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City of Santa Ana Response to Request for Updated Scope of Work 1 5/31/18 <br />confirmatory tests using the split -specimen regulations and MRO confirmation. These results are <br />typically available within 48-72 hours, with up to 72 additional hours needed if MRO confirmation is <br />required pursuant to a DOT requirements for a positive finding using GCMS confirmation. When MRO <br />confirmation is required the City will be notified of the delay. <br />Breath Alcohol Collections <br />For BAT confirmation only EBTs on the NHTSA CPL for evidential devices that meet the requirements <br />of CFR Title 49, PART § 40.231 (b) will be used to conduct alcohol confirmation. These results will be <br />immediately available to the City. <br />C. COMERCIAL DRIVER PIiYSICAL EXAMINATIONS <br />Pursuant to 49 CFR § 391.41 Department of Transportation Physical Qualifications and Examination of <br />Drivers Motor Carrier Safety Regulations, a DMV medical exam will be administered. A Department of <br />Motor Vehicles Medical Examiners Certificate per 49 CFR 391.41-49 will be prepared by the examining <br />medical provider and will be given to the employee with a copy emailed by Occu-Med to the City's <br />Human Resources Department. Pursuant to the May 19, 2014 revisions to the Federal Motor Carrier <br />Safety Regulations Occu-Med will ensure all medical providers conducting DOT exams are certified on <br />the National Registry. <br />As required, Occu-Med will also schedule ancillary required commercial driver components including but <br />not limited to: DMV DL 51 Medical Examination Report requirements and Audiometric baseline par <br />CCR Title 8 § 5097 (audiogram an to assess hearing between 500hz-6000hz). Information will be <br />recorded in accordance with CCR Title 8 § 5097. <br />D. FITNESS -FOR -DUTY EXAMS <br />Intensive Return -To -Work Program (IRTW) <br />Occu-Med, through its Fitness -Far -Duty (FFD) and Intensive Return -To -Work (IRTW) Programs, <br />focuses on delivering employer-oricnted analysis regarding injured or disabled employees. Occu-Med has <br />been an industry leader in employee health solutions for over 36 years, and, through its ]RTW division, its <br />medical and legal expertise is concentrated to provide employers with a valuable perspective on <br />evaluating whether or not an employee, as a result of an injury or medical condition, can continue to <br />10 Occu-Med <br />25L-20 <br />