Previous Offences Yes No Alcohol Test No Test Refused Test Breath Test Blood Test Urine Test Don't Know Alcohol Level 0.00% - 0.04% 0.05% - 0.08% 0.09% - 0.12% 0.13% - 0.16% 0.17% - 0.20% > 0.20%, Don't know Pending Charges Yes No
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