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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-6
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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 OPERATIONAL AND QUALITY ASSURANCE PROCEDURES INTOXILYZER MODEL 8000
DUPLICATE BREATH TEST WITH CONCURRENT QUALITY ASSURANCE PROCEDURES
SUBJECT NAME DATE
AGENCY OPERATOR
INSTRUMENT SERIAL # LOCATION
SUBJECT TESTS DIAGNOSTIC CHECKS CALIBRATION CHECKS
0. AC TIME
PASS FAIL 0. AC
PASS FAIL 0. AC
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
If test record reads “Not a Successfully Completed Test Sequence”, and subject will not be tested again, go to step 5
Note: A successfully completed test sequence includes the following:
- At least a 15-minute deprivation period.
- Successful concurrent diagnostic checks
- Successful Concurrent Calibration Check Procedures bracketing the duplicate breath test
- Duplicate breath test administered at intervals of not less than 5 minutes nor more than 10 minutes apart and the two consecutive tests agreeing within 0.020 alcohol concentration.