Walk & Turn □ Failed to maintain position during instruction phase
□ Wrong number of steps □ Stepped off the line □ Raised arms to balance
□ Failed to walk heel-to-toe □ Forgot how to perform the test
□ Improper turn □ Unsteady on his/her feet □ Other? _____________________________________________________________________
One Leg Stand
□ Put foot down during the test
□ Swayed side-to-side or front-to-back
□ Raised arms to balance
□ Hops
2. Driver given a written copy of and verbally informed of their implied consent rights?
Enter a copy of the Implied Consent Rights into evidence.
3. Did the driver refuse to submit to a test pursuant to S.C. Code 56- 5-2950?
□ Verbal Refusal
□ Failed to Blow an Adequate Sample
□ Did not Attempt to Blow □ Refused Mouth Check □ Acted Unruly During Test □ Intentionally Vomited
□ Pretended to Blow
□ Refuses to Cooperate or Interferes with Test □ Driver Delays Administration of Test □ Refuses to Rinse mouth after Vomiting
□ Smoked During Observation Period □ Ingested Prohibited Substances During the Observation Period □ Refused to Answer Biographical Information Required for Test □ Intentionally Caused the DataMaster to have an Error or Failure
Enter a copy of the BA room video into evidence. Enter a copy of the MV-65 Notice of Suspension into evidence.
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