Ariz. Admin. Code § tit. 13, ch. 10, art. 1, exh. G-1
OPERATIONAL CHECKLIST
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)
Ariz. Admin. Code tit. 13, ch. 10, art. 1, exh. G-1