THIS REPORT PREPARED PURSUANT TO DUTY IMPOSED BY A.A.C. R13-10-104(A)
ARIZONA DEPARTMENT OF PUBLIC SAFETY
STANDARD QUALITY ASSURANCE PROCEDURES ALCO SENSOR RBT AZ
STANDARD QUALITY ASSURANCE PROCEDURE
AGENCY ________________________________________DATE ______________
QA SPECIALIST _______________________LOCATION______________________
RBT AZ SERIAL # __________________ALCO-SENSOR AZ SERIAL # _____________
( ) 1. Have a standard alcohol concentration solution ready.
This may be a simulator (at 34° C ± 0.2° C) or a dry gas alcohol standard. Standard value: 0._____________AC.
( ) 2. Depress RBT AZ ON button.
Depress Time button.
Enter PIN #.
Depress zero button.
( ) 3. Follow RBT AZ and AS AZ display instructions.
( ) 4. Device temperature registers between 10° C and 40° C.
( ) 5. When AS AZ display reads "CHEK", introduce standard for 7 seconds; depress the MANUAL button on the
AS AZ at 5 seconds (while continuing to introduce the standard for another 2 seconds.)
( ) 6. Test results 0. AC.
( ) 7. Remove test record when printout is complete.
( ) 8. Turn off RBT AZ.
( ) 1. Date and time correct.
( ) 2. Alcohol-free subject test result 0.______________ AC.
( ) 3. Proper sample recognition system.
( ) 4. Fuel cell response time for a standard solution.
Standard value: AC. Time sec.
( ) 5. Controls, displays, and printer worked correctly during the above quality assurance procedures.
COMMENTS _____________________________________________________________________
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SIGNATURE ____________________________________________________________________
DPS Form Exh H-3 (Rev 05-01)
Ariz. Admin. Code tit. 13, ch. 10, art. 1, exh. H-3