This toxicology report provides the following key information in 3 sentences: The report found methamphetamine at 66 ng/mL and theobromine in Mila Malenko's urine sample. It also detected methamphetamine in her hair through ELISA testing. The methamphetamine ratio indicated it was the result of using the Schedule II stimulant d-methamphetamine.

1. 04l08/2010 18:27 FAX IgJ UU<::/ VUJ
NMS Labs CONFIDENTIAL
.NMS I LABS 1
3701 Wels/'! Road, PO Box 433A, WillOWGrove. PA 19090-0437
PhOne: (215) 657-4900 Fax: (215) 657-2972
a-mall: nms@nmSla!)S.COm
RobertA. Middleberg. PhD. DA8FT, DABCC-TC. LabClratory Director
Toxicology Report Patient Name MALENKO, MILA
Patient 10 NP
Report Issued 04/0612010 1B:20 Chain 10061521
Last Report Issued 04/06/201016:00 Age 3Y
Gender Female
To: M60403
Northern Sun Family Health Care Workorder 10061521
53 Main Street Page' or 4
Topsham, ME 04086
Positive Findings:
Compound Result .l.!.rl1ti Matrl~ SQUL~
OIL Methamphetamine Ratio SEE COMMENT Urine
Theobromine PQsitiYe mcg/mL Urine
Methamphetamine 6& ng/mL Urine
See Detailed Findings section for eddltlonallnforrnation
Testing Requested:
Analysis Code DescrIptIon
0329U Amphetamines (DIl RatiO)~TIrlne
1452U Sexual Assault Survey 2, Urine (Forensic)
Drug-Facilitated
6945H Drug Screen 5, Hair (Forel'lSic)
Specimens Received:
ID TuboJContaim:r Volumel Collection Matrix SOUn:1I MigcellaneoU!a
Masa DBtelTime Information
001 White Plastic Container 40mL 03114/201016:30 Urine
002 White Envelope 0.677 9 03/11(201016:00 Head Hair
All sample volumes/weights are approximations.
specmens received on 03/1612010.
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CONFIDENTIAL. Workonjer 10061521
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Detailed Findings:
Rpt.
A.nalysls and Comments Rssult Units Limit Specimen Source Anslysill By
19 em 002 - Head Hair ELISA
Hair Length
OIL Methamphetamine SEE COMMENT 001 - Urine GC/MS
Ratio
Present in l-forrn only.
Theobromine Positive mcgfmL 5.0 001 .. Urine GC/MS
Methamphetamine 56 ng/rnL 5.0 001 - Urine LC-MS/MS
Other than the above findings, exammatlen ofthB specimen(SI) submitted did not reveal any poslth'8 findings of
toxicolugical 61gnlflCiJnclt by procedures outlined In the accompan)'lng AniJlysls Summary.
Reference Comments:
1. OIL Methamphetamine Ratio - Urine;
If the D/L Methamphetamine ratio is grealerthan 0.' 3, the Methamphetamine found is probably the result of the
USB of the DEA Schedule II CNS stimulant (d-methamphetamine).
2. Hair Length - Head Hsir
Head Hair:
Hair collected from t"le back of the head grows at a rate of appro;(imately 1 centimeter (em) per month with
aome individual variability.
Body Hair:
Body hair grows at a rate of approximately 0.5 centimeters (em) per month. However, because body hair has a
longer period of growth latency, the period of time represented by any portion of body hair Is more variable thew
for head hair.
3. Methamphetamine - Urine:
d-Methamphetarnlne Is a DEA schedule II stimulant drug capable of causing hallucinations, aggressive
behavior and irrational reactions. Chemically, there are two forms (isomers) Of methamphetamine: 1- and d-
methamphetamine. The l-isomer is used In non-prescription Inhalers as a decoflgBstant and has weak eNS-
stimulatory activIty. The d-isomer "as been used therapeutioelly as an anore;<lgenic agent in the treatment of
obesity and has potent eNS-, cardiac- and circulatory-stimulatory ectivity. Amphetamine and norephedrine
(phenylpropanolamine) are metabolites of methamphetamine. d-Methamphetamine is an abused substance
because of Its stimulatory effects and is also addictive.
High doses of methamphetamine can also elicit restlessness, confusion, hallUCinations, circulatory collapse and
convulsions.
4. Thsobromme (xanmecse) - Urine:
Theobromine is a rnethylxanthine alkaloid found in tea and cocoa products and has been reported to pass into
the breast milk of nursing mothers. Theobromine has the general properties of the xanthinea, including diuresis
and smooth muscle stimulation.
Chain of custody documentation has been maintained for the analyses performed by NMS Labe.
Unless alternate arrangements are made by you, the remainder of the submitted specimens will be discarded six: (6)
weeks from the date of this report; and generated data will be discarded five (5) year!! from the date the analyses were
performed.
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3. CONFIDENTIAL Workorder 10061521
6NMS[ __ I ABS I
ChaIn
Patient 10
10061521
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Page 3 of 4
Workorder 10061521 was electronically
signed on 04/06/2010 15:07 by:
./1 . ...- ---------)
C/ .
