CERTIFICATION by CUSTODIAN of RECORDS ^J'^

[Pages:13]CERTIFICATION by CUSTODIAN of RECORDS ^J'^

? Tucson Police Department Crime Laboratory

I hereby certify that these documents are a true and correct copy of the

periodic maintenance* for the Intoxilyzer 8000 Serial Number

g a - O0a3y5

maintained by the Tucson Police Department

Crime Laboratory pursuant to the requirements of the Arizona Department

of Public Safety for a quality assurance program.

A quality assurance specialist (QAS) tested the instrument on the following dates. The acceptable accuracy limits, as defined in A.A.C. R13-10-104.A.2, for a 0.100AC solution are 0.090AC to 0.11OAC.

Date:

!

q

L6 /

g_____LCalj

0,)

p)

AC

Cal

2

0.10 1 AC

Between the dates of it 8' and / aF the instrument was opera ing properly and accurately.

The instrument was taken out of service for repair on The instrument was returned to service on

_5ea^A^Aa1L,hi_0)bO

Sarah L. Cione

ADPS QAS Permit # 33355

SUBSCRIBED AND SWORN to before me this /5 , day of

20O .

OFFICIAL SE AL

KATHY A. KINNEY NOTARZY PUBLIC-ARIZO NA

;1 PIMA COUNTY My Comm. Exp. Sept. 4 , 2008

Notary Public

*Includes documents specified in A.A.C. R13-10-104.A.5

Pursuant to section 28-1327, Arizona Revised Statutes , this document is a certified duplicate of the information contained in computer storage devices of the Tucson Police Department.

EXHIBIT G-4

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 j% rAh C, One.

AGENCY Tucson Police Department

DATE __ y1O8 T

o INTOXILYZER SERIAL # t - 0003 '/5

TIME 9:Lj

LOCATION Q

y

( 3 ) 1. Display reads "PUSH BUTTON TO START"

DIAGNOSTIC TESTS

( ^) 1. Clock time check. 2. Date check.

OPERATIONAL TESTS

( 3 ) 1. Alcohol-free subject test result 0. 0 00 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. (V ) 4. Standard Calibration Check standard 0.10& AC

Result: 0. X01 AC

Instrument is operating properly and accurately. YES 3 NO

COMMENTS

SIGNATURE

DPS Form Exh G-4 (Rev. 05-01) Pursuant to section 28-1327, Arizona Revised Statutes , this document is a certified duplicate of the information contained in computer storage devices of the Tucson Police Department.

INTOXILYZER 8000 Location: TUCSON POLICE DEPT Serial Number : 80-002345 02/14/2008

09:51 :36

Standard Lot#: 7254021 Last Changed By: J. MORGAN III #42130

QAS: S. CIONE #50616 TUCSON PD

Operator: S. CIONE #50616 TUCSON PD

Subject: SQAP,TEST

DOB: 11/11/1111

Sex: F

Weight: 111

15 Minute Deprivation Period? Yes

Test Air Blank Diagnostic Test Air Blank 0.100 Cal Check Air Blank Subject Test Air Blank Five Minute Wait Air Blank

g/210L 0.000 Pass 0.000 0.101 0.000 0.000 0.000 ABT* 0.000

*Sequence Aborted

Time 09:52:29 09:52:57 09:53:24 09:53:43 09:54:12 09:54:31 09:54:59

09:55:44

Not a Successfully Completed Test Sequence

Pursuant to section 29-13Z7. Arizona Revised Statutzs, this dc: cent is a cRttiiCd dunti:at - of the info oration contained in eotnvuicr storage devices o f the Tu:son Poiiee Deparanent.

INTOXILYZER 8000 Location: TUCSON POLICE DEPT Serial Number : 80-002345 02/14/2008

09:57:17

Standard Lot#: 7254021 Last Changed By: J. MORGAN III #42130

QAS: S. CIONE #50616 TUCSON PD

Operator: S. CIONE #50616 TUCSON PD

Subject: SQAP,TEST

DOB: 11/11/1111

Sex: F

Weight: 111

15 Minute Deprivation Period? Yes

Test g/210L Time Air Blank RFI* 09:58:14 Air Blank IPS** 09:58:22

*RFI Detect **Improper Sample

Not a Successfully Completed Test Sequence

Pursuant to section 29-1327. Arizona Revised Statu*--s, this deco eat is a oerti%ied duplicate of the information contained in eotno= storage. a--vices of the Tucson Police DcnarBnrnt.

