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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 F-4
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THIS REPORT PREPARED UNDER DUTY IMPOSED BY A.A.C. R13-10-104(A) ARIZONA DEPARTMENT OF PUBLIC SAFETY
STANDARD QUALITY ASSURANCE PROCEDURES INTOXILYZER MODEL 5000EN
STANDARD QUALITY ASSURANCE PROCEDURE
QA SPECIALIST AGENCY
DATE TIME
INTOXILYZER SERIAL # LOCATION
( ) 1. Display reads “PUSH BUTTON…”
DIAGNOSTIC TESTS
( ) 1. Display test check. Keyboard menu selection “V.” ( ) 2. Clock time check. Keyboard menu selection “E.” ( ) 3. Date check. Keyboard menu selection “E.”
( ) 4. Barometric sensor check. Keyboard menu selection “G.”
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 test printed. Deficient sample printed.
( ) 4. Standard Calibration Check standard 0. AC. Result 0. AC.
Instrument is operating properly and accurately. Yes
No
COMMENTS
SIGNATURE