAIR

WEE

KSONTH

S

When requesting alcohol testing,think 3/3/3

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.

Direct biomarker testing is accomplished in several 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 (0.08% BAC) 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.

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.

9

D 3 M3

Indicates multiple occurrences of high alcohol

consumption within 3 months of collection

3

EtG/EtS

EtG

PEth

Indicates alcohol consumption within 3 days

of collection

Indicates high alcohol consumption within

3 weeks of collection

AYS

URINE BLOOD NAIL &HAIR

WEE

KSONTH

SWhen requesting alcohol testing,think 3/3/3

10

Window of Detection / History of Use

6 Months1 Day

Oth

er D

rugs

of A

buse

UrineDetection: 2-3 Days

Adulteration Level: EasyCollection: Requires Notice

HairDetection: Up to 3 Months

Up to 12 months for body hair*Adulteration Level: ModerateCollection: May Need Notice

Hair: ExposureDetection: Up to 3 Months

Adulteration Level: ModerateCollection: May Need Notice

FingernailDetection: Up to 6 Months

Up to 12 months for toenail*Adulteration Level: Difficult

Collection: May Need Notice

Alc

ohol

HairDetection: Up to 3 Months

Biomarker: EtGAdulteration Level: ModerateCollection: May Need Notice

FingernailDetection: Up to 3 Months

Biomarker: EtGAdulteration Level: Difficult

Collection: May Need Notice

UrineDetection: 2-3 Days

Biomarker: EtG & EtSAdulteration Level: Easy

Collection: Requires Notice

Dried Blood SpotDetection: 2-3 Weeks

Biomarker: PEthAdulteration Level: Difficult

Collection: No Notice Required

Cover Here

3344001

Whatman 903TM

LOT W101 6887611

Name: _________________________________________________

Date of Collection: _______________________________________

John Doe

1/11/18

When Choosing a Test That’s Right For You, Consider These 5 Factors:1. Range of testing (Drug Panel)

2. Desired window of detection

3. Specimen type

4. Level of adulteration potential

5. Notice required before collection

Choosing the Right Drug Test

11

Window of Detection / History of Use

6 Months1 Day

Oth

er D

rugs

of A

buse

UrineDetection: 2-3 Days

Adulteration Level: EasyCollection: Requires Notice

HairDetection: Up to 3 Months

Up to 12 months for body hair*Adulteration Level: ModerateCollection: May Need Notice

Hair: ExposureDetection: Up to 3 Months

Adulteration Level: ModerateCollection: May Need Notice

FingernailDetection: Up to 6 Months

Up to 12 months for toenail*Adulteration Level: Difficult

Collection: May Need Notice

Alc

ohol

HairDetection: Up to 3 Months

Biomarker: EtGAdulteration Level: ModerateCollection: May Need Notice

FingernailDetection: Up to 3 Months

Biomarker: EtGAdulteration Level: Difficult

Collection: May Need Notice

UrineDetection: 2-3 Days

Biomarker: EtG & EtSAdulteration Level: Easy

Collection: Requires Notice

Dried Blood SpotDetection: 2-3 Weeks

Biomarker: PEthAdulteration Level: Difficult

Collection: No Notice Required

Cover Here

3344001

Whatman 903TM

LOT W101 6887611

Name: _________________________________________________

Date of Collection: _______________________________________

John Doe

1/11/18

When Choosing a Test That’s Right For You, Consider These 5 Factors:1. Range of testing (Drug Panel)

2. Desired window of detection

3. Specimen type

4. Level of adulteration potential

5. Notice required before collection

*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.

12

Drug Analytes Nail Hair ChildGuard® Urine Blood

Window of Detection 2-3 days 1-3 days

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)

Up to 6 month

Up to 3 month

See individual specimen pages for all possible add-ons.

*

Up to 3 month

Alcohol & Drugs Detected in Adult & Child Specimen Panels

13

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 2-3 week window of detection in blood. See page 6.

