New Jersey v. Cassidy
Annotate this CaseThe issue this case presented for the New Jersey Supreme Court’s review centered on the State’s use of the Alcotest 7110 MKIII-C (Alcotest) to obtain breath samples from drivers suspected of driving under the influence of alcohol. In 2008, the Supreme Court found Alcotest results admissible in drunk-driving cases to establish a defendant’s guilt or innocence for drunk driving. The Court also required that the devices be recalibrated semi-annually to help ensure accurate measurements. Defendant Eileen Cassidy pleaded guilty in municipal court to driving under the influence based solely on Alcotest results showing her blood alcohol level had exceeded the legal limit. Upon learning that the results of her test were among those called into question from the New Jersey State Police’s Alcohol Drug Testing Unit; the coordinator responsible for administering the calibrations was criminally charged, and the samples taken from some 20,000 people were procured by machines calibrated by that coordinator. Cassidy moved to withdraw her guilty plea. A special master issued a 198-page report concluding the reliability of the Alcotest had been undermined by the coordinator’s faulty calibrations. As such, the State could not carry its burden of proving by clear and convincing evidence the Alcotest was scientifically reliable. The Supreme Court exercised its original jurisdiction to vacate Cassidy’s conviction.
SYLLABUS This syllabus is not part of the opinion of the Court. It has been prepared by the Office of the Clerk for the convenience of the reader. It has been neither reviewed nor approved by the Court. In the interest of brevity, portions of an opinion may not have been summarized. State v. Eileen Cassidy (A-58-16) (078390) Argued September 12, 2018 -- Decided November 13, 2018 TIMPONE, J., writing for the Court. The Court considers the admissibility of breath test results produced by Alcotest machines not calibrated using a thermometer that produces temperature measurements traceable to the standards set by the National Institute of Standards and Technology (NIST). In 2000, the State began using the Alcotest, a product of Draeger Safety Diagnostics Inc. (Draeger), to conduct breath tests. The Alcotest machine analyzes breath samples, producing blood alcohol concentration readings used to determine whether a driver’s blood alcohol content is above the legal limit. In 2004, Dr. Thomas A. Brettell developed the current calibration protocol while he was director of the State’s Office of Forensic Sciences (OFS). In 2008, the Court found results from Alcotest machines calibrated pursuant to Dr. Brettel’s protocol sufficiently reliable to be admissible in drunk-driving cases to establish a defendant’s guilt or innocence for drunk driving. State v. Chun, 194 N.J. 54, 65 (2008). The Court also required that the devices be recalibrated semi-annually to help ensure accurate measurements. Id. at 153. During the calibration process, simulator solutions are heated to about 34 degrees Celsius, the generally accepted temperature for human breath. It is essential that the temperature of the solution be accurate in order for the Alcotest’s blood alcohol content readings to be correct. The Alcotest’s calibration procedure requires the test coordinator to insert a thermometer that produces NIST-traceable temperature measurements into the simulator solution used to calibrate the Alcotest and confirm that the calibration unit heated the solution to a temperature within 0.2 degrees of 34 degrees Celsius. When a thermometer’s temperature measurements are “traceable” to the standard measurements of the NIST, those measurements are generally accepted as accurate by the scientific community. There are two other temperature probes used during the calibration procedure. Unlike the NIST-traceable thermometer, they are manufactured and calibrated by Draeger. Marc W. Dennis, a coordinator in the New Jersey State Police’s Alcohol Drug Testing Unit, was tasked with performing the semi-annual calibrations on Alcotest instruments used in Middlesex, Monmouth, Ocean, Somerset, and Union Counties. He is charged with neglecting to take required measurements and having falsely certified that he followed the calibration procedures. Dennis was indicted in 2016 for failing to use a NIST- traceable thermometer to measure the temperature of simulator solutions used to calibrate 1 Alcotest devices. When Dennis was criminally charged, the Attorney General’s Office notified the Administrative Office of the Courts that evidential breath samples from 20,667 people were procured using Alcotest machines calibrated by Dennis. Defendant Eileen Cassidy, now deceased, pleaded guilty in municipal court to driving under the influence based solely on Alcotest results showing her blood alcohol level had exceeded the legal limit. Upon learning that the results of her test were among those called into question by Dennis’s alleged falsifications, she moved to withdraw her guilty plea. The Attorney General moved for direct certification. The Court granted the motion and remanded the case to retired Appellate Division Presiding Judge Joseph F. Lisa as Special Master to determine whether “the failure to test the simulator solutions with the NIST- traceable digital thermometer before calibrating an Alcotest machine [would] undermine or call into question the scientific reliability of breath tests subsequently performed on the Alcotest machine.” 230 N.J. 232, 232-33 (2017). After an extensive evidentiary hearing, the Special Master issued a 198-page report in which he concluded that failure to use a thermometer that produces NIST-traceable temperature readings in the calibration process undermines the reliability of the Alcotest and that the State failed to carry its burden of proving by clear and convincing evidence that the Alcotest was scientifically reliable without a NIST-traceable temperature check. The Special Master’s report is appended to the Court’s opinion. HELD: The Special Master’s findings are supported by substantial credible evidence in the record, and the Court adopts them. Breath test results produced by Alcotest machines not calibrated using a NIST-traceable thermometer are inadmissible. 1. This case is justiciable despite defendant’s passing. The Court will entertain a case that has become moot when the issue is of significant public importance and is likely to recur. The reliability and admissibility of thousands of breath samples, often used as the sole evidence to support a conviction, is of significant public importance. (pp. 9-10) 2. Scientific test results are admissible in a criminal trial only when the technique is shown to be generally accepted as reliable within the relevant scientific community. Chun, 194 N.J. at 91. Although the Court recently adopted the factors identified in Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579, 593-95 (1993), and a methodology-based approach for determining scientific reliability in certain areas of civil law, the Court has not altered its adherence to the general acceptance test for reliability in criminal matters. The proponent of the technique has the burden to clearly establish general acceptance and may do so using (1) expert testimony, (2) scientific and legal writings, and (3) judicial opinions. The party proffering the evidence need not show infallibility of the technique nor unanimity of its acceptance in the scientific community. (pp. 10-11) 3. Of the State’s witnesses, the Special Master found only the testimony of Dr. Brettell worthy of substantial weight; he found defendant’s expert credible. The Court defers to and adopts the Special Master’s detailed credibility findings. (p. 12) 2 4. Based on the credible testimony, the Special Master determined that accurate temperature readings of the simulator solutions are “the foundation upon which the entire calibration process is built.” The Special Master found NIST traceability “essential” to confidence in the Alcotest’s results and that the two Draeger-manufactured probes were not NIST-traceable and were insufficient substitutes for the use of a NIST-traceable thermometer. The Special Master also found it particularly significant that the NIST-traceable thermometer was the only temperature measuring device used in the calibration process that was independent from the Alcotest and not manufactured and calibrated by Draeger. The Special Master found it “extremely important and persuasive” that current protocol treats the failure to achieve an in- range temperature reading using the NIST-traceable thermometer as an event of sufficient magnitude to abort a calibration. The Special Master reasoned that such facts clearly cut against the State’s argument that the use of the thermometer is an unnecessary redundancy. Further, the Special Master rejected the State’s theory that ten simultaneous failures would need to occur for the certainty of Alcotest results to be compromised, finding instead that the evidence showed that three relatively minor errors could cause undetected miscalibrations. The Special Master determined that the State had not shown that other states’ practices revealed general acceptance of the reliability of Alcotest results without the use of a NIST- traceable thermometer. Because the Special Master’s findings are supported by substantial credible evidence in the record, the Court adopts them. (pp. 13-17) 5. Applying the general acceptance standard to the Special Master’s findings, the Court holds that the State failed to carry its burden and affirms the Special Master’s conclusion. Temperature measurements that are NIST-traceable are generally accepted as reliable by the scientific community. Part of that reliability lies in the fact that the level of uncertainty of each temperature measurement is known. The two Draeger-manufactured probes fail to meet the NIST’s standards and the measure of uncertainty in their temperature readings is unknown. The Court does not accept the State’s contention that the risk of miscalibration is infinitesimal due to the numerous other fail-safes in the calibration procedure. As Dr. Brettell testified, it was that very fear of a laboratory bias that led him to include the NIST- traceable thermometer in the calibration procedure. (pp. 18-19) 6. The Court orders the State to notify all affected defendants of its decision that breath test results produced by Alcotest machines not calibrated using a NIST-traceable thermometer are inadmissible and commends to the State that it require the manual recording of the NIST- traceable readings going forward. Further, the Court lifts the stay on all pending cases so that deliberations may commence on whether and how those cases should proceed. For those cases already decided, affected defendants may now seek appropriate relief. Because the State waited approximately a year to notify the affected defendants, the Court relaxes the five-year time bar, R. 7:10-2(b)(2), in the interests of justice. The Court asks the Director of the Administrative Office of the Courts to monitor these cases and recommend how best to administer them in the event any special measures are needed. Finally, as to defendant Cassidy, the Court exercises its original jurisdiction and vacates her conviction. (pp. 19-20) CHIEF JUSTICE RABNER and JUSTICES LaVECCHIA, ALBIN, PATTERSON, FERNANDEZ-VINA, and SOLOMON join in JUSTICE TIMPONE’s opinion. 3 SUPREME COURT OF NEW JERSEY A- 58 September Term 2016 078390 State of New Jersey, Plaintiff-Appellant, v. Eileen Cassidy, Defendant-Respondent. On appeal from the Spring Lake Municipal Court, Monmouth County. Remanded Special Master Report April 7, 2017 May 4, 2018 Argued Decided September 12, 2018 November 13, 2018 Robyn B. Mitchell, Deputy Attorney General, argued the cause for appellant (Gurbir S. Grewal, Attorney General, attorney; Sarah C. Hunt and Sarah Lichter, Deputy Attorneys General, of counsel and on the briefs). Michael R. Hobbie argued the cause for respondent (Hobbie, Corrigan & Bertucio, attorneys; Michael R. Hobbie and Elyse S. Schindel, of counsel and on the briefs). 1 Jeffrey E. Gold argued the cause for amicus curiae New Jersey State Bar Association (New Jersey State Bar Association, attorneys; John E. Keefe, Jr., President, of counsel and on the brief, and Jeffrey E. Gold, Arnold N. Fishman, and Miles S. Winder III, on the briefs). Matthew W. Reisig, participating attorney (Reisig Criminal Defense & DWI Law, attorneys; Matthew W. Reisig, of counsel and on the briefs, and Jeffrey Zajac, on the briefs). John Menzel, participating attorney (John Menzel, J.D., on the briefs). Evan M. Levow, participating attorney, submitted a brief (Levow DWI Law, attorneys). JUSTICE TIMPONE delivered the opinion of the Court. The case before us concerns New Jersey law enforcement’s use of the Alcotest 7110 MKIII-C (Alcotest) to obtain breath samples from drivers suspected of driving under the influence of alcohol. The Alcotest machine analyzes breath samples, producing blood alcohol concentration readings used to determine whether a driver’s blood alcohol content is above the legal limit. In 2008, we found Alcotest results admissible in drunk-driving cases to establish a defendant’s guilt or innocence for drunk driving. State v. Chun, 194 N.J. 54, 65 (2008). We also required that the devices be recalibrated semi- annually to help ensure accurate measurements. Id. at 153. 2 Confidence in the reliability of instruments of technology used as evidence is of paramount importance. Unfortunately, alleged human failings have cast doubt on the calibration process. Marc W. Dennis, a coordinator in the New Jersey State Police’s Alcohol Drug Testing Unit, was tasked with performing the semi-annual calibrations on Alcotest instruments used in Middlesex, Monmouth, Ocean, Somerset, and Union Counties. He is charged with neglecting to take required measurements and having falsely certified that he followed the calibration procedures. Dennis was indicted in 2016 for failing to use a thermometer that produces temperature measurements traceable to the standards set by the National Institute of Standards and Technology (NIST) to measure the temperature of simulator solutions used to calibrate Alcotest devices. When Dennis was criminally charged, the Attorney General’s Office notified the Administrative Office of the Courts that evidential breath samples from 20,667 people were procured using Alcotest machines calibrated by Dennis. Defendant Eileen Cassidy, now deceased, pleaded guilty in municipal court to driving under the influence based solely on Alcotest results showing her blood alcohol level had exceeded the legal limit. Upon learning that the results of her test were among those called into question by Dennis’s alleged falsifications, she moved to withdraw her guilty plea. The Attorney General 3 moved for direct certification. We granted the motion because the central issue of this case is typical to the large number of defendants affected by Dennis’s alleged misconduct. We remanded the case to retired Appellate Division Presiding Judge Joseph F. Lisa as Special Master to determine whether “the failure to test the simulator solutions with the NIST-traceable digital thermometer before calibrating an Alcotest machine [would] undermine or call into question the scientific reliability of breath tests subsequently performed on the Alcotest machine.” 230 N.J. 232, 232-33 (2017). On May 4, 2018, after an extensive evidentiary hearing, the Special Master issued a 198-page report in which he concluded that failure to use a thermometer that produces NIST-traceable temperature readings in the calibration process undermines the reliability of the Alcotest. We now adopt the Special Master’s findings because they are supported by substantial credible evidence in the record, see Chun, 194 N.J. at 93, and we append his report to this opinion. I. We briefly highlight the following facts from the record and commend a review of the Special Master’s comprehensive report for the finer details. We rely heavily on the Special Master’s report. 4 In 2000, the State began using the Alcotest, a product of Draeger Safety Diagnostics Inc. (Draeger), to conduct breath tests. In 2004, Dr. Thomas A. Brettell developed the current calibration protocol while he was director of the State’s Office of Forensic Sciences (OFS), and we deemed the Alcotest sufficiently reliable as calibrated pursuant to Dr. Brettell’s protocol. Chun, 194 N.J. at 148. As this Court ordered in Chun, N.J.A.C. 13:51-4.3(a) requires the semi-annual calibration of approved instruments used to test the alcohol content of breath samples. Id. at 153. The regulation, however, does not specify a calibration procedure. During the calibration process, simulator solutions containing varying concentrations of ethanol are used to calibrate the Alcotest and confirm the accuracy of its blood alcohol content readings. The simulator solutions are poured into calibration units, which are glass containers that house a heating component. The calibration units heat the solutions to about 34 degrees Celsius, the generally accepted temperature for human breath, creating a vapor. The vapor is a proxy for human breath. It is essential that the temperature of the solution be accurate in order for the Alcotest’s blood alcohol content readings to be correct. The Alcotest’s calibration procedure requires the test coordinator to insert a thermometer that produces NIST- traceable temperature measurements into the simulator solution used to 5 calibrate the Alcotest and confirm that the calibration unit heated the solution to a temperature within 0.2 degrees of 34 degrees Celsius. The NIST is the federal agency responsible for maintaining and promoting consistent units of measurement. When a thermometer’s temperature measurements are “traceable” to the standard measurements of the NIST, those measurements are generally accepted as accurate by the scientific community. There are two other temperature probes used during the calibration procedure. Unlike the NIST-traceable thermometer, both of those probes are manufactured and calibrated by Draeger. The first is the “black key probe,” which plugs into the Alcotest device and allows the coordinator to access the calibration function. That probe is used to measure each simulator solution’s temperature during a series of control tests. The second is the “agency’s probe,” which also plugs into the Alcotest and is used to measure the temperature of the simulator solution used in the final test to confirm that the Alcotest was calibrated correctly. After the Special Master observed State Trooper David Klimik demonstrate an Alcotest calibration for him and heard testimony from five expert witnesses, including Dr. Brettell, the Special Master issued his report. In it the Special Master found the State failed to carry its burden of proving by clear and convincing evidence that the Alcotest was scientifically reliable 6 without a NIST-traceable temperature check. Infra at ___ (slip op. at 197-98). The Special Master stated the record “raise[d] substantial doubts about the scientific reliability of breath test results produced by Alcotest devices calibrated without the use of a NIST-traceable thermometer.” Infra at ___ (slip op. at 185). He rejected the State’s contention that the Alcotest itself contains so many redundancies and fail-safes that the use of a NIST-traceable thermometer is merely a supplementary check above and beyond the threshold of sufficient reliability. Infra at ___ (slip op. at 189-90). The Special Master determined that, without the NIST-traceable temperature measurement, the risk of undetected miscalibrations was “reasonably plausible” and would lead to “some number of undetected miscalibrations” among the roughly 1200 tests performed annually. Infra at ___ (slip op. at 194-96). II. A. The State challenges the Special Master’s findings, asserting that it met its burden of demonstrating by clear and convincing evidence that the Alcotest is generally accepted as reliable even when a NIST-traceable thermometer is not used in the calibration process. The State points to the testimony of Dr. Brettell that the black key probe and agency’s probe are so comprehensive that the reliability of breath test results will not be reduced without the use of a 7 NIST-traceable thermometer. It also highlights the fact that no other state using the Alcotest requires the use of a NIST-traceable thermometer in the calibration process. The State urges us to find that the Special Master held it to a standard far exceeding its evidentiary burden. The State further asks this Court to reject the Special Master’s findings that the black key and agency’s probes’ temperature readings are not NIST- traceable, arguing that question was not within the scope of the remand. B. Defendant asks us to adopt the Special Master’s findings and contends the use of a NIST-traceable thermometer is essential because miscalibrations leading to inaccurate breath test readings could otherwise occur. Defendant stresses that the black key and agency’s temperature probes do not produce NIST-traceable temperature readings and the use of an independent thermometer is the only way to verify the solutions’ temperatures during the calibration process. C. Amicus curiae the New Jersey State Bar Association agrees with the Special Master’s findings and conclusions. It asserts that the fundamental problem with skipping the NIST-traceable measurement is not that it introduces uncertainty, but that it introduces an unquantifiable amount of 8 uncertainty. In the State Bar Association’s view, the Special Master affirmed this Court’s assumption in Chun that NIST-traceable temperature measurements are integral to the reliability of the Alcotest. D. Participating attorney John Menzel, who represented the respondents in Chun, asks us to adopt the Special Master’s findings, but notes the Special Master applied a more general clear and convincing evidence standard rather than the stricter general acceptance standard. III. As a preliminary matter, we hold this case is justiciable despite defendant’s passing. As this Court explained in State v. Gartland, we “will entertain a case that has become moot when the issue is of significant public importance and is likely to recur.” 