I.-The approval of the occupational health service provided for in article D. 4622-48 takes into account the number of occupational health physicians who have received the training mentioned in article R. 4451-85.
II -The regional director of companies, competition, consumption, work and employment, after consulting the occupational health inspector, may decide to derogate from the provisions of articles D. 4622-25 to D. 4622-27 when this is justified by the geographical distribution of workers benefiting from the individual monitoring mentioned in I of article R. 4451-85.