Exhibit 2 Quarterly Report Template.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Master Agreement AZ|CTR070548
- Contract number
- CTR070548
- Issued by
- Arizona
About this file
The document appears to be a quarterly reporting template for a laboratory testing contract, specifically a performance metrics exhibit (Exhibit B) for tracking various testing and service delivery requirements. While the specific contracting agency and jurisdiction are not explicitly named, the document suggests this is a contract for forensic and diagnostic laboratory services, potentially related to drug testing, paternity testing, and correctional facility sample collection.
The contract encompasses multiple testing services including urine, hair, oral fluid, and blood testing across various panel configurations (4-panel, 5-panel, 6-panel, 9-panel) and specialized testing types such as genetic paternity testing, alcohol screening (ETG), fentanyl, ketamine, and oxycodone tests. The template requires detailed reporting on performance metrics, including test turnaround times, such as delivering negative drug screening results within 24 hours, confirming positive test results within 72 hours, delivering genetic paternity sample kits within 10 days, and providing paternity test results within 14 days of sample collection. Additional services include expert witness testimony, medical review officer services, and post-mortem shipping, with provisions for specialized or "off-contract" testing requests.
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Performance Metrics
| Exhibit B - LABORATORY TESTING MONTHLY REPORT |
| Contractor Name: |
| Contract Number: |
| County: |
| Report time frame: |
Make negative test results for drug screening available to the referring ADCS Specialist within twenty-four (24) hours after receipt of the specimen.
| Number of drug screen tests referred on random drug screen schedules (i.e., an on-going referral for one weekly test over three weeks = 3 tests): | |
| Number of positive test results: | |
| Number of negative test results available to the referring ADCS Specialist within twenty-four (24) hours after receipt of the specimen: | |
| Percentage of negative results received on timely basis: | ERROR:#DIV/0! |
Confirm positive test results for drug screening to the referring ADCS Specialist within seventy-two (72) hours following receipt of specimens.
| Tests Referred: | 0 |
| Number of negative test results: | 0 |
| Number of positive test results available to the referring ADCS Specialist within seventy-two (72) hours after receipt of the specimen: | 0 |
| Percentage of negative results received on timely basis: | ERROR:#DIV/0! |
Deliver genetic paternity sample kit(s) to correctional facilities no later than ten (10) days after receipt of referral(s).
| Number of sample kit(s) delivered to correctional facilities: | |
| Number of sample kit(s) delivered to correctional facilities within ten (10) days of receipt of referral(s): | |
| Percentage of sample kits delivered on timely basis: | ERROR:#DIV/0! |
Provide paternity test results no later than fourteen (14) days after last sample collection.
| Number of paternity test referrals received: | |
| Number of paternity test results provided with fourteen (14) days of sample collection: | |
| Percentage of paternity test results provided on timely basis: | ERROR:#DIV/0! |
Make available status of samples collected for paternity testing and a photograph of the test subject within seventy-two (72) hours of collection.
| Number of samples collected for paternity testing: | |
| Number of sample status(es) and photograph(s) made available within seventy-two (72) hours of collection: | |
| Percentage of samples and photographs: | ERROR:#DIV/0! |
Specific Testing Data
| Lab Urine - 4 Panel | Lab Urine - 5 Panel | Lab Urine - 5 Panel Opiate | Lab Urine - 6 Panel | Lab Urine - 9 Panel | Lab Urine - Fentanyl | Lab Urine - Ketamine | Lab Urine - Oxycodone | Lab Urine - ETG Alcohol | Lab Urine - Synthetic Cannabinoids | Lab Urine - Substituted Cathinone | Lab Hair - 5 Panel | Lab Hair - 8 Panel | Lab Oral Fluid - Genetic Paternity Testing | Lab Oral Fluid - 4 Panel | Lab Oral Fluid - 6 Panel | Lab Oral Fluid - 9 Panel | Lab Oral Fluid - ETG Alcohol | Lab Blood - Genetic Paternity Testing | Confirmation of Positive Test Results | One Hour of Expert Witness Testimony | One Hour of Medical Review Officer Services | Post-Mortem Shipping Fee | Request for testing of a minor | Specialized Testing Request "Off-Contract" (please provide details as relates to the request in the additonal notes section) | |
| # of requests | |||||||||||||||||||||||||
| Additional Notes |
File details come from the government source that posted it. Updated .