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VI. ALCOHOL MISUSE PREVENTION PROGRAM 28 <br />1. DOT- Required Alcohol Tests 28 <br />2. Alcohol Test 30 <br />3. PHMSA Inspection Protocol for Alcohol Testing Sites 31 <br />VII. PROGRAM ELEMENTS COMMON TO DRUG AND ALCOHOL 33 <br />1. Substance Abuse Professional 33 <br />2. Employee Assistance Program 34 <br />3. Supervisor Training 34 <br />4. Contractor Monitoring 35 <br />5. Recordkeeping 35 <br />6. Management Information System 37 <br />Acknowledgement/Receipt Form 38 <br />IX. APPENDIX B <br />Designated Personnel and Service Agents 39 <br />X. APPENDIX C <br />Covered Positions 40 <br />XI. APPENDIX D <br />Company Disciplinary Actions and Additional Procedures 41 <br />XII. APPENDIX E <br />PHMSA Anti -Drug and Alcohol Misuse Prevention Program Inspection Protocol Form, <br />Substance Abuse Program Comprehensive Audit and Inspection Protocol Form Specimen <br />Collection Sites, Alcohol Testing Sites and Changes to Model Plan 43 <br />XIII. APPENDIX F <br />Post -Accident or Reasonable Cause/Suspicion Supervisor Written Record 56 <br />XIV, APPENDIX G <br />Reasonable Cause/Suspicion Observation Checklist 57 <br />Premium Concrete Services, Inc.- PHMSA DRUG/ALCOHOL PLAN <br />lJ NATIONAL COMPLIANCE MANAGEMENT SEftVIGE, INC. (NCMS) 2011 (updato 2021( Tl�e NCMS plan Is 3 <br />the suOJact of e regsiered copYd9ht and I� pmtectetl by copy�ghl laws in the U.S antl elsavrYare All rights <br />eserved <br />