Appendix B to Part 40 Appendix B to Part 40—DOT Drug Testing Semi-Annual Laboratory Report to Employers

The following items are required on each report:
Reporting Period: (inclusive dates)
Laboratory Identification: (name and address)
Employer Identification: (name; may include billingBilling codeCode or ID code)
C/C/TPA Identification: (where applicable; name and address)
1. NumberSpecimen ofResults specimenReported results reported: (total number)
By testType type:of Test
(a) Pre-employment testing: (number)
(b) Post-accidentAccident testing: (number)
(c) Random testing: (number)
(d) Reasonable suspicionSuspicion/causeCause testing: (number)
(e) Return-to-dutyDuty testing: (number)
(f) Follow-up testing: (number)
(g) Type notof notedTest Not Noted on CCF: (number)
2. NumberSpecimens of specimens reported asReported
(a) Negative: (total number)
(b) Negative-dilute: and Dilute (number)
3. NumberSpecimens ofReported specimens reported as Rejected for Testing: (total number)
By reason:Reason
(a) Fatal flaw: (number)
(b) Uncorrected flaw:Flaw (number)
4. NumberSpecimens ofReported specimens reported as Positive: (total number)
By drug:Drug
(a) Marijuana Metabolite: (number)
(b) Cocaine Metabolite: (number)
(c) Opiates: (number)
(1) Codeine: (number)
(2) Morphine: (number)
(3) 6-AM: (number)
(d) Phencyclidine: (number)
(e) Amphetamines: (number)
(1) Amphetamine: (number)
(2) Methamphetamine: (number):
5. Adulterated: (number)
6. Substituted: (number)
7. Invalid results:Result (number)
[73 FR 35975, June 25, 2008]