Laura M. Labay, Ph.D., DABFT
Forensic Toxicologist
Analysis Summary and Reporting Limits:
Acode 0329U -Amphetarnines (DfL Ratio), Urine
-Analysis by Gas CnrornatographylMess Spectrometry (GC/MS) for:
~ompou[ld Rpl. Limit ComoounQ Rpt. Limit
OfLArnphBtamine Ratio N/A OIL Methamphetamine Ratio NfA
Acode 1452U - Drug-Facilitated Sexual Assault Survey 2. Urine (Forensic)
-Analysis by Enzyme Immunoassay (EIA) for:
Compound Rpt. JJmll Compound Bpl, Lirnit
Barbiturates 0.30 mcg/mL Methadone 300 ng/rnL
Bel1zodiazepinas 50 ngfmL Opiates 300 ngfrnL
Cannabinoids 20 ng/mL Phencyc!icline 25 ngfmL
Cocaine I Metabolites 300 ng/mL Propoxyphene 300 ng/mL
-Analysis by Gas Chromatography/Mass Spectrometry (GC/MS) for:
Compound Bot. Limit Compound Rpt l jrojt
Gamrna-Hydroxybutync Acid 2.0 mcg/mL
-Analysis by Gas Chromatography/Mass Spectrometry (GC/MS) for: The following is a general list of compound
classes included in the Gas Chromatographic sCreen. The detection of any particular compound is concentration-
dependent. Please note that not all known compounds inclucled in each specified class or heading are Induded.
Soma specific compounds outside these classes are also included. For a detailed list of all compounds end
reporting limits included in this screen, please contact NMS Laba.
Amphetamines, Analgesics (opioid and non-optoid), Anorectics, Anesthetics, Antlarrhythmics, Anticholinergic
Agents, Anticoagulant Agents, Anticonvulsant Agents, Antidepressants, Antiemetic Agents. Antifungal Agents,
Antihistamines, Antihypertensive Agents, Antiparkinscnian Agents, Antipsychotic Agents, Antitussive Agents,
Antiviral Agents. Anxlolytlcs (Benzodiazepine and others). Calcium Channel Bloc::king Agents, Cardiovascular
Agants (non-<ligitalis), Hallucinogens, Hypnosedafives (Baroituratee, NOn-Benzodiazapine Hypnotics, and
others). Local Anesthetics Agents, Muscle Relal(ants, Non-Steroidal Anti-Inflammatory Agents (exc::luding
Salicylate} and Stimulants (Amphetamine.liKe and others).
-Anaiysis by Hsadspaca Gas Chromatography (GC) for:
Compound Rpt. Limit Comoound BpI. Limit
Acetone 1.0 mgfdL . lsopropanol 1.0 mgfdL
Ethanol 10 mgfdL Methanol 5.0 mg/dL
-Analysis by High Performance Liquid ChromatographyfTandem Mass Spectrometry (LC-MS/MS) for:
Compound Rpt. Limit Compound Rpt. Limit
7-Arnino Clonazeparn 2.0 ngfmL 7·Amino Nitrazepam 2.0 ngfmL
7-Amino Flunitrazepam 2.0 ngfmL Clonazeparn 2.0 ng/mL
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CONFIDENTIAL Workorder 10061521
6NMS C tABS i
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Patient 10
10061521
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Analysis Summary and Reporting Limits:
Compouod . Rpt Limit Compound Rpt. Limit
Flunitrazeparn 2.0 ng/ml Nortlunltrazepam 2.0 nglrnL
Nitrazeparn 2.0 ng/mL
-Analysis by High Performance Liquid ChromatographylTandem Mass Spectrometry (LC-MS/MS) for
Compound Rot. Limit Compound Rpt. Umit
1-Hydroxymidazolam 5.0 ng/mL Estazotarn 5.0 ng/mL
Alpha-Hydro)(yalprazolam 10 ngfmL Hydroxyethylflurazapam 5.0 ngfmL
Alprazolarn 5.0 ng/ml Hyoroxytrtaaolam 5.0ogfmL
Cnlordiazepoxide 20 ngfml Lorazeparn 10 ng/ml
Clobazarn 20 ngfmL Nordlazepam 20 ng/mL
Desalkyltlurazepam 5.0 ng/ml Oxazepam 20 nglmL
Diazepam 20 ngfml Temalepam 20 ng/mL
Acode 500,OU -Amphetamines Confirmation, Urine (Forensic)
-Analysis by High Performance Liquid Chromatographyrrandem Mass Spectrometry (lC-MS/MS) for:
Compound Rpt. Limit Compoynd Rot. Limit
Amphetamine 5.0 ng/ml Norpseudoephedrine 5.0 ng/mL
Ephedrine 5.0og/mL Phendimetrazme 10 ng/mL
MDA 5.0og/ml Phenmetrazl ne 5.0 ng/mL
MDEA 10 ngfmL PhentermiOe 10 ng/ml
MDMA 5.0 ngfmL Phenylpropanolamine 5.0 ng/mL
Methamphetamine 5.0 ng/mL Pseudoephedrine 5.0 ng/ml
Methylephedrine 5.0 nglmL Selegiline 5.0 ngfmL
Acode 6945H • Drug Screen 5, Hair (Forensic) - Head Hair
-Anatysis by Enzyme-Linked Imrnunosorbent Assay (ELISA) ror:
~(lWQynd Bpt Limit Compound Rot. Limit
Amphetamines 430 ng/g Cocaine f Metabolites 430 ng/g
Barbiturates 0.26 mcg/g Opiates '70 ngfg
Benzodiazeplaes 260 ng/g Phencyclidine 260 n9/g
-Analysis by Gas Chromatography/Mass Spectrometry (GC/MS) for: GC/MS Hair Drug Screen Extracts for:
Belladonna-, Clnchona-. Methylxanthlne- and Strychnos-Alkaloids; Amphetamine and Amphetamine-like
Sympathomlmetics: Antihistamines; Antipsychotics (Including Phenothlazlnes. Tn- and Tetracyclics); Non-
Barbiturate Hypnosedatives; LOeB' anasthattcs: Muscle Relaxants: Non-Digitalis Cardioregulatories; Non-lSD
Hallucinogens; Synthetic AnticholinerQics; Synthetic Morphine; Substitute Narcotic Analgesics; Ketamine;
Methdllazlne: Tlletamlne and Trimethobenzamide.
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