EXHIBIT G-1 OPERATIONAL CHECKLIST  


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  • ARIZONA DEPARTMENT OF PUBLIC SAFETY

    STANDARD OPERATIONAL PROCEDURE INTOXILYZER MODEL 8000

    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”. (      )  2.     Push Start Test button.

    (     )  3.     Follow automated instructions on instrument display.

    (     )  4.     If test record reads “Successfully Completed Test Sequence” go to step 5

    OR

    If test record reads “Not a Successfully Completed Test Sequence”, and subject will be tested again, remove test record and go to step 1

    OR

    If test record reads “Not a Successfully Completed Test Sequence”, and subject will not be tested again, go to step 5

    (     )  5.     Remove test record.

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

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

Historical Note

New Exhibit G-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