Opening of Bids - Liberty Tower TIF Project Proj No. 123-054 -Trisco System, Inc.

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APPENDIX C Evidential Breath Testing (EBT) Collection Procedures The evidential breath testing procedures set forth in this appendix address all the requirements as set forth in 49 CFR Part 40 and specifies the required form and disposition of such testing forms: Alcohol Testing Form and Log Book 1. The BAT shall utilize the Breath Alcohol Testing form provided by the EBT manufacturer. The alcohol testing form must comply with the provisions as contained in 49 CFR Part 40 with regard to the information that must be contained on the form. The form must address the specific requirements contained in 40.59. The Trisco Systems, Inc. provider may not modify or revise the form. 2. The Trisco Systems, Inc. provider may utilize a form generated by an EBT and may omit the space for affixing a separate printed result to the testing form. The form shall provide triplicate or three consecutive identical copies with Copy 1 (white copy) being transmitted to Trisco Systems, Inc., Copy 2 (green copy) shall be provided to the employee, and Copy 3 (blue copy) shall be retained by the BAT. 3. The Trisco Systems, Inc. provider shall use a log book in conjunction with any EBT used for screening tests that does not meet the requirements listed under the provisions of the AMPP. 4. The breath alcohol testing form may include such additional information as may be required for billing or other legitimate purposes necessary to the testing, provided that personal identifying information on the individual (other than the social security number or employee identification number) may not be provided. Breath Testing Locations 1. Trisco Systems, Inc. shall ensure that there are sufficient breath testing sites or the availability of BATS located within a reasonable proximity to each of the Trisco Systems, Inc.'s work locations. 2. Trisco System's provider shall conduct alcohol testing in a location that affords visual and aural privacy to the employee being tested. The location shall prevent unauthorized personnel from seeing or hearing test results. All necessary equipment, personnel, and materials for conducting the alcohol breath testing shall be provided at the testing site. 3. A mobile collection facility, such as a van that is equipped for alcohol testing, that meets the requirements set forth in the AMPP may be utilized. 4. No unauthorized persons shall be permitted access to the testing site when the EBT remains unsecured, or in order to prevent such individuals from seeing or hearing a test result. 5. In some circumstances the Trisco Systems, Inc. provider may have to conduct such alcohol testing outdoors at the scene of an accident that does not meet the ON