149 N.J. 456, 464 (1997). We granted the State’s application for direct certification from the municipal court because of the far-reaching implications of this case. The pivotal issue is whether the Alcotest is sufficiently reliable absent the use of a NIST-traceable thermometer in its calibration. Defendant’s case is emblematic of each case, pending or closed, in which the State used or seeks to use one of the 20,667 breath samples called into question by Dennis’s alleged misconduct. The reliability -- and, consequently the admissibility, see 9 Romano v. Kimmelman, 96 N.J. 66, 80 (1984) -- of thousands of breath samples, often used as the sole evidence to support a conviction, is undeniably of significant public importance. IV. Generally, the Court will defer to a special master’s credibility findings regarding the testimony of expert witnesses, but we owe no deference to a special master’s legal conclusions. State v. Henderson, 208 N.J. 208, 247 (2011). The Court also accepts the fact findings of a special master to the extent they are supported by “substantial credible evidence in the record.” Chun, 194 N.J. at 93. A. Scientific test results are admissible in a criminal trial only when the technique is shown to be generally accepted as reliable within the relevant scientific community. Id. at 91. The general acceptance standard is commonly known as the Frye standard. See State v. J.L.G., 234 N.J. 265, 280 (2018). Although this Court recently adopted the factors identified in Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579, 593-95 (1993), and a methodology-based approach for determining scientific reliability in certain areas of civil law, we have not altered our adherence to the general acceptance 10 test for reliability in criminal matters. In re Accutane Litig., 234 N.J. 340, 398-99 (2018); J.L.G., 234 N.J. at 280. “Proof of general acceptance within a scientific community can be elusive,” and “[s]atisfying the test involves more than simply counting how many scientists accept the reliability of the proffered [technique].” State v. Harvey, 151 N.J. 117, 171 (1997). General acceptance “entails the strict application of the scientific method, which requires an extraordinarily high level of proof based on prolonged, controlled, consistent, and validated experience.” Ibid. (quoting Rubanick v. Witco Chem. Corp., 125 N.J. 421, 436 (1991)). The proponent of the technique has the burden to “clearly establish” general acceptance, State v. Johnson, 42 N.J. 146, 171 (1964), and may do so using “(1) expert testimony, (2) scientific and legal writings, and (3) judicial opinions,” State v. Cavallo, 88 N.J. 508, 521 (1982) (quoting Paul C. Giannelli, The Admissibility of Novel Scientific Evidence: Frye v. United States, a Half-Century Later, 80 Colum. L. Rev. 1197, 1215 (1980)). To be clear, the party proffering the evidence need not show infallibility of the technique nor unanimity of its acceptance in the scientific community. Chun, 194 N.J. at 91-92; Harvey, 151 N.J. at 171; Johnson, 42 N.J. at 171. 11 B. The State had the burden to clearly establish that the Alcotest is sufficiently reliable under the general acceptance standard without the use of a NIST-traceable thermometer in the calibration process. The State contends it carried that burden by showing the use of a NIST-traceable thermometer is unnecessary to ensure the accuracy of the temperature of the simulator solution used to calibrate the Alcotest. According to the State, the temperature of the solutions can be indirectly verified by the two Draeger-manufactured probes, which were themselves checked against NIST-traceable temperature measurements at the time they were calibrated. We disagree. We begin with a brief review of the Special Master’s credibility determinations. The State proffered four witnesses in addition to Trooper Klimik, who demonstrated and answered questions about the calibration process. Of those four witnesses, the Special Master found only the testimony of Dr. Brettell, who “was qualified in this proceeding to render expert opinions in the fields of forensic chemistry, forensic toxicology, scientific measuring, and breath testing,” worthy of substantial weight. Infra at ___ (slip op. at 53- 55). As for defendant’s expert, Dr. Andreas Stolz, the Special Master found him credible. Infra at ___ (slip op. at 78). We defer to and adopt the Special Master’s detailed credibility findings. See Henderson, 208 N.J. at 247. 12 Based on the credible testimony, the Special Master determined that accurate temperature readings of the simulator solutions are “the foundation upon which the entire calibration process is built.” Infra at ___ (slip op. at 190). The Special Master found NIST traceability “essential” to confidence in the Alcotest’s results. Ibid. And, after considering the NIST’s standards for traceability, the Special Master found that the black key and agency’s probes were not NIST-traceable and were insufficient substitutes for the use of a NIST-traceable thermometer. Infra at ___ (slip op. at 187-88). Dr. Stolz testified that accurate temperature readings of the simulator solutions were critical to the accuracy of the Alcotest. He opined that if the temperature of the simulator solution was off by a single degree, and that error went undetected, the Alcotest’s blood alcohol measurements would be off by seven percent. That is, a breath sample with an actual alcohol concentration of .075%, could be read as .082%. Clearly, the accuracy of the temperature of the simulator solutions used to calibrate the Alcotest is critically important to the fidelity of its readings. The Special Master reproduced the standards for NIST-traceability in his report and detailed Draeger’s process for calibrating the black key and agency’s temperature probes. Infra at ___ (slip op. at 87-99). The Special Master’s detailed description of that process need not be reprinted here; it is 13 sufficient to note that Draeger’s process does not meet the NIST’s standards for an unbroken chain of measurement comparisons or for estimating the overall degree of uncertainty of the comparison measurements. The Special Master concluded the black key and agency’s temperature probes are not NIST-traceable. The Special Master’s findings that the probes are not NIST- traceable did not exceed the scope of the remand and are supported by substantial credible evidence in the record. We see no reason to question the Special Master’s determination. As the Special Master observed, the Draeger temperature probes do not produce NIST-traceable measurements, in part, because the level of uncertainty in those measurements is unknown. Infra at ___ (slip op. at 96). Both Dr. Brettell and Dr. Stolz acknowledged there is some amount of uncertainty in every temperature measurement. Dr. Stolz explained that it is not such uncertainty itself that is problematic; rather, for a measurement to be scientifically reliable, the amount of uncertainty must be known so the error rate of a given temperature measurement can be determined. Dr. Stolz testified that it is not knowing the level of uncertainty in a given measurement that makes the measurement scientifically unreliable. Dr. Brettell likewise stressed the importance of NIST-traceable measurements. He acknowledged the scientific reliability of the Alcotest was 14 reduced absent the use of a NIST-traceable thermometer. He agreed with Dr. Stolz that, without the use of a NIST-traceable thermometer, there was an unquantifiable amount of uncertainty in the Alcotest’s measurements. Dr. Brettell conceded: “Collectively, [the steps in the calibration process] are requirements that would be necessary for calibrating the instrument . . . .” The Special Master asked: “To ensure scientific reliability?” Dr. Brettell answered: “Yes.” The Special Master also found it particularly significant that the NIST- traceable thermometer was the only temperature measuring device used in the calibration process that was independent from the Alcotest and not manufactured and calibrated by Draeger. See infra at ___ (slip op. at 125-41, 180, 190-91). Dr. Stolz explained that if Draeger accidently used the wrong temperature in calibrating the calibration units and the probes, then the temperature variance would go undetected and the Alcotest’s readings would be factually inaccurate. Dr. Brettell testified he included the use of a NIST-traceable thermometer to independently verify the temperature of the solutions in light of the legal significance of the Alcotest. He explained that if you put everything into Draeger’s hands as far as certifying the solutions, the instrument, the calibrating unit and everything else, what if -- what if there is a 15 bias or an error in Draeger’s laboratory? What impact would that have on the breath test program in New Jersey? And so as far as the risk assessment, I took every step I could to independently test as much as I could of this program independently of Draeger to make sure that if that happened, we have a good chance of stopping it before it proliferated out. The Special Master found it “extremely important and persuasive” that current protocol treats the failure to achieve an in-range temperature reading using the NIST-traceable thermometer as an event of sufficient magnitude to abort a calibration. Infra at ___ (slip op. at 187). The Special Master reasoned that such facts clearly cut against the State’s argument that the use of the thermometer is an unnecessary redundancy. Infra at ___ (slip op. at 189-90). Further, the Special Master rejected the State’s theory that ten simultaneous failures would need to occur for the certainty of Alcotest results to be compromised, finding instead that the evidence showed that three relatively minor errors could cause undetected miscalibrations. Infra at ___ (slip op. at 130, 183). Though the Special Master found that it would not be common for the three errors to occur simultaneously, he found that they were “plausible, evidence-based occurrences.” Infra at ___ (slip op. at 183-84). The Special Master’s main concern was that miscalibrations could go undetected without the use of a NIST-traceable thermometer and the State had “failed to quantify the magnitude of the reduced scientific reliability” of the 16 calibration process when no NIST-traceable device is used. Infra at ___ (slip op. at 184). The State disputed the need for the use of a NIST-traceable thermometer, noting that New Jersey is the only jurisdiction using the Alcotest that mandates the thermometer’s use in the calibration process. The Special Master rejected that claim because “uncontroverted evidence established that the instrument was highly customized for each jurisdiction.” Infra at ___ (slip op. at 162-63). That customization complicates comparative analysis of the states’ processes because not enough states use the Alcotest to establish general acceptance and because, even among those states that do use the Alcotest, New Jersey “was possibly the most substantial user of the instrument.” Infra at ___ (slip op. at 169-70). The Special Master determined that the State had not shown New Jersey to be an outlier or that other states’ practices revealed general acceptance of the reliability of Alcotest results without the use of a NIST-traceable thermometer. Infra at ___ (slip op. at 170). We owe a great debt to the Special Master for his diligence and insightfulness so evident in his extensive and thorough report. Because his findings are supported by substantial credible evidence in the record, we adopt them. 17 Applying the general acceptance standard to the Special Master’s findings, we hold the State failed to carry its burden and affirm the Special Master’s conclusion. Contrary to the State’s contentions that the Special Master held it to a standard of infallibility, we find he did not. The State’s argument that the accuracy of the simulator solutions’ temperatures can be indirectly verified using the black key and agency’s probe cannot overcome the fact that the temperature measurements of those probes are not NIST-traceable. Simply put, temperature measurements that are NIST-traceable are generally accepted as reliable by the scientific community. Part of that reliability lies in the fact that the level of uncertainty of each temperature measurement is known. Because the probes fail to meet the NIST’s standards for traceability and the measure of uncertainty in their temperature readings is unknown, the scientific reliability of the probes’ temperature measurements are left in doubt. We do not accept the State’s contention that the risk of miscalibration is infinitesimal due to the numerous other fail-safes in the calibration procedure. It is improbable such a showing could satisfy the general acceptance standard because the temperature probes used in the calibration process would still have an unknown level of measurement uncertainty and would not be traceable to the national standards. But assuming such a showing could satisfy the State’s 18 burden, the State failed to demonstrate why we should reject the Special Master’s findings, specifically his concern that a laboratory error or a confluence of multiple minor errors could lead to undetected miscalibrations. Dr. Stolz and Dr. Brettell testified that they were concerned Draeger, which calibrates the other temperature probes used in the calibration procedure, could accidentally miscalibrate all the probes due to a laboratory mistake. In fact, as Dr. Brettell testified, it was that very fear of a laboratory bias that led him to include the NIST-traceable thermometer in the calibration procedure. V. We order the State to notify all affected defendants of our decision that breath test results produced by Alcotest machines not calibrated using a NIST- traceable thermometer are inadmissible, so that they may take appropriate action. We further commend to the State that it require the manual recording of the NIST-traceable readings going forward as a check against negligent performances of this integral human test. Further, we lift the stay on all pending cases so that deliberations may commence on whether and how those cases should proceed. For those cases already decided, affected defendants may now seek appropriate relief. Because the State waited approximately a year to notify the affected defendants, we relax the five-year time bar, R. 7:10-2(b)(2), in the interests of 19 justice. We ask the Director of the Administrative Office of the Courts to monitor these cases and recommend how best to administer them in the event any special measures are needed. Finally, as to defendant Cassidy, we exercise our original jurisdiction and vacate her conviction. CHIEF JUSTICE RABNER and JUSTICES LaVECCHIA, ALBIN, PATTERSON, FERNANDEZ-VINA, and SOLOMON join in JUSTICE TIMPONE’s opinion. 20 APPENDIX SUPREME COURT OF NEW JERSEY M-2 4 4 / 2 4 5 / 2 4 6 September Term 2 0 1 6 078 3 9 0 STATE OF NEW JERSEY , Plainti f f -Movant , v. EILEEN CAS S I DY , Defendant-Respondent . REPORT OF FINDINGS OF FACTS AND CONCLUSIONS OF REMAND COURT On remand from the Supreme Court of New Jersey : April 7 , 2 0 1 7 Findings and Conc lusions Submitted to Supreme Court : May 4 , 2 0 1 8 Robert H . C zepie l , Jr . , Supervis ing Deputy Attorney General , Robyn B . Mitchel l , Deputy Attorney General , Jamie A . Gallaghe r , Deputy Attorney General , appeared on behalf of plaint i f f -movant State of New Jersey ( Gurbir S . Grewal , Attorney General , attorney ) . Michael R . Hobbie and Elyse s. Schinde l appeared on behalf of defendant-respondent E i leen Cass idy ( Hobbie , Corrigan & Bertucc io , attorneys ) . Sharon A. Balsamo ( New Jersey State Bar Association ) , Arnold N. F i s hman ( Fi s hman & F i shman ) , Miles S . Winde r , I I I ( Carl Taylor Law , LLC ) , Jeffrey E. Gold and Zachary I. Hashmi ( Gold & Hashmi , P . C . , ) appeared on behalf of amicus curiae New Jersey State Bar Association . Matthew w. Riesig appeared as a Participating Attorney . John Men z e l appeared as a Participating Attorney . Samuel Louis Sachs appeared as a Participating Attorney . 1 LISA, P . J . A . D . ( retired and temporarily a s s igned on reca l l ) , SPEC IAL MASTER TABLE OF CONTENTS I• INTRODUCTION p.4 II . BACKGROUND p.6 A. Legal and factual background o f breath testing in New Jersey p.6 B. State v . background and procedural history p.21 c. The c a l ibration check proc e s s p.31 III . WITNESSES : QUALIFICATIONS AND ASSESSMENT OF CREDIBILITY p . 50 A. State's witne s s e s p . 50 1. Trooper David Klimik p. 50 2• Dr . Thomas A . Bret tel l p.51 3. Brian Shaffer p . 55 4. Dr . Howard J . Baum p. 61 5. Dr . Ali M . Alaouie p . 71 Due to health i s sues , Mr . Sachs only appeared in the initial stages of the remand proceeding . 2 B. Defense witness p . 76 1. Dr . Andreas Sto l z p . 76 IV . DISCUSS ION p . 78 A. Burden o f proof and pos itions o f the parties p . 78 B. NI ST-traceability p . 82 c. Importance of NIST-traceable thermometer step p. 108 D. Undetected miscalibrations p . 114 E. Discus s ion of Baum and Alaouie opinions p . 14 1 F. Discu s s ion of Brette l l opinions p . 154 G. Other states p . 162 H. Conforming product s lis t p . 170 v. FINDINGS OF FACT AND CONCLUSIONS OF LAW p . 175 A. Findings o f f act p . 175 B. Conc lus ions of law p . 