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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 />VIII. APPENDIX A 36 <br />Acknowledgement/Receipt Form <br />1X. APPENDIX E <br />Designated Personnel and Service Agents 39 <br />X. APPENDIX C 40 <br />Covered Positions <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 />l= NATIONAL f.Oli,P1.lANGE MANAGEMENT SERVICE. 111C. 1NCMI512e11 (uptl�lc 10211 The NCMS plrin Is <br />the sublet of n reyislereJ copyrlyhl and Is VrolecteJ by copyrlghl I�is in the U.S. antl elsewhere All rights <br />eserved <br />