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ATTACHMENT I <br />BUILDING AND CONSTRUCTION RESOURCE CENTER INC. <br />AUTHORIZATION FOR CONSENT TO DRUG AND ALCOHOL ANALYSIS <br />AND AUTHORIZATION FOR RELEASE OF RESULTS <br />I, the undersigned, , do hereby authorize the testing of my body <br />fluids for employment reasons and understand and agree that the results of any such testing <br />will be turned over to the Building and Constructions Resource Center, Inc. and, further that <br />the testing procedures will be limited to tests for prohibited and illegal drugs and controlled <br />substances. <br />I understand that the results of these tests may be used for employment and disciplinary <br />reasons and hereby authorize the release of such information from the laboratory and MRO. <br />I fiu-ther certify that the urine specimen collected from me is mine and not adulterated or <br />altered in any manner. I have been advised that matters affecting me relative to the <br />interpretation or application of the Drug Policy and subject exclusively to the grievance and <br />arbitration procedure under my collective bargaining agreement (if applicable). <br />Witness <br />Date <br />Time <br />Notary Public <br />Commission Expires <br />Signature of Applicant/Employee <br />Employee's Social Security Number <br />Employee's Telephone Number <br />Employee's Address <br />City <br />Official Seal State & Zip Code <br />