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Arizona Administrative Code (Last Updated: November 17, 2016) |
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Title 13. PUBLIC SAFETY |
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Chapter 10. DEPARTMENT OF PUBLIC SAFETY ALCOHOL TESTING |
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Article 1. DETERMINATION OF ALCOHOL CONCENTRATION |
EXHIBIT E-4
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THIS REPORT PREPARED PURSUANT TO DUTY IMPOSED BY A.A.C. R13-10-104(A) ARIZONA DEPARTMENT OF PUBLIC SAFETY
STANDARD QUALITY ASSURANCE PROCEDURES INTOXILYZER MODEL 5000*
STANDARD QUALITY ASSURANCE PROCEDURE
QA SPECIALIST AGENCY
DATE TIME
INTOXILYZER SERIAL # LOCATION
( ) 1. Display reads “READY TO START” or “PUSH BUTTON TO START TEST.”
DIAGNOSTIC TESTS
( ) 1. DVM Test check. Setting should be between .010 and .600. Mode selection switch S2 on, S1 and S3 off or keyboard menu selection “H”. Reading is .
( ) 2. Display Test check. Mode selection switch S1 on and S2 and S3 off or keyboard menu selection “V”. ( ) 3. Printer Test check. Mode selection switch S1, S2, S3 off or keyboard menu selection “P”.
( ) 4. Clock time check. Mode selection switch S10 on or keyboard menu selection “E”. ( ) 5. Date check. Mode selection switch S11 on or keyboard menu selection “E”.
OPERATIONAL TESTS
( ) 1. Alcohol-free subject Test result 0. AC ( ) 2. Error recognition logic system functioning
Invalid test printed
( ) 3. Proper sample recognition system Invalid sample printed
Deficient sample printed
( ) 4. Standard Calibration Check standard 0. AC Results: 0. AC
Instrument operating accurately and properly. YES NO
COMMENTS
SIGNATURE
* WITH OR WITHOUT VAPOR RECIRCULATION AND WITH OR WITHOUT KEYBOARD