preliminary alcohol screening (pas}...

STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

PRELIMINARY ALCOHOL SCREENING (PAS} DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev. 8-08) OP! 051

AREANAME AREA NO. COORDINATOR NAME LO.NUMBER PAS MAKE/MODEL

S&/ PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV D ~ ~ 7t/ PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e.g~ with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.

Destroy Previous Editions Chp202K.:.;L~~-8.pdf

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PRELIMINARY ALCOHOL SCREENING (PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev. 8-08) OP! 051

AREANAME AREA NO. COORDINATOR NAME LD.NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 OSIJ J PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

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Iffue reading is wi1hin plus or minus(±) 0.010 percent of the actual value offue alcohol solution, no calibration is required (e.g., wi1h a 0.100 percent solution, an acceptable range is 0.090 to 0.110). If using dry gas for accuracy checks, note 1he canister serial number in 1he lot no. column. If needed, calibration shall be performed wifu a wet bafu simulator.

Destroy Previous Editions Chp202K_ 1108.pdf


PRELIMINARY ALCOHOL SCREENING {PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev. 8-08) OPI 051

AREANAME AREA NO. COORDINATOR NAME LO.NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 lntoximeters Inc./ Alco-Sensor IV / "8 7fffi.5 PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110)_ * * If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.




AREANAME AREA NO. COORDINATOR NAME LO. NUMBER PAS MAKE/MODEL

. -·-_, -·----

PAS SERIAL NO_

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV

PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST. ,_

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Prepared by:

Douglas C Talbot

06-27-14

Expires on:

06-27-16

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the al<:0hol solution., no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no_ column. If needed, calibration shall be performed with a wet bath simulator.


- ----------~--------------------------

STATE OF CALIFORNIA DEPARTMENT OF CALIFORNJA HIGHWAY PATROL

PRELIMINARY ALCOHOL SCREENING (PAS) DEVICE ACCURACY CHECK/CAUBRA TION LOG CHP 202K (Rev. 8-08) OP! 051

AREA NAME AREA NO. COORDINATOR NAME LO.NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 'tJ ';)h£lf

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PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no cahoration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. colmnn. If needed, calibration shall be performed with a wet bath simulator.

Destroy Previous Editions - Chp202K_ 1108.pdf

-------------~-------------------------

STATE OF CALIFORNlA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

PRELIMINARY ALCOHOL SCREENING {PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev_ 8-08) OPI 051

AREANAME AREA NO. COORDINATOR NAME LO. NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Im:./ Alco-Sensor IV f!)Of!:;5SC/ PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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Cl307252

Prepared by:

Douglas C Talbot

06-27-14

Expires on:

06-27-16

* If the reading is withinpius or minus(±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e_g_, with a 0_100 percent solution, an acceptable range is 0_090 to 0_110)_ ** If using dry gas for accuracy checks, no~ the canister serial number in the lot no_ column. If needed, calibration shall be performed with a wet bath simulator_


ST ATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

PRELIMINARY ALCOHOL SCREENING (PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev. 8-08) OPI 051


South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters IncJAlco-SensorIV 00'&.Sfba PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C Talbot

06-27-14

Expires on:

06-27-16

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* Ift.he reading is within plus or minus(±) 0.010 percent oft.he actual value of 1.he alcohol solution, no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note 1.he canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.


STATE OF CALIFORNIA DEPARTMENT OF CAUFORNIA HIGHWAY PATROL

PRELIMINARY ALCOHOL SCREENING (PAS} DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev. 8-08) OPl 051

AREANAME AREA NO. COORDINATOR NAME LO.NUMBER PAS MAKE/MODEL

4fo'7 PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Ind Alco-Sensor IV t2:t3 03 "}_; PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16 C,! 1-:j ) :::

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* If the reading is within plus or minus (±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, cahbration shall be performed with a wet bath simulator.

Destroy Previous Editions Chp202K_1108.pdf



AREANAME AREA NO_ COORDINATOR NAME LD_NUMBER PAS MAKEIMODEL

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Ind Alco-Sensor IV

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PAS SERIAL NO_


CB07252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

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* If the reading is within plus or minus (±) 0.010 percent of the actual value of the alcohol solution, no calibration is required ( e.g_, with a 0_ 100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.

Destroy Previous Editions Chp202K_1108_pdf


PRELIMINARY ALCOHOL SCREENING {PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K {Rev. 8-08) OP! 051


South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0'6::2._ '76? PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). * * If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.


