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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 <br />Acknowledgement/Receipt Form <br />IX, APPENDIX B <br />Designated Personnel and Service Agents <br />X. APPENDIX C <br />Covered Positions <br />XI, APPENDIX D <br />Company Disciplinary Actions and Additional Procedures <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 <br />XIII. APPENDIX F <br />Post -Accident or Reasonable Cause/Suspicion Supervisor Written Record <br />XIV, APPENDIX G <br />Reasonable Cause/Suspicion Observation Checklist <br />Premium Concrete Services, Inc.-PHMSA DRUG/ALCOHOL PLAN <br />l� NAl'IONAL COMPt.IANCE MANHGEMEN7 SERVICE, IrIC. (NCH15� 2�i t (uptla�e 2021) The NCMS plan is <br />the subJeG ota registered co��yrlght and is protected by wpynght Isris in the U S antl elsevihore Ail rights <br />esarved <br />K7 <br />38 <br />39 <br />40 <br />41 <br />