Form DT-003

LAGUNA INDUSTRIAL HEALTH CLINIC, INC.

Paciano Rizal, cor. San Antonio Village, Calamba City
(049) 8340638
DRUG TEST REPORT
Transaction No: 012023000000027
Accession No: LIHC-012308
Qm932281 Date and Time Received: 01/17/23 10:48PM
19 Date and Time Reported: 01/17/23 10:35pm
Name: NESTOR D. LACAR Age: __
49 Sex: ____ M
Requesting Party: DENR-PENRO 04/03/1974
Birthdate: _________

Purpose: Pre-employment Mandatory Test Method: x Test Kit

Random Follow-Up GC-MS for Confirmatory
Return-to-Duty Post-Accident Instrumented
Reasonable Suspicion/Cause
Others

RESULT:
DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT
Methamphetamine Negative COC N/A OPI N/A
Tetrahydrocannabinol Negative PCP N/A AMP N/A
Others(Specity): N/A
Remarks:
Approved by:

MARIENEST O. ABELLA LEOVIC DALMACIO, MD

74 Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB DTOMIS generated report

 Form DT-003
LAGUNA INDUSTRIAL HEALTH CLINIC, INC.
Paciano Rizal, cor. San Antonio Village, Calamba City
(049) 8340638
DRUG TEST REPORT
Transaction No: 012023000000028
Accession No: LIHC-012309
Qm932281 Date and Time Received: 01/17/23 11:00AM
19 Date and Time Reported: 01/17/23 10:47am
Name: HARICRIS B. CANSICIO Age: __
44 Sex: ____ M
Requesting Party: DENR-PENRO 12/28/1978
Birthdate: _________

Purpose: Pre-employment Mandatory Test Method: x Test Kit

Random Follow-Up GC-MS for Confirmatory
Return-to-Duty Post-Accident Instrumented
Reasonable Suspicion/Cause
Others

RESULT:
DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT
Methamphetamine Negative COC N/A OPI N/A
Tetrahydrocannabinol Negative PCP N/A AMP N/A
Others(Specity): N/A
Remarks:
Approved by:

MARIENEST O. ABELLA LEOVIC DALMACIO, MD

74 Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB DTOMIS generated report

 Form DT-003
LAGUNA INDUSTRIAL HEALTH CLINIC, INC.
Paciano Rizal, cor. San Antonio Village, Calamba City
(049) 8340638
DRUG TEST REPORT
Transaction No: 012023000000025
Accession No: LIHC-012306
Qm932281 Date and Time Received: 01/17/23 10:36PM
19 Date and Time Reported: 01/17/23 10:23pm
Name: LEO JAY G. BANDONG Age: __
22 Sex: ____ M
Requesting Party: DENR-PENRO 06/16/2000
Birthdate: _________

Purpose: Pre-employment Mandatory Test Method: x Test Kit

Random Follow-Up GC-MS for Confirmatory
Return-to-Duty Post-Accident Instrumented
Reasonable Suspicion/Cause
Others

RESULT:
DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT
Methamphetamine Negative COC N/A OPI N/A
Tetrahydrocannabinol Negative PCP N/A AMP N/A
Others(Specity): N/A
Remarks:
Approved by:

MARIENEST O. ABELLA LEOVIC DALMACIO, MD

74 Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB DTOMIS generated report

 Form DT-003
LAGUNA INDUSTRIAL HEALTH CLINIC, INC.
Paciano Rizal, cor. San Antonio Village, Calamba City
(049) 8340638
DRUG TEST REPORT
Transaction No: 012023000000026
Accession No: LIHC-012307
Qm932281 Date and Time Received: 01/17/23 10:43PM
19 Date and Time Reported: 01/17/23 10:30pm
Name: MANUEL R. CANLOBO Age: __
46 Sex: ____ M
Requesting Party: DENR-PENRO 01/25/1976
Birthdate: _________

Purpose: Pre-employment Mandatory Test Method: x Test Kit

Random Follow-Up GC-MS for Confirmatory
Return-to-Duty Post-Accident Instrumented
Reasonable Suspicion/Cause
Others

RESULT:
DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT
Methamphetamine Negative COC N/A OPI N/A
Tetrahydrocannabinol Negative PCP N/A AMP N/A
Others(Specity): N/A
Remarks:
Approved by:

MARIENEST O. ABELLA LEOVIC DALMACIO, MD

74 Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB DTOMIS generated report

