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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 G-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 8000
STANDARD QUALITY ASSURANCE PROCEDURE
QA SPECIALIST AGENCY
DATE TIME
INTOXILYZER SERIAL # LOCATION
( ) 1. Display Reads “PUSH BUTTON TO START”
DIAGNOSTIC TESTS
( ) 1. Clock time check. ( ) 2. Date check.
OPERATIONAL TESTS
( ) 1. Alcohol-free subject test result 0._ AC. ( ) 2. Error recognition logic system functioning.
Not a Successfully Completed Test Sequence printed ( ) 3. Proper sample recognition system.
Not a Successfully Completed Test Sequence printed Deficient sample printed.
( ) 4. Standard Calibration Check standard 0. AC. Result 0. AC.
Instrument is operating properly and accurately. YES
NO
COMMENTS
SIGNATURE
DPS Form Exh G-4 (Rev 05-01)