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| B.C. Reg. 333/83 O.C. 1395/83 | Filed August 29, 1983 |
[includes amendments up to B.C. Reg. 343/2012, November 23, 2012]
1 The form and content of certificates to be used for the purpose of section 227 of the Motor Vehicle Act are as set out in the schedule.
[am. B.C. Regs. 232/2005, App. s. 11; 343/2012.]
Form 1
Certificate of Taking a Blood Sample
I, ................................................................... of ................................................................................. am a
medical practitioner
registered nurse authorized under an enactment to practise as a registered nurse in British Columbia
certified member of the Canadian Society of Laboratory Technologists
certified laboratory assistant member of the Canadian Society of Laboratory Technologists
......................................., a person employed by a hospital who in the normal course of my employment takes blood samples
AND I DO HEREBY CERTIFY:
THAT, on ........................................[date] at ...................[time] at ..................................................., Province of British Columbia
pursuant to a demand made under section 225 (1) of the Motor Vehicle Act, R.S.B.C. 1996
pursuant to section 225 (2) of the Motor Vehicle Act, R.S.B.C. 1996
I did take a sample of the blood of a person identified to me as ................................................. . I marked the blood specimen container containing the sample of blood with the inscription
I gave the blood specimen container to ...................................................................
DATED ........................................[day, month, year] at ......................................................in the Province of British Columbia.
...................................................................
Taker
Form 2
Certificate of Medical Practitioner or Nurse Practitioner
I, ..................................................................., medical practitioner/nurse practitioner (circle one only), observed a person identified to me as ................................................................................ at ............................................................[place] on ........................................[day, month, year] at...................................................[time], at which time I formed the opinion that ......................................................................................................... was incapable due to ............................................................................................................................................. of comprehending the nature of a demand under section 225 (1) of the Motor Vehicle Act, R.S.B.C. 1996, c. 318.
DATED ........................................[day, month, year] at ...................................................... in the Province of British Columbia.
...................................................................................
Medical Practitioner/Nurse Practitioner
Form 3
Certificate of Analysis of a Blood Sample
I, ..................................................................., being a person approved by order of the Attorney General of British Columbia to analyze a blood sample taken under section 225 of the Motor Vehicle Act, R.S.B.C. 1996,
DO HEREBY CERTIFY:
THAT, on ........................................[day, month, year] at .............................. there was received by me .................................. which bore the following inscription:
That I marked the said ..................................... with the inscription:
That I performed an analysis on the blood .................. within the said ............................................ using a method approved as suitable for the purposes of section 225 of the Motor Vehicle Act, R.S.B.C. 1996 by order of the Attorney General of British Columbia, to wit
That I found the blood to contain .............. milligrams of alcohol in 100 millilitres of blood.
DATED ........................................[day, month, year] at ...................................................... in the Province of British Columbia.
...................................................................
Analyst
[Provisions relevant to the enactment of this regulation: Motor Vehicle Act, R.S.B.C. 1996, c. 318, section 227]
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