185 APPENDIX I - Order Appointing Special Master APPENDIX II - Exhibit List APPENDIX I I I - Transcript List APPENDIX IV - Stipulations of Fact 3 I. INTRODUCTION This report deals with the scientific re liability of breath test readings used for evidential purposes in DWI c a s e s . For many years , such readings have been admis sible in evidence only if the State proves , among other things , that the breath tes ting device which produced the reading was in good working order . That proof is accomplished, in large part , by the production of a certification by a State Police coordinator who performed the most recent c alibration of the breath testing device . Such c alibrations are required at intervals not to exceed six months , and the coordinator ' s certification must attest to the fact that a l l steps in the calibration proc e s s were performed acc ording to the authori zed procedure . The breath testing device presently in use in New Jersey is the Alcotest 7 1 1 0 MKI I I -C ( the Alcotest , the 7 1 1 0 , or the instrument ) . One of the mandatory steps in the authorized calibration procedure requires coordinators to measure the temperature of the simu lator solutions used in the calibration proc e s s with a thermome ter that produces temperature measurements traceable to the National Ins titute of Standards and Technology ( NIST ) . I f the NI ST-traceable thermometer does not produce temperature readings for a l l simulator s olutions 4 that are within the required range , the coordinator is not permitted to proceed further with the c a l ibration proce s s . The State a l leges that one coordinator failed to perform this step in c a l ibrating three Alcotest 7 1 1 0 instruments , but he si gned certi f i c ations falsely attesting that he performed a l l required steps , including u s e of the NI ST-traceable thermometer . The State determined that over 2 0 , 0 0 0 evidential breath samples were taken using breath testing devices cal ibrated by that coordinator over the course of several years . The State made an app l ication directly to the Supreme Court , elaborating on the information discussed above and asserting that fai lure to perform the NI ST-traceable thermometer step would not undermine or c a l l into ques t ion the scientific rel iab i l ity of breath test results from those devices , notwithstanding that the step is mandatory and legally required as a prerequisite to admi s s ion in evidence of breath test results . Because of the mu ltitude of c a s e s potentially af fected , a l l of wh ich would contain a common i s sue , the St ate asked the Court to appoint a Special Master to deal with that is sue i n a s ingle proceeding . The Court granted the State ' s request and is sued an order on Apr i l 7 , 2 0 1 7 appointing me as the Spe c i a l Maste r , directing that I conduct an evidentiary hearing and , after hearing the 5 arguments of the partie s , make findings of fact and conclus ions of law to be submitted in a written report upon the fol lowing question : Does the fai lure to test the s imulator solutions with the NIST-traceable digital thermometer before c a librating an Alcotest machine undermine or c a l l into question the scientific re liabi l ity of breath tests subsequently performed on the Alcotest machine? [ Appendix I . ] For the reasons set forth in this report , I answer that question in the a f f irmative . II . BACKGROUND A. and factual of breath in New For over f ifty years , the results of evidentiary breath-testing ins truments have been used to estab lis h the blood alcohol concentration ( BAC ) of individuals who have operated motor vehic les in viol ation of N . J . S . A . 3 9 : 4 - 5 0 . State v . 6 4 N . J . Super . 2 6 2 , 2 6 8 ( App . Div . 1 9 6 0 ) ( holding that " [ t] he Drunkometer is suff ic iently established and accepted as a scientifically rel iable and accurate device for determining the alcoholic content of the blood to admit tes timony of the reading obtained upon a properly conducted test" ) . Breath testing "has the advantage" over blood testing "of prompt and easy 6 administration by non-medic al ly trained personne l and with relatively inexpensive equipment . " State v . 42 N.J. 146, 170 ( 1964 ) ( referencing the drunkometer , the alcometer , the breathalyzer , the drunkote ster and the intoximeter and noting that " [ a] l l are now generally s c ientifically recognized as sufficiently rel iable '' ) . Proof that the breath-testing instrument used was in good working order has always been a key foundational requirement of admi s s ibil ity . Mi l ler , 6 4 N . J . Super . at 270 ( setting as ide conviction for lack of foundational proof and holding that " [ a] s a minimum . . . the State should prove ( unless such proof is waive d ) that the operator was qua lified , that the machine and its components were in proper conditio n , and that the test was properly administered" ) . In the Supreme Court cautioned : It is , of cours e , most es s ential , in view of the heavy impact the result can have , that proper adminis tration of the te s t be c learly e s tablished before the reading i s admitted in evidenc e . This includes full that the was in order , the operator qua l i f ied and the test given correct ly . 4 2 N . J . at 1 7 1 ( emphas is added ) . ] I n 1 9 8 4 , the Supreme Court rej ected an argument that certain bre athalyzer mode l s were insuf ficiently rel iable due to potent i a l radio frequency interference ( rf i ) affecting breath 7 test result s . Romano v . 96 N . J . 66, 72 ( 19 8 4 ) . The Romano Court held that breathalyzers continued to be " s c ientif ica lly reliable and accurate devices for determining the concentration of blood a lcoho l " and that " [ s] uch s c ientific reliab i lity shall be the sub j ect of j udicial not ice in the tri al of a l l c a s e s under N . J . S . A . 3 9 : 4-50 . " Ibid . The Court explained that breathalyzer test results were admi s s ib l e where the State e s t abli shed that "(l) the equipment was in proper order - that it was periodi c a l ly inspected in accordance with accepted procedures; ( 2 ) the operator was qua l i f ied to administer the instrument - that thes e qual ifications as a breathalyzer operator were properly cert ified ; and ( 3 ) the test was given correctly - that it was administered in accordance with the official instructions for the use of the instrument . " I d . at 8 1 . The State bore the burden o f estab l i shing these conditions of admi s s ibility by c lear and convincing evidenc e . I d . at 8 9 - 9 1 . The Romano Court noted that , " under the most unusual circumstanc e s , which are h i ghly unlikely to occur , " rfi could interfere with breath test results , but it held that various procedures and prec autions , inc luding continuing "the current practice of banning hand-held transmitters from any are a in 8 close proximity to the breathalyzer ins trument , " sufficiently safeguarded against rfi . I d . at 7 2 -7 3 , 8 3- 8 3 . The Court r e j ected another cha l l enge to the sc ientific reliab i l ity of the breathalyzer in State v . 117 N . J . 450 ( 1990 ) . There , the defendants as s erted that "because people have broadly divergent ratios of breath alcohol relative to blood a lcoho l , the 2 1 0 0 : 1 partition ratio" used by the breathalyzer was inaccurate and rendered its test results scienti f ica lly unre l iable . Id . at 4 5 1- 5 2 . The Court rej ected this argument and found that "breathalyzer testing is a practical and reasonably accurate way o f f u l f i l l ing the Leg i s l ature's intent to punish drunk drivers . " I d . at 4 5 2 . For decade s , New Jersey used breathalyzer instrument s , but those devices would eventually "become technologic a l ly outdated , with the result that replacement parts are no longer avai l able and the machines themse lves , when they f a i l , cannot be repaired or replaced with l ike e quipment . " State v . 194 N . J . 5 4 , 64 ( 2008 ) . "Faced with an increas ingly dif ficult s ituation , the Attorney General ' s office began to cons ider alternate devices to use for breath-testing purpos es . '' Ibid . To replace the breathalyzer , the Attorney General's office selected the Alcotest 7 1 1 0 . Ibid . The Alcotest i s a breath testing instrument , manufactured and marketed by Draeger Safety 9 Diagnostics Inc . ( Draeger ) . The Alcot es t was approved as a method o f chemic al breath tes ting by the Attorney General pursuant to N . J . A . C . 1 3 : 5 1-3 . 5 and was f irst uti l i zed in New Jersey in December 2 0 0 0 as part of a year-long pi lot pro j ect in Penns auken , Camden County . See State v . 3 7 0 N . J . Super . 3 4 1 , 3 4 5 ( Law Div . 2 0 0 3 ) . The scientific reliability of the Alcotest was addressed by the Law Division j udge in fol lowing an appl ication by the C amden County Prosecutor for a consol idated j oint proof hearing as to numerous cases pending in Pennsauken . Ibid . On December 1 2 , 2 0 0 3 , the court found that " [ t] he reportable readings produced by the 7 1 1 0 within the establi shed tolerances are s c ient if ic a l ly accurate and reliable and therefore will be admitted into evidence without the need for expert testimony , " with the qua l ification that " no person who delivers a breath s ample of at least . 5 l iters may be charged with refusal . " Id. at 359 . The court focused primarily on ( 1 ) the " infrared ( IR ) absorption ana l ysis and elect rochemical ( E C ) cell technology analys i s " used by the instrument to measure ethanol in a breath s ample , and ( 2 ) the " breath testing sequenc e " used by the police when administering a breath test to an individual subj ect . The court did not discuss the proc e s s involved in p l ac ing an instrument into service or performing periodic 10 c a l ibration check s , and it is not c lear whether any information on this i s sue was presented to the court . Fol lowing the dec i s ion , the Alcotest instrument was utili zed county-wide in Middl es ex County and in s ome municipalities in other countie s , and Draeger created revised fi rmware' for use in the instrument . Chun , 1 9 4 N . J. at 6 6 . When twenty defendants charged in various Middlesex County munic ipalities with driving whi l e intoxicated challenged the admi s s ib i l ity of the Alcote s t results in their respective proceedings , ( 1 ) the Law Division cons o l idated the matters and denied the State's motion to recogni ze as binding authority , ( 2 ) the Appe llate Divis ion granted the State's motion for leave to appe a l , and ( 3 ) the Supreme Court certified the pending appeal pursuant to Rule 2 : 1 2 - 1 . I d . at 6 7 . By order dated December 1 4 , 2 0 0 5 , the Supreme Court remanded the Chun matter to a Special Maste r , retired Appe l late Division Presiding Judge Michael Patrick King , to conduct a plenary hearing on the rel iabil ity of Alcotest breath instruments . Ibid . Judge King heard testimony over the course of four months and , on February 1 3 , 2 0 0 7 , i s s ued a report Brian Shaffer , a technic a l specialist at Draeger , testified that " f irmware " is " s oftware that is employed to run on a specific hardware " a s opposed to "many d i f f e rent types of hardware " ( 9T 5 8 ) . 11 concluding that the Alcotest i s generally s c ient i f ical l y reliab l e , but recommending that several changes be incorporated ( King SMR) . 3 I d . at 6 9 . F o l lowing a remand and additional hearings to addr e ss f irmware-re l ated evidence that was not before the Spec i a l Master in the original hearings , Judge King i s sued a supplemental report on November 8 , 2 0 0 7 , making some further recommendations but concluding that the additional evidence presented did not a lter his f inding that the Alcotest is scienti f i ca lly reliable ( King SMR I I ) . I d . at 70 . The firmware being u t i l i zed at the time of the Chun dec i s ion was "New Jersey Firmware version 3 . 1 1 . " I d . at 8 2 . That same firmware ve rs ion i s being u t i l i zed today ( 1 0 T 1 2 9 ) . ' Judge King ' s initial report can be found at State v . 2 0 0 7 N . J . LEXIS 3 9 ( Feb . 1 3 , 2 0 07 ) ; however , the pagination of the onl ine version differs from the original report . The c ites herein are to the origina l . Pb = State ' s Proposed F indings of Fact and Conclusions of Law Db = Defendant ' s Proposed Findings of Fact and Conc lus ions of Law Rb = Re i s ig ' s letter j o ining defendant's f i l ing Ab = New Jersey Bar Association ' s Proposed F indings of Fact and Conc lusions of Law Mb = Menzel's Proposed Findings of Fact and Conc lus ions of Law lT = transcript of July 1 3 , 2 0 17 conference 2 T = transcript of August 1 7 , 2 0 1 7 conference 3 T = transcr ipt of September 1 9 , 2 0 17 conference 4 T = transcr ipt of October 1 2 , 2 0 17 conference ST = transcript of November 2 , 2 0 1 7 conference 6 T = transcript of December 1 4 , 2 0 17 demons tration 7T = transcript of January 3 , 2 0 1 8 hearing 12 On March 1 7 , 2 0 0 8 , adopting most but not a l l of Judge King's recommendations , the Supreme Court held , "We have no doubt that the device , with the safeguards we have required , i s suffic iently s c ientifically rel iable that its reports may be admitted in evidence . " I d . at 1 4 8 . The dispute in Chun centered primarily on the defense posit ion that the sc ientific theory behind a l l breath test results was f lawe d , so the Alcotest could not accurately determine BAC even if functioning properly ( King SMR at 2 0 4- 0 5; 2 1 3 - 2 2 ) . In additio n , the defendants raised concerns that the source code underlying the Alcotest firmware was unne c e s s ar ily comp lex , contained numerous errors , and had not ST = transcript of January 5 , 2 0 1 8 hearing 9T = transcript of January 8 , 2 0 1 8 hearing lOT = transcript of January 9 , 2 0 1 8 hearing l lT = transcript of January 1 0 , 2 0 1 8 hearing 12T = transcript of January 1 1 , 2 0 1 8 hearing 13T = transcript of January 1 6 , 2 0 1 8 hearing 14T = transcript of January 1 7 , 2 0 1 8 hearing 15T = transcript of January 1 8 , 2 0 1 8 hearing 16T = transcript of January 2 2 , 2 0 1 8 hearing 17T = transcript of January 2 4 , 2 0 1 8 hearing 18T = transcript of January 3 0 , 2 0 1 8 hearing 19T = transcript of March 2 2 , 2 0 1 8 oral argument 13 been developed in accordance with any recogni zed standards ( King SMR II at 3 6 - 5 2 ) . Evidence regarding the proc es s central to the current dispute , namely the semi-annual calibration check proc e s s , was presented to Judge King during the Chun hearings , but it was not litigated in detail and the defe ndants did not dispute the sufficiency of that process as described by State witne s s e s . ' Dr . Thomas A . Brette l l , Director of the O f f i c e of Forensic Sciences for the New Jersey State Police ( OF S ) from 2 0 0 1 to March 2 0 0 7 , testified i n the Chun hearings that he was involved in selecting the Alcotest device over other devices , and he "set up the policies and procedures on the inst rument" 34T14- 3 4T 1 6 ; 3 6T 6 9 ; 3 6 T 7 6 ; 4 1T 6 0 ; 5 2 T4 2 ) . 6 H e testi fied that his "recommendations for the cal ibration testing and checking l inearity , that ' s a l l part of the qual ity control program" ( Chun 4 4T 8 1 ) . No written cal ibration che c k procedure was made part of the record in Chun , although Brett e l l testified generally about the 5 Because the cal ibration check procedures are at the center of the i s sue before me , spec i f i c a l ly whether s kipping a step in those procedures undermines or c a l l s into question the scientific rel iabil ity of l ater breath t es t s per formed on the instrument , a detailed descript ion of those procedures i s included i n Section I I ( C ) . ' "Chun" transcript cites refer to the transcripts l isted in Appendix A to the King SMR . 14 procedure and Kevin M . Flanagan , a Sergeant with the New Jersey State Police ( NJSP ) who trained and supervised the coordinators at the time of the Chun hearings , testified about the procedures in more detail 3 6 T72 - 3 6T7 3; 5 2 T 6 - 5 2 T l l ; 5 4T 2 0 - 5 4 T 2 9 ; 5 5 T 6 4 - 5 5 T 6 8 ; 5 7T 5 - 57T6; King SMR a t 4 5 ) . Both Brette l l and Fl anagan testified generally regarding the use of the Ertco-Hart digital thermometer in the c a l ibration check proc e s s . Brettel l noted that the Ertco-Hart thermometer is a " N IST traceable thermometer" used only by coordinators 3 6T72 - 3 6 T 7 3 ) . Fl anagan testified that the Ertco-Hart thermometer i s an " ( e] xternal device that is used" by the coordinators " j ust corroborating temperature of the s imulator prior to it being used on the Alcote s t " ( Chun 57T5 ) . He testified that the thermometer is "NIST traceab l e " and the " ( c] al ibration is checked by Draeger " 5 7 T5 ) . Brettel l acknowledged that the annual c a l ibration certificate for the Ertco-H art thermometer was one of the " f airly fundamental documents that give inf ormation as to the accuracy as defined by New Jersey for each of the s e unit s " 3 6 T73 ) . Thus , the c a l ibration check proc e s s that Brett e l l developed we l l prior to the 2 0 0 6 hearings in Chun bec ame part of the Special Master ' s recommendation and was adopted by the Supreme Court almost without a l teration , except that the c a l ibration 15 check had to be performed once every s ix months instead of once a year . Notwithstanding the abs ence of dispute regarding the suffic iency of the State ' s calibration check procedure s , the Chun Court c learly regarded the process as critical . The Court noted that its determination of scienti fic rel iabil ity of the Alcotest was " grounded, in part , on our expectation that there wi ll be proof that the particular device " used in a sub j ect ' s breath test "was in good working order . " I d . at 1 3 4 . The lion ' s share of that proof comes from documents related to the calibration check proce ss . The Chun Court noted : Calibration of the machines involves attaching the machine to an external simu lator which uses a variety of solutions of known alcohol concentrations to create vapors that approximate human breath . By exposing the IR and EC mechanisms to thes e differing concentrations , and by analy z ing the device ' s abil ity to identify accurately each of those s amples within the acceptable range of toleranc e , referred to as a linearity t e s t , the coordinator is able to ensure that the machine is corre ctly c al ibrated . [ I d . at 8 4 . ] The foundational docume nts that the Chun Court held " need to be entered into evidence " in each case to demonstrate the good working order of the instrument are the "most recent 16 cal ibration report prior to a defendant ' s t es t . . • and the credentials of the coordinator who per formed the calibration , " together with the most recent new standard solution report prior to a defendant ' s te s t , and the certificate of analysis of the 0 . 1 0 s imulator solution used in a defendant ' s control tests ( key foundational documents ) . I d . at 1 4 5 . The Court also identified nine other categories of foundational documents that mu st be produced in discovery because they "are part and parcel of ensuring that the machine i s in good working order , " although their admis sion i s not routinely required ( di s covery foundational documents ) . I d . at 1 3 5 , 1 4 4 -4 5 . All but one of the dis covery foundational documents are certif icates attesting to the accuracy of equipment or solutions used during the cal ibration check proce s s . Ibid . The other discovery foundational document i s the new s tandard s o lution report generated at the end of the c alibration check proce s s . Ibid . 7 Thus , documents generated by or related to the cal ibration check proc e s s are e s s ential in es tablishing the good working order of the Alcotes t . In some c a s e s , this report might be the " most recent new standard solution report prior to a defendant ' s t es t " and , thus , a key foundational document rather than a discovery foundational document . 17 A few years after in State v . Holland , 4 2 2 N . J. Super . 1 8 5 ( App . Div . 2 0 1 1 ) and State v . Holland , 4 2 3 N . J . Super . 3 0 9 ( App . Div . 