DataMaster DMT Monthly Update Check-list
Department/Agency: /1ai4cJ1 rrter fJ> · OM serial #: 1001ts-
Supervisor: °]) 5/~6/P . Date: ·011 08 I J'f~
Provided None this month ''
Operators Logbook @' D Maintenance Logbook cef' D Breath Test History Report [Zf D Status History Report [i2( D
·Log On History Report 0 D Calibration Report D [2f
Certification Report D B Installation Report D 8 '
Annual Preventative Maintenance D @
Routine Pelformance Check D G:J· Simulatbr Solution Change D G' Other Reports D 8.
List other report type and date:
'
Appendix A August 2011
' '
• ii ii
• II Ill
• • • • • • • • • • • • • • • • • • • -• • • • • • • \It. II I ~ I
• •• • ~
• "'
DATAMASTER DMT OPERATOR USE LOG
tf1etl'l&he-; T'er (loJi / 00/{,f Department/Agency DataMaster DMT Serial Number
Date DMT Operator's Name Subject's Name
JJ-zo~11 I hss 01'1
6v..t'\ o.JI\ ""
j~1'""fer
. . ;,
ALC 603 Rev 3 08/11 .
i
Simulator Simulator Vapor 1 Vapor 2
-:v; \ . , cia ,Q'/fy
(ooP)
,o ·7
')>') <
VO
,, I o.2
I J
DATAMASTER DMT OPERATOR USE LOG . .
). '\ . • ' '. t®ll$•· i .. ~· \
, Department/Agency DataMaster DMT Serial Number
Date DMT Operator's Name Subject's Name Simulator Simulator Vapor 1 Vapor 2
1(~dJ l, .0,,,,1,';i ,.eC)i>M< l t ·H .+r,L ,., CJ. i ( ,J·' ' \ ,, .. ·'/ih . 1441 «J' ;
; J•>' < l ' .. ;. .,, ~ ' ~ ' , c
f " \ I .
' . I
<l~(Jq(7 -=r. '\?:, ~« V'-<:. ~r cA . I
11/?/1 :J-- ~°'"'i" ~ic<\f.e< · v I i Q I
{) °16 '
· 11}u/1'- {!. /11a.dd-r-i Go>t-t ffk- •
I
II
l( Ji~ /11-. C , Ma-~O'f"-._) . ..
. lo I Co-ro \y"' 1-tollv. . ·
HtttLJ v .
I S1t )t la__ L~ . i'-i 1 t'Jld:( I e <!: "'r (}J ,r.se . ,/o .
11 (I
11 I
( ! .
S-11·12-- J.>T,-v . . Ille~\'\-,,,,, t .fl<vck- ,o90 \ ( .'VII '
.
4[
4 ii
$-1L-IL (c"r(. Jl -...r'l?f=") )< •. i..,..\ • (/\ c(A_\l(.r-,1() ,.o't 7 . ..
. . (
. r.:: ri.--{ 11 J '\2.o6~'S ,.v o Y\ f P · /. k .. , s toD\.v r ,oq5 . :J .·.
' I
'
:I 4
r' 2H IL < \ ~EJC_;,~ ·. ~.~ ~ if' r h (I f, 1-v.,h - ))Ifs C> . -:-· "( I .
5 i.'-1 IL Y Ro.~e<S [o,..1.-e, I. c.J1.v; s·~k Ir l 0 9- (,.
I I
4 4 4
b):i1/1L 01,v-~ ,·r .. 0 \.A. f-.D'-f .o~ 0 1&·" Mt ---. . . . ne;.... I . . . of: (4,,.. ;i 0 \ )
5/1g/1J.. . . le.5f ' . I
J), 51eev-e ·. ·. o. 10~ . ,· s:h?u/qf,,y- 5o/ufl6" o. ' .•
v 4 4
' . .
( . , .
' r.~~ 7;- \l.. r ~'.T\c :..Q... , ~· . . '('IC G ""'~ . 4.,""ov\I\. +--l -'"'~ ' r,, fr /,-z..
'-" - I .
~· .·~rYo .
wekr, 73ntT . /u I ;
&I i1n,. '
r-+, P,r\\duc .. A-PM o~ ri<t°I
4 4
• roftqfii LJ. <)1,..n.~P ((_pc_ ---- ' ' ' · / .
axJJt~ C!- . W 1Jrf2..c> v ..:S p~~(L Rowe: • (@:l. .16/ . .
/_' l~Q+ (, \ ·'tA ~I;} 1\1{ {Lp It If. "(., /7 f "' · lo( ,/ d,. I\ I
' • •
O/d {11 v . . . - ,(
Xff /vr I fY1 I/ff tlV)" lJBR1 I /1f ~i .~ • •
'Ji Ir )c fflvi tP1 . {J ~. /I/ o\O\ aJt 11 · 1orar~ ' ' l '
' ALC 603 Rev 3 08/11 '
' f
' I. DATAMASTER DMT OPERATOR USE LOG
I bt'4chesb,,c f}) f/:?a/6S-I Department/Agency DataMaster DMT Serial Numb.er
I I I It I I I
' I II II II ii II II
• I I
• I
• • ' I I !I I I I I I
•• • I I I I II -
Date DMT Operator's Name
0?fa)~. LJ ftTILo v .S - "1 J. lf '1
7/11,J rL lv\.0-S tK'-- .,.. \\A '2-'-'1. ~ .
g- 1\iv D , 'Tl e .,,...\( _, . .,.
Ii 10J1~ l1 t-11+-r~t-1 . @ 'J . er! ~11- (-5-e;;~ ~~~ '-{
. ' ~ ,.. I 1-1, rt.- .'\\1'.6 lfiAc,_ (~.
S/liJ/1 ;).__ ?, \.,,,_ <'--C\_.,__c-,A
~ 1 ~11?... .,-.--: .
I \ e, VL ¥..v\
1/o;/;;_ STee""e ( cl~cf-7,.,)
· Jest
) 9/o2/2 UT . Sf-Pwe Pres-t ·
'1/09./1:J- . B /,, .• "-~Cf"" J. · CT-1 kfr-:> T~~t:,
' -10/,3)0. 5Tt·.-e.y-e
r. l?.'-\11 £;. (<0 Dr-}<\" \f .
' (
\ \ }j lt;/111. . \,J,J\\\ho,,,-.··
11/U./IL 2 f 1v'l Vl\J . ~·.
11/::i.o .· +k·~~JJ u c '.>'\ . . ·
j '.). ".l.."\ blJ~'Gi\
1~ f;o tf t4-c1c r( Lf r.tr .. ..
\I ~v, '.> i1: A Y\,V \.-_'°\'CJ)
ALC 603 Rev 3 08/11
Subject's Name Simulator Simulator Vapor 1 Vapor 2
To11iJ HA-/UAIO • f f?J I tJ /11 TCw.,wWk~r .100 ~1~
u .. o<p--~.,-c.\ Lor.. Cc.<.0:,,\e_ c- .o9t-
iA. _j_ -cJ7" N.vi.iS Jo/) JC()
1e.0 ._. J\ . r .,._...,_ ~ I/, /OCJ ,o<;9 < . '
.· b4-\ 'o"'-"' f :"])"~~~ J. .ocrcr .on ~ .
l"'e-I >;<7 "- L,,_,.4:(.,, l, ·- _qC>'f"/ ,.,.._,_.,_._ .•. '
bcvu.'lr\ w ~\ (_C>;I- , o9? ~a9,f-.
k<T ,QC,,J- .----··
·Jest ,(j '1 7 ..----·~··· -
.·.
eobert U--: S"-'i'·, '1 . . '07fi _, .
·. -:\,., '""" c f:,,,,rj,~,,/ ,o1~
Rfc. . ' lfl() .
•11.\~n~~ F. &rcV-/ ~le-~
'~·'>e... ~ I• f''v.JJ __ ,J~ I \(JV .. --· , h:wDbvr
'"' . rvV i n 2o\ I'\ w r..~ ,foo
Q.,_ n~ .. ~, ~·"•I''"'~ !vO -, I .
\J .
tJOl\i•i'\'VJ> \'ScovD , l-'o...::. &J.o~
· 5ecff r-r&l11c ·. . di.;..~ ·. , ~
f
\:::"-~\,, \cen J1~he""/ "'O'I~ "
3
_ ---·-·-··· .. --.-·--"-···"·~~~~:-<o,=": -.-, ·r·-'<•''-"'-"°""'-''·--'", I .... DATAMASTER DMT OPERATOR USE LOG
Department/Agency DataMaster DMT Serial Number
.
Simulator Simulator Date DMT Operator's Name Subject's Nall)e Vapor 1 Vapor2
61/o/) 13 ·.:s. 0 . [$6 s <;~'-d-" IJt,,rru fYbl,,,,,,o Ti ~,077. ' {/ ()
1(9h'l- .::s· ~~,____"'4,1\ · \::~1-1n\~•" Me-\.~,_,..<--Ji • \C:>o
t) z/r2> A-~wcCta· t:::.12 \ ,,,.701° d E P- I
,Q02. ·-µ E Sf'..A v'1LE <.,
1/i { ,1:7fOi' \ '"\ 'I~\\;\:,,+- ·\.l ... ,tt._ 'j \t,. . . . /, i7-/ I~ )4L/ I~ I . · ~ ~""'t •. £ ' 1 - ,.,. c· . ,., ,
- /
A-b.\,d( 11 1k&11}~0 l,Q//11). ti/; Jit-l~t-1--J ,01 G 01/:Joft3
• ....... y .'
c,+~ -: . -. (cf,,d,'J . St;.; -· , ,O'f,p ·- -:?n· .., •. ,A Ol,P~tcV"" ' '
o2f&'/Jt3 51eeY'e- ( chtt/.- ; ) f(c, thlee11 /'ld-/en,, 1 ,/oo ' J
' (!XJ.h~ft 3 $Teere R fr ,/()2 .
('J ·:.,. (,')' g -,-"('.j\'\"\('A$ ..
L1'rt:lfv,,1 (r-,1l<;c0~llt1 ,}, n /QC
. Pr /7c I) J .,.
H 1+-llf/ S'1oiY- s f:i{(t>PI ;07q '
I. Steere lf/,z..,£ef/,, fer.so"' · ,/oo 3 .30 13 .
' 3o 13 ....--- .
I i eV'\ ¥.e /'\ IY\.M:i:kw 1-k.ri' m.t>-1'\.o ,,6~ 9- ,o9P---tf,Jt[;t) fl 6{-+rA) ..
,,;• l \ 1
11'1& 11 ... ;Ji /'r n e ti j Joo ,a rq r::./wfi" K, :IJ,iv-,, If
( I "T!isr /MM , OC/'O ·-
' . . .5 (aJ.!//1-::, ;;:s- ~'llV't'°"' S\\c,.ui\P, \-\:,r,\u .,0q1 .· ,015 .
' J. '"Ro&6K:S v ._;;
l~ 1· L3 LO(tf+ ~ SPti\\C6P.., I (Y/<fl I 01&
~ I .
71 '> . L ~.N;µ/· 1]£[71 C'6•ti/tW "'CJ"t( • .
G,27, 13 r o 1, l"f.-1- f!.«tfm~ p 1·1 ;1-e_ 'tr!fb ' .
1-!~-I" ~ ( ~7'\' t ~ 0e'(_.. ) ~ C.(f 1.)'l,\ 116 .L(\1-\t:: £> <14
1 ~l"l-1') I< l"\, \Le.(\ T ~ 1-s.t""' (VL(>'..,fh ._~ ~9 • f) 9!5
ALC 603 Rev 3 08/11 4
"'" "'" ""' !If' !If' ~
"'· ~ ft
" """ .
""" .._ .._ • • ~
~ .. .. .. Iii!)
Iii!)
iii iii iii
• • • '--Ill • .. ' • • •
DATAMASTER DMT OPERATOR USE LOG
Departmenl/Agency DataMasterDMT Serial Number
Date DMT Operator's Name Subject's Name Simulator Simulator Vapor 1 Vapor 2
•
1/AJ 13 J 'R\~~~rJ .(;?_'\"-'> '[l,~lc<-r-A,11.,- • i o I
. 7 /Ft,/r3 3, \Jo,\L,,/ 11-.,". -~ SJ ,_ I:,,,-(
·. 09S? • •@• •• ..
7/21/r:, J. ' /
f/.;cx; $07\l&f 11JoMft? :f<E'/ES .~WJ ,, oCf.7 7 _J ; e>·J'll
«! ~/13 .:::r 1> ld, "-")"'"'- ,) \:)..,, \ iu " \'.,, c \< e. cc ......... )
C/,/ ~ r 1 '? 'J. \/;l "'-"'-& \.--.,,._,.-} \) " l ?-. " I""'< \C e.,r
iZ>'B)~3 c_, w ,q-1/t.otJ .s OttE..J Ku <;.:Le.IL • }(2)1
.·oa/1~; !fl Slee"'"" /P<;.T J ' .,oc;e, .., I ~
o<t/uln LJ, 5f 1:"er/'-" s~ luf ,'c,, cl,,,,,-;<':., ,0</8
o,/i-il-,, -v .. sr Te;; t 1 Cirecfc I,,,.
.o '1 <? . .. "'ff,,,.,. fi:.i.v.~" 0.,'1- he . -, -,
~1ft3ft3 D N) . ~ /fJe-~· l'S(L /"J /1.,_.JrJ(?t;v • 1 Ir . -~ .,,...__ _ .or8 1078
/(}-/0~13 . j ' -~OGE.ic. "::>. ~OJ7-t0 /J/1.s/a,, r(}9J-
c duS\lr> \,,C(?•
v f?/rz. I 1:;, .k/,f,ut'..\- U>I ~~,,!. 0&"t1 .o?I ••
10/;5/,3 hJ Slr:e-re (PPcl 'JP.,,f f?P/ .,/oo
· 11f2J12 ·r S:/l'Jlv(J fl. 45?- tf//.,.?c. __5/r,~7. ,,.oP!f .. o.51?
. lih-1lr< c. Cc.h~l J /v\,.; M~l.JR /}{f]n .J 11 6 ei , 1 t>u . .I
i''<)o& / / :J TS~ll 431- .27Act.t<M-'( ...._,.;><);!) ,,/00 ~(&&
11~'1]·7 ·· 111lhu5 t,v""1 fJ-fJ't~ J MtfTf3./l , o zc;, ,;/o~h5 J,flJ. ~~sv~V
J
htvtq J f!AJ;E fl ,oq1 ' . ' ' , {.
iitfl(t'J J,o. ~JIJl1~01\J~ ~M<} J MlfterL I vtft) dt If; " c "
1't{(6,(') .Jot.,{'( rS<i-- . 'IT-iaA..I\.'!:> Lc~A,J .• tYf/3 rl
ALC 603 Rev 3 08/11
5
DATAMASTER DMT OPERATOR USE LOG
Department/Agency DataMaster DMT Serial Number
Date DMT Operator's Name Subject's Name Simulator Simulator 1 ·
Vapor 1 Vap01· 2
'2frf!1~ c. Cmt-d J tr)cti,/;..,, 11L. I I , v? 'l . ,<JQQ
;,,.J,,,j,3 'I
t, W~-rrz.Ov~ (},IJ8ftr£L l/r,-41£ • 1Z7e,
ti~-l1--(J t: )0<.:, '\( r' b~ Mfl..A_,.,,,1e 'flfuu_.- .,071 .
11/J/}15 J-fa>G~ 114-i--'' -"1.) 51,..., A()·b ~ "fl -Cf- - .~ I 0?1' , trP7
}J\ .. BrvSO 8CffJ
12~:?V..f3 f-:it:rs<nvv; {\f.rlo( p, ,I#; I
.
..
.
.
.
'
.
I
I " .
.
ALC 603 Rev 3 08/11
6
• • • • ' ' • • • • • .. .. • • • • • • • • • • • • • • • .. .. .. • .. ---d d --""' ""' -
llilll'
• • Ill
• • • • • • • • • • • • • • • • • • • • • • • • • II II II
• • • • • • • • • • • •
· DATAMASTER DMT MAINTENANCE LOG
fr/oH•ok~7er /)oJ . /t::Jd 16f DepartmenVAgency DataMaster DMT Serial Number
DATE TYPE OF SERVICE PERFORMED
_______ _ J;_t:':- rT°""_lL _ f_e_v ______________ -·- __ _ /J.r¢>7oco.. I (
. {'.)()"\~~· . . ---·--·-··---------_--------·-··--------·-··--·-------~---------------------------·----- .. -----------·-··------------------
[ For RPC or Simulator Solution Change Place Label Here]
------------------------'----.-----------------------------------------.---------·:..··-··--------------------·.:...·-----------·----
ALC 803 REV 03 08/2011 ·
1
PERFORMED BY (Name and Title)
I
DATE
DATAMASTER DMT MAINTENANCE LOG .. ' ·. ~ \ j' ··' ' . \. > ·. . • \ . . . : », 11an?:'e(/et- \ P72 /ocitG'b. · ' ,_,,,, · "· \ · 1
DepartmenUAgeney DataMaster DMT Serial Number
TYPE OF SERVICE PERFORMED
DataMaster Simulatol' Solution : Lot# 12-;38-100 EtOH,, Cone: 0.101 !-·-·-··-·-·-·---· .. Range: 0.096 -0.!06 . ' L b I H ] Preparati'o.nDate: 11/17/2011 Expires: ll/17!2012 ye a 9 ere
r---------·--·-··-------.. ------
·.
[ For RPG or Simulator Solution Change Place Label Here]
.
PERFORMED BY (Name and Title)
\ I \ \, \
0#01/ Ii . •-R~=f~~z~:.:.~!~11~~~~·~··:••:••:••:••:••-••:•·-·•:•::••:•·· iace Label Here] C
DataMaster Simulator Solution ................ _.Lot# 12-64-100 EtOH,, Cone: 0.101
Range: 0.096 - 0.106 · [ For RI P1<paration Date: 02/l7/2012 Expires: 02117/2013
i f--------------------~--------------
~---------------------·--------·----- ~
______________ : _______ :~~~E~~~:~~l?:8A;-J).S~-··-·-~.L___________ ____ _____ ___________ 4
o~;,_r/id-. --~:~t;:c-±-~i:~sltM.d-~d _______________ ya~:e,J5ree~~ : ................ Q ......... t ..... _ ........... ~-fl-~-"-""'_"_,,_,, _______ ............................................ c
-----·--·------·--·----------·-.0---------··--------·-------~---··-------··-.. --.-.--------·-----·-----------------------------,.-
ALC 803 REV 03 08/2011
2
c c c 4 4 4 4 4 4 4 4 ~
-• • • Ill Ill Ill Ill Ill Ill
• Ill
• Ill
•• • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
DATE
DATAMASTER DMT MAINTENANCE LOG
DepartmenUAgency DataMaster DMT Serial Number
TYPE OF SERVICE PERFORMED
DataMaster Simulator Solution ------------------------- Lot#_ 12-64-100 EtOH,q Cone: 0.101
[For RPC Range: 0.096 - 0.106 . --------·-----·-----··-·· Preparation Date: 02/17/2012 Expire:;: 02/17/2013
PERFORMED BY (Name and Title)
I··----------------------·---- - - - - - - - - - - -- - - - - - - - -- - - --
[For RPC or Simulator Solution Change Place Label Here]
DataMaster Simulator Solution
I./
~J I -[-F;~-RI ~~~:~~~~~~~.105Et0Haq Cone: 0.100 . r~~~-L~b~l-H~~~l :_ . . . ~/ II-( I) /)_ ________ ~::::::0~~~7~r,:2~~-~x~;~24/~.13 Yo~ ' ---------------·------------ y. . . . . ------------------------ -----------------------------
--------·- -·- ---~::f:'=-·:··--·-··-----~ -- ------ ------- .
DataMaster Simulator Solution · ·-·--·--------------· Lot# iZ-72-100 EtOHaq Cone: 0.100 · ·' / I [ For RP( Range: 0.095 -0.105 __ ()1( 11:)" f J . ·-··-··--·-··-··-··- ~reparation Date: 04/24/2012 Expires: 04/24/2013
--:------------- -----------c-- OPENED: 02/1s/1:J ])[_
' ~ ,--------------------- .
ice Label Here}' ~ · · ·, · ' ----------[t)/lh(/. .
' ALC 803 REV 03 08/2011
3
DATE
DATAMASTER DMT MAINTENANCE LOG
\ () 01 \oS" DepartmenUAgency DataMaster DMT Serial Number
TYPE OF SERVICE PERFORMED
___ feLfur~~--1\eti_Qf'ohico\ __________ , __ . __ _ [For RPC or Simulator Soluiion Change Place Label Here]
DataMaster Simulator Solution Lot# 12-87-100 EtOHaq Cone: 0.101
PERFORMED BY (Name and Title)
I [For RPC Range:0.096-0.106
o'1 ,~//'J ·-.. -.. -.. _ .. _,,_ .. _ .. _, Preparation Date:10/31/2Q12 Expires: 10/31/2013
_________________ .. _______ OPENED: 06/!6/n :zxs:
f--------- _....----., ,J . e Label He re] \ /. a·"""":::_,_, j'- - - - - - - - - .. ~~ L·--··--·-··-·--·-----.. ----·· - - -- - -- - - - - - -- - - - - - - - - - - - - - - -
.
~. ~ ~ ~ ~ ~ {iila
""' ""' ... .... ....
.~~)··-[F~~:~~~m~le~=~~t'OCBL~be~~e~ ya~· .E 0-1 ~ LfO -~~~~~~:~~~~:::.~·~~~~(~~::;{5~:~::::~::::::: :: e-a
·-··-··-··-··-··-··-··-· · DataMaster Simulator Solution .[For RPC Lot#12-88-10D EtoHaq Conc:0.098 ·
·-··-·--··--·-··-··-··-· Range: 0.093- 0.103 ·
Preparation Date: 11/9/2012 Expires: 11/9/2013
---------------- -------- OPF;;;;:;;~~frf;----:vr---
1---------:·----------.. -----·
r~ ~~~~ He~e~ _ --------------- --- --------1
------------·--------·-··-·--··-.. ----·--·--------·--·--·--·--··--·--·--·--·--·-·--··-··-··--·--·-··-··--·-··-----·-·--------··
1~: 30 ·--··-··- _ --~oL.t.•~qY,_ .. ~_ch'!.if!.,e __________________ _ I Aft /L -B7-lto (p.., c.0.IO/ Ro-.~ (!J,IYll ~/Tl /O(,
'
ALC 803 REV 03 0812011 ·
4
e-a .t-1 ... ell ~
I
~
3 ;J
:
• • {Iii
• • • • • • • • • • • • • • • .. .. • • • • • • • • • • • • • • • • • • • • • • --
DATAMASTER DMT MAINTENANCE LOG
DepartmenUAgency DataMaster DMT Serial Number
DATE TYPE OF SERVICE PERFORMED
DataMasterSimulator Solution lot# 13-13-100 EtOHaq Cone: 0.100
·-··-··--·-·--·--·-· Range: 0.095 - 0.105 . i--··-·--·--··-··-··-··-··-··-··-·-
[ For RF Preparation Date: 06/24/2013 Expires: 06/24/2014 lee Label Here]
PERFORMED BY (Name and Title)
{ V~~J,,n ...... ··~ei''"'~°!{';.~~··-~- ····· = == ~· _n_
_Jt?.b!!!p_if'f.~~ _ ft;_~~-'!- _<')_qfq1p.~_,_f!""~Lkfykt?q.cJ±_1,,ub __ .
!>c...,.ew f;,,; /. • fq:;<e-J . .
\ ri/i•ft) I ~~C R~c 01 ~~~ol;to; ~olo;loo c,,;,, P;ooo :,;.,, ~;,~r ia ; ~ ·-------~------- --- ---- --- -- ---- --- -- - ---- -- --·- -- -· - --- ---- . -~ V ___________ --
[ For RPC or Simulator Solution Change Place Label Here]
[For RPC or Simulator Solution Change Place Label Here]
ALC 803 REV 03 08/2011
5
Breath Record History Page 1 01/08/2014
Test Test Agency Operator Name Alcohol Alcohol Sim. Sim. I Status Message
Date Time Val. 1 Val. 2 Cone. 1 Cone. 2
12/24/2013 00:25:36 l'li'.ANCHESTER PD JAMES D BOSSONG REFUSED 0.098 12/23/2013 01:04:49 WINHALL PD JEREMIAH J ROGERS 0.141 0.145 0.099 0.097 12/22/2013 03:30:09 SHAFTSBURY VSP ELLIOTT JUSTINGER I o. 086 0.097 12/21/2013 02:30:02 WINHALL PD CRAIG L WATROUS SR 0.119 0. 098 RESPONSE TIMEOUT 12/17 /2013 20:58:59 WINHALL PD GREGORY C GOULD 0. 038 INCOMPLETE 0.097 0.098 12/10/2013 04:02:23 SHAFTSBURY VSP ELLIOTT M JUSTINGER 0.042 0.098 12/09/2013 14:35:36 Manchester JAMES D BOSSONG 0.190 INCOMPLETE 0.098 0.098 12/09/2013 14:16:24 Manchester JAMES D SOSSONG REFUSED 0.098 12/09/2013 14:06:24 Manchester JJ:\MES D SOSSONG INCOMPLETE 0.097 RESPONSE TIMEOUT
I 12/09/2013 13:45:29 Manchester JAMES D BOSSONG INVALID 0.098 ' 12/06/2013 00:02:02 SHAFTSBURY VSP ZACHARY S WOOD REFUSED 0.100
I I
I I I I
I I
I I
I I I I I I I I
I
I I ' I
DMT Serial Number #100165 Page 1 ofl 01/08/2014 8:28 PM
Status Record History Page 1 01/00/2014
Status status Test Type Status Message Date Time
12/21/2613 02:34:23 DUI Subject Record RESPONSE 'l'IMEOU1' 12/09/2013 14:13:01 DUI Subject Record RESPONSE TIMEOUT ···-··· .
DMT Senal Number #100165 Page 1 ofl 01/08/2014 8:33 PM