Basic Membership Vehicle Test Request

Salvage Yard Partner Testing Request
Submit vehicles below to schedule illicit drug contamination testing.

Partner Location Scheduling

Testing is performed once per month, or
When five (5) or more vehicles are requested at the site
SSM will reply to request within two (2) business days to provide anticipated date of testing
Final results and report will be avilable within two (2) business days of testing

Submitting multiple vehicles helps prioritize service and may allow testing to be completed sooner.

No monthly fees. Pay only for vehicles tested.

Salvage yard partners will bill insurance directly.

Pricing Summary

Basic Evaluation – $395 per vehicle

Add-Ons

Hazard Hunt (personal items and trash collected and bagged) – $100 add-on
Advanced Mass Spectrometry Testing – $685 add-on, or pre-authorization
Expedited Service – $595 per visit add-on
- Resutls and report within (5) business days

When to Submit Vehicles

Testing is recommended when:

Drug activity, paraphernalia, or unknown substances are suspected
Vehicles are stolen and recovered
Employee safety concerns exist
Testing is required prior to handling, repair, transport, or sale

All stolen and recovered vehicles are recommended to be tested and evaluated to increase safety and reduce potential liability due to the high frequency of drug use in stollen vehicles.

Questions?

Call (714) 455-9832 or email services@safetyservicesmanagement.com

Company Name*

Insurance Provider Name

Location of Vehicle*

Special pricing has been established with the above salvage yards.

Request By:*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Expedited Service Option*

Expedited service includes technician dispatch at the earliest availability. The $595 fee applies once per visit and covers testing of all vehicles listed. Testing and final results will be completed within five (5) business days.

Vehicle(s) to Be Tested

Rows	Vehicle ID (Stock or Lot #)	Year Make and Model	Add Trash & Personal Item Removal ($100 add-on fee)	Add Advanced Testing ($685 add-on fee)	*Advanced Testing Pre-Authorization (When recommended by field Tech)
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
Vehicle 5
Vehicle 6
Vehicle 7
Vehicle 8
Vehicle 9
Vehicle 10

Service Authorization and Limitations

If Advanced Testing Pre-Authorization is selected, Safety Services Management (SSM) is authorized to perform additional MX908 mass spectrometry testing when field observations indicate a higher likelihood of illicit drug contamination. Additional testing will be billed at the applicable rate.

Advanced testing may be performed when conditions such as positive or inconclusive screening results, known or suspected drug activity, unknown powders or residues, drug paraphernalia, or other elevated risk indicators are observed.

Scope of Service

SSM performs visual inspection and surface sampling at selected locations using professional judgment.
Sampling represents common touchpoints and areas of concern and does not include disassembly or access to concealed areas.
Results reflect only the locations tested and the conditions present at the time of service.

Limitations

This evaluation does not certify that a vehicle is free of illicit drugs, residues, paraphernalia, or other hazards.
Substance identification is limited to compounds contained within the MX908 instrument library.
Substances or hazards outside the instrument library may be present and are not evaluated as part of this service.
Conditions may change after the time of evaluation.

Signature*

Message

Please describe the vehicle and explain why you are seeking testing.Provide as much detail as possible, such as if law enforcement discovered illicit drugs or if drug paraphernalia or unknown substances have been found.

Police Report

If a police report is available for any of the above vehicles, please upload.