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
QA SPECIALIST ________________________________________ AGENCY ____________________
DATE _______________________________________TIME _________________________________
INTOXILYZER SERIAL # ______________________________LOCATION _______________________
( ) 1. Ensure that gas tank is attached to instrument and contains a standard alcohol concentration solution _________AC.
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
( ) 2. Intoxilyzer 8000 display reads "PUSH BUTTON TO START"
( ) 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.
( ) 4. Air blank completed.
( ) 5. Calibration check completed. Test results 0._____________AC.
( ) 6. Air blank completed.
( ) 7. Remove printed record. Attach the record to the completed checklist.
SIGNATURE _________________________________________________________________________
DPS Form Exh G-2 (Rev 05-01)
Ariz. Admin. Code tit. 13, ch. 10, art. 1, exh. G-2