EXHIBIT E-1 OPERATIONAL CHECKLIST  


Latest version.

All data is extracted from pdf, click here to view the pdf.

  • ARIZONA DEPARTMENT OF PUBLIC SAFETY

    STANDARD OPERATIONAL PROCEDURE INTOXILYZER MODEL 5000

    DUPLICATE BREATH TEST

    SUBJECT NAME                                                                                                          DATE                                                                             

    AGENCY                                                                                         OPERATOR                                                                                                 

    INSTRUMENT SERIAL #                                                   LOCATION                                                                                         

    TEST RESULTS

    0.

                                  AC

    TIME

                                 

     

    0.

                                  AC

    TIME

                                 

     

    0.

                                  AC

    TIME

                                 

    Immediately preceding administration of the tests, subject underwent at least a 15-minute deprivation period:

    From                                        to                                             

    by                                                                                                                      

    (Time)                                     (Time)                                                                                 (Name)

    (     )         1.  Display reads “PUSH BUTTON TO START TEST” or “PRESS START TEST BUTTON TO START NEXT TEST”. Breath

    tube is warm to touch. ( )      2.  Press Start Test button.

    (     )         3.  If display reads “Insert Card”, do so.

    (     )         4.  Input information in response to display. (      )         5.  Air Blank completed.

    (     )         6.  If display reads “IS SIMULATOR SOLUTION TEMPERATURE 34° C ± 0.2° C?”, type Y or N and verify Concurrent Calibration Check completed.

    (     )         7.  Insert mouthpiece into breath tube. Have subject blow as long as possible. Record AC result above. (      )         8.  Air blank completed.

    (     )         9.  a.   If display reads “WAIT”, go to step 11

    OR

    (     )               b.  If display reads “TEST COMPLETE”. Go to step 10.

    OR

    (     )               c.   If display reads “IS SIMULATOR SOLUTION TEMPERATURE 34° C ± 0.2° C?”, type Y or N and verify Concurrent Calibration Check completed. Go to step 10.

    (     )       10.  When test complete, remove printed record. (      )       11.    Repeat steps 1 through 9.

    Note: Duplicate breath tests shall be administered at intervals of not less than 5 nor more than 10 minutes apart and the two consecutive tests shall agree within 0.020 alcohol concentration.

    DPS Form Exh E-1 (Rev 05-1)

Historical Note

New Exhibit E-1 made by final rulemaking at 12 A.A.R. 1916, effective 9:00 a.m., May 18, 2006 (Supp. 06-2).

Department of Public Safety - Alcohol Testing