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Attachment 14: Certification of Drug Testing Form

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A PDF document (919 KB) attached to WJHTC Armed Security Guard Services, from the Federal Aviation Administration. Due Nov 4, 2026, 4:00 PM (UTC-5).

File name: Attachment 14 Certification of Drug Testing Form 6-15-2026.pdf

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15 June 2026

SIR No. 69M215-25-R-00012

Attachment 14

CERTIFICATION OF DRUG TESTING

Federal Aviation Administration
William J Hughes Technical Center for Advanced
Aerospace Armed Security Guards Services

EMPLOYEE NAME:

DATE OF BIRTH:

ADDRESS:

CONTRACTOR:

CONTRACT NO.:

YES

NO

The individual named has submitted to a drug test/screen and has successfully passed meeting the criteria in the table below.

Substance
Marijuana metabolites
Cocaine metabolites
Opiate metabolites
Phencyclidine
Amphetamines

CERTIFIED BY:

Cutoff Level (ng/mL)
2,000
1,000

Contractor

Drug Testing for 3-year physical qualifications
Drug Testing for 10% of SOs per year requirement

Physician Signature

Date

Physician’s Typed or Print Name
Address

Phone Number

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