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VIII. RELEASE AND REVIEW OF TEST RESULTS A. MEDICAL REVIEW OFFICER (MRO) CSI will engage a Medical Review Officer (MRO), a licensed physician, who will be responsible for receiving an reviewing all confirmed test results from the testing laboratory. The MRO will also be responsible for contacting ad positively tested individuals to inquire about possible prescriptive or over - the - counter medications which could have caused a positive test result. B. REPORTING RESULTS 1. The testing laboratory shall report all drug test results to the MRO within seven (7) working days after receipt of the specimen by the laboratory, and must provide the MRO quantification of the test results upon request. Only specimens which are confirmed as positive on the confirmation test shall be reported positive to an MRO for a specific drug. 2. The MRO shall notify the applicant /employee of a confirmed positive test result within three (3) days of receipt of the test result from the laboratory and inquire whether prescriptive or over - the - counter medications could have caused the positive test result. 3. If the MRO is unable to contact a positively tested donor within three (3) days of receipt of the test results from the laboratory, the MRO shall contact the Company and request that the Company direct the donor to contact the MRO as soon as possible. If the MRO has not been contacted by the donor within two (2) days from the request to the Company, the MRO shall verity the test result as positive. If the donor refuses to talk with the MRO regarding a positive test result, the MRO shall validate the result as positive and annotate such refusal in the remarks section of the report. 4. The donor shall have five (5) days from the date of notification to discuss the positive test result with the MRO and to submit documentation of use of prescription or over- the - counter medication relevant to the positive test result. 5. The MRO shall notify the Company in writing of the verified test result, either negative, positive or unsatisfactory. If the MRO determines that there is a legitimate medical explanation for the positive test result, the MR* shall report a negative test result to the Company. However, should the MRO feel that the legal use of the drug would endanger the donor or others, or if the donor is in a safety sensitive or special risk position at the Company, then the MRO shall report the test negative due to a validated prescription, but shall request that the individual be placed in a position which would not threaten the safety of the donor or others. C. NOTICE TO DONOR OF TEST RESULTS Within five (5) working days after receipt of a confirmed positive test result from the MRO, the Company will inform the donor in writing of such positive test results, the consequences of results, and the options available to the donor, including the right to file an administrative or legal challenge. Upon request, a copy of the test results shall be provided to the donor. IX. CHALLENGES TO TEST RESULTS A. INTRA- COMPANY CHALLENGE 1. The donor has within five (5) working days, after receiving notice of a confirmed positive test result, to submit information to the Company explaining or contesting the test result(s). 2. If the donor's explanation or challenge of a positive test result is deemed unsatisfactory by the Company, the Company shall within fifteen (15) days of receipt of the donor's explanation or challenge, provide the donor with a written explanation as to why his or her explanation is deemed unsatisfactory, along with the report of positive result(s). All such documentation shall be retained by CSI on a confidential basis for at least one (1) year. 0 4