EXHIBIT E-6 OPERATIONAL CHECKLIST  


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  • ARIZONA DEPARTMENT OF PUBLIC SAFETY STANDARD OPERATIONAL PROCEDURE

    INTOXILYZER MODEL 5000 - WITHOUT VAPOR RECIRCULATION

    AND WITHOUT KEYBOARD DUPLICATE BREATH TEST

    SUBJECT NAME                                                                                                          DATE                                                                             

    AGENCY                                                                                         OPERATOR                                                                                                 

    INSTRUMENT SERIAL #                                                   LOCATION                                                                                         

    TIME OF TEST                                                          

    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 “READY TO START” or “PUSH BUTTON TO START TEST”. Breath tube is warm to touch. (      )        2.  Press Start Test button.

    (     )         3.  If display reads “INSERT CARD”, do so. ( )      4.   Air blank completed.

    (     )         5.  Insert mouthpiece into breath tube. Have subject blow as long as possible. Record results above. (      )         6.  Air blank completed.

    (     )         7.  a. If display reads “WAIT”, go to step 8.

    OR

    b.  If display reads “TEST COMPLETE”, go to step 9. (      )         8.  Repeat steps 1 through 7.

    (     )        9.  When display reads “TEST COMPLETE”, remove test record card. If duplicate tests have not been obtained between 5 and 10 minutes apart with a .020 AC agreement, repeat steps 1 through 7.

    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-6 (Rev 05-1)

Historical Note

New Exhibit E-6 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