SWMCrRLJ 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 seven (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 purpose 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 of signature. Signature of person making certification. (Adopted effective September 1, 2000)
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