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3 <br />As per D.O.T. regulations Memorial Health system's Center for <br />Occupational Health and rued- Points (the testing site eMDlowed b,,/ Ifs <br />& R Excavat i Ing, Inc ® ) i s a Ideal th and human Se ry ices ce rt i f i ed 11 ab . <br />Every urine specimen collection is required to undergo an <br />initial screen followed by confirmation of all positive screen <br />results® Listed below are the cutoff levels for both the initial <br />-test and the confirmation test. <br />initial Test <br />Marijuana metabolites <br />Cocaine metabolites <br />Opiate metabolites <br />Phencyclidine (PCP) <br />Amphetamines <br />Marijuana metabolites <br />Cocaine metabolites <br />ODiates <br />Morphine <br />Cade ine <br />Phencvclidine <br />Amphetamine <br />Methamphetamine <br />0 <br />All substances identified on the initial test must be <br />confirmed by gas chromatography/mass spectometry at the cut off <br />levels shown above. <br />D.O.T. regulations require that the lab report the test results <br />directly to the employer's Medical Review officer (MRO) ' ) within an <br />average of five (15) working days. The MRO works for the test site <br />provider (Memorial Health system's Center for Occupational Health <br />and hied -Points)® It is the primary duty of the MRO to review and <br />interpret positive results obtained from the lab. The MRO must <br />assess and determine whether alternate medical explanations could <br />account for the positive test result. If an employee tests <br />positive for any of the five (5) scheduled drugs, the MRO must <br />first discuss this with the emDloYeG before contacting the <br />