Exhibit I-2 "Periodic Maintenance and Standard Quality Assurance Procedure" - Arizona

What Is Exhibit I-2?

This is a legal form that was released by the Arizona Department of Public Safety - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2019;
  • The latest edition provided by the Arizona Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Exhibit I-2 by clicking the link below or browse more documents and templates provided by the Arizona Department of Public Safety.

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Download Exhibit I-2 "Periodic Maintenance and Standard Quality Assurance Procedure" - Arizona

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EXHIBIT I-2
THIS REPORT PREPARED PURSUANT TO DUTY IMPOSED BY A.A.C. R13-10-104 (A)
ARIZONA DEPARTMENT OF PUBLIC SAFETY
INTOXILYZER MODEL 9000
PERIODIC MAINTENTANCE AND STANDARD QUALITY ASSURANCE PROCEDURE
QA SPECIALIST
AGENCY
DATE
TIME
INTOXILYZER SERIAL #
 1. Ensure that gas tank is attached and contains a standard alcohol concentration
AC
DIAGNOSTIC TESTS
 1. Clock time check
 2. Date check
OPERATIONAL TESTS
 1. Deficient Subject Test (Proper Sample Recognition)
Deficient Sample printed
 2. Alcohol-free Subject Test (Proper Sample Recognition):
0.
AC
 3. Mouth Alcohol Subject Test (Proper Sample Recognition) :
Invalid Sample – Begin new deprivation period printed
 4. Radio Frequency Interference Test (Error Recognition) :
RFI Detect printed
 5. Standard Calibration Check:
0.
AC
 6. Air Blanks Completed
 7. Timer Reset
Not a Successfully Completed Test Sequence will be printed
Instrument is operating properly and accurately.
YES
NO
COMMENTS:
SIGNATURE
DPS Form Exh I-2 (Rev 19-03)
EXHIBIT I-2
THIS REPORT PREPARED PURSUANT TO DUTY IMPOSED BY A.A.C. R13-10-104 (A)
ARIZONA DEPARTMENT OF PUBLIC SAFETY
INTOXILYZER MODEL 9000
PERIODIC MAINTENTANCE AND STANDARD QUALITY ASSURANCE PROCEDURE
QA SPECIALIST
AGENCY
DATE
TIME
INTOXILYZER SERIAL #
 1. Ensure that gas tank is attached and contains a standard alcohol concentration
AC
DIAGNOSTIC TESTS
 1. Clock time check
 2. Date check
OPERATIONAL TESTS
 1. Deficient Subject Test (Proper Sample Recognition)
Deficient Sample printed
 2. Alcohol-free Subject Test (Proper Sample Recognition):
0.
AC
 3. Mouth Alcohol Subject Test (Proper Sample Recognition) :
Invalid Sample – Begin new deprivation period printed
 4. Radio Frequency Interference Test (Error Recognition) :
RFI Detect printed
 5. Standard Calibration Check:
0.
AC
 6. Air Blanks Completed
 7. Timer Reset
Not a Successfully Completed Test Sequence will be printed
Instrument is operating properly and accurately.
YES
NO
COMMENTS:
SIGNATURE
DPS Form Exh I-2 (Rev 19-03)