U S Pretrial Services Southern District of California

U. S. Pretrial Services Southern District of California The San Diego Lab Cindy Martinez Miriam Olea November 2, 2016 Diamond Bar, CA

Meet the Lab Staff Cindy Martinez Miriam Olea Kristina Jose Ericson Bautista U. S. Pretrial Services Southern District of California

OVERVIEW • Districts We Test 8. Frozen Storage 9. Confirmations 10. Disposal • Workload Volume • The Analyzers • How Do We Test? ▫ Drug Testing Process 1. Receiving 2. Sample & COC Verification 3. Accession 4. Aliquot 5. Analysis 6. Data Review 7. Test Results • • COC & Specimen Issues Fatal Flaws Statistics Paracelsus U. S. Pretrial Services Southern District of California

or? Districts We Test • California Central District • California Eastern District • California Southern District The Panel • Amphetamines • Cocaine • Opiates • THC • Oxycodone* • Creatinine U. S. Pretrial Services Southern District of California

or? Workload Volume • 350 samples/day • 7, 000 samples/month • 73, 000+ samples to date U. S. Pretrial Services Southern District of California

Workload Volume 2015 2016 86, 352 82, 489 90, 000 86, 352* 82, 489 80, 000 70, 000 60, 000 2015 2016 50, 000 40, 000 total 32, 228 33, 737 *projected total 30, 000 21, 820 22, 842 20, 000 12, 691 13, 285 7, 154 3, 991 10, 000 - 7, 489 Probation Central Pretrial Probation Eastern Pretrial 4, 605 4, 178 Probation 4, 821 Pretrial Southern Total U. S. Pretrial Services Southern District of California

Analyzers: Maserati & Bentley AU 640 E U. S. Pretrial Services Southern District of California

How Do We Test? Drug Testing Process 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Receiving Sample & COC Verification Accession Aliquot Analysis Data Review Test Results Frozen Storage Confirmations Disposal U. S. Pretrial Services Southern District of California

Drug Testing Process 1. Receiving U. S. Pretrial Services Southern District of California

Drug Testing Process 1. 2. Receiving Sample & COC Verification U. S. Pretrial Services Southern District of California

Specimen Requirements 30 m. L Preferred 15 m. L Minimum Below Minimum Level U. S. Pretrial Services Southern District of California

COC Requirements U. S. Pretrial Services Southern District of California

COC Notes Case Officer’s Name/Initials missing Collector’s Name missing “Fatal Flaw” Signature missing on Offender/Defendant certification Date missing on specimen collector certification U. S. Pretrial Services Southern District of California

Drug Testing Process 1. 2. 3. Receiving Sample & COC Verification Accession U. S. Pretrial Services Southern District of California

Drug Testing Process 1. 2. 3. 4. Receiving Sample & COC Verification Accession & Batching Aliquot U. S. Pretrial Services Southern District of California

Drug Testing Process 1. 2. 3. 4. 5. Receiving Sample & COC Verification Accession & Batching Aliquot Analysis U. S. Pretrial Services Southern District of California

Drug Testing Process 1. 2. 3. 4. 5. 6. Receiving Sample & COC Verification Accession & Batching Aliquot Analysis Data Review U. S. Pretrial Services Southern District of California

Drug Testing Process U. S. Pretrial Services Southern District of California

Drug Testing Process 6. i. 7. Data Review (cont. ) Secondary Review Test Results i. E-mail Notification ii. Reports iii. Chronos in PACTS U. S. Pretrial Services Southern District of California

NEGATIVE Result 7. a. b. c. d. Test Results Negative Positive Substituted Fatal Flaw/Rejected U. S. Pretrial Services Southern District of California

Positive Result 7. a. b. c. d. Test Results Negative Positive Substituted Fatal Flaw/Rejected U. S. Pretrial Services Southern District of California

Substituted 7. a. b. c. d. Test Results Negative Positive Substituted Fatal Flaw/Rejected U. S. Pretrial Services Southern District of California

Substituted cont’d. • Creatinine-muscle waste • Anything below 2. 0 mg/dl is NOT human urine • Impossible for a human to produce anything less • If its 2. 0 or below can be a variety of things ▫ ▫ ▫ Water Bleach Mint tea Any liquid Could be Alien

Fatal Flaw 7. a. b. c. d. Test Results Negative Positive Substituted Fatal Flaw/Rejected U. S. Pretrial Services Southern District of California

Drug Testing Process 1. 2. 3. 4. 5. 6. 7. 8. Receiving Sample & COC Verification Accession & Batching Aliquot Analysis Data Review Test Results Frozen Storage Positives & Substituted are stored and filed U. S. Pretrial Services Southern District of California

Drug Testing Process 9. Confirmations i. iii. iv. v. Offender/Defendant denial Officer’s E-mail Request Pull Sample/COC from Storage Review Information Observe Sample Volume U. S. Pretrial Services Southern District of California

Drug Testing Process 9. Confirmations (cont. ) U. S. Pretrial Services Southern District of California

Drug Testing Process 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Receiving Sample & COC Verification Accession & Batching Aliquot Analysis Data Review Test Results Frozen Storage Confirmations Disposal Samples are properly disposed U. S. Pretrial Services Southern District of California

Specimen Issues “Specimen Volume Insufficient” Did not meet minimum level needed 30 m. L Preferred 15 m. L Minimum “Do Not Roll” Difficult to open Below Minimum Level “Seal Applied Incorrectly” Difficult to open “Leaked in transit” cap not fully snapped U. S. Pretrial Services Southern District of California

COC Issues Case Officer’s Name/Initials missing Collector’s Name missing/Not visible “Fatal Flaw” Signature missing on Offender/Defendant certification Date missing on specimen collector certification U. S. Pretrial Services Southern District of California

Fatal Flaws Policy Fatal Flaws • The Laboratory Report will indicate: “Test Not Performed - _____” (specify the flaw). Specimen: • Specimen leaked in transit, specimen volume insufficient for testing. • No seal on specimen container. • Specimen seal broken or specimen seal applied incorrectly. • Specimen numbers on specimen seal and COC form do not match. • Donor’s initials missing from specimen seal. COC Form: • PACTS No. and donor name do not match. • Donor Name/ Signature/ Date missing. • [Specimen is tested if “Donor refused to sign” noted on COC form by the collector] U. S. Pretrial Services Southern District of California

Fatal Flaws Policy – Other Irregularities • Specimens are tested with an annotation on the Laboratory Report: • Specimen volume insufficient for confirmation. (For positive screens only) • Note: 15 m. L of sample per confirmation test should be provided to Alere. U. S. Pretrial Services Southern District of California

Fatal Flaw/Rejected Result U. S. Pretrial Services Southern District of California

Statistics Total Tx Providers Percentage Positives 30, 368 20, 450 67% Rejected 122 90 74% 8 4 50% Substituted

Positives Treatment. Providers 33% 67% Positives-Offices

Fatal Flaw/Rejected Statistics 26% 74% Rejected-Treatment Providers Rejected-Offices

Substituted Statistics 50% Substituted Tx Providers Substituted Offices

Paracelsus • Treatment Providers may view results daily • Pretrial and Probation accounts • Different passwords for each • May request to reset or unlock account ▫ CC Carla

THANK YOU! Lab Number: 619 -557 -5225 Casptml_ualab@caspt. uscourts. gov U. S. Pretrial Services Southern District of California