2 0 1 1 ) the Appe l l ate Divi sion addressed the State ' s change from the Ertco-Hart thermometer to a thermometer manufactured by Control Company . Evidence in this c a s e s hows that , in December 2 0 0 8 , the OFS evaluated the requirements for a thermometer to use in the c a l ibration check proce s s . A December 2 3 , 2 0 0 8 memo from Dr . Howard J . Baum, then-Director of the OFS and a witnes s in both Holland and this case , state d : Calibration o f the Alcote s t 7 1 1 0 MKI I I -C requires accurate temperature determination of the s imulator solutions . Currently the ERTCO Hart digital thermometer is used for this purpos e . However other digital thermometers wi l l also suffi ce . The criteria for acceptab i l ity of the digital thermometer are as follows : ( 1 ) Traceabi lity to a NIST ( National Institute of Standards and Technol ogy ) st andar d ; ( 2 ) C a l ibration of the digital thermometer by an accredited laboratory complying with I SO 9 0 0 1 , I SO/ IEC 1 7 0 2 5 , and ANS I /NCSL Z 5 4 0 - 1 ; ( 3 ) Use of the digital thermometer between the C a l ibration Date and the Calibration Due ( Expiration ) Date ; ( 4 ) Resolution of at least 0 . 0 1 ° C ; ( 5 ) Accuracy o f at least ± 1 ° C between 0 . 0 to 100 . 0 °c . Since a digital thermometer from VWR ( Model 6 1 2 2 0 - 6 0 1 ) and a digital thermometer from Control Company ( Model 4 0 0 0 ) meet or exceed 18 the criteria li sted above, they are acceptab le for temperature determination . [ S - lOC; D-2 . ] The OFS se lected a NI ST-traceable digital thermometer manu factured by Control Company ( CC thermometer ) . In two defendants chall enged the s u f f ic iency of the State ' s foundational proofs as to the Alcotest ins truments used in their respective breath tests because the State had provided a Control Company " Traceable Certificate of Cal ibration for Digital Thermometer " rather than the " Draeger Safety, Ertco- Hart Digital Temperature Measuring System Report of Cal ibration, NIST traceabil ity" that was identif ied as a foundational document in Chun . Holland I, 4 2 2 N . J . Super . at 1 9 3 -9 4 . The Holland I court held that using a non-Ertco-Hart thermometer during the cal ibration proce s s did not nece s s ar il y violate the Chun Court ' s strictures, and it remanded for a f i nding as to whether the CC thermometer was comparable to the Ertco-Hart thermometer . Id . at 2 0 0 . On remand, the Law Divis ion j udge conducted a three-day hearing and concluded that the CC thermometer was comparable in a l l material respects to the Ertco-Hart thermometer . Holland 4 2 3 N . J . Super . at 3 1 2 . The Appe l l ate Divis ion agreed and held that the Control Company certi ficates produced in the defendants ' cases were " f acially valid and s at is fie [ d] the 19 requirements a s a foundational document as required by Chun . " Id. at 319 . I n 2 0 1 3 , the Supreme Court addre s s ed certain f irmware revisi ons ordered in Chun that had not yet been implemented . State v . 2 15 N . J . 4 8 9 , 492 ( 2 0 1 3 ) ( Chun I I ) . As relevant here , the ordered revisions to the firmware woul d have included , on the documents generated during each c a l ibration che c k , ( 1 ) t h e " s erial number of the Ertco-Hart digital temperature measuring system uti l i z ed , " and ( 2 ) " the temperature probe serial number and value" for both the black key and agency probe . 1 9 4 N . J . at 1 5 2 . These revis ions were never made to the f irmware , and the Chun I I Court excu sed the State from comp l ying with these and other firmware revis ions that had been contemp lated . ' The record in Chun and this c a s e establish that even though the f irmware was not altere d , the serial numbers for the NIST traceable thermometer and temperature probes used during a c a l ibration check have been recorded by hand from about Apri l 2 0 0 6 onward . O n April 3 , 2 0 0 6 , Stephen H . Monson , D . A . G . , circul ated a memo to the head of the ADTU entitled "Legal Advice : Alcotest 7 1 1 0 MK I I I-C , Temperature Probe Documentation" ( April 2 0 0 6 memo ) , ( 1 ) noting that , because the instrument itself did not record and print out " the serial number and probe value of any spec if ic probe " used , " some de fense counsel" were arguing that the absence of this information was a basis "to exclude otherwi s e valid chemical breath test result s , " ( 2 ) opining that "such a c l a im i s wholly lacking in both factual and legal merit , " but ( 3 ) neverthe l e s s recommending as "a temporary course of corrective action" that the s erial numbers for the NIST -traceable thermometer and both temperature probes 20 B. State v . and Marc w. Denn is was a coordinator in the New Jersey State Police ' s Alcohol Drug Test ing Unit ( ADTU ) , and in that capacity he perf ormed semi-annual c a librations on Alcotests over the course of seven years in municipalities in five counties , spec ifically Middlesex , Monmouth , Ocean , Somerset , and Union ( Honig Cert . at� 3 ) . 9 be hand-printed on the documents generated during the cal ibration proce s s ( D- 1 6 ) . Then , when F l anagan testi fied in Chun in November and December 2 0 0 6 , he noted the "interim policy" was to record temperature probe s erial numbers by hand , and that the "intention with the next f i rmware upgrade" was to have the c a l ibration records report "the probe serial number and the probe value " and "the Ertco-Hart serial number" 5 3T 3 6 ; 6 0T2 4 ) . On March 3 , 2 0 1 3 , Dr . Ali M . Alaouie sent a memo to the head of the ADTU , referencing the April 2 0 0 6 memo and requiring coordinators to u s e papers for the c a l ibration documents with the words "Black Key Temperature Probe Serial , " Digital NIST Temperature Measuring System Serial , " and "Temperature Probe Serial Number" pre-printed , together with a bl ank on which the coordinator can record the respective serial number ( D- 1 5 ) . The format with the pre-printed pages remains in u s e , as demonstrated by K limik ( S-lM ) . Although the probe value does not appear on the c a l ibration documents , the probe value for each probe is written on the Draeger certific ate of accuracy for that probe , and these certi fi c ates are inc luded in discovery material s . Certification by E lie Honig , Director o f the Divis ion of Criminal Justice , in Support of Motion for Direct Certi ficatio n , Relaxation o f Court Rule s , Notice t o the Bar , and Appointment o f Special Maste r , dated October 1 7 , 2 0 1 6 . 21 On September 1 9 , 2 0 1 6 , Dennis was charged with violations of N . J . S . A . 2 C : 2 8 - 7 ( a ) ( l ) ( tampering with pub l i c records or inf ormation ) and N . J . S . A . 2 C : 2 1 - 4 ( a ) ( f a l s i fying or tampering with records ) ( Honig Cert . at� 2 ; S-4; S-4A ) . The comp l aint stated that Dennis did : KNOWINGLY MAKE A FALSE ENTRY IN A RECORD BELONGING TO , OR RECEIVED OR KEPT BY THE GOVERNMENT FOR INFORMATION OR RECORD , THAT BEING AN ALCOTEST 7 1 1 0 CALIBRATION RECORD AND CERTIFICATE REQUIRING A SIGNED TRUE STATEMENT THAT CALIBRATION CHECKS WERE PERFORMED CONSISTENT WITH THE CALIBRATION CHECK PROCEDURE FOR ALCOTEST 7 1 1 0 AS ESTABLISHED BY THE CHIEF FORENSIC SCIENTIST OF THE DIVIS ION OF STATE POLICE , WHEN HE HAD NOT PERFORMED THE PROCEDURE CONSISTENT WITH THOSE STANDARDS , WITH THE PURPOSE TO DEFRAUD OR INJURE ANYONE , IN VIOLATION OF N . J . S . A . 2 C : 2 8 - 7 A ( l ) ( A THIRD DEGREE CRIME ) . UTTER A WRITING OR RECORD KNOWING THAT IT CONTAINED A FALSE STATEMENT OR INFORMATION WITH PURPOSE TO DECE IVE OR INJURE ANYONE OR TO CONCEAL A WRONGDOING , THAT BEING AN ALCOTEST 7 1 1 0 CALIBRATION RECORD AND CERT I F ICATE REQUIRING A S I GNED TRUE STATEMENT THAT CALIBRATION CHECKS WERE PERFORMED CONSISTENT WITH THE CALIBRATION CHECK PROCEDURE FOR ALCOTEST 7 1 1 0 AS ESTABLISHED BY THE CHIEF FORENSIC SCIENTIST OF THE DIVIS ION OF STATE POLICE , WHEN HE HAD NOT PERFORMED THE PROCEDURE CONSISTENT WITH THOSE STANDARDS , IN VIOLATION OF N . J . S . A . 2 C : 2 1 - 4A ( A FOURTH DEGREE CRIME ) . [ Exhibit A to Honig Cert . ] Spec i f ically , the State a l leges that Dennis "fai led to use the NIST-traceable digital thermometer prior to s tarting the 22 ca libration " of Alcotest instruments in Asbury Park City , Long Branch City , and Marlboro Township on October 6 and 7 , 2 0 1 5 , but that he neverthe l e s s certified that " [ p)ursuant to and cons istent with the current ' Ca l ibration Check Procedure for the Alcotest 7 1 0 0MKI I I -C' as established by the Chief Forensic Scienti st , I performed a c a l ibration check on the approved ins trument ident i f i ed on this certificate" ( Honig Cert . at� 5 - � 6 ; S - 4 ; S-4 A) . Dennis was indicted on December 1 4 , 2 0 1 6 , and a superseding indictment was returned on June 2 7 , 2 0 1 7 , charging him with one count of third-degree tampering with pub l ic records and one count of fourth-degree f a ls ifying records ( S-4 ; S-4A ) . 10 Dennis ' s criminal proceeding is ongoing . On September 8 , 2 0 1 6 , about e leven months after Dennis al legedly failed to use the NIST-traceable digital thermometer when c a l ibrating three spec ific Alcote s t devices , and e leven days before he was formal ly charged with a crime for that failure , defendant E ileen Cass idy pl ed gui lty in Spring Lake Munic ipal Court to driving under the inf luence ( Honig Cert . at Exhibit D ) . Although it was not one of the three Alcotest devices giving rise to the charges against Denni s , the device on 10 The original indictment al s o contained a count of second- degree official misc onduct , in violation of N . J . S . A . 2C : 3 0 - 2 , but that count was dismis sed ( S -4 ) . 23 which Cassidy had provided an evident ial breath s ample had als o been cal ibrated by Dennis , and he certified that he had fol lowed the establi shed procedure in performing that cal ibration ( Honig Cert . at Exhibit D; Appendix IV at ii 3 - 9 ) . On September 1 9 , 2 0 1 6 , the s ame day that Dennis was criminally charge d , Elie Honig , the Director of the Division of Criminal Justice o f the New Jersey Attorney Genera l ' s O f f ic e , wrote to the Honorable Glenn Grant , Acting Director o f the Administrative Office of the Courts ( AOC ) , advis ing the AOC of the charge s against Dennis and the bas i s for them ( AOC letter ) . Honig questioned the sc ient ific nec e s s i ty o f the NI ST-traceable digital thermometer step in the estab lis hed procedure , but acknowledged that the step was required by the Supreme Court pursuant to Chun . Without referencing any particular case , Honig s t ated that " [ t] he State therefore anticipates that additional legal challenges may be f i led regarding the results of any Alcotest instrument that had been cal ibrated in the past by Denni s " a s to some of the " identi f ied 2 0 , 6 6 7 individuals who provided evidentia l breath samples on thos e instruments . " Honig stated that " [ g] iven potential legal chal lenges and the underlying s c ie nt ific nature of any potential chal lenge s " the Supreme Court should " i s sue a Notice to the Bar and appoint a 24 Spec ial Master to handle any l itigation ari s ing from the c ircums tanc e s set forth in this letter . " One week l ater , on September 2 6 , 2 0 1 6 , based on the revelation of the criminal charges against Dennis and the AOC letter , Cas s idy moved in Spring Lake Municipal Court to withdraw and vacate the guilty p le a she had entered e arl ier that month { Honig Cert . at� 1 2 , Exhibit D ) . On October 4 , 2 0 1 6 , Judge Grant advised the State that he had reviewed the AOC letter but that a request for a spec i a l master should b e made directly t o the Supreme Court through "an appropriate acti on; for instance , direct certifi cation . " On October 1 7 , 2 0 1 6 , the State applied to the Supreme Court to ( 1 ) take direct certific ation of Cassidy ' s municipal court motion to vacate , and ( 2 ) appoint a spec ial mas ter . The State referenced Cass idy's spec i f i c case , but then stated : The State antic ipates that many additional legal chal lenges wil l be fil ed regarding breath test results from Alcote s t instruments that were calibrated b y Denni s . As a coordinator for over seven years , Dennis c a l ibrated instruments in Middlesex , Monmout h , Ocean , Somer set , and Union Counties . The State has identif ied 2 0 , 6 6 7 individuals who provided evident i a l breath s ampl e s on those ins trument s . Underscoring any potential legal challenge to the evidentia l breath s amples provided wi l l be the s ame s c ientific is sue as that presented in the captioned matter : whether the failure to use a NIST-traceable digital thermometer prior to beginning the 25 c a l ibration of the Alcotest instruments undermined the s c ientific reliab i l ity of the instrument . The State argued that direct certi f ic ation and appoi ntment of a spec ia l master would result in "a c lear s c ientific ruling at the out s e t " that would " provide immediate guidance to municipal courts concerning the underlying s c ientific i s sue" and would " ensure predictable, uniform results throughout the State . " As to C a s s idy, the State has stipulated that, on July 10, 2 0 15, Dennis rec a librated the Alcotest 7 1 1 0 on which she provided a breath sample ( Appendix IV at�3 ) . The State has also s t ipulated : It cannot be corroborated whether Sgt . Dennis checked the temperature of the s imulator so lutions with the Control Company NI ST-traceable digital thermometer after a l lowing the s imulators to heat to the required temperature prior to beginning the recal ibration of Spring Lake Borough ' s Alcotest ins trument with Serial Number ARXB- 0 0 7 6 as is required by the Cal ibration Protoco l . [ Appendix IV at� 6 . ] On October 3 1, 2 0 1 6 , C a s s idy opposed direct certification and the appointment of a special master . On November 1 0, 2 0 1 6, the Court invited the New Jersey State Bar Association ( NJSBA ) , the Association of Criminal Defense Lawyers of New Jers ey, and four attorneys who had 26 represented defendants in Chun to submit a response to the State ' s pending motions , noting that "some of the relief requested by the State may imp l icate the app l ication of certain aspects of the Court ' s j udgment" in Chun . On January 1 9 , 2 0 17 , the Court invited the s ame entities and attorneys , a s well as parties in the matter , to " submit written recommendations regarding the scope of the t as ks to be performed by a spec ia l master , should the Court determine to appoint one . " On April 7 , 2 0 17 , the Supreme Court largely granted the State ' s motion and appointed me to sit as Special Master , ordering , in pertinent part : ORDERED that the matter is remanded to the Special Master who wil l consider and decide the fol lowing question , along with any other questions that the Spec ial Master , in his dis cretion , deems relevant to the undertaking : "Does the failure to test the s imulator solutions with the NIST-traceable digital thermometer before c a l ibrating an Alcotest machine undermine or c a l l into question the sc ient i f ic reliabil ity of breath tests subsequently per formed on the Alcotest machine ?" [ Appendix I . J The Court a lso set May 8 , 2 0 17 , as the deadline for a l l motions for participation i n the remand , and i t l e f t it t o me to "determine the extent of participation of any person or entity in addition to the State and defendant . " I rece ived and granted motions to partic ipate in the remand from the NJSBA and three of 27 the attorneys who had been counsel in spec ifically Samuel Louis Sachs , Matthew w. Re i s i g , and John Menz e l . I held f ive case management conferences between July and November 2 0 1 7 and addre s s ed various motions and discovery dispute s . On July 2 7 , 2 0 1 7 , the State f i led a motion asking me to enter an order " directing the State to provide notice to the 2 0 , 6 6 7 individuals referenced in the State ' s motion to appoint a Spec ial Master . " I denied the motion as beyond the scope of the authority granted to me in the Court's order appointing me a Spec ial Master , noting , however , that "[t] he den ial o f this motion in no way impairs the abil ity of the State , if it choos e s , to identify the potent ially af fected individu als or to furni sh them with individual notice . " The State subs equently provided notice to potentially af fected individuals . On September 1 5 , 2 0 1 7 , C as s idy f iled a "Motion to Declare Def endant as Indigent to Enable Def endant to apply to the Offic e o f the Public Defender for Anc i l lary Services for the Cost o f the Fees for the Defense Experts i n This Matter , Pursuant to N . J . S . A . 2 A : l58A-1 . " Four days late r , C a s s idy f iled an amended motion seeking expert fees and costs from " the State or the Office of the Public Defender" ( motion for expert fees ) . On October 1 9 , 2 0 1 7 , I is sued a dec is ion and order granting 28 defendant ' s motion to compel the State to pay the costs of defense experts . On October 1 7 , 2 0 17 , the State moved for a stay of proceedings in other courts that raise i s sues potentially af fected by the Supreme Court ' s u ltimate determination in this case cases ) . On November 2 , 2 0 17 , I entered an order genera lly s taying Denn is cases . On November 2 8 , 2 0 1 7 , I entered a supplemental order providing that the prosecutor has the affirmative obligation to determine whether a pending proceeding is a Dennis case . Discovery disputes included obtaining and reviewing in camera both Marc Dennis's personnel file and the discovery in his pending criminal matte r , and determining which materials could be disseminated to counse l , sub j e c t to a protective order . At the final c a s e management conference of November 2 , 2 0 1 7 , I s c heduled the hearing to begin on Monday , December 4 , 2017. However , over the Thanksgiving holiday , the State delivered a late discovery submi s s ion , containing new and voluminous material s . Al l de fense counsel strenuously ob j ected to the u s e of these materials at the hearing . They asked that either the material be barred or , alternativel y , a thirty-day adj ournment be granted to al low them and their experts time to analy z e and be prepared to ef fectively deal with the materials 29 at the hearing . The State did not ob ject to a thirty-day adj ournment , and I chose that as the appropriate relie f . I therefore adj ourned c ommencement of testimony by experts unti l January 3 , 2 0 1 8 , and I scheduled an in-court demonstration by a coordinator of an Alcotest calibration check procedure to be held on December 1 4 , 2 0 1 7 . O n that date , the State presented Trooper David Klimik , who demonstrated a c a l ibration check procedure and testif ied in detail regarding the proce s s . Beginning on January 3 , 2 0 1 8 and ending on January 2 2 , 2 0 1 8 , the State presented four expert witne s s es : Brettell; Shaffer; Baum, Director of the OFS from March 2 0 0 8 unt i l June 2 0 17; and Alaouie , a research s c ientist at the OFS . The State had a l s o provided a report from Dr . Fiona Couper of Washington State . However , despite numerous ef forts by the court and the parties to accommodate Couper's sc hedule , the State was unable to produce her for live tes timony . The State requested that she be permitted to testify by e lectronic means through a video teleconference . Defendant opposed this procedure on the grounds that it would viol ate her confrontation rights under the United States and New Jersey Constitutions . I agreed with defendant's position and , by decis ion and order dated December 2 8 , 2 0 1 7 , held that the State would need to 30 produce Couper l ive in court i f it wanted to rely on her test imony . Couper did not appear . Defendant produced one expert , Andreas Stol z , from Michigan State Univers ity , who testified on January 2 4 , 2 0 1 8 . Defendant had a l so provided expert reports from two additional expert s , but chose not to c a l l them . I dealt with evidence i s sues on January 3 0 , 2 0 1 8 , and the part ies and part ic ipating couns el submitted proposed findings of fact and conclus ions of l aw on March 5 , 2 0 1 8 . At my reque s t , coun s e l appeared for l imited oral argument o n March 2 2 , 2 0 1 8 . C. The c a l ibration check The cal ibration check performed on the Alcotest by a coordinator from the ADTU of the NJSP is e s sential to establi shing that an in strument is in good working order . See N . J . A . C . 