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- ALCOHOL INFLUENCE REPORT FORM type name of police department here Defendant First name Age Initial Sex Last name Weight Eyes Case Number Sequential File No. Arrested by CHEMICAL BREATH TEST INFORMATION Instrument Breathalyzer Model 900 Instrument Serial Number Ampoule Control Lot Number Purge Results Dominator Albreath Samples Taken Date / Time Blood Alcohol Test 1 Test 2 Test 3 Test 4 BREATHALYZER CHECK LIST - N.J.A. C. 13 51-3. 6 a 2 Mark all applicable boxes with an X or a check mark. Set Up Phase TESTS N/A Verify Power switch is turned On. If the power switch is in the Off position turn the switch On. Preparation Phase Instrument temperature Verified temperature thermometer reached 50 C plus or minus 3 C. Reference Ampoule Gauged Inserted in left hand holder. Test Ampoule Gauged Opened Verified volume Inserted in right hand holder. Bubbler Inserted into test ampoule Connected to outlet. Light turned on Instrument balanced Blood Alcohol Pointer set on Start Line. Purge Phase Turned control knob to the Take position Flushed Turned control knob to the Analyze position* Purge When red empty signal appeared waited 90 seconds Light turned on Instrument balanced* Purge Result Recorded* Analysis Phase New mouthpiece inserted in breath tube. Take Breath Sample Turned control knob to the Take position Took breath sample from defendant Turned control knob to the Analyze position* Date Time Recorded* When red empty signal appeared waited 90 seconds Light turned on Instrument balanced* Breath Test Result Recorded* Second or subsequent breath tests Test ampoule removed properly disposed* Power switch remained On. Return to Step 1 start next breath test. Steps marked with an N/A are only performed on the first breath test and do not have to be repeated on any subsequent breath tests. C. 13 51-3. 6 a 2 Mark all applicable boxes with an X or a check mark. Set Up Phase TESTS N/A Verify Power switch is turned On. If the power switch is in the Off position turn the switch On. Preparation Phase Instrument temperature Verified temperature thermometer reached 50 C plus or minus 3 C. If the power switch is in the Off position turn the switch On. Preparation Phase Instrument temperature Verified temperature thermometer reached 50 C plus or minus 3 C. Reference Ampoule Gauged Inserted in left hand holder. Test Ampoule Gauged Opened Verified volume Inserted in right hand holder. Reference Ampoule Gauged Inserted in left hand holder. Test Ampoule Gauged Opened Verified volume Inserted in right hand holder. Bubbler Inserted into test ampoule Connected to outlet. Light turned on Instrument balanced Blood Alcohol Pointer set on Start Line. Bubbler Inserted into test ampoule Connected to outlet. Light turned on Instrument balanced Blood Alcohol Pointer set on Start Line. Purge Phase Turned control knob to the Take position Flushed Turned control knob to the Analyze position* Purge When red empty signal appeared waited 90 seconds Light turned on Instrument balanced* Purge Result Recorded* Analysis Phase New mouthpiece inserted in breath tube.
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Inserted FAQ
Better still, refusing the test does not guarantee that you won't be convicted – you could be found guilty of a DWI even if your refusal means that the state does not have proof that your BAC was over 0.08%, the legal limit for those over 21.
It's tough, but you can beat a refusal charge. The law officer must show probable cause for both the vehicle stop and the request to have you take the breathalyzer test. If the state cannot prove probable cause, it must dismiss the Refusal charge.
The first time you refuse a breathalyzer in New Jersey, you will face a fine of between $300 and $500. Your driver's license will be suspended until you an ignition interlock device (IID) in your vehicle. An IID requires you to test the level of alcohol in your breath prior to driving.
The alcohol vapor in a person's breath reacts with an orange solution known as potassium dichromate. When alcohol is present, this solution turns green. This color change creates an electrical current, which the breathalyzer can convert into a value to determine the BAC.
Therefore, you essentially surrender your driving privileges if you refuse a Breathalyzer. States will generally penalize drivers for refusing to take the test by suspending their license for up to 12 months. Those with past DUI convictions can face even longer suspensions or jail time.
First Offense An ignition interlock will be placed onto the individual's registered vehicle at the time of conviction and for 9-15 months after license restoration. The convicted individual must pay a DMV surcharge of $1000 per year for three years.
Subsequent Related content
N.J. Admin. Code § 10A:3-1.4 - Forms | State...
Added breathalyzer request summary and alcohol influence report. Amended by R.1997 d.41...
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