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b� The contdwo�ojj, 1" 1110 ICf SAT Progr'lm slITIll be deposited each month, <br />filtervC11S ps nlily <br />W dulurillinedi Or ;J� <br />(J.'sigmiled by ilia by the, ICI-I.A.D to 1110 depository <br />f01,11111 Ps oWly bo (fcsl(:i nrid Stich ConWIMlions slmfl be reported on sqrjj <br />ito I Irj te(j by the IC I .1'rk 1)a <br />'1"110 ActiMiCs shall be dejell, <br />1114"Pilcills pravic1ccl for herein)"led by tile Mid sliall be finamed from the <br />SAT poliay� fly CXCOLItjoil , jllt� 1�ljjploycr rxflrcs�sly rat'rics "d I'doWs the 1c1 <br />of This Agreallient, the I,',,I <br />taken by th UN-111") Nvidlin flic scope ONts mallority, ployer raNfirs All fictions <br />This Silbstancc Abmic "roiling Program has been ratified, signed And sealed As of <br />by the K11.1,ki) And Loc , Al Unions of Laborers' International Union of North <br />Slate of fildiana Di�slrid Council. Aincrica, <br />SUBSTANCL AlAPM 'yf�S,I,INC3 <br />-OR CONSENI—ro ])HUG AND AJLCOHOL ANALYST <br />AUTHORIZATION r PROGRAM <br />AND s <br />AUTHORIZATION FOR RELEASE Or RESULTS <br />1, the undersigned <br />do hereby malloriz .a tile testing of Iny <br />e Tcstllts or All And or breath f <br />And understand And ogroe Ilial III y Such testing �vj or employllient 1'ensolls <br />r;lnPI0ye,' And the Union, furlher that the testing 11 be turned ovel. 10 the <br />prohibited and 19 procedures will be limited to tests for <br />11109111 (111I.Cs AM] controlled substances And Alcohol. <br />disciplinary understand <br />(11'11 Ilia 1.0"lls or illcs'� test.) way be used for employment find <br />lary roasolls and helcby nWhMiZO Ilse rele,,lSe or StIC11 <br />Inborntories it) the designated 1zjlq)joyCj, nII(I Uniones, information from the <br />I further certify 111,11 any urine, specilljoll collecled froll, Ile <br />WILIllel-Ilt0d or Altered in nily In., nne,., "lille And not <br />is <br />I IIAVe A(16.1,ed (1110 1111401's IIrIC�qjjjg <br />'111pliCIllion of tile J)Ir(fp' J'()JjC3�' llo.0 S , fie I'allllivo to tileinlerprcLltiuu or <br />UbjM CxC'j1lLiiV0Iy 10 the �I'i <br />procedure. udder my C'oljlvtk'c Hargninfrg QvIlIC0. and ni-biti. <br />, Agrecillent, <br />. ...... ... <br />Siplalme <br />MI <br />