1 3 : 5 1 -4 . 3 ( b ) ( requiring that each Alcotest instrument in u s e in New Jersey undergo a c a l ibration check performed by a coordinator when p laced into service initially or following repa ir , within 1 8 2 days of the l a s t cal ibration check , or at any time that a coordinator considers it "nece s s ary or otherwi s e appropriate" ) . N . J . A . C . 13 : 5 1 - 2 . l and -2 . 2 spec ify the requirements and qua l i f i c ations for a member of the NJSP to become a coordinator , including "the knowledge to properly perform • . . c a l ibration of approved instrument s , " but the 31 regulations do not desc ribe the specific procedures a coordinator s hould use for a c a l ibration check. No prior case in New Jersey has explored detai l s of the periodic c a l ibration proc e s s and its relationship to the e s s ential e l ement of proof that the particular instrument in question was in good working order . In the Court noted the importance of the proc e s s and the documents generated by it , but the spec if ics of the procedure were not in dispute . The Holland court addre s s ed the proc e s s in s omewhat more detail but , again , the deta ils of the procedure and the importance of each component of it were not in dispute . Here , the importance and nec e s s ity of the NIST-traceable thermometer step is directly in is sue . Because an understanding of the fu l l c a l ibration check proc e s s is e s s ential to understanding the nec e s s ity of the NIST traceable thermometer step , I address that proc e s s in detai l . Brettel l developed the calibration check procedures for the instrument , and the written " Ca l ibration Check Procedure for Alcote st 7 1 1 0 MK I I I -C , " admitted into evidence as S - 3 2 , was drafted by Brett e l l ( Ca libration Check Procedure ) ( 7T 1 5 ; 7T 6 3 - 7T6 5 ) . The document was l a s t revised o n December 1 3 , 2 0 0 4 , and the procedures it delineates are s t i l l appl i c able to c a l ibration checks perf ormed by ADTU coordinators today . Brette l l could not recall how many versions preceded the final version in 2 0 0 4 or 32 when the first version was drafted , but he thought there had been fewer than five revisions ( 7 Tl00-7 Tl03 ) . The first version must have been drafted by December 2 000 , which is when the Alcotest pi lot program began in Pennsauken . The requirement for a NI ST-traceable thermometer was in every revision ( 7 T 1 04 ) . After performing a cal ibration check on a specific instrument , the coordinator signs a certification , attesting , in pertinent part : Pursuant to , and consistent with , the current " C a libration Check Procedure for Alcotest 7 1 10 , " as established by the Chief Forensic Sci e ntist of the Division of State Police , I p erformed a cal ibration Chec k on the approved i nstrument identified on this certificate . The results of my Cal ibration Check are recorded on this certificate , which consists of two parts on two pages : Part I - Control Tests; and Part I I - Linearity Tests . I certify that the foregoing statements made by me are true . I am aware that if any of the foregoing statements made by me are wil lfully false , I am subject to punishment . [ S -lM . ] The Cal ibration Check Procedure contains six numbered paragraphs ( S - 3 2 ) . The NIST-traceable thermometer requirement at issue in this case is referenced i n paragraphs one and two , which provide : 1) For purposes of these procedures , the CU34 S imulator will be referenced as a " C a l ibrating Unit." Al l references to "Alcotest 7 1 10 " are intended to 33 indicate the Alcotest 7 1 10 MK I I I or MK I I I-C . The Calibrating Unit will be prepared with a new bottle of 0 . 10% solution from a lot certified by the Chief Forensic Sc ientist , or qualified designee , which will be run as a control. At the same time , a second Calibrat ing Unit will be prepared with a new bottle of 0 . 04 % solution certified by the Chief Forensic Sc ientist , or qual ified designee , a third Calibrating Unit will be prepared with a new bottle of 0 . 0 8 % solution certified b y the Chief Forensic Scientist , or qualified designe e , and a fourth Cal ibrating Unit will be prepared with a new bottle of 0 . 1 6 % solution certified by the Chief Forensic Sc ientist , or qualified designe e . These will be run as a quality assurance and l inearity check . Ensure that each Calibrating Unit is approp r i ately marked with the concentration contained therein and sealed with a plug or temperature probe and tygon loop to seal inlet and outlet . Allow a l l three Units to heat for 1 hour and then check the simulator with a NIST traceable thermometer . must be 34 Celsius or minus 0 . 2 Connect the keyed "coordinator's probe " to the Alcotest 7 1 10 and use the "PROBE" function to "ADJUST" to the correct "probe value" . 2) Attach the 0.10% Cal ibrating Unit to introduce a vapor sample directly to the cuvette . The " coordinator ' s keyed" temperature probe should be inserted in the rubber grommet of the Calibrating Unit . that the of the Unit is 3 4 . 0 Celsius or minus 0.2 with the NIST thermometer. Use the "CALIBRATE" function to perform 34 a c alibration of the unit . Follow the Alcotest 7 1 10's prompts to enter data for the Operator , Calibrating Unit , and Solution . Upon completion of data entry , the Alcotest 7 1 10 will obtain a vapor sample from the Calibrating Unit and will adjust its calibration based on this " Known Standard . " This process will output the "Alcotest 7 1 10 Calibration report . " [ S- 3 2 ( emphasis added ) . ] When questioned about developing the Ca libration Chec k Procedure , Brett e l l said , " I put the steps in there to lay out the best possible c alibration of the Alcotest instrument in my mind" ( 7 T105 ) . On cross-examination , Brett e l l was pressed on whether each and every step was scientifica l l y necessary . I then interjected with the following : THE COURT : Can you answer that directly? Do you have a direct answer for that question ? THE WITNESS : He's using t he word " nec essary " and I don ' t really want to use that word , bec ause I don ' t think it's a scientific word . Q. Reliable , do you like that word? How about reliable? THE COURT : Were they collectively scientific ally necessary , as opposed to parsing one against the other? THE WITNESS : Collective ly , they are requirements that would be necessary for c alibrating the instrument , yes . THE COURT : Scientific ally ? 35 THE WITNESS : Scientifica l ly . THE COURT : To e nsure scientific reliabi l ity? THE WITNESS : Yes . [ 7Tl06-l to 1 8 ) . On December 1 4 , 2 0 1 7 , ADTU coordinator Klimik appeared as a witness for the State and gave a demonstration of a cal ibration check from beginning to end ( 6 T ) . Coordinators such as Klimik are tasked with ca librating designated Alcotest instruments in municipalities in a particular region. Typ i c a l l y , each coordinator per forms two c a l ibration checks per day , four days per week ( 6 Tl60 ) . Klimik demonstrated and exp l ained each step of the c a l ibration check process in detai l , also answering questions from counsel and from me ( 6 T ) . He e xp l a i ned that , as a coordinator , he is assigned certain equipment that he brings with him and uses at each c a l ibration check he performs . This equipment consists of ( 1 ) three CU34 simulators , ( 2 ) a black key temperature probe , and ( 3 ) a CC thermometer" ( 6Tl8 ; S - 1 B ; S - 1 C ; S - 1E ; S- 1 G ; S - 1 I ; S - 1 J ; S- 1K ) . He also 11 As noted above , when Chun was decided, the NIST-traceab l e digital the rmometer used b y coordinators was manufactured by Erto-Hart. 1 9 4 N.J . at 152 ; King SMR 1 3 9 ) . I n Holland , 4 2 3 N . J . Super. at 3 1 2 , the Appe l late Division held that the CC 36 brings with him ( 1 ) bottles of s imulator solution with concentrations of 0.0 4 , 0 . 0 8 , 0 . 1 0 , and 0 . 1 6 , and ( 2 ) a power strip to use for his CU34 s imu lators ( 6 T2 0 ; 6T3 l ; S - 1 D ; S - 1A ; S - lF ; S-lH ; S- lL ) . The pol ice station or agency that operates the particular Alcotest to be tested supplies , for the cal ibration che c k , ( 1 ) the instrument itse l f , ( 2 ) one CU 3 4 , and ( 3 ) an agency temperature probe . The agency also maintains a supply of bottles of s imulator solution with a concentration of 0. 1 0 , one of which the coordinator uses at the end of the calibration check proc e s s for a s o lution change. A CU3 4 , also known a s a c a l ibrating unit or a s imulator , i s a device manufactured b y Draeger that accompanies , but i s separate from, the Alcotest itself. The CU3 4 holds about a half liter of l iqui d , and it resembles a mason j ar with a black top that contains a motor , microproc e s s o r , and other components ( 9 Tl2 0 ; S - 1 B ; S-1 E ; S- 1G ; S - 1 I ) . The CU34 top plugs into a power source and , on the underside extending into the s imulator solution , it contains a propeller , heat source , and attached probe to measure and ma intain the temperature of the solution within the CU34 ( 9T l 2 0 - 9T l 2 1 ) . The top also has a hole through thermometer "is comparable in a l l material respects to the Ertco-Hart digital thermometer." 37 which the black key probe , agency probe , or NIST thermometer will fit when being used by the coordinator. A CU3 4 does not have a gauge , screen , or other device that displays the temperature of the solution inside. Each CU3 4 is returned annually to Draeger for recertification. As Brettell testified : The simulator , which is the c a l ibrati ng unit for the Alcotest instrument s , is an independent component. It sits outside the i nstrument. And a l l of the readings that the Alcotest takes are based upon that c a l ibrating unit working properly. It has to heat up the standard solution to 3 4 degrees, plus or minus . 2. And if it doesn ' t , the instrument wi l l not b e in ca l ibration. So it's very , very important for the ca l ibrating unit to operate proper l y , to be working properly. [ 7 T 8 9 - 15 to 2 4 . ] The CU3 4 is a "wet bath " simulator , meaning that it uses l iqui d , known as simulator solution , rather than dry gas. S imulator solution is water-based and has a " known concentration of ethanol" ( 15T 1 9 2 ) . New Jersey purchases the simulator solution through Draeger from a non-Draeger vendor that provides the solution in lots of 1 400 bottles ( 15T75 ; 15T 1 9 4 ) . The vendor sends " the first two bott les , the last two bott les , and four bottles from the middle" 38 of each lot to the OPS for analysis ( 15T75- 15T7 6 ) . 12 If the solutions pass the test criter i a , the OPS issues a c e rtificate and approves the lot for purchase by the State Pol i c e or other agencies ( 1 5T 7 6 ; 15T 1 9 2 - 15Tl 9 5 ; 15T2 2 9 - 15T2 30 ) . The CU 3 4 and simulator solution util i z e the principle of " Henry's law , " which the Supreme Court has explained as follows : Henry's l aw , i n physical chemistry , states that when a liquid that contains a volat i l e substanc e , such a s alcohol , makes contact with air in a closed container and at a known temperature , a certain amount of alcohol wil l escape into the air space above in the form of vapor . The rate at which the alcohol vaporizes wi ll depend on the concentration of the alcohol in the liquid and on the temperature . The higher the temperature , the more alcohol wi l l escape to the vapor . When there is a fixed temperature and concentration of alcohol , a state of equ i l ibrium wi ll result in which the amounts of alcohol in air and liquid are static . v. 1 1 7 N . J . 450, 459 ( 1 9 9 0 ) . ] See also King SMR at 1 6 3 ( " Henry ' s law states that i n a c losed system and at a given temperature , there is a fixed ratio between a volatile substanc e , such as alcoho l , in a l iquid and the same volatile substance in a gas . " ) . 12 At the t ime of the Chun hearings , the solution was purchased i n lots of 1000 bottles , of which six were tested by the OPS ( King SMR at 4 6 , 108 -09 ) . 39 The concentration of each simulator solution used by the coordinator during the c alibration c he c k , 0.0 4 , 0 . 0 8 , 0 . 1 0 , and 0 . 1 6 , is such that , when the solution is heated to 3 4 ° C , plus or minus a tolerance of . 2 ° C , and a l lowed to reach equi l ibrium, the air between the top of the l iquid and the bottom of the CU3 4 l i d , known as the headspace , will conta in ethanol molecules of the stated concentration , within a spec ified tolerance . During each ca l ibration check , the coordinator uses two temperature probes that plug into the back of the Alcotest instrument , the black key probe assigned to the coordinator and the agency probe used by the agency for breath tests and solution changes between cal ibration checks . These probes have "a spec i a l kind of resiste r " that has "physical properties that change depending on temperature" ( 9 Tll8 ) . When the " key" end of a temperature probe is plugged into the instrument and the metal probe end is immersed in the simulator solution , the i nstrument "goes into a calculation that resolves and reports degree Celsius temperature" ( 9 Tll8 ) . "For the purposes of measuring temperature there ' s no difference" between the black key probe and the agency probe ( 9T 1 2 8 ) . The difference is that the black key probe has a "few additional components which establish access rights for the person with this key to get at more menu functions" ( 9 T 1 2 8 ) . 40 The only function that can be accessed with an agency probe is "Time" ( 6T 70 ) . Both types of probes are t es ted and recertified annually by Draeger ( 6 T45-6T4 6 ; 9 T 1 2 8 ) . When tested by Draeger at each annual recertific ation , the specific resistance of each temperature probe is determined at 3 4 ° C and , based on that resistance , the probe is as signed a probe value between 9 2 and 108 ( 6T 4 3 ) . sometime s the probe value changes for a specific temperature probe , meaning that a probe could be returned by Draeger after recertific ation with a different probe value than that s ame probe had previously ( 6T 4 4 ) . This change is sometimes referred to as probe value drift . Shaffer explained that a Draeger temperature probe " c an't record temperature , " but that : It's using a-as a sensor for the temperature it's using what they call a-it ' s a special kind of resister c a l led an NTC , Nancy , Tom, Charlie , which has physical properties that change depending on temperature . And so using that resistance of the probe along with the probe value that's as signed during our certification proc e s s , inserting that probe into the instrument its e l f , together it goes into a calcul ation that resolves and reports degree Cel sius temperature . [ 9T 1 1 7 - 25 to 9 T 1 1 8 - 10 . ] Sto l z explained that probe value is " j u s t a parameter" assigned to a probe by Draeger in its annual certification 41 process "to compensate for the differences of the different temperature probes" ( 1 7 Tll4 ) . It is not the actual resistance , nor does it reveal the resistance measured by the probe . The probe value goes into the algorithm and is factored into the temperature ca lculat ion of the instrument ( 1 7Tll 4 - 1 7 Tll5 ) . If the probe value is incorrectly inputted into the instrument , the temperature c a lculation wil l be incorrect ( 6 T8 1 ; 7T8 3 ; 8Tl2 7 ; 10Tl4 6 ; 1 7 Tll5 ) . The CC thermometer is a separate , hand-held device consisting of a probe to immerse in the simulator solution and a unit that displays a temperature reading ( S -lK ) . The CC thermometer comes i n a padded box "to make sure it doesn ' t get damaged during transport" ( 6 T53 ) . Each CC thermometer is certified for two years ( 6T 6 1 ) . Bec ause the cost of recertifying a used CC thermometer is about the same as purchasing a new one , the used thermometers are discarded at the end of two years and replaced with new thermometers . Klimik testified that agenc ies typically have their Alcotest instruments set up and runn i ng , with the agency CU3 4 attached , twenty-four hours a day ( 6Tl51 ) . Thus , when he goes to an agency to perform a cal ibration check on an instrument in service , as opposed to a new instrument or one returning to service after repair , the first thing he does is detach and 42 empty the solution in the agency CU3 4 . Once that solution is empt ied , the coordinator must either conduct a solution change or comp lete a ca l ibration check of the i nstrument before returning the instrument to service ( 6T 1 1 4 ; 6T156 ) . Each agency usually has one CU3 4 in service and one in reserve . Typic a l l y , the coordinator will not perform the c alibration check with the same agency simulator that was already in use , but will put into service the agency simulator that is " i n a sealed box with the corresponding certi ficates" fol lowing its annual recertification and return from Draeger ( 6T3 1 - 6T3 2 ) . This is not mandatory , but the goal is to use in the c a libration che ck , and to leave in service at the agenc y , a simulator with a cert i f ication date that extends beyond the next required ca l ibration check ( 6T 3 3 ) . The coordinator then prepares the agency CU 3 4 , using the bottle of 0 . 10 simulator solution he brought with him . He checks the seal " two or three times" by blowing into a tube and conf irming that bubbles are not escaping from the side of the simulator ( 6T 1 5 - 6 T 1 6 ) . He then plugs the agency CU34 into the power strip , turns it o n , and confirms that " the propeller is spinning and there ' s an orange l ight indicator on top of the heater which indicates that the unit is being heated " ( 6Tl6 ) . 43 The coordinator then goes through the same steps to prepare the three CU34 simulators he brought with him, using the 0 . 04 , 0 . 08 , and 0 . 1 6 solutions ( 6 T 1 6 -6T 1 8 ; 6T20- 6T2 4 ) . The coordinator writes the serial numbe r of the simulator on the corresponding bottle of solution and records the time on the final solution prepared ( 6T 1 6 ; 6T2 4 ) . When the CU34 reaches the proper temperature range according to its internal temperature probe , the orange light begins " turning on and off" to indicate that it has reached and is maintaining the correct temperature ( 6T2 5 ) . 1 3 This usually takes about thirty minutes , but the Calibration Check Procedure requires that coordinators al low each CU34 to heat for a full hour ( S - 3 2 ; 6T2 5 ; 8 T 1 2 3 ) . While the CU34s are heating , the coordinator will typic a l ly do various administrative tasks, such as downloading any data on the instrument since the last automatic weekly download , preparing pages for the discovery that will be produced as part of the c alibration chec k , and confirming several settings that are checked " every time before performing a c alibration to ensure that they are at their correct settings , " inc luding " The CU34s are designed to reach and maintain a temperature of 3 4 ° C , plus or minus a tight tolerance of . 02 ° C ; however , the actual temperature of the solution cannot be determined until measured with a separate measuring device . 