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observer to determine if you have any type of prosthetic or other device that could be used to interfere with the collection process. 13. Possess or wear a prosthetic or other device that could be used to interfere with the collection process. 14. Admit to the collector or MRO that you adulterated or substituted the specimen. R. If a DOT regulated employee is directed to submit to a collection under direct observation in accordance with 49 CFR Part 40.67, the policy administrator or supervisor must explain to the employee the reason for a directly observed collection. Circumstances requiring direct observation include: 1. All return to duty tests. 2. A follow-up tests. 3. Anytime the employee is directed to provide another specimen because the temperature on the original specimen was out of the acceptable temperature range. 4. Anytime the employee is directed to provide another specimen because the original specimen appeared to have an attempt to tamper with. 5. Anytime a collector observes materials brought to the collection site or the employee's conduct clearly indicates an attempt to tamper with a specimen. 6. Anytime the employee is directed to provide another specimen because the laboratory reported to the MRO that the original specimen was invalid and the MRO determined that there was not an adequate medical explanation for the results. 7. Anytime the employee is directed to provide another specimen because the MRO determined that the original specimen was positive, adulterated, or substituted, but had to be cancelled because the test of the split specimen could not be performed. S. Cabarrus County will notify North Carolina Division of Motor Vehicles within five business days of the date that a DOT regulated employee tests positive or refuses to participate in a drug or alcohol test required under 49 CFR Part 382 and 655, in accordance with NCGS 20-37.19. 17 AWachmenl number 1 \n F-5 Page 72