Northern Territory Numbered Regulations

TRAFFIC AMENDMENT REGULATIONS 2009 (NO 30 OF 2009) - REG 5

Schedule 2, Forms 5 and 6

omit, substitute

NORTHERN TERRITORY OF AUSTRALIA

Traffic Regulations

FORM 5

CERTIFICATE ON COMPLETION OF ANALYSIS OF BLOOD SAMPLE (TEST FOR ALCOHOL)

I, (name)

[   ]     an authorised analyst,

or
[   ]     a person employed by (name of organisation)

an organisation that is an authorised analyst,

certify as follows:

(a)     on (date)             a sealed container bearing the identification number (enter number)                  , accompanied by the certificate attached to this form, was received at  (place of analysis)                       ;

(b)     the container contained a sample of blood;

(c)     an analysis of the sample was carried out and the analysis disclosed the presence in the blood of a concentration of         mg of alcohol per 100 ml of blood;

(d)     I examined the laboratory's records relating to the receipt, continuity of custody and storage of the container and testing of the sample (including the test process) that was done in the laboratory and I confirm the records indicate that all relevant quality assurance procedures were complied with.

Signed

Date

NORTHERN TERRITORY OF AUSTRALIA

Traffic Regulations

FORM 6
CERTIFICATE ON COMPLETION OF ANALYSIS OF BLOOD SAMPLE (TEST FOR DRUG)

I, (name)

[   ]     an authorised analyst,

or
[   ]     a person employed by (name of organisation)

    an organisation that is an authorised analyst,

certify as follows:

(a)     on (date)             a sealed container bearing the identification number (enter number)                  , accompanied by the certificate attached to this form, was received at  (place of analysis)                       ;

(b)     the container contained a sample of blood;

(c)     an analysis of the sample was carried out and the analysis disclosed the presence in the blood of the following:

*Delta-9-tetrahydrocannabinol (THC)

*Methylamphetamine

*3,4-Methylenedioxymethamphetamine (MDMA)

*Methylenedioxyamphetamine (MDA)

*Monoacetylmorphine (heroin metabolite)

*Benzoylmethylecgonine (cocaine)

*Benzoylecgonine (cocaine metabolite)

*Morphine

*Methadone

*Amphetamine

* Delete items not detected/not tested for

(d)     I examined the laboratory's records relating to the receipt, continuity of custody and storage of the container and testing of the sample (including the test process) that was done in the laboratory and I confirm the records indicate that all relevant quality assurance procedures were complied with.

Signed
    Date