44 tolerances and l inearity configurations ( 6 T 3 6 -6T3 8 ; 6T45 ; 6T 6 8 - 6T69 ) . The coordinator then adjusts the probe value setting in the instrument to the probe value of the black key temperature probe ( 6T 6 9 ) . The probe value function in the instrument would be set to the probe value of the agency probe when the coordinator arrives , so unless the values of both the agency and black key probes happen to be the same , the coordinator must adj ust the probe value function to the probe value of the black key temperature probe before beginning the test s , and then must ad j ust it back to the probe value of the agency probe before performing a solution change at the end of the process ( 6T 7 8 - 6T 7 9 ; 6T 1 4 2 ) . The probe value that the coordinator enters into the instrument does not print out on any of the reports generated by the c a l ibration , nor is it handwritten by the coordinator ( 6T 7 1 - 6T7 2 ; 6T 1 4 2 ) . Once the CU34s have been heating for an hour , the coordinator checks a l l four simulators with the CC thermometer , which is equipped with a digital read-out screen that reports temperature to three decimal p l aces ( 6T 8 6 - 6 T8 7 ; 6Tll5 ) . Each time , the coordinator inserts the probe portion of the thermometer into the solution , waits about thirty seconds for the temperature reading to "stab i l i z e , " and then visually 45 confirms that the temperature is within the required range of 3 3 . 8 ° C to 3 4 . 2 ° C ( 6T 8 7 - 6T8 8 ) . Kl imik noted that the temperature reading on the CC thermometer wi l l continue to fluctuate within a few thousandths of a degree after it has stab i l i zed ( 6T 8 8 ) . He testified that he will "wipe the temperature probe to ensure that there's no cross-contamination " before moving the CC thermometer from one CU34 to the next ( 6 T 8 8 - 6T8 9 ) . Once the temperatures of all four CU3 4s have been checked and determined to be within range , the coordinator is then finished with the NIST thermometer for the rest of the process and can return i t to its carrying case ( 6 T 1 1 6 ; 6Tll9 ) . The temperature readings from the N I ST thermometer are not written down or captured anywhere ( 6T8 9 ) . The coordinator will then attach the agency CU3 4 with the . 10 solution to the rear of the instrument and place the black key probe i n the solution ( 6T 1 1 8 - 6 T 1 20 ) . The coordinator then types in " CALIBRATE " and responds to prompts asking for various information regarding the coordinator and the solution and CU34 being used ( 6T 1 20 ) . Kl imik noted that he and the other coordinators " always review the data , sometimes multiple times" ( 6T 1 20 ) . K limik expla ined that , during the CALIBRATE function , " [ i] t ' s te l l ing the Alcotest what a . 10 solution is supposed to 46 look l i ke " ( 6T 1 2 1 ; 6 T 1 2 5 ; 1 1T l l3 ) . The CALIBRATE function is critically important because the standard by which the instrument measures all headspace and breath samples after that point is based on its performance of that function . As Shaffer expl ained : what ' s inside the instrument a cal ibrate function is an That ' s where we're telling the sensors inside the instrument , hey , you know what? Whatever you bel ieved before , we ' re going to introduce a certain concentration to your sensors and I want you to adjust yourself interna l ly so that you read exactly the target concentration that we t e l l you during this calibrate process . And so because of that , it's actually i n a very sensitive mode at that point . It ' s told trust whatever we in this That's a fundamental of the And if this was we would be it And the i nstrument would not detect a problem because of the solution alone . [ 1 0T5 1 - 2 0 to 1 0T52 - 1 0 ( emphasis added ) . ] The next step is the Control Test , whi c h is performed with the same CU34 and simulator solution that was used in the CALIBRATE funct i on ( 6T 1 2 6 - 6 T 1 2 7 ) . The purpose of this test , which is repeated three times, is to assure that the instrument had adjusted properly and reports the 0 . 1 0 concentration within the allowable tolerance . The control test certification prints 47 out and the coordinator can proceed to perform the l i nearity test . But first , the coordinator wi l l empty the agency CU34 and put a different bottle of . 10 solution in to heat for the solution change at the end of the c a l ibration check process ( 6T 1 3 3 ) . The . 10 solution used by the coordinator to do the CALIBRATE function and control test must be a different lot number from the . 10 solution used for the solution change ( 6T 1 3 4 ) . Usual l y , the coordinator brings a bottle of . 10 solution to use for the CALIBRATE function and uses a bottle from the agency stores for the solution change . The next step is the l i nearity test , which tests each solution i n the coordinator ' s CU34s twice to ensure that the instrument reads the ethanol as within tolerance over a range of concentrations ( 6 T l 3 3 ) . The . 04 CU3 4 is used first , then the . 08 , then the . 1 6 ( 6T 1 3 3 ; 6 T l 3 7 -06T 1 3 8 ) . The b lack key probe is used throughout the linearity test ( 6 T 1 3 3 ; 6 T 1 3 7 ) . Klimik stated that he will "triple-chec k " the results for accuracy , acknowledging that more than one check for accuracy is important ( 6T 1 3 9 ) . Once the l i nearity test is comp lete , the coordinator types in the data for a solution change , after which there is a " 60- minute loc kout " before that solution change can actually be 48 performed ( 6Tl40- 6Tl4 1 ) . During the data entry for the solution change , the coordinator must adj ust the probe value function in the instrument t o match the value of t he agency probe rather than the black key probe ( 6 Tl4 2 ) . The agency probe is used during the solution change , and during this part of the process , the instrument runs three tests to assure that the i nstrument measures the new solution within the allowable tolerances, in accordance with the adjustment made during the CALIBRATE function . The results of these tests print on the new standard solution report . At the end of the cal ibration check , the coordinator produces "discovery" consisting of ( 1 ) "Alcotest 7 1 10 Cal ibration Record , " ( 2 ) "Alcotest 7 1 10 Cal ibration Certi ficate Part I - Control Tests , " ( 3 ) "Alcotest 7 1 10 Cal ibration Cert i f icate Part II - Linearity Tests , " ( 4 ) "C al ibrating Unit New Standard Solution Report , " ( 5 ) Draeger certif icates of accuracy for the four CU3 4s and two probes used, (6) a cert i f ic ate of c a l ibration for the CC thermometer , ( 7 ) OFS certif ications of analysis for the f ive simulator solutions used , and ( 8 ) the coordinator's credent ials ( S -lM ) . 49 I I I . WITNESSES : AND ASSES SMENT OF CREDIBILITY A. State ' s witnesses 1. David Klimik Trooper David Klimik is a NJSP coordinator in the ADTU . As of the time of his testimony , he had been performing this role for nearly three years . He performed a demonstration of the c alibration procedure in open court on the first hearing date . He was sworn and answered questions posed to him throughout the demonstration by a l l counsel and by me . A l l questions , answers , and colloquy were transcribed ( 6T ) , and video recorded . ( Exhibit S - 4 2 ) . The demonstration lasted the better part of a full day . Klimik has received a l l required training to qualify as a coordinator . See N . J . A . C . 1 3 : 5 1 - 4 . 2 ( a ) ( l ) ( ii ) . Klimik had performed approximately 500 Alcotest calibr ation s . It was clear from his testimony that Klimik was very wel l versed in the manner in which the device and a l l of its component parts operate and with the calibration procedure and the sequence and manner in which a l l required steps are conducted . He was able to expl ain what he was doing throughout the procedure and to answer questions about each step . He answered a l l questions forthrightly and without hesitation . When asked questions that required knowledge of science , computer programming , or the 50 l i ke , he dec l ined to answer , bec ause such questions were beyond the scope of his knowledge . Klimik was a very credible witness in a l l respects . 2. Dr . Thomas A . Brettell Dr . Thomas A . Brettel l received an undergraduate degree in chemistry i n 1 9 7 3 f rom Drew University, fol lowed by a Master ' s Degree in chemistry i n 1 9 7 5 from Lehigh University . I n 1 9 8 7 , he rece ived a Ph . D . degree in analytical chemistry from V i l l anova University . He subsequently took additional graduate courses in forensic toxicology and general toxicology . I n 1 9 7 6 , Brette l l began what would become a thirty-one year career i n the OFS . He began as a forensic chemist and was promoted in January 1 9 8 0 to the position of Supervising Forensic Sc ientist . I n 1 9 90 he became assistant to the Chief Forensic Scientist . Then , f rom 1 9 9 8 to 2 00 1 , he was the Chief Forensic Sc ientist , the highest position in the OFS at that time . F rom 200 1 until his retirement in March of 2007 , Brettel l served as the f i rst Director of the OFS . He has subsequently worked as an assoc iate professor of chemistry at Cedar Crest College in Pennsylvan ia . He has taught both undergraduate and graduate courses in chemistry and forensic scienc e . These courses have inc luded forensic administration , which deals with administering and managing a 51 crime laboratory . Since his retirement , Brett e l l has a l s o provided consulting services t o the Inspector General ' s Office of New York State and to the District Attorney's Office in Bucks County , Pennsylvani a , regarding the toxicology unit of the crime laboratory in that office . Brettell holds a number of professional certific ations and member s hips inc luding the fol lowing : Diplomat of the Americ an Board of Crimina listic s , Certified Forensic Laboratory Director , Laboratory Accreditation Board ( ASCLAD ) and Laboratory Inspector , the American C hemic al Society , the American Society of Crime Laboratory Directors , the ASCLAD Laboratory Board of Directors , the American Ac ademy for Forensic Scientists , and the Society of Forensic Toxicologists . He has tes tified more than ninety times as an expert in the courts of New Jersey and Pennsylvania . He provided exten sive testimony in Chun . During his long c areer in the OFS , Brettell performed a substantial role in the breath testing program and acquired substantial knowledge and expertise in breath t es ting and breath testing ins truments . Brettel l ' s role with the Alcote s t 7 1 10 began when he was assistant to Chief Forensic Scientist Dr . Char l e s Tindall . They evaluated breath test ins truments for purchase for the State of New Jersey to replace the breathalyzer instrument which was then 52 in use . After evaluating several diffe rent products , they recommended the Alcotest 7 1 10 . Brettell then took on the responsibility for developing the technical proc edures for operating this device and for developing the c a libration check procedure for it . He is the author of the Calibration Chec k P rocedure which is at the heart of this proceeding ( S - 3 2 ) . The final revision of that document was effective December 1 3 , 2004 , and it remains in effect at this time without alteration . Brettell could not recol lect how many previous versions preceded that final revision . He estimated no more than five . The first version must have been in effect by December 2 000 , when the pilot program for the Alcotest 7 1 10 began in Pennsauke n . Brettell testified that every version contained the requirement to test the simu lator solutions with a NI ST-traceable thermometer before activating the CALIBRATE function during the c alibration process . Brettell was qualified in this proceeding to render expert opinions in the fields of forensic chemistry , forensic toxicology , scientific measuring , and breath testing . Brettel l demonstrated a very high level of knowledge and expertise in the fields for whic h he was qualified . In particular , h e possessed a very high level of knowledge 53 regarding the Alcotest 7 1 10 instrument and its component parts . He performed the testing and validation of the instrument before finalizing the decision to purchase it . He developed a l l of the protocols to effectuate nec essary scientific safeguards to assure scientific re liability in the breath tests it would produce . The safeguards were incorporated into the Calibration Check Procedure or other protocols in the OPS . Brette l l ' s knowledge of these safeguards , the reasons for them and their importance was c le arly superior to that of any other witness who testified in this proceeding. Brettel l answered a l l questions candidly and forthrightly , regardless of who was asking them. He was very sincere and careful in giving his a nswers . He disp layed a very high level of appreciation for the solemn responsibility he had in selecting a breath testing device and developing scientific ally reliable protocols to achieve in the best way possib le the highest level of scientific re liability in breath test results . This demonstrated his appreciation , spoken as a scientist , of what l awyers and judges would refer to as the constitutional dimension of the need for breath test results that are sufficiently scientific a l ly reliable to be used for evidential purposes and which , standing alone , constitute proof of guilt beyond a reasonable doubt . 54 Brettel l's testimony was very credible . The facts to which he testified and the opinions he rendered are entitled to very substantial weight . 3. Brian Shaffer Brian Shaffer is an emp loyee of Draeger . He rec eived a Bachelor of Sc ience degree in engineering in 1 9 9 2 from the University of Pittsburg h . H e holds no post-graduate degrees . He worked in several jobs before being employed by Draeger in 2003 . Whi l e employed by Draeger , Shaffer received in-house training regarding breath testing instruments manufactured by Draeger . He also attended the Robert Borkenstein School , taking a one-week seminar for alcohol , and another program for drugs . He also took a Windows CE course dealing with operating systems and designing imbedded systems . Although Shaffer does not have formal education in computer science or computer programming , and he ac knowledges not being trained in computer sc ience , he began his c areer at Draeger as a software engineer , a position which he held for about nine years . I n this rol e , he collected and managed specificat ions and requirements from customers and formed those into source codes and a lgorithms that are placed i nto firmware . Shaffer explained that breath testing instruments have a basic 55 firmware that is developed at the factory , in Draeger ' s case in Germany . Then , customi zed codes are written to be imbedded in the firmware for each custome r , and they are different depending upon the needs of each customer . Shaffer wrote the source codes that customi zed the Alcotest 7 1 10 for New Jersey's spec i f ications . In Shaffer was c a l led by Judge King to test i fy as both a fact witness and an expert in source code wr iting regarding the source code customized for New Jersey ( King SMR II at 8 ; 1 4 ; 62 ) . The sub j ects on which he test i f ied are unrelated to the present c ase ( King SMR II at 6 2 - 7 9 ) . 1 4 From 2 0 1 3 to 2 0 1 7 , Shaf fer worked as a "bid and tender manager . " I n that role , he carried many of the same responsibi l ities as he had when he was a software engineer , serving as a l i a ison between the customer and the various internal departments of the company , including the research and development , logistics , service , and legal departments . " Defendant contends that Shaf fer " held the opinion in the Chun l i t i gation that the use of a NIST-traceable thermometer was not necessary" and that "Judge King did not find Mr . Shaffer ' s opinion persuasive i n as Judge King recommended the use of a N IST-traceable thermometer to the New Jersey Supreme Court , contrary to Mr . Shaf fer's opinion" ( Db 3 3 -Db34 ) . This is incorrect . Shaf fer's testimony in Chun rel ated solely to software development , he discussed nothing regarding New Jersey ' s Cal ibration Check Procedures or the use of a NIST thermometer , and Judge King found his testimony to be " comp l etely re l i able and forthri ght " ( King SMR II at 7 9 ) . 56 Since 2 0 1 7 , Shaffer ' s t itle has been " Technical Spe c i alist . " He is the sole responsible party in the United States to support the Alcotest 7 1 1 0 . That instrument is currently used i n New Jersey and Alabama , as we l l as in a few counties in Cal ifornia . Shaffer is a " remote " employee , working primarily from his home in Colorado . He occasionally travels to each of the two Draeger locations i n Texas , mostly to the service workshop , on average a few times a year . He also travels around the country to trade shows , where he engages in sales activities on Draeger ' s behalf . He also travels to customer locations to engage in customer relations and provide service support to existing customers , inc luding New Jersey . Shaffer described the a llocation of his work as " about two thirds sales, one-third would be pro j e c t management related to the technic a l aspects of my role " ( 10T6 8 ) . Thus, he ac knowledged that " two-thirds of [ his] time is spent dedicated to making money for Draeger " ( 10T6 9 ) . Essenti a l l y , Shaffer is the national sales manager for Draeger ' s breath testing instruments . Most of his t ime with Draeger is devoted to promoting sales of Draeger products . Shaffer was primarily a fact witness in this case . It was c lear from his voir dire examination that he did not profess to 57 have expertise i n certain relevant areas , and the State made c lear that i t was not offering him as an expert in those areas . Thus , he was not being offered to give expert testimony in source code writing nor as an expert i n the New Jersey calibration check procedure ( 9 T50 ) . Likewise , he was not offered as an expert in traceabil ity ( 9 T 7 9 ) . Although Shaffer stated that he had an understanding of what NIST is and that it provides a nationally recogni zed standard of measurement s , he acknowledged that he had never read the NIST guidelines for traceability ( 9 T 7 7 - 9 T7 8 ) . Although the State proffered Shaffer as an expert on the workings of Alcotest 7 1 10 , it was l imited to " the internal Draeger procedures for testing and certifying the CU 3 4 , the black key temperature probe and the agency temperature probes . " [ 9T 8 8 : 1 3 - 2 1] . Further , counsel for the State made clear that he was " not offering [ S haffer] as a scientific expert' ( 9T 9 3 ) . ' His expertise with regard to the Alcotest 7 1 10 would be limited to his working knowledge from a technical aspect of " the internal Draeger procedures for testing and certifying the CU3 4 , the black key temperature probe , and the agency temperature probe s " ( 9 T 9 3 ) . Stated more simply , the State offered Shaffer as an expert with respect to "what does the instrument do " ( 9T9 4 ) . 58 Subject to those limitations , I qualified Shaffer as fol lows : THE COURT : All right . Here ' s - I'm going to allow this witness to continue to testify with regard to his expertise about the devic e , i nstrument itse lf , the 7 1 10 , wh ich he was a participant in the development of the firmware and the refinement of it to its current form . He ca n testify about the interna l Draeger procedures with which he is fami l iar as a long-time employee of Drae ger , and in his role there for testing and certifying the CU3 4 units , and the black key temperature probes , and agency probes and what the results of the c al ibration process , in his opinion , would be with or without the N I ST traceable thermometer being used as an early step in the process . He is qualified , in my view , to give testimony in those regards . Everything else will go to weight . [ 9T 1 0 7 - 7 to 2 2 . ] Shaffer's level of expertise is c learly limited . His education i n e l ectrical engineering does not qualify him to testify as an expert i n the fie lds of chemistry or physics , which drive the issue i n this case . There is no dispute that Shaffer is not a scientist and he was not proffered as a scientific expert . His knowledge of breath testing programs and i nstruments is l imited to their technical aspects . Shaffer's testimony was candi d , he was knowledgeable regarding Draeger procedures , and he provided answers without undue evasion or equivocation . Howeve r , I further find from his 59 background , experience and the testimony he gave and the manner in which he gave it , that Shaffer has a built-in bias which serves to favor the State's position. He is a long-time Draeger employee. Having written the source codes for the New Jersey version of the Alcotest 7 1 1 0 , he is invested with defending the firmware and the device itse l f , when operated in accordance with Draeger's recommendations, without the need for additional safeguards imposed by an end-user , inc luding New Jersey . Based on his employment , he has an interest in defending and promoting these devices as highly desirable for use by governmental entities , which are the present and prospective customers with whom he deals on Draeger's behalf. It is only natural that he would view any additional safeguards , beyond those recommended by Draeger , as not necessary or even important to assure re liability. When testifying about various additional safeguards Brette ll put into the c alibration procedure , inc luding but not limited to the use of the NI ST-traceable thermometer , S haffer repeatedly refused to acknowledge their worth or importance , stating instead that they did no harm but they were not necessary . These assertions were at odds with other credible testimony in the case , including from the State ' s other experts. 