UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY FOR: DEMO COMPANY - DOT MR. AMERICA CALL CINDY AT 800-624-DRUG 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: KEELING, CINDY Identification Number: 148-50-9163 Specimen Number: 1168686 Collection Date: 03/08/2004 Date Ply2 Received: 03/10/2004 Reason for Test: PRE-EMPLOYMENT Specimen Type: URINE Collection Location: EASTEX MEDICAL 3080 MILAM STREET BEAUMONT , TX 77704 Laboratory Performing Analysis: SMITHKLINE BIO-SCIENCE LAB Status of Drug Test: NEGATIVE Benjamin Gerson, MD Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, BENZODIAZEPINES, BARBITURATES, METHAQUALONE, PROPOXYPHENE, METHADONE, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY FOR: DEMO COMPANY - DOT MR. AMERICA CALL CINDY AT 800-624-DRUG 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: BON JOVI, JOHN Identification Number: 999-99-9999 Specimen Number: 1772593 Collection Date: 03/10/2004 Date Ply2 Received: 03/15/2004 Reason for Test: OTHER Specimen Type: URINE Collection Location: MORELAND MEDICAL CLINIC 3142 MORELAND AVENUE P.O.BOX 786 CONLEY , GA 30027 Laboratory Performing Analysis: SMITHKLINE BIO-SCIENCE LAB Status of Drug Test: NEGATIVE Benjamin Gerson, MD Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, BARBITURATES, ALCOHOL - ETHANOL, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY FOR: DEMO COMPANY - DOT MR. AMERICA CALL CINDY AT 800-624-DRUG 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: ARAFAT, BARBARA Identification Number: 666-66-6666 Specimen Number: H1772593 Collection Date: 03/10/2004 Date Ply2 Received: 03/15/2004 Reason for Test: OTHER Specimen Type: HAIR Collection Location: SOUTHWEST INDUSTRIAL MED. CNTR 1556-68 RIDGELY STREET BALTIMORE , MD 21230 Laboratory Performing Analysis: SMITHKLINE BIO-SCIENCE LAB Status of Drug Test: NEGATIVE Benjamin Gerson, MD Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY FOR: DEMO COMPANY - DOT MR. AMERICA CALL CINDY AT 800-624-DRUG 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: BIDWELL, CAROL Identification Number: 181-81-8181 Specimen Number: 3674491 Collection Date: 04/14/2004 Date Ply2 Received: 04/15/2004 Reason for Test: PRE-EMPLOYMENT Specimen Type: URINE Collection Location: LIFEDATA -- DANVILLE, KY DANVILLE , KY Laboratory Performing Analysis: LAB ONE Status of Drug Test: NEGATIVE Benjamin Gerson, MD Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, BARBITURATES, ALCOHOL - ETHANOL, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY POSITIVES FOR: DEMO COMPANY - DOT MR. AMERICA DO NOT MAIL 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: BIZMARK, LOYAL Identification Number: 148-50-9162 Specimen Number: H3674491 Collection Date: 04/14/2004 Date Ply2 Received: 04/15/2004 Reason for Test: PRE-EMPLOYMENT Specimen Type: HAIR Collection Location: NOT LEGIBLE ON CHAIN OF CUSTOD NOT LEGIBLE ON CHAIN, Laboratory Performing Analysis: MEDTOX LABORATORIES, INC. Status of Drug Test: VERIFIED POSITIVE - COCAINE METABOLITES Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY FOR: DEMO COMPANY - DOT MR. AMERICA CALL CINDY AT 800-624-DRUG 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: KEELING, CINDY Identification Number: 148-50-9163 Specimen Number: 1168686 Collection Date: 03/08/2004 Date Ply2 Received: 03/10/2004 Reason for Test: PRE-EMPLOYMENT Specimen Type: URINE Collection Location: EASTEX MEDICAL 3080 MILAM STREET BEAUMONT , TX 77704 Laboratory Performing Analysis: SMITHKLINE BIO-SCIENCE LAB Status of Drug Test: NEGATIVE Benjamin Gerson, MD Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, BENZODIAZEPINES, BARBITURATES, METHAQUALONE, PROPOXYPHENE, METHADONE, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY FOR: DEMO COMPANY - DOT MR. AMERICA CALL CINDY AT 800-624-DRUG 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: BON JOVI, JOHN Identification Number: 999-99-9999 Specimen Number: 1772593 Collection Date: 03/10/2004 Date Ply2 Received: 03/15/2004 Reason for Test: OTHER Specimen Type: URINE Collection Location: MORELAND MEDICAL CLINIC 3142 MORELAND AVENUE P.O.BOX 786 CONLEY , GA 30027 Laboratory Performing Analysis: SMITHKLINE BIO-SCIENCE LAB Status of Drug Test: NEGATIVE Benjamin Gerson, MD Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, BARBITURATES, ALCOHOL - ETHANOL, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY FOR: DEMO COMPANY - DOT MR. AMERICA CALL CINDY AT 800-624-DRUG 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: ARAFAT, BARBARA Identification Number: 666-66-6666 Specimen Number: H1772593 Collection Date: 03/10/2004 Date Ply2 Received: 03/15/2004 Reason for Test: OTHER Specimen Type: HAIR Collection Location: SOUTHWEST INDUSTRIAL MED. CNTR 1556-68 RIDGELY STREET BALTIMORE , MD 21230 Laboratory Performing Analysis: SMITHKLINE BIO-SCIENCE LAB Status of Drug Test: NEGATIVE Benjamin Gerson, MD Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY FOR: DEMO COMPANY - DOT MR. AMERICA CALL CINDY AT 800-624-DRUG 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: BIDWELL, CAROL Identification Number: 181-81-8181 Specimen Number: 3674491 Collection Date: 04/14/2004 Date Ply2 Received: 04/15/2004 Reason for Test: PRE-EMPLOYMENT Specimen Type: URINE Collection Location: LIFEDATA -- DANVILLE, KY DANVILLE , KY Laboratory Performing Analysis: LAB ONE Status of Drug Test: NEGATIVE Benjamin Gerson, MD Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, BARBITURATES, ALCOHOL - ETHANOL, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998 UNIVERSITY SERVICES -- MRO DIVISION TOXICOLOGY RELATED SERVICES GROUP ----------------------------------- ** MEDICAL REVIEW OFFICER REPORT ** TO: DEMO COMPANY POSITIVES FOR: DEMO COMPANY - DOT MR. AMERICA DO NOT MAIL 123 TURTLE LANE , ANYWHERE, Date Reported: 06/22/2004 Date MRO Verified: 06/22/2004 This test was conducted in accordance with 49 CFR Part 40 and Part 382. Name of Individual Tested: BIZMARK, LOYAL Identification Number: 148-50-9162 Specimen Number: H3674491 Collection Date: 04/14/2004 Date Ply2 Received: 04/15/2004 Reason for Test: PRE-EMPLOYMENT Specimen Type: HAIR Collection Location: NOT LEGIBLE ON CHAIN OF CUSTOD NOT LEGIBLE ON CHAIN, Laboratory Performing Analysis: MEDTOX LABORATORIES, INC. Status of Drug Test: VERIFIED POSITIVE - COCAINE METABOLITES Medical Review Officer Drugs Tested: AMPHETAMINES, COCAINE METABOLITES, MARIJUANA (THC), PHENCYCLIDINE (PCP), OPIATES, ___________________________________________________________ 10551 Decatur Rd * Suite 200 * Philadelphia, PA 19154 * Tel: (215) 637-6800 * Fax: (215) 637-6998