Drug Analytes Nail Hair ChildGuard® Urine Blood

Window of Detection 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)

norketamine (Ketamine)

normeperidine (Meperidine)

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)

**

Up to 6 month

Up to 3 month

Up to 3 month

14

Urine Drug Panels

17 16 15 14 12 9 7 5

Amphetaminesamphetamine, MDA, MDEA, MDMA, methamphetamine l l l l l l l lCannabinoidscarboxy-THC l l l l l l l lCocainebenzoylecgonine l l l l l l l lOpiatescodeine, hydrocodone, hydromorphone, morphine l l l l l l l lPhencyclidinephencyclidine (PCP) l l l l l l l lBenzodiazepines 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 amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital l l l l l l lMethadone EDDP, methadone l l l l l lPropoxyphene norpropoxyphene l l l l l lOxycodone oxycodone, oxymorphone l l l l lMeperidine normeperidine l l l l lTramadoltramadol l l l l lFentanylalfentanil, fentanyl, norfentanyl l l l lSufentanilsufentanil (e.g. Sufenta®), norsufentanil l l l lBuprenorphinebuprenorphine, norbuprenorphine l l lCarisoprodolcarisoprodol (e.g. Soma®), meprobamate (e.g. Equagesic®) l lZolpidemzolpidem (e.g. Ambien®), zolpidem phenyl-4-carboxylic acid l

Urine Testing - Alcohol & Drugs

Panels:

15

Additional Add Ons and Available Options for Urine

Urine collection materials. Collection instructions can be found at www.USDTL.com.

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.

Window of Detection: 2-3 Days

Chain of Custody For All SpecimensThe 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 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. There are several key elements that must be present when specimens arrive at USDTL. The specimen container must be sealed with an intact security seal. Next, the sample must be accompanied by a Custody and Control Form with an ID number matching the number on the specimen container. Thirdly, the Custody and Control Form must be signed and dated by an authorized agent from the client. An unbroken chain of custody ensures sample integrity in several ways that preserve the legal usefulness of alcohol and drug testing results.

Additional Add Ons and Available Options Add On Stand Alone

6-MAM6-MAM ✓ xDirect Ethanol Biomarkersethanol, ethyl glucuronide, ethyl sulfate ✓ ✓Propofol Glucuronidepropofol glucuronide (e.g. Diprivan®) ✓ ✓

STEP 1: COMPLETED BY COLLECTOR OR AUTHORIZED REPRESENTATIVE

CONTROL #

STEP 1: COMPLETED BY COLLECTOR OR AUTHORIZED REPRESENTATIVE

Donor SSN or Donor I.D. No.

PR

ESS

HA

RD

- YO

U A

RE M

AK

ING

MU

LTIPLE C

OP

IES

US

DTL

-002

(3-1

4)ACCOUNT INFORMATION:

E. Matrix:

FORENSIC DRUG TESTING CUSTODY AND CONTROL FORM

Laboratory CertificationI certify that the specimen received with this form was sealed in the appropriate container 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.

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

USPSUPS

STEP 2: COMPLETED BY COLECTOR

FOR USDTL USE ONLY

STEP 5: COMPLETED BY DONOR (OPTIONAL)

■ 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

Signature of USDTL Accessioner/ /X

Date

Printed USDTL Accessioner’s Name

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 numbersprovided on this form and on the label affixed to each specimen is correct.

Read urine specimen temperature within 4 minutes. Is temperatureM Split M Single

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.

HairLocation of Hair

Head Hair Body Hair

NailLocation of Nail

Finger Toe

Blood Whole Blood Blood Spot

Oral Fluid Urine Other

Picture ID Verified M

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

®

F. Reason for Test: Environmental Exposure (Child Guard) Pre-employment Random Reasonable Suspicion/Cause Post-Accident

Court Order Return to Duty Follow-up Other (Specify)

G. Drug Tests to be Performed:

Default Panel

H. Collection Site Information:

3487001

AM

ER

ICA

N S

OLU

TIO

NS

FO

R B

US

INE

SS

• K

ATH

Y P

ET

RIC

K 9

52-4

70-1

020

COPY 1 - LABORATORY COPY

SPECIMENSEAL

SPECIMENSEALB

(SPLIT)

A3487001CONTROL NO.