INTOXILYZER 8000 Location: TUCSON POLICE DEPT Serial Number : 80-002345 02/14/2008

10:00:45

Standard Lot#: 7254021 Last Changed By: J. MORGAN III

#42130

QAS: S. CIONE TUCSON PD

. Y crater: CIC^:^ TUCSON PD

#50616 ;^5nti16

Subject: SQAP,TEST DOB: 1 1 /1 1 /1 1 1 1 Sex: F Weight:

111

15 Minute Deprivation Period? Yes

Test Air Blank Diagnostic Test Air Blank 0.100 Cal Check

Air Blank

SubJ ject Test

Air Blank

g/ 21 0L 0.000 Pass 0.000 0.101

0.000

RG *

0.000

*Range Exceeded

Time 10:01:36 10:02:03 10:02:31 10:02:50

10:03:19 1 0 03 ' 53 10:04:29

Not a Successfully Completed Test Sequence

Pursuant to s:ctian 2.12_7. Arizona Revised St-":--s, Inis coc:::n^:; is a certified duohcac of the information contained in comuscr storage. drviars of the Tucson Police Dcparnnem.

INTOXILYZER 8000 Location: TUCSON POLICE DEPT Serial Number : 80-002345 02/14/2008

10:04:46

Standard Lot#: 7254021 Last Changed By: J. MORGAN III

#42130

QAS: S. CIONE TUCSON PD

#50616

Operator: S. CIONE TUCSON PD

#50616

Subject: SQAP,TEST

DOB: 11/11/1111

Sex: F

Weight: 111

15 Minute Deprivation Period? Yes

5o^gsc

Test Air Blank Diagnostic Test Air Blank 0.100 Cal Check Air Blank Subject Test Air Blank Air Blank Subject Test Air Blank

g/210L 0.000 Pass 0.000 0.101 0.000 0.028* 0.000 0.000 XXX** 0.000

Time

10:06:01 10:06:28 10:06:56 10:07:15 10:07:44 10:10:53 10:11 :23 10:11 :51 10:12:11 10:12:44

*Deficient Sample **Invalid Sample

Begin new deprivation period

Not a Successfully Completed Test Sequence

Pursuant to section 2R-i327. Arizona Rcviscd Sru^s, L is docu ^cn; is a cettiiteti duniicate of the information contained in oomouter storage. devices of the Tucson Police Deparanrnt.

INTOXILYZER 8000 Location: TUCSON POLICE DEPT Serial Number: 80-002345 02/14/2008

10:14:18

Standard Lot#: 7254021 Last Changed By: U. MORGAN lil #42130

QAS: S. CIONE #50616 TUCSON PD

Test

Air Blank Cal Check Air Blank

g/210L

0.000 0.101 0.000

Time

10:14:45 10:15:04 10:15:34

2ai^fi C>'oni

Operator ' s Signature

Pursuant to s:.ction 29-1317. Arizona Revised Statnxs, this deco pent is a certuied duplicate of the information contained in coII out i storage . davices of the Tucson Police Department.

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 CALIBRATION CHECK PROCEDURE

6 QA Specialist 540g) pf1,

DATE a,/J

Intoxilyzer Serial # 80-0^^ __

AGENCY Tucson Police Department TIME

Location

(t/ ) I. Ensure that gas tank is attached to instrument and contains a

standard alcohol concentration solution 0. __

A.C.

OR

Pour a standard alcohol concentration solution AC,

into a clean dry simulator and assemble the simulator. Ensure

that a tight seal has been made. Turn on the simulator and

allow temperature to reach 34?C + 0.2?C

V1 ) 2. Intoxilyzer 8000 display reads "PUSH BUTTON TO START"

( ^f ) 3. Go to the "Control Testing Menu". Select "D" for dry control test or "W" for wet control test. After selection is made press ENTER.

V/ 4. Air blank completed.

( 3 ) 5. Calibration check completed. Test results 0.j0 AC.

(3

6. Air blank completed.

( v/) 7. Remove printed record. Attach the record to the completed checklist.

-SmaA SIGNATURE

'

DPS Form Exh G-2 (Rev. 05-01)

Pursuant to section 28-1327, Arizona Revised Statutes, this document is a certified duplicate of the information contained in computer storage devices of the Tucson Police Department.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download