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All rights reserved. The Alere Logo Alere ePassport eScreen and eScreen123 are trademarks of the Alere group of companies. ECup 103400-1 USPS-Nevada Sierra/ Pre-employment Account Type National Account Account Participant ID 2017 Alere. Clinic Samples that have to be sent to lab must be sent via USPS Express Mail. Instructions for Service Provider Providers with eScreen123 must scan ePassport into eScreen123. Use eScreen Scheduled Event Account. Bill services to eScreen Inc. PO Box 25902 Overland Park KS 66225 Regulation NON-DOT Reason for Test Pre-employment Services 1 1. Additional Notes APPLICANT Please be prepared to provide sufficient qty of urine and up to 3 hrs to complete test. Clinic Samples that have to be sent to lab must be sent via USPS Express Mail. Instructions for Service Provider Providers with eScreen123 must scan ePassport into eScreen123. Scan this barcode into eScreen123 AI20812747Y8 Participant Test for CHRISTINA STANFIELD This order must be completed within the following timeframe 8/19/2017 6 45 AM PT and 8/23/2017 5 00 PM PT Note Completion time displayed does not mean that the service provider is open until the time shown. You are required to take a photo ID this ePassport and all documents with which it printed. If you are under 18 a parent or legal guardian may be required in order for services to be performed. Verify with Please proceed to the following location Concentra Medical Center-Reno 6410 S VIRGINIA ST RENO NV 89511 Phone 775-322-5757 Note Please visit the service provider s website or call to confirm operational hours. Additional Notes APPLICANT Please be prepared to provide sufficient qty of urine and up to 3 hrs to complete test.

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