Your Command's Letterhead 5355 Ser (yours) Date (your command's name and City) From: Commanding Officer, To: Commanding Officer, Navy Drug Screening Laboratory, Jacksonville Subj: REQUEST FOR TECHNICAL STATEMENT Ref: (a) PHONCON (OPTIONAL) 1. Per reference (a), please provide a technical statement regarding the following positive drug result: Batch/Specimen No. SSN/DOD ID No. LAN Name of Drug Accession Number) (Lab (This information is taken from the results you received from us.) Give the specific questions/details about the positive 2. drug result. Please be as specific as possible about the details pertaining to the information you are requesting in this statement. If your mailing address is different from your letterhead, 3. please include it. For reply by email, please specify this in your letter, and provide a current email address. name) number) 4. Point of contact is (POC's at (DSN or number, including extension number, if applicable) (commercial e-mail address. and SIGNATURE be signed by the Commanding (Must Officer or someone with "By direction" authority)
Your Command's Letterhead 5355 Ser (yours) Date From: Commanding Officer, (your command's name and City) To: Commanding Officer, Navy Drug Screening Laboratory, Jacksonville Subj: REQUEST FOR TECHNICAL STATEMENT Ref: (a) PHONCON (OPTIONAL) 1. Per reference (a), please provide a technical statement regarding the following positive drug result: Batch/Specimen No. SSN/DOD ID No. LAN Name of Drug (Lab Accession Number) (This information is taken from the results you received from us.) 2. Give the specific questions/details about the positive drug result. Please be as specific as possible about the details pertaining to the information you are requesting in this statement. 3. If your mailing address is different from your letterhead, please include it. For reply by email, please specify this in your letter, and provide a current email address. 4. Point of contact is (POC's name) at (DSN number) or (commercial number, including extension number, if applicable) and e-mail address. SIGNATURE (Must be signed by the Commanding Officer or someone with "By direction" authority)