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Federal Drug Testing Custody And Control FormOMB. No. 0930-0158
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Observed Behavior Reasonable Suspicion RecordThis easy-to-use form will help you satisfy 49 CFR §382.307.
(1)
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Drug and Alcohol Records RequestHelps comply with 49 CFR Section 382.405(b) and Section 40.37.
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Overview
- Used by medical review officers for documentation to the employer regarding controlled substance test results
- Snap-out format
- Two plies
- Carbonless
- Measures 8-1/2" W x 11-3/4" L
Volume Pricing
| Product Code | Description | 50 - 99 | 100 - 249 | 250 - 499 | 500 - 999 | 1000 - 2499 |
|---|---|---|---|---|---|---|
|
6794
|
Drug Test Results Form
|
$0.71171
|
$0.6749
|
$0.65035
|
$0.50311
|
$0.41183
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Specification
| Product Code | Description | Need to Purchase a Case? | Carbon Type | Number of Plies | Format | Size |
|---|---|---|---|---|---|---|
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6794
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Drug Test Results Form
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1,000 per case
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Carbonless
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4
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Snap-out
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8.5" x 11"
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