7542-0 Control ID: F50 1143092 Patient Report EPSTEIN, JEFFREY 9E 715757 NEW YORK NY 10021 Patient Details DOB: 0;120/1953 Arty/m/4065/07/25 Gender M 5514: Patient ID: Acct 4:31143092 Woodson Merrell 44 E 67th 51 New York NY 10065 Phone: Specimen Details Physician Details Date collected:

ID: 257-480-2300-0 Control ID: 25648023000 EPSTEIN. JEFFREY 9 EAST 71 STREET NYC NY 10021 Patient Details 008:0120/1953 Agely/m/d): 065/07/25 Gender M SSN: Patient ID: Ordered Items Heavy Metals Profit II, Blood TESTS RESLLT F Lit ;3 TNT .: _N - Heavy Metals Profile II, Blood Lead, Blood

orp Specimen ID: 257-480-2232-0 Control ID: F SA31143092 Patient Report EPSTEIN, JEFFREY Patient Details DOR:01/20/1953 Agety/m/d): 065/07/25 Gender M SSN: P.sticut tO. Specimen Details Date collected: 09/14/2018 Date received: 09/15/2018 Date entered: 09/15/2018 one reamed: miasma General C

me EVENING It PERSONAL PROFILE MAINTENANCE Citczen CITIZEN Social Seomy Primary ID DRIVERS LICENSE Origin NY Secondary ID PASSPORT Origin US Gender M Language ENGLISH OffORI ErMlOyeit CUSTOMER Marital Status UNKNOWN Spouse Information Nano• Customer Remarks Birth Dale ID Num ID Numt Home