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The MRO shall review and take all reasonable and necessary steps to verify the authenticity of all medical records <br />made available by the tested employee when the source of the confirmed result could have been from legally <br />prescribed medication. The MRO shall not, however, consider the results of urine or other specimens that are not <br />obtained or processed in accordance with DOT regulations. <br />Results. The MRO will use staff under his direct supervision to handle administrative processes for negative test <br />results including receiving the result from the laboratory, reviewing the paperwork for accuracy, and reporting <br />of the result to the DER. The MRO will personally review at least 5 percent of all CCFs reviewed by their staff, on a' <br />quarterly basis, not to exceed more than 500 negative results in a quarter. <br />The MRO staff may make the initial contact with employees having confirmed positive, adulterated, substituted, <br />and invalid test results, for the purposes of setting up an interview for the MRO. The MRO will personally conduct <br />the interview with the employee to determine whether there is a legitimate medical explanation for these results. <br />This interview will be conducted, in most cases, before the Company is notified. If the result is confirmed <br />positive by the laboratory, and a legitimate medical explanation is established, the MRO will report the result to <br />the DER as negative. If not, the MRO will report the result to the DER as positive. If the confirmed result is <br />adulterated or substituted, and a legitimate medical explanation is established, the MRO will report the result to <br />the DER as cancelled and notify ODAPC, in accordance with Part 40 procedures. if not, the MRO will report the <br />result to the DER as a refusal to test. If the result is invalid, and an acceptable reason is established, the MRO will <br />report the result to the DER as cancelled and the process will stop, unless a negative test; result is needed <br />(e.g., pre -employment, return -to -duty and follow-up). If an acceptable reason is not established, the MRO will <br />report the result to the DER as cancelled and order an immediate recollection under direct observation. <br />Reports. All drug test results will be reported to the Company 'DER in a confidential and timely manner. <br />Before reporting any results, the MRO will have received a copy of the CCF showing where the employee has <br />signed the form. The time period from collecting the specimen to reporting the verified test result is generally <br />shorter for negatives than for non -negatives. Non -negatives will not be reported to the DER until all information <br />required for the employee interview is received and approved by the MRO. The MRO will transmit the <br />report(s) of verified tests to the Company DER within two days of verification by the MRO. The <br />Company may use a C/TPA as its intermediary in receiving drug test results. If so, those reports will be handled <br />in accordance with Part 40 requirements. If the MRO does not use Copy 2 of the CCF for reporting results, the <br />MRO will maintain a copy of the signed or stamped report in addition to the signed or stamped and dated Copy <br />2. If the MRO uses an electronic data file to report negatives, the MRO will maintain a retrievable copy of that <br />report in a format suitable for inspection and auditing by a DOT representative. <br />9. Split Specimen Testing <br />Split Specimen. When the MRO has verified a result as positive, adulterated, or substituted, the MRO will notify <br />the employee of their right to have the split specimen tested. The employee must notify the MRO within 72 hours of <br />the result being verified in order to have this testing conducted. If the employee requests that the split specimen <br />be tested within the 72-hour period, the MRO will ensure that the split specimen is tested. Testing of the split <br />specimen is only conducted at the request of the employee, and then only after using the MRO as the requesting <br />agent for the employee. The MRO will select the second laboratory. The MRO will immediately provide written notice <br />to the laboratory that tested the primary specimen, directing the laboratory to forward the split specimen to the second <br />HHS-certified laboratory. The MRO will document the date and time of the employee's request. <br />The Company is responsible for making sure that the MRO, first laboratory, and second laboratory perform the <br />functions noted in Part 40 in a timely manner, once the employee has made a timely request for a test of the <br />split specimen (e.g., by establishing appropriate accounts with laboratories for testing split specimens). <br />The Company must not condition compliance with these requirements on the employee's direct payment to the <br />MRO or laboratory or the employee's agreement for reimbursement of the costs of testing. For example, if the <br />Company's asks the employee to pay for some or all of the cost of testing the split specimen, and the employee <br />s unwilling or unable to do so, the Company must ensure that the test takes place in a timely manner, which <br />means that the Company will pay for the split testing. <br />Premium Concrete Services, Inc.- PHMSA DRUG/ALCOHOL PLAN 27 <br />CJ NATIONAL COMPLIANCE MANFlCEMEpn SFRVIGE, I�IC. (pICMS) 2011 (update 2p21). the NCMS plan is <br />the sub;ect of a regis�oretl copyrtyht and Is prolecletl by copyright le,vs in the U S. antl elsewhere. Ail rghis <br />osorvotl. <br />