NAC50.035. Form of declaration regarding preparation of solution or gas used in calibrating breath-testing device.

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

     I, ..........................................., hereby declare:

     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 declare under penalty of perjury that the foregoing is true and correct.

Executed on .........................................                .............................................................................

                            (Date)                                                   (Declarant’s Signature)

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

                                                                                             (Declarant’s Title)

     (Added to NAC by Com. on Testing for Intoxication by R112-97, eff. 5-26-98)