This government document is issued by Drug and Alcohol Programs for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:ug3qpcrqbm4&q=https://www.ddap.pa.gov/Documents/Agency%2520Reports/Synar%2520Annual%2520Reports/2016%2520FFY%2520Annual%2520Synar%2520Report.pdf&sa=U&ved=2ahUKEwi95MSHsvGFAxVN7rsIHWfnBe84UBAWegQICBAB&usg=AOvVaw0P_KQ9QoUwbONDwu20oJwF