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Substance Abuse Professionals (SAP) for assessment. The DOT regulated employee is responsible for any incurred costs associated with educational and rehabilitation programs or SAP assessments. N. Specimen validity testing will be conducted on all urine specimens for testing under DOT authority. Specimen validity testing is the evaluation of the specimen to determine if it is consistent with normal human urine. The purpose of validity testing is to determine whether certain adulterants of foreign substances were added to the urine, if the urine was diluted or if the specimen was substituted. O. If a covered employee provides a negative dilute test result they will be required to undergo a second test. If the second test is negative dilute it will be considered negative and no further testing is required. P. Any covered employee who questions the results for a required drug test may request that the split sample be tested. The split sample test must be conducted at a second HHS -certified laboratory. The test must be conducted on the split sample that was provided by the employee at the same time as the primary sample. The method of collecting, storing and testing the split sample will be consistent with the procedures set forth in 49 CPR Part 40, as amended. The employee's request for a split sample test must be made to the Medical Review Officer (MRO) within 72 hours of notice of the original sample verified test result. Requests after 72 hours will only accepted at the discretion of the MRO if the delay was due to documentable facts that were beyond the control of the employee. The employee will pay for the cost of split sample testing but the County may pay the vendor and seek reimbursement to avoid a delay in sample processing. Q. Refusal to submit to a drug/alcohol test shall be considered a positive test result and a direct act of insubordination and shall be subject to disciplinary action up to and including dismissal and referral to SAP. A test refusal includes the following circumstances: 1. A covered employee who leaves the scene of an accident without a legitimate explanation prior to submission to drug/alcohol tests. 2. A covered employee who provides an insufficient volume of urine specimen or breath sample without a valid medical explanation. The medical evaluation shall take place within 5 days of the initial test attempt. 3. A covered employee whose urine sample has been verified by the MRO as substitute or adulterated. 4. A covered employee fails to appear for any test within a reasonable time, as determined by the employer, after being directed to do so by the employer. 5. A covered employee fails to remain at the testing site until the testing process is complete. 6. A covered employee fails to provide a urine specimen for any drug test required by Part 40 or DOT agency regulations. 7. A covered employee fails to permit the observation or monitoring of a specimen collection. 8. A covered employee fails or declines to take a second test the employer or collector has directed you to take. 9. A covered employee fails to undergo a medical examination or evaluation, as directed by the MRO as part of the verification process, or as directed by the employer as part of the "shy bladder" or "shy lung" procedures. 10. A covered employee fails to cooperate with any part of the testing process (e.g, refuse to empty pockets when so directed by the collector; behave in a confrontational way that disrupts the collection process). 11. Failure to sign Step 2 of the Alcohol Testing form. 12. Failure to follow the observer's interactions during an observed collection including interactions to mise your clothing above the waist, lower clothing and underpants, and to turn around to permit the 16 Attachment number 1 \n F-5 Page 71