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8022.1 <br />ADDendix 12c <br />•2- <br />d. Notifying the t+nployte 1n the stateAent rtquirtd py paragraph 1 <br />that. as a condition of enployeent under the grant. the <br />eaployee rill: <br />t. abtde Sp the terns of the stateeent; and <br />ii. notify the et~ploytr of any crt~tnai drug statute conrtc- <br />lion fora violation occurring in the rorkplace no later <br />than live days attic such conviction; <br />S. Notifying NUD rithin ten days alter receiving notice under <br />subparagraph d (ii) troy any ea~ployee or otherrist receiving <br />actual notice ot.such conviction; <br />6. Taking one of the fo4loxing actions. rithtn 30 Oays of <br />rtctivinq notice under subparagraph 4 (11), rith respect to any <br />e0ployet rho is s0 eonricted: <br />i. taking appropriate personnel action against sucA an <br />taployee. up to and including tt~ination; or <br />it. rtqutring such eeployee to participate satisfactorily in a <br />drug abuse assistance or rehabilitation prograt approved <br />for such purposes Dy a Federal. State Or local health. lac <br />tntorcement. or other appropriate agency; <br />7. Makin a good faith effort to continue to satntatn a drug•trte <br />rorkp~act through tapleakntatton of paragraphs 1. Z. 3. 4. S <br />and 6. <br />e. The applicant shalt insert in the space provided pelor the sift(s) <br />for the ptrtorounct of cork done in connection ritA the specific <br />grant: <br />Place of Ptrtoroance tStrett address. city county state. sip code) <br />< ~ <br />< ~ <br />< ~ <br />c ~ <br />< ~ <br />12c-5 6/90 <br />