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Well, as much as I'd love to believe him, I can't. I start immediately asking questions, like, why is every word either all caps or start with a capital letter except for the word "negative"? Could be the way that lab does it, but almost nowhere else seems to.
what stood out to me is my name has been printed as Last, First on every medical form i have ever seen!
Ohhh. I didn't notice that bit. Same.
There are similar documents you can find online and they all look pretty similar, from comparing them, I'd say the document itself is authentic, although that tells us nothing but that the pdf does come from a lab that does drug testing and that it has his name on it. We don't know if it was his urine, or if he paid to have a clean report or anything the like.
I think that's normal according to this random PDF I've found
Not saying much, he has an infinite amount of ways of faking it
At least you know he's positive for all those things.