60 Based upon Shaffer's limited educational background , lack of scientific expertise , and his bias in favor of Draeger and its products, inc luding the New Jersey Alcotest 7 1 10 and its firmware , I find Shaffer ' s credibility to be limited , and I do not attribute high weight to it . 4. Dr . Howard J . Baum Dr . Howard J . Baum served as the Director of the OPS from March 1 7 , 2008 to his retirement on June 1 , 2 0 1 7 . Prior to that , Baum had never been employed by the State of New Jersey in any capacity . His prior professional experience was in the State of New Yor k . His educational background is as fol lows : He received a Bachelor of Science degree in biology with a concentration in biochemistry from Corne l l University in 1 9 7 9 . I n 1 9 8 6 , he received from Brandeis University a Ph . D . degree in biochemistry with a concentration in molecular biology , which is DNA . Prior to being employed in New Jersey , Baum served as Assistant Director , and eventually Deputy Director , of the Forensic Biology Department of the Office of the Chief Medical Examiner in New York City . He also served as the DNA Technical Leader in that office . He was responsible for the day-to-day operation of the Forensic Biology Department , which concentrated on DNA testing and some serology . Notab l y , Baum was responsible 61 for the World Trade Center DNA ident i f icat ion of the missing persons and crime scene reconstruction. It is c lear that Baum's primary area of scientific expertise is i n the field of DNA studies and analysis . Indeed , since his retirement i n 2 0 1 7 from his position i n New Jerse y , he is an owner of Baum Sc ienti fic Consulting , LLC , through which he is now handling only DNA cases. He holds six patents , a l l dealing with DNA . Of his thirty-seven pub l ications, about thirty involve DNA. None i nvolve breath testing. He acknowledged that it is we l l known in the scient ific community that he is a nat ionwide expert on DNA testing. Prior to becoming employed in New Jersey in 2008 , Baum had no experience whatsoever in breath testing programs or with breath testing devices . After being employed in New Jersey as Director of the OFS , he took some training from the State Police and Draeger to learn the basics of New Jersey's breath testing program and the device used , whi c h , at the time of his hire was the Alcotest 7 1 10 ( 1 2 T2 2 ) . He acknowledged that he had never used or touched an Alcotest device in his prior position ( 12T36 ) . His training encompassed an aggregate time of about three to four weeks over a period of about a year ( 1 3 T l 7 ) . Whil e employed as Director of the OFS , Baum generally devoted about ten to f i fteen percent of his time to the breath 62 testing program ( 1 2 T 3 7 ) . When he f irst arrived , an individual on the existing staff was the manager of the breath testing program. At some point , Baum hired Alaouie ( also a witness i n this c ase ) , whom he designated a s the manager o f the program . As such , those individuals were responsible for the day-to-day operations of the breath testing program, for testing and cert i fying the accuracy of simulator solutions, and for setting up and monitoring the ce ntral database , also known as the Alcotest Inquiry System . Baum is a certi f ied ISO 1 7 0 2 5 laboratory assessor ( 1 2T20- 1 2 T2 1 ) . He acknowledged that through A2LA he performs ISO 1 7 0 2 5 accreditation evaluations , and h e acknowledged that I SO 1 7 0 2 5 accreditation i s the hi ghest level of accreditation and c a n be characteri z e d as the "gold standard" ( 12T47 ) . He also acknowledged that N I ST is the gold standard for traceabil ity ( 1 2 T53 - 1 2T54 ) . He acknowledged his fami l iarity with the NIST pol icy review materials in evidence ( A- 1 ) ( 12Tl ll-12Tll3 ) . I t is c lear f rom a review o f Baum ' s over a l l testimony over a period of three days that he never took a particularly active role in the breath testing program, never fami l iarized himse l f thoroughly with i t , and possesses limited knowledge about it . For example , he did not know that the simulator solutions come into the OFS with a certif ication of accuracy from the 63 laboratory that produced them . Therefore , he did not know that the testing of sample bottles in the OFS constituted a retesting as an added safeguard to assure scientific rel i ability. The same was true regarding Alcotest instruments received from Draeger after repair . He said that " [ u] sually the Alcotest i nstruments are not certified" when repaired by Draeger , addin g , "They're not cert ified , per se '' ( 1 3T54 ) . But when pressed and shown a Draeger certificate of accuracy for an Alcotest 7 1 1 0 , he agreed that " [ t] here is paperwork with certification" from Draeger with the instruments returned after repair ( 1 3T54- 1 3T55 ; S - 9 G ) . Another significant example can be found i n his testimony regarding CU3 4 read-out models. The CU34s uti l i zed in New Jersey with the 7 1 1 0 do not have a screen to read out temperature . Baum described in great detail that he considered obtaining CU34s for use with the 7 1 10s which did contain such a read-out screen . He said he obtained them, and had them tested in the lab. He said he was considering using them as a replacement for the NIST-traceable thermometer step i n the protocol . When asked why he didn ' t do so , he said his time ran out before his retirement , and also that there were funding problems. I directed the State to produce documentation to verify this information bec ause Baum had never referred to it in 64 his reports and it constituted a surprise . The following day , counsel for the State reported that upon checki ng , it was learned that the simulator devices Baum was referring to did not apply to the 7 1 10 at . a l l . They appl ied to the consideration the State was then giving to obtaining a new instrument , and one of the models it was considering was Draeger ' s new generation 9 5 1 0 , which evidently comes with a simulator that contains a read-out . Much of Baum's testimony was self-contradictory . I n some instances , the contradictions were within testimony he gave i n this very hearing . On other occasions , he gave testimony in this hearing that conflicted with a statement he gave to criminal investigators in the Dennis case in December 2 015. And he also rendered testimony in this case that was contradictory to testimony he gave in the Holland hearing . I will discuss some of those with more particularity in the remainder of this section . I n addition to noting Baum's l imited knowledge of the breath testing program and inconsistency in his testimony , I also note shortcomings in his recollection of events . Further , as I observed his demeanor and manner of answering questions, I note that his answers were often vague or qua l ified , resulting in a l a c k of c l arity and allowing for him to change his answers 65 if challenged . He also bec ame argumentative and evasive on many occasions in an ef fort to avoid having to answer questions . For a l l of these reason s , which I will continue to discuss in further detail , I did not attach to Baum's tes timony a high level of credibility , nor do I attribute significant weight to it . Baum was qualified a s an expert in the three fields for which he was offere d , namely the Alcotest 7 1 1 0 , the breath tes ting program, and scientific measurement . He proceeded in his substantive tes timony to dis cuss those areas and render opinions in them. As I have previous ly describe d , some of his opinions were at odds with opinions he previously gave in other proceedings , and some were internally inconsistent within his tes timony in this proceeding . I t is apparent to me that Baum went out of his way to conform his tes timony to fit a significant argument the State originally made in seeking this Special Master proceeding , name ly that use of the NIST-traceable thermometer is merely a pre-step 15 for administrative convenience to prevent the waste of time by a coordinator if he were to begin the CALIBRATE function and one of the simulator solutions was out of range . However , 15 Baum and the State used the terms " pre-step " and " pre-te s t " interchange ably . 66 Baum then ac knowledged that the same purpose can be achieved with the black key temperature probe ( i f that probe could be relied upon for the required accuracy ) . He explained that a coordinator could plug the black key probe into the Alcotest device , pull up the correct screen , and get a read-out , a procedure which could be per formed on each of the four CU3 4s before activating the CALIBRATE function ( 1 2T58 ; 1 3T2 3 ) . At another point i n his testimony , Baum said this about the NIST-traceable thermometer : And the temperature probe from the thermometer i s , in a pre-test , is put i nto the simulator solution to make sure that it ' s c lose to the 3 4 degrees that is necessary . When I say c lose , between 3 3 . 8 and 3 4 . 2 degrees Celsius and it's used to take temperature of the simulator solution i n this process . [ 1 2T2 2 4 -9 to 15 . ] When asked why he ca l l e d it a " p re-step , " Baum said : [ I] t's i n the protocol for the cal ibration of the instrument , but it's a test to make sure that they are at approximately the proper temperature before plugging it i n with a black key temperature probe and plugging it into the instrument , the Alcotest instrument . [ 1 2T2 2 4 - 2 2 to 2 2T 2 2 5-2 . ] This testimony is an example of a witness trying to fit a proverbial round peg into a square hole . Baum attempted to minimize the importance of the NI ST-traceable thermometer step 67 by calling it a " pre-test " and stating that it only has to show that the solutions " are at approximately the proper temperature . " Yet , those concepts are internally inconsistent bec ause he also identified the range which he characterized as being sufficient if they are " approximate l y " correct . The range he described is the precise range that is required in the calibration procedure . Further , he twice said that the NIST traceable thermometer is used to "make sure " the temperatures are within the precise required range . Of course , "make sure " means to be certain that the required range is achieved . Although characteriz ing this step as a mere " pre-test , " Baum did not dispute that i f the NIST-traceable thermometer does not give readings within range for al. l four CU3 4 s , the coordinator is prohibited from proceeding with the calibration ( 1 4T 8 ) . Thus , Baum ' s attempted minimi z ation of the importance of this step is contradicted by his own testimony and that of every other witness in the case . At another point , Baum was again asked whether the procedure , prepared by Brettell , recommended by Judge King , and approved by the Supreme Court , was required to be fol lowed to ensure scientific reliabi l i ty . Baum tried to avoid the key part of the question by saying the Court " said the procedure had to be fol lowed . " When pressed as to whether the Court required it 68 to "ensure and guarantee tbe sc ientific reliab i l ity of the Alcotest , " he finally said ' 'Corre c t " ( 1 3Tl05- 1 3 T 106 ) . There were significant discrepancies between Baum's answers to investigators in his December 2 1 , 2015 interview and his testimony before me . I n that interview , he said that i f the NIST-traceable thermome ter was not used , if the " internal thermometer , • by which he meant the Draeger black key or agency probe , was not operating correctly , but read between 3 3 . 8 and 34 . 2 , ' 'the would even it shouldn ' t " ( 1 4Tl 7 3 ) ( emphasis added ) . He then tried to negate that answer in his testimony in this case i n two ways . First , he said it was a poor question so his answer didn ' t come out right . Second, he said that he only meant one calibration test would pass , not the entire c a l ibration procedure ( 1 4 T 1 7 8 ) . S imilarly , i n his December 2 1 , 2015 statement , he answered the fol lowing questions i n the following manner : Q. So it says , HB . I ' m going to start with the quest ion . Question . This is from D - 1 8 as wel l . That NIST thermometer then comes into play to ensure that the temperature of those solut ions are 3 4 degrees? A. Correct . Q. If they weren't 3 4 degrees , uh , and the coordinator proceeded with the recalibration process , would he be successful , he or she be successful ? 69 A. Yes, he would. Q. Question : How so? A. I t would generate a linear line . However , when went to an individual was arrested for drunk it wouldn ' t be an accurate of their blood alcohol concentration . [ 1 4 T l 8 3 - 2 to 1 6 ( emphasis added ) .] The n , continuing with '' live '' questioning in this hearing : Q. And you read that - I ' m reading this correctly . It wouldn ' t be an accurate reading of their blood alcohol concentration . That's what you state d , correct? A. That ' s what I state d , correct . Q. Okay . And there ' s no qualifying l anguage by you there , correct? A. Correct. [ 1 4 Tl 8 3 - 1 7 to 2 4 .] Yet , Baum then tried to negate the testimony he gave in that statement by saying that skipping the NI ST-traceable temperature measurement in the c alibration process wou l d not be a problem because if the CU34 temperatures were out of range , it would be picked up by the black key probe or the agency probe or the CU3 4s themselves ( 1 4Tl 8 7 ) . This clearly contradicts what he said in his previous statement given in the Dennis criminal 70 investigation . This is yet another example of why I c annot rely on Baum ' s opinions , which are often in conflict with each other . This witness exhibited a low leve l of knowledge , recol lection , candor and consistency . His "reliable enough" approach to the requirement of NIST traceab i l ity to assure scientific reliabi l ity is not we l l supported by his own testimony . Nor is it persuasive in estab lishing that without the NI ST-traceable step the Alcotest device does not drop below the level required to render results that are suffic iently scientific a l ly reliable for their intended purpose , namely for evidential use , in which they establish per se gui lt beyond a reasonable doubt . 5. Dr . Ali M . Alaouie Dr . Ali M . Alaouie rece ived an undergraduate degree in chemistry from the College of Staten Island in New York in 1 9 9 9 . He received a Master ' s Degree in environmental sc ience from Long Island University in New Yor k . I n 2006 , he received a Ph . D . degree from North Carol ina State University in Raleigh , North Carol ina in chemistry . He subsequently participated i n two one-year appointments for post-doctoral work . The first was in biochemistry a t the University of Edmonton i n Canada ; t he second involved ca ncer research at New York University at the Polytechnic Institute in Brooklyn . Alaouie also received a 71 professional certific ate from New York University in U . S . Law and Methodologies . Alaouie has been employed in the OFS since January 3 0 , 2012 . His official title is Research Scientist , and his functional title is Program Manager of the Breath Testing Unit . As such , his primary functions are to conduct va lidation studies , scientific measurements , and any kind of data-driven analysis or research . As Program Manager of the Breath Testing Unit , Al aouie oversees the Alcotest Online Public Database ( also known as the Alcotest Inquiry System ) . This database captures and preserves the data from breath tests administered to subjects and solution changes . Because of a "bug" in the Alcotest firmware , the system does not capture calibration records . The system also does not capture the probe value of the Draeger probes it reports upon . Alaouie limits his role in this regard to checking on a weekly basis to be sure that all police agencies are uploading their data into the system. If there is a technic a l problem, he makes arrangements to send appropriate technicians to that police department to address it . If more than two or three weeks go by during which a department has not uploaded its data , a reminder is sent . However , neither he nor anyone acting under his supervision reviews the data for 72 purposes of analysis , which might identify and address any trends that might be problematic . Alaouie took the Robert Borkenst e i n course on alcohol and highway safety in 2 0 10. I n 2 01 1 , he took training courses admi nistered by the New York City Police Department regarding the I ntoxilyzer breath testing device . He also received training provided by N I S T , consisting of a two-day workshop in 2 01 3 , which de alt with trends in synthetic drugs . In 2015, Alaouie completed a course which resulted in his certification to i nspect accredited l aboratories according to ISO 1 7025 standards . He has e i ther observed or performed about 100 cal ibrations of the 7 1 10 while employed by the OFS . Another major part of Alaouie's role is to check simulator solutions for accuracy and cert ify them before they can be used by the State Police or local police departments in cal ibrating Alcotest i nstruments or administering breath tests . The solutions are generated by various suppl iers , and they come with a certificate of accuracy issued by those suppliers . However , it is part of the protocol established by Brettell that these solutions must be checked by the OFS before they can be used . The testing procedure compl ies with ISO 17025 standards , ac ross five data points using five separate concentrations . The measurements are made against NI ST-traceable standards, and the 73 measurement results are NIST-traceable . Alaouie oversees and reviews the work done by scientists under his supervision and , upon his satisfaction that all procedures have been performed correctly and a l l calculations are correct , he signs the certificates of accuracy for the simulator solutions . Alaouie does not possess any specialized computer knowledge , including the ability to write or understand source codes , programming , algorithms , and the like . He is not a computer scientist or programmer . Alaouie has performed a significant role in validating the Alcotest 9 5 1 0 , which is expected to be the next breath testing instrument used in New Jersey when it replaces the Alcotest 7 1 10 . As part of the v alidation process of the 9510 , Alaouie did not per form any SIM TEMP error statistical testing between the 7 1 10 and the 9510 . He has never interrogated the 7 1 10 system regarding SIM TEMP errors for the purpose of conducting a statistical analysis of such errors . Al aouie ac knowledged that in every procedure in which accuracy of measurement of temperature is critic a l , the measurement must be made with a N I ST-traceable instrument . He further acknowledged that the user is obligated to satisfy itse lf of NIST traceability . He has relied upon the Draeger certificates of accuracy for the black key and agency probes . 