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City or Santa Ana Response to Request for Proposal (RPP) Medical Sen ices Review 1 <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 ev ideridal devices that meet the requirements <br />of CFP. 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 PHYSICAL EXAMINATIONS <br />Pursuant to 49 CFR § 391.41 Department of Transportation Physical Qualifications and Examination or <br />Drivers Motor Carrier Safety Regulations, a DMV medical exam will be administered. A Department of <br />Motor Vehicles Medical Examiners Certificate per 49 CPR 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, OCCI-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 per <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 -For -Duty (PFI)) and Intensive Return -To -Work (IRTW) Programs, <br />focuses on delivering employer -oriented analysis regarding igjured or disabled employees. Occu-Med has <br />been an industry leader in employee health solutions for over 36 years, and, through its IRTW 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 all Injury or medical condition, can continue to <br />perform the essential functions of ajob with or without reasonable accommodation, <br />7TIKcu-Med <br />