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12 <br />1 Year Retention Period <br />Negative and canceled drug test results <br />Alcohol test results indicating breath alcohol <br />concentration of less than 0.02 <br />CMPLOYCC ACKNOWLEDGEMCNT <br />DRUG AND ALCOHOL TESTING POLICY <br />I acknowledge that I have received a copy of the Drug and <br />Alcohol Testing Policy. I also acknowledge that the provisions of <br />the Policy are part of the terms and conditions of my employment <br />and that I agree to abide by them. <br />Date: <br />Signature: <br />Print Name: <br />Social Security #: <br />-...�...... � � gn ._ <br />R & R EXCAVATING, INC. o Representative's � ature Date <br />-AND- <br />MISHAWAKA CONCRETE/ASPHALT RECYCLE, INC. <br />a <br />