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AREA NAME AREA NO. COORDINATOR NAME LD. NUMBER PAS MAKE/MODEL

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV PAS SERIAL NO.

0776DS PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C Talbot

06-27-14

Expires on:

06-27-16 ::! '-::I ., .-Vi

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.



PRELIMINARY ALCOHOL SCREENING (PAS} DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K {Rev. 8-08) OPI 051

AREANAME AREA NO. COORDINATOR NAME l.D. NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV V '] PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e-g., with a 0.100 percent solution, an acceptable range is 0.090 to 0_110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.


STATE OF CALIFORNIA DEPARTMENT OF CAUFORNJA HIGHWAY PATROL



South Los Angeles 53D Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV O t.Q~ ft:;O PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no cahoration is required (e.g., with a 0.100 percent solution, au acceptable rauge is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.


·--- c-·--~---~---·--~··--------------------------------------------

STATE OF CAUFORNlA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

PRELIMINARY ALCOHOL SCREENING (PAS) DEVICE ACCURACY CHECK/CALIBRA TJON LOG CHP 202K (Rev. 8-08) OPl 051

AREA NAME AREA NO. COORDINATOR NAME LO_ NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV O PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

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* If the reading is within plus mminus (±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.




AREANAME AREANQ_ COORDINATOR NAME LO.NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV O PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

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South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc) Alco-Sensor IV D ~ 6 e 6 PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

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South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 00<07"03 PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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Douglas c_ Talbot

06-27-14

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DestroyPrevious Editions Chp202K_ 1108.pdf

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AREANAME AREA NO_ COORDINATOR NAME LO_ NUMBER PAS MAKE/MODEL PAS SERIAL NO_

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters IndAlco-SensorIV o~ G 7 PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

C1307252

Prepared by:

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06-27-14

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South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 r;J fQ fJ)V PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

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Douglas C. Talbot

06-27-14

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06-27-16

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AREANAME AREA NO. COORDINATOR NAME LO. NUMBER PAS MAKEJMODEL


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06-27-14

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PRELIMINARY ALCOHOL SCREENING (PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev. 8-08) OPl 051

AREANAME AREA NO. COORDINATOR NAME LO. NUMBER PAS MAKEJMODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV () 0 f; b3 PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no cah"bration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.


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AREA NAME AREA NO. COORDINATOR NAME LO. NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 0 ~ t; PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

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Destroy Previous Editions ,, Chp202K_ 1108.pdf



AREANAME AREA NO. COORDINATOR NAME l.D. NUMBER PAS MAKE/MODEL


PAS SERIAL NO.


Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16 '::;;1

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STATE OF CAUFORNIA DEFARTMENT OF CALIFORNIA HIGHWAY PATROL

PREUMINARY ALCOHOL SCREENING {PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev. 8-08) OPI 051

AREA NAME AREA NO. COORDINATOR NAME LD. NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 0 'llB l/ '5 PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16 .~·. ~l

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Destroy Previous Editions Chp2021~_1108.pdf

STATE OF CAUFORNlA DEPARTMENT OFCALIFORNlA HIGHWAY PATROL


AREANAME AREA NO_ COORDINATOR NAME LD. NUMBER PAS MAKE/MODEL PAS SERIAL NO_

South Los Angeles 530 OfficerKirkLee 17046 Intoximetersinc./Alco-SensorIV 07759 / PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST .

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12/19/2014 0~0 ~tj 14F27-09-5-10 .100 jq , /();). Lee 17046 . Cl307252

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06-27-14

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* If the reading is within plus ormillus (±) 0.010 percent of the actual value of the alcohol soluti-0n,no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0_110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.




AREANAME AREA NO. COORDINATOR NAME 1.D_ NUMBER PAS MAKEIMODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoxirneters Inc./ Alco-Sensor IV 0 0 ~ 1850 PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16 ~~} ,--

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STATE OF CAUFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL



South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 77~ PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Cl307252

Prepared by:

Douglas C Talbot

06-27-14

Expires on:

06-27-16

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* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e.g., with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, cahoration shall be performed with a wet bath simulator.

Destroy Previous Editions . Chp202K_1108.pdf



AREANAME AREA NO. COORDINATOR NAME 1.D. NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 63 tb PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

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STATE OF CALIFORNIA DEPARTMENT OF CALIFCRNIA HIGHWAY PATROL


AREANAME AREA NO. COORDINATOR NAME LD. NUMBER PAS MAKE/MODEL

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV PAS SERIAL NO.


