LCrRLJ 6.13(b) EVIDENCE - BLOOD DRAW CERTIFICATION (1) Certification of Qualification to Draw Blood and of Blood Draw Procedure. (A) Admission of Blood Draw Certificate. In the absence of a request to produce the person who drew blood from the defendant made at least 7 days prior to trial, certificates substantially in the following form are admissible in lieu of a witness in any court proceeding held pursuant to RCW 46.61.502 through RCW 46.61.506 for the purposes of determining whether a person was operating or in actual physical control of a vehicle while under the influence of intoxicating liquors and/or drugs: BLOOD DRAW CERTIFICATION: I, _______________________________, do certify under penalty of perjury of the laws of the State of Washington the following: I am a (physician) (registered nurse) (qualified technician) and I am qualified by medical training and experience to draw blood from the human body. On _________________ (date) at _____________ (time) I drew ______ (number of samples) blood samples from ______________________________ (name of person) at the direction and in the presence of ________________________ (name of officer). I further certify that with each sample the blood draw site was sterilized with a non-alcoholic preparation (betadine) (other ____________________), and that each blood sample was drawn into a chemically clean dry container (hereinafter referred to as blood draw containers) consistent with the size of the sample and sealed with an inert leak-proof stopper. The blood draw containers are known by me to contain a suitable anti-coagulant and enzyme poison sufficient in amount to prevent clotting and stabilize the alcohol concentration. The anti-coagulant and enzyme poison utilized in this blood draw were (sodium fluoride and potassium oxalate) (other: __________________________________________). To the best of my knowledge, no foreign substances or chemicals, including alcohol, were involved in the blood draw process other than those listed above. ______________________________ _________________________________________ Date and Place Signature of person making certification [Effective September 1, 2006]
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