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i ne purpose ormis consent :s to enr.l».s. Ifle .-c. zits x7rm, arse 1%ot, wl---n tel -vast, in any administrative, civil <br />or legal proceeding. i his conseni snan De valid so ions as any aa.-:::stn►ti–�, w! -;2j or ics..t rmcc3i , r -tiding to my <br />employment to which I am a party continues. i agree inat rirstservice nesiaential ana :ts assnts snap .at Dc &w ii..nlc <br />in any resvu.a for providing the information I have requested as set fonh aouve. <br />i Wehnvnlcadc itl..t cnccwt.nb IFI. Authorization is volunwry and that I have the right to receive a copy of this <br />rwinorimtion it I .-.quc. t orr. <br />I understand a may PSK questions avout Me tests. i Iii»t Rliz c �.—, of r:.,tscrvicc <br />Residential's Drug and alcohol abuse Policy and that Me mii roiicy governs my testi..,. <br />AF FER READING THIS FORK. CONSIDERING THE POSSIBLE CONSnQvmr%CQ yr Fri r Crii3XL3,1 <br />r KL' L' L Y AIYL V V LU I'i 1 AK1L Y: <br />..Luis. ruw C.vn3Eo t 17U Dir 1 r a l c U Uirur.K r i" i ar.et V 1LC KlssluruN I IAL'S DRUG AND <br />ALCOHOL ABUSE POLICY. <br />FOR" <br />ERIPLO I CC Si0vim i u= <br />EMPLOYEE'S PRINTED NAME <br />Data <br />MANRGEMENTRErmnaclr i Hi, vc 3iVI14R 3 UrIt <br />