Route delivery Driver

**********

Quest Authorization Barcode #:********

Instructions for Service Provider

Please proceed to the following location:

Quest Diagnostics-Lombard North PSC

*** * ***** ***

Lombard, IL 60148

630-***-****

Instructions for JOEL MILLER

Participant ID:

Account: 944140-1

ALTASTAFF LLC - MAIN

This order must be completed within the

following timeframe:

5/15/2019 2:04 PM (CT) and 5/22/2019

5:00 PM (CT)

Account Type: National Account

Phone:

© 2017 Alere. All rights reserved. The Alere Logo, Alere, ePassport, eScreen, and eScreen123 are trademarks of the Alere group of companies. All other trademarks referenced are trademarks of their respective owners. MKT50274 REV2 6/17 Note: Completion time displayed does not mean that the service provider is open until the time shown. Note: Please visit the service provider's website or call to confirm operational hours.

Bill services to: eScreen, Inc., PO Box 25902,

Overland Park, KS 66225

• 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

the service provider before arriving.

Fax: 630-***-****

Services(1):

Regulation: NON-DOT

Reason for Test: Pre-employment

Lab Account: 10482666

1. Urine Collection - 35105N - QD

- 5 panel NDOT STANDARD

(35105N)

Contact this candidate