74 Those certificates do not contain the subst antial documentation required to sati sfy NIST standards . Alaouie has never contacted Draeger in an effort to determine whether NIST standards are satisfied and to obtain the required documentation to s atisfy hims e lf , on behalf of the State of New Jers e y , the user , of NIST traceabil ity. I qualified Alaouie as an expert in the Alcotest 7 1 10 , the testing of s imulator solution s , and sc ientific measurement . I found him to be a very credible witne s s . He was forthright i n answering questions posed b y a l l parties . The bul k of Alaouie's substantive testimony dealt with the testing of s imulator solutions . This was not a hotly contested i s sue . Alaouie's testimony demonstrated that appropriate sc ientific procedures were utili zed before he s i gned certificates of accuracy for the simulator solutions . The testing was comp l iant with all NIST-traceab i lity standards , as evidenced by the certificates he i s sued . I attribute substantial weight to his testimony in this r egard. As to other i s sues deal ing directly with the question before me , namely whether the fai lure to use the NIST-traceable thermometer undermines or c a l l s into question the s c ientific reliabil ity of resulting breath tests , Alaouie • s knowledge and experience i s l imited . For the reasons I will d iscus s , I did 75 not find persuasive the underlying reasons he gave for his ul timate opinion that failure to use the NI ST-traceable thermometer woul d not undermine or c a l l into question the scientific re liability of breath tests . Thus , in areas other than the testing of the simu lator solutions , I did not attach significant weight to Alaouie ' s opinions . B. Defense witness 1. Dr . Andreas Sto l z Dr . Andreas Sto l z holds a Ph . D . degree i n physics , which he obtained from the Technical University in Munich , Germany . Metrology , the study of how to measure and the analysis of measurements , is part of his educ ation in physics . He has been in the United States since 2001 . He has been employed at Michigan State University since that time , first as an assistant professor , then an associate professor , and is now the head of operations for the National Superconducting Cycl otron Laboratory at Michigan State . Dr . Sto l z has presented many seminars and programs to attorneys , prosecutors , and j udges in several states regarding the science of breath testing . Of the fourteen presentations listed in his CV, seven include in the tit l e the word metrology , five others in their titles refer to measurements , and the 76 remaining two deal with forensic analysis in drunk driving cases ( 1 7T l7 ) . Stolz has test i f ied as an expert in drunk driving cases about twenty times, always for the defense . He has co-authore d , together with a DWI defense attorney , many pub lications dealing with breath test i ng . Although these c ircumstances indicate a defense-oriented leani n g , they also demonstrate extensive knowledge and experience in the field of breath testing . I qual i f ied Stolz as an expert in physics , metrology , and the science of breath testing ( 1 7T53 ) . I n broad general terms , Stolz's opinion is that without using the NI ST-traceable thermometer there is no way of knowing what the temperature of the simulator solution i s . He was emphatic that neither the Draeger black key nor agency probes are NIST-traceable , i . e . they are not capable of produc ing NI ST-traceable measurements . And , because the measurement results from the probes do not include any expression of measurement uncertainty , there is no way of knowing the range of that uncertaint y . I t i s that problem that cause s , i n his op inion , a loss of scient i f i c reliab i l ity i n t h e ca l ibration process . He ac knowledged , as everyone does , that all measurements have uncertainty . This is not a problem in science . I t is norma l . It is accounted for by determining and expressing the 77 extent of the measurement uncertainty , which then provides a range within which an accurate measurement would fall . Without the NI ST-traceable thermometer step , it is the absence of measurement uncertainty with the Draeger i nstruments that renders the c a l ibration process scientifically unreliable . I found his testimony to be credible . He was very forthright and precise in his responses . He " gave ground" when it was cal led for , and his testimony was very candid . His description of the science underlying breath testing was thorough and demonstrated a very good understanding of the scientific principles involved . I attribute significant weight to his testimony . IV . DISCUSS ION A. Burden of and of the The Chun Court held that the Alcotest 7 1 1 0 , "with the safeguards we have required , is sufficiently scientifically reliable that its reports may be admitted in evidence . " 194 N . J . at 1 4 8 . The Court further explained : Our analysis of the general sc i entific reli abi lity of the Alcotest is grounded , in part , on our expectation that there will be proof that the particular device that has generated an AIR being offered into evidence was in good work ing order and that the operator of the device was appropr iately qua l ified to administer the test . This requirement that the test results be supported by foundational proofs for 78 admissibil ity has been part of our j urisprudence since we decided Romano . There we demanded that , as a precondition for admissibil ity of the results of a breathaly z e r , the State was required to establish that : ( 1 ) the device was in working order and had been inspected according to procedure ; ( 2 ) the operator was cert i f i e d ; and ( 3 ) the test was administered according to official procedure . at 1 3 4 Romano , 9 6 N . J . at 8 1 . J These elements, inc luding the good working order of the breath testing i nstrument at issue , must be proven by the State by c l e a r and convincing evidence . Romano , 9 6 N . J . at 9 0 ( " I n drunk driving prosecutions a substantial burden of proof to establish the competence or admissibil i ty of the results of the breathalyzer test is appropriate because of the serious consequences of the breathalyzer reading in such prosecutions . " ) . As the Romano Court explained : Under conditions of admissibil ity must be "c learly established . " 42 N . J . at 1 7 1 . To avoid any confusion over what is intended by this level of proof , it should be understood that it conforms to that standard conventionally ref erred to as " c lear and convincing proof . " The conditions of admissibility to which this burden of proof sha ll apply inc lude those presently required to establish the admissibility of the results of a breathalyzer test , name l y , the proper operating condition of the machi ne , the requisite qual i f ications of the operator , and the proper administration of the test . at 90- 9 1 . ] 79 Clear and convincing evidence " is a higher standard of proof than proof by a preponderance of the evidence but a lower standard than proof beyond a reasonable doubt . " Mut . Ins . C o . v . 186 N . J. 163, 1 6 9 - 70 ( 2006 ) . Evidence that is c lear and convincing " should produce in the mind of the trier of fact a firm belief or conviction as to the truth of the allegations sought to be established . " Ibid . In re 134 N . J . 2 2 8 , 240 ( 19 93 ) ) . " To sat isfy the intermediate cl e ar-and-convincing standard , the fact finder 'must be persuaded that the truth of the contention is " highly probabl e . " ' " In re 207 N . J . 2 75 , 2 8 9 - 90 ( 201 1 ) ( quoting 2 McCormick on 3 4 0 , at 4 8 7 ( Broun ed . , 6th ed . 2006 ) ) . The evidence must be " so c l e a r , direct and weighty and convincing" as to enab l e the factfinder to come. to a " c lear conviction , wi thout hesitancy , " of the facts in issue . Ibid . "Notab l y , evidence that is uncontroverted may nonetheless fail to meet the elevated c l ear and convincing evidence standard . " Ibid . " This heightened standard is typically app lied where the evidentiary matters are complex , prone to abuse , error or i n j ustice , and also where an individual's i nterests i n liberty or personal welfare are at stake . " State v . 449 N.J. Super . 2 3 1 , 2 5 7 ( App . Div . 2 0 1 7 ) . 80 The State has conceded that it bears the burden of proving by clear and convincing evidence that the omis sion of the NIST- traceable thermometer step in the c alibration proc e s s does not undermine or c a l l into ques tion the scientific reliability of the Alcote s t 7 1 10 ( 1T l 6 ; Pb2 ) . 1 6 The State' s position is that " [ u] sing the NIST-traceable digital thermometer improves confidence in the results but does not affect the scientific reliability of the ins trument " ( Pb5 2 ) . This position is premised on the arguments that ( 1 ) Draeger uses NIST-traceable instruments to test and rece rtify the Draeger probes and CU 3 4 s , so those devices are sufficiently reliable without an independent check ( Pb 4 ; Pb 3 8 -Pb 4 0 ; Pb4 4 -Pb4 8 ; Pb 5 8 - Pb 7 9 ) , and ( 2 ) even without the NIST thermometer , the checks and balances built into the calibration procedure , combined with the scientific principles of breath testing , make it astronomic a l ly unlikely that a CU34 heating to an out-of-range temperature would go undetected through the whole c alibration check proc e s s ( Pb3 ; Pb l 9 -Pb2 0 ; Pb 5 4 -Pb57 ) . 11 I n its brief, the state characteriz es the is sue as ' 'general acceptance in the scientific community , " but this mis states the standard ( Pb 2 ) . Chun e s t ablished the general acceptance of the Alcote st . The question here , as in Romano , goes to the good working order of a breath-testing instrument that has a lready achieved gener a l acceptanc e . 81 Defendant and the parti c ipating attorneys stress the importance of having an independent , NIST-traceable measurement result for the CU34s during each c a l ibration check procedure , and they contend that nothing short of that wi l l suf f ice ( Db 7 7 - Db7 9 ; Mb2 5 -Mb2 6 ; Rb l ) . The NJSB argues that the many safeguards required by the Chun Court , inc luding use of the NIST-traceable thermometer , form " a careful balance of many parts needed to make a ' suffic iently ' scientifical l y reliable system' for breath ' testing and that removing the NIST thermometer part of this bal anced system creates an unjust i f ied leve l of scientific uncertainty for evidence used in criminal and quasi-criminal matters ( Ab 8 -Ab l 2 ) . B. As detai le d above , having the temperature of the simulator solution i n the CU3 4s be 3 4 ° C , plus or minus . 2 ° c , is of critical importance to the c a l ibration and operation of the Alcotest . Being able to measure the solution temperature with reasonable scienti fic certainty is fundamental to ascertaining the good working order of the CU3 4s and , indirectly , the good working order of the Draeger probes and the i nstrument itse l f . Measuring temperature is not as simple or straightforward as measuring , say , a length of wood . Dr . Sto l z explained why temperature is more dif f icult to measure : Wel l , temperature is actually difficult to measure , bec ause it's one of the few things that you can't measure directly . If you measure a length , you can compare two items of the same length easi ly . Just hold it ba ck t o back together and you can compare it . Temperature is different . And so in sc ience we measure temperature by the effect it has on other things . I t changes the properties of other things . I t might be changing the volume of somethin g . That is what you usually have i n thermometers that have a l ittle column inside . It might change the resistance of a smal l e lectronic element and that is what's built into those [ Draeger] probes . [ 1 7 T7 5-5 to 1 7 . ) I n the case of the black key and agency probes , by themse lves they cannot provide a temperature reading ( 1 7 T 7 6 ) . Stolz explained : [ I)n order to achieve a temperature reading , the resistance [ reported by the probe) needs to be measured by the Alcotest , the resistance needs to be transformed by some e lectronic component into a voltage , the voltage is being measured by an analog digital converter and the number is then being c alculated with software into a temperature reading . [ 1 7 T 7 6 - 2 0 to 1 7 T 7 7 -l . ] Brett e l l expressly required the use of " a N I ST traceable thermometer " to verify the CU34 temperatures during the cal ibration check process ( S - 3 2 ) . He agreed that when he selected the Ertco-Hart thermometer , it was important that it be 83 traceable to a N I ST standard ( 7 Tll7 ) . He emphasized the critical importance of an accurate temperature reading of the simulator solutions : Wel l , like I s aid , the calibrating unit is what a l l the tests are based off of . The Alcotest gets c a librated against this c a librating unit and the s olution that ' s in it . And so the temperature that that solution ris e s to and equilibrates to is extreme ly , extremely important . And I wanted to make sure that the ca librating unit was tested against the standards of NIST when - before we started anything . [ 7T120- 1 9 to 7 T 1 2 1-l . ] " NIST refers to the National Institute of Standards and Technology , which is responsible for es tablishin g , maintaining and publishing basic standards of measurement consistent with their international counterpart s . ' ' Holland I , 4 2 2 N . J . Super . at 1 9 1 n . 2 ( citing King SMR at 4 5 ) . NIST is part of the Department of commerce and was formerly known as the National Bureau of Standards ( Chun 3 T 7 3 ) . During the Chun hearings , Samuel E . Chappel l , who had worked for NIST for thirty-eight years before becoming a consultant in legal metrology , expl ained : N I ST is the national metrology lab for the United State s , meaning the national measurement laboratory for the United State s . They have the responsibility for establishing and maintaining and dis seminating the basic s tandards of measurement that are consistent with 84 international standards and also they have responsibi l ity for c arrying out research and development related to requests from other federal agencies, and they cooperate , of course , with our industry in supporting the i r efforts that may need standard references and so forth . 3 T 7 3 - 4 to 1 4 . ] I n this case , Brettell noted that NIST sets " the standards for the United States measureme nts , the SI units , volume , weight , temperature " ( 7 T 4 9 ; 8T52 -8T53 ) . It is "the primary office for the United States as far as standards are concerned" ( 7 T50 ) . Baum ac knowledged that NIST is the "gold standard" for traceability ( 1 2 T53 - 1 2T54 ) . The concept of N IST traceabil ity is key in this case . NIST states that " [ t] he definition of traceabil ity that has achi eved global acceptance i n the metrology community" is that traceabil ity is the "property of a measurement result whereby the result can be r e l ated to a reference through a documented unbroken chain of c a l ibrations , each contribut ing to the measurement uncertainty" (A- 1 at 1 ) . This defi n it ion was accepted by the experts in this case ( 7 Tl8 8 ; 9 T6 2 - 9T6 3 ; 10Tl4 2 - 10Tl4 3 ; 1 1T35- 1 1T3 6 ; 1 4T- 3 3 ; D- 1 2 at 3 ) . Trace abi l ity of measurement results ensures that one measurement of a particular value is equivalent to another measurement of that same value ( 1 4T3 2 - 1 4T 3 3 ) . I n the case of 85 temperature and the Alcotest , " [ w)hen we say 3 4 degrees Celsius plus or minus . 02 degrees, we want to be absolutely certain that everybody in the world would agre e " with that reference ( 1 4 T 3 3 ) . Only measurement results are traceable , not device s , instruments , standards o r organiz ations ( A - 1 a t 1 -2 ) . " I t is important to note that traceability is the property of the result of a measurement , not of an instrument or c alibration report or laboratory" ( A- 1 at 1 ) . Agai n , the experts did not dispute this basic principle ( 7T200 ; 10T 1 40 - 1 0T 1 4 2 ; 1 4 T52 ; 1 7 T 6 6 - 17T67 ) . NIST has further explained : It [ traceability) is not achieved by following any one particular procedure or using special equipment . Merely having an instrument ca librated , even by N I ST , is not enough to make the measurement result obtained from that instrument traceable to realizations of the appropriate SI unit or other specified references . The measurement system by which values and uncertainties are transferred must be clearly understood and under control . [ A- 1 at 1 - 2 . ] The experts agreed that the NIST policy ( A- 1 ) is authoritative ( 7 T200- 7T201 ; 1 4 T 3 1 - 1 4 T3 2 ; 15T 1 20- 15Tl2 1 ) . Brettell specifically acknowledged that even having NIST calibrate an instrument does not , alone , create traceability . 86 Because measurements rather than i nstruments are NIST traceable , reference to a "NIST traceable thermometer " is inherently a bit of a misnomer . However , the phrase has been used throughout the case as a shorthand term to signify a thermometer providing temperature measurement results that are traceable , meaning results that can be related to a NIST reference standard through an " unbroken chain of c a l ibrations , each contributing to the measurement uncertainty " ( 1 2 T 1 9 5 ) . 17 I n its Supplementary Materials for NIST Policy Review, NIST addressed the quest ion , " I want my measurement results to be traceable to NIST . What do I have to do? " ( A- 1 at 7 ) . It explained : To achieve traceabil ity of measurement results to standards maintained by N I ST , you need to reference your measurement results through an unbroken chain of c a l ibrations , inc luding determining the uncertainties at each step , to N I ST standards as the specified references . . . . The chain of c a l ibrations may be short , if the user has i nstruments or artifacts c a l ibrated by NIST or acquires standards from NIST and references measurement results to those . It may b e longer , if the user references other cal ibrations in a chain of cal ibrations back to sta ted references developed and maintained by N I ST . [ A- 1 at 7. ] 17 As detailed below, the State • s effort to "water down" the definition of N I ST traceab i l ity is inconsistent with the global ly-accepted definit ion of the term . 87 N I ST has also explained the necessary e l ements to supporting a valid c laim of traceab ility : To support a claim ( of traceabil ity] , the provider of a measurement result must document the measurement process or system used to establish the c laim and provide a description of the chain of cal ibrations that were used to establish a connection to a particular spec i f ied reference . There are several common elements to all valid statements or cl aims of traceabi lity : • a c learly defined particular quantity that has been measured • a compl ete description of the measurement system or working standard used to perform the measurement • a stated measurement result , which includes a documented uncertainty • a comp lete spec i f i cation of the reference at the time the measurement system or working standard was compared to it • an 'internal measurement assurance' program for establishing the status of the measurement system or working standard at all times pertinent to the c l aim of traceab i lity • an 'internal measurement assurance ' program for establishing the status of the spe c i fied reference at the t ime that the measurement system or working standard was compared to it An internal measurement assurance program may be quite simple or very complex , the level or r i gor to be determined depending on 88 the level of uncