or · 2017. 1. 6. · t? day of Mdt eot4 Deb Kashur, Forensic Scientist State of North Dakota...
Transcript of or · 2017. 1. 6. · t? day of Mdt eot4 Deb Kashur, Forensic Scientist State of North Dakota...
State of North Dakota
County of Burleigh
l, Deb Kashur, do hereby certify that I am a Forensic Scientist for the State of North Dakota and anofficial custodian of the records and files of the office thereof, that I have carefully compared the
lntoximeters Alco€ensor FST@ Ethanol Breath Standard Analvtical Report. Lot No. AG410101.Expiration 04/1 1/1 6 (05112/14l
hereto attached with the respective original as the same appears of record on file at the Office ofAttorney General, Crime Laboratory Division, in the County of Burleigh, North Dakota, and find thesame to be a true and conect copy thereof and of the whole thereof. In witness whereof I have setmy hand at the city of Bismarck, in said county this:
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t? day of Mdt eot4
Deb Kashur, Forensic Scientist
State of North Dakota
County of Burleigh
on this /4fl day of
Cindy Leingang, N Public
/a4day or /U a-/ Ao//
, J O/y', before me personaily appeared
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Deb Kashur, known to me to be a For{nsic Scientist for the State of North Dakota, andacknowledged to me that she has executed the same.
Subscribed to and sworn before me this:
My Commission Explres 'ary 11, 2A17 (sEAL)
OFFICE OF ATTORNEY GENERALCRIME LABORATORY DIVISIONToxicology Section/Breath Alcohol ProgramI ntoximeters Alco-Sensor FST@ BrW-007
INTOXIMETERS ALCO-SENSOR FST@ETHANOL BREATH STANDARD ANALYTICAL REPORT
Ethanol Breath Standard Lot NumberAG410101 Expiration Date 0411112016
This standard was analyzed by AIRGAS USA LLC (LAB) with a reported result of 2!23ppm which is the equivalent of 0.082 BrAC of Ethanol in Nitrogen. AIRGAS USA LLC(LAB) has provided a Certificate of Analysis traceable to N.l.S.T. RGM EthanolStandards.
The number of cylinders sent to each location will be based on need. The standardmay be used until the date of expiration as indicated by the manufacturer's Certificate ofAnalysis.
Deb Kashur, Forensic Scientistt
t?- Ma'a fut|
08/13lssuing Authority - HO
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Al rga$
Serial No.
Airgas USA LLC (LAB)
3500 Bernard Street
St. Louis, Mo.63103
Ph: (31a) s33-3100
Fax (314) 533-7328
Customer NameIntoximeters, Inc.2081 Craig RoadSt. Louis, Mo 63146
Test Date: 11-Apr-2014
Lot# AG410101
Exp. Date Gvl. Tvpe Goryroonent Ge,rtified Concentration11-Apr-2016 108 Ethanol 0.082 t 0.002 BrAC (223 ppm)
Nitrogen Balance
Certification Traceable to N.|.S.T. RGM Ethanol Standards:
GoncentrationE80010581 391.8 ppmE80010570 259.8 ppmE80010285 209.0 ppmE80010561 103.7 ppmE80010681 52.22 ppm
Analvtical Method: NDIR
Digitally signed by Quality ControlDate: 2014.04. 1 1 1 5:39:53 -05:00Reason: Dry gas standard certification of analysisLocation: Airgas USA LLC (Lab)
Certificate of Analvsis
Serial No.E80010603E80010559E80010595E80010562E80010579
Concentration392.5 ppm258.9 ppm208.9 ppm104.9 ppm52.94 ppm
Rod MarsalaAnafyst: / /V1C^*'L
ISO 17025:2005 AZLA accredited. Certificate Number 2989.01
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