 Form DT-003
LAGUNA INDUSTRIAL HEALTH CLINIC, INC.
Paciano Rizal, cor. San Antonio Village, Calamba City
(049) 8340638
DRUG TEST REPORT
Transaction No: 012023000000023
Accession No: LIHC-012304
Qm932281 Date and Time Received: 01/17/23 10:19PM
19 Date and Time Reported: 01/17/23 10:06pm
Name: NELSON C. MAGAMPON Age: __
48 Sex: ____ M
Requesting Party: DENR-PENRO 05/13/1974
Birthdate: _________

Purpose: Pre-employment Mandatory Test Method: x Test Kit

Random Follow-Up GC-MS for Confirmatory
Return-to-Duty Post-Accident Instrumented
Reasonable Suspicion/Cause
Others

RESULT:
DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT
Methamphetamine Negative COC N/A OPI N/A
Tetrahydrocannabinol Negative PCP N/A AMP N/A
Others(Specity): N/A
Remarks:
Approved by:

MARIENEST O. ABELLA LEOVIC DALMACIO, MD

74 Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB DTOMIS generated report

 Form DT-003
LAGUNA INDUSTRIAL HEALTH CLINIC, INC.
Paciano Rizal, cor. San Antonio Village, Calamba City
(049) 8340638
DRUG TEST REPORT
Transaction No: 012023000000024
Accession No: LIHC-012305
Qm932281 Date and Time Received: 01/17/23 10:28PM
19 Date and Time Reported: 01/17/23 10:15pm
Name: ANTONIO T. RICO Age: __
53 Sex: ____ M
Requesting Party: DENR-PENRO 01/17/1969
Birthdate: _________

Purpose: Pre-employment Mandatory Test Method: x Test Kit

Random Follow-Up GC-MS for Confirmatory
Return-to-Duty Post-Accident Instrumented
Reasonable Suspicion/Cause
Others

RESULT:
DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT
Methamphetamine Negative COC N/A OPI N/A
Tetrahydrocannabinol Negative PCP N/A AMP N/A
Others(Specity): N/A
Remarks:
Approved by:

MARIENEST O. ABELLA LEOVIC DALMACIO, MD

74 Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB DTOMIS generated report

 Form DT-003
LAGUNA INDUSTRIAL HEALTH CLINIC, INC.
Paciano Rizal, cor. San Antonio Village, Calamba City
(049) 8340638
DRUG TEST REPORT
Transaction No: 012023000000021
Accession No: LIHC-012302
Qm932281 Date and Time Received: 01/17/23 09:58PM
19 Date and Time Reported: 01/17/23 09:45pm
Name: ISRAEL M. TAÑALA Age: __
53 Sex: ____ M
Requesting Party: DENR-PENRO 02/27/1969
Birthdate: _________

Purpose: Pre-employment Mandatory Test Method: x Test Kit

Random Follow-Up GC-MS for Confirmatory
Return-to-Duty Post-Accident Instrumented
Reasonable Suspicion/Cause
Others

RESULT:
DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT
Methamphetamine Negative COC N/A OPI N/A
Tetrahydrocannabinol Negative PCP N/A AMP N/A
Others(Specity): N/A
Remarks:
Approved by:

MARIENEST O. ABELLA LEOVIC DALMACIO, MD

74 Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB DTOMIS generated report

 Form DT-003
LAGUNA INDUSTRIAL HEALTH CLINIC, INC.
Paciano Rizal, cor. San Antonio Village, Calamba City
(049) 8340638
DRUG TEST REPORT
Transaction No: 012023000000022
Accession No: LIHC-012303
Qm932281 Date and Time Received: 01/17/23 10:08PM
19 Date and Time Reported: 01/17/23 09:55pm
Name: ELBERT E. CANDOLITA Age: __
26 Sex: ____ M
Requesting Party: DENR-PENRO 03/28/1996
Birthdate: _________

Purpose: Pre-employment Mandatory Test Method: x Test Kit

Random Follow-Up GC-MS for Confirmatory
Return-to-Duty Post-Accident Instrumented
Reasonable Suspicion/Cause
Others

RESULT:
DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT DRUG/METABOLITE RESULT
Methamphetamine Negative COC N/A OPI N/A
Tetrahydrocannabinol Negative PCP N/A AMP N/A
Others(Specity): N/A
Remarks:
Approved by:

MARIENEST O. ABELLA LEOVIC DALMACIO, MD

74 Analyst Head of Laboratory
Valid Within 12 Month/s from Transaction Date

This is a DOH-DDB DTOMIS generated report