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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)ss)

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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