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.
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