BTMF - Drugs in Serum

Please enter your address. If your current address has not changed, it is sufficient to indicate your lab code and email address.

Adresse Wenn sich Ihre bisherige Adresse nicht geändert hat
 Lab code:*

 Title:

 Name:

 Company:  

 Department:   

 Street:

 ZIP/city:

 Country:

 Email:*

 Phone:

 Fax:

             

* these boxes must be filled in!  

     
     
 1. Results

  

 

result, µg/L

 

applied method

 annotations

 Analyte

 

sample A

sample B

 

method code*

method, sample prep.

 THC

 

 

 11-OH-THC

 

 

 THC-COOH

 

 

 Cocaine

 

 

 Benzoylecgonine

 

 

 EME

 

 

 Morphine

 

 

 MAM

 

 

 Codeine

 

 

 DHC

 

 

 Amphetamine

 

 

 MDMA

 

 

 MDA

 

 

 MDE

 

 

 Methamphetamine

 

 

      
Further detected drugs

 Analyte

 

sample A

sample B

 

 method code*

method, sample prep.

 

 

 

 

 

 

 * if  "other" please describe below!  

 

   

    
 
  2. Reliability of the sample material

      Did you have problems with the sample material during the analysis?
   
 

     sample A:  none   slight  considerable   
     sample B:  none  slight  considerable               

                     

  Description  

 

     
3.
Annotations     

  

 Before sending the results, please ensure that all data entered are correct.

    

    

    

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