12/19/2014 14F27-09-5-10 .100 Lee 17046

Cl307252

Prepared by:

Douglas C. Talbot

06-27-14

Expires on:

06-27-16

* If the reading is within plus or minus(±) 0.010 percent of the actual value of the alcohol solution, no calibration is required (e.g", with a 0.100 percent solution, an acceptable range is 0.090 to 0.110). ** If using dry gas for accuracy checks, note the canister serial number in the lot no. column. If needed, calibration shall be performed with a wet bath simulator.




AREANAME AREA NO. COORDINATOR NAME LO.NUMBER PAS MAKEIMODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters IncJ Alco-Sensor IV 0 J 6.b;? ·

12/19/2014 I Cl307252

Prepared by:

Douglas C Talbot

06-27-14

Expires on:

06-27-16

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Destroy Previous Editions . Chp202K_ 1108.pdf

- -------------~-------------------------



AREANAME AREA NO. COORDINATOR NAME LD. NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 / PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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Prepared by:

Douglas C. Talbot

06-27-14

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PRELIMINARY ALCOHOL SCREENING (PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev_ 8-08) OP! 051


South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Ind Alco-Sensor IV 0 77 l/f!/B PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Prepared by:

Douglas C Talbot

06-27-14

Expires on:

06-27-16

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AREANAME AREA NO. COORDINATOR NAME l.D. NUMBER PAS MAKEIMODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Ind Alco-Sensor IV 0000 7? PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY '150 TESTS, WHICHEVER OCCURS FIRST.

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PRELIMINARY ALCOHOL SCREENING (PAS) DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev_ 8-08) OPI 051

AREANAME AREA NO. COORDINATOR NAME LO. NUMBER PAS MAKE/MODEL

South Los Angeles 530 Officer Kirk Lee 17046 Into:ximeters Inc.I Alco-Sensor IV PAS SERIAL NO.


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South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Ind Alco-Sensor IV 0 '<oW.~


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AREA NAME AREA NO. COORDINATOR NAME LO_ NUMBER PAS MAKE/MODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 J '&f:::f7b PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 ~030 PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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AREANAME AREA NO. COORDINATOR NAME LO. NUMBER PAS MAKEIMODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV (,::/1;;..., PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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STATE OF CAUFORNlA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL



South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV O / ~ PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV tf) I e k:l9} PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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Expires on:

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Destroy Previous Editions . Chp202K_ 1108.pdf

-------------------------~-~~---------------~--~-----~-------

STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HJGHWAY PATROL

PRELIMINARY ALCOHOL SCREENING (PAS} DEVICE ACCURACY CHECK/CALIBRATION LOG CHP 202K (Rev. 8-08) OP1 051

AREANAME AREA NO. COORDlNATOR NAME LO.NUMBER PAS MAKEJMODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV 0 J ?C/C/fl PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

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C1307252

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STATE OF CALIFORNIA DEPARTMENT OF CALlFORNIA HIGHWAY PATROL

PRELIMINARY ALCOHOL SCREENING (PAS} DEVICE ACCURACY CHECK/CAUBRATION LOG CHP 202K (Rev. 8-08) OPI 051

AREA NAME AREA NO. COORDINATOR NAME LD. NUMBER PAS MAKE/MODEL PAS SERlAL NO.

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South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Inc./ Alco-Sensor IV ot//ttqs PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 1150 TESTS, WHICHEVER OCCURS FIRST.

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AREANAME AREA NO. COORDINATOR NAME l.D. NUMBER PAS MAKE/MODEL

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters IncJAlco-Sensor IV PAS SERIAL NO.

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Cl307252

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Destroy Previous Editions Chp202K_ 11 OS_pdf

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PRELIMINARY ALCOHOL SCREENING (PAS) DEVICE ACCURACY CHECKICALIBRATION LOG CHP 202K (Rev. 8-08) OPI 051 +r-s3 AREA NAME AREA NO. COORDINATOR NAME LO. NUMBER PAS MAKEIMODEL PAS SERIAL NO.

South Los Angeles 530 Officer Kirk Lee 17046 Intoximeters Ind Alco-Sensor IV 00;;2b.S -PAS DEVICES SHALL BE CHECKED FOR ACCURACY EVERY 10 DAYS OR EVERY 150 TESTS, WHICHEVER OCCURS FIRST.

Prepared by:

Douglas C Talbot

06-27-14

Expires on:

06-27-16

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