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Alcohol: Odor on the breath. Poisoning. Difficulty focusing: glassy eyes. Atypical passive behavior, or argumentative and combative behavior. Gradual (or in adolescents, sudden) deterioration in appearance and personal hygiene. SAP for DOT Petaluma can easily identify these.    The gradual development of dysfunction, particularly in job performance or schoolwork. Impaired interpersonal relationships (difficult marriage, inexplicable termination of deep relationships, estrangement from close family members). 

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