3487001

34870013487001CONTROL NO.

/ / Date (Mo. Day Yr.)

Donor’s Initials

/ / Date (Mo. Day Yr.)

Donor’s Initials

USE TOSEAL

SPECIMEN

USE TOSEAL

SPECIMEN

FOR POSITION ONLY

FOR POSITION ONLY FOR POSITION ONLY

FOR POSITION ONLY FOR POSITION ONLY

1991

First offering of5-drug panel meconium testing for in utero drug exposure.

1994

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

Offered a 5 drug panel test in hair.

Introduced oral fluid drugs of abuse testing.

2013

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

2012

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

2011

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

2010

First to offer PEth testing in dried blood spots.

2007

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

of abuse begins using nail scrapings.

Developed illicit prescription opiate testing in hair and oral fluid.

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

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

1998

1999

200120042005

2006

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

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.

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

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

Hair Exposure Testing (ChildGuard®)Hair and Nail

Oral FluidUrinePEthNewborn (for hospital use only)

Cover Here

3344001

Whatman 903 TM

LOT W101 6887611

Name: _________________________________________________

Date of Collection: _______________________________________

John Doe1/11/18

Leading for Decades, Developing for Tomorrow

16

1991

First offering of5-drug panel meconium testing for in utero drug exposure.

1994

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

Offered a 5 drug panel test in hair.

Introduced oral fluid drugs of abuse testing.

2013

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

2012

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

2011

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

2010

First to offer PEth testing in dried blood spots.

2007

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

of abuse begins using nail scrapings.

Developed illicit prescription opiate testing in hair and oral fluid.

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

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

1998

1999

200120042005

2006

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

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.

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

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

Hair Exposure Testing (ChildGuard®)Hair and Nail

Oral FluidUrinePEthNewborn (for hospital use only)

Cover Here

3344001

Whatman 903 TM

LOT W101 6887611

Name: _________________________________________________

Date of Collection: _______________________________________

John Doe1/11/18

17

18

Partner With Us

CompetitionHere

CompetitionHere

CompetitionHere

CompetitionHere

CompetitionHere

CompetitionHere

CompetitionHere

CompetitionHere

Your Company Here

Your

Com

pany... Exceeding the Competition

Trad

iti

onal Scope of Drug Testing

Look BackDays / Weeks

Your Company Here

Your Company Here

Pa

rtnering With USDTLEx

pand

ed Scope with Specialty Drug Testing

Look BackWeeks / Months

Expanded Menus • Alternate SpecimensBroader Research • Direct Biomarkers

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

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

A partnership with USDTL couldn’t be easier.

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

Glossary of Terms and Sign up for an Account

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.

Sign up for an Account1. Contact our Business Development Manager, Meghan Burke, to request an Account Application.

2. Complete Account Application and return via email or fax.

3. Meghan will contact you to discuss services, supplies and pricing. She will send three forms: (1) Terms of Service (2) Account Set Up (3) Supply Order Form

4. Sign the Terms of Service and return via email or fax.

5. Sign and complete Account Set Up and return via email or fax.

6. Complete Supply Order and return via email or fax.

7. Account will be finalized by a Client Services Associate and supplies shipped.

8. You will be sent a USDTL Welcome Packet via USPS and given your Client ID #.

Meghan Burke’s Contact Information: Cell: 847.830.7998 Email: adultandchild@usdtl.com Fax: 847.375.0775 – Attn: Meghan Burke

If you already have an existing account with us, please direct questions to Client Services at clientservices@usdtl.com or 800.235.2367.

Information is up to date as of January 15, 2018.Our services are not intended to diagnose, treat, cure or prevent any disease. For forensic use only.