NAC50.030. Form of affidavit regarding preparation of solution or gas used in calibrating breath-testing device.

An affidavit which is referred to in subsection 2 of NRS 50.315 must be in substantially the following form:

State of Nevada                      }

                                                }ss.

County of............................... }

     I, ........................., being first duly sworn, depose and say:

     That I am a ............... (occupation) employed by ................ (employer);

     That on ......................... (date) I prepared a ............... (chemical solution or gas) consisting of ................ (description and composition of solution or gas) as necessary for accurately calibrating the ................ (name of device).

I do hereby swear under penalty of perjury that the assertions of this affidavit are true.

                                                                                       ...........................................................

                                                                                                     Affiant’s Signature

                                                                                       ...........................................................

                                                                                                         Affiant’s Title

Subscribed and sworn to before me this

............. day of the month of ........... of the year ......

...................................................................................

                            Notary Public

     (Added to NAC by Com. on Testing for Intoxication, eff. 10-26-83; A 7-18-88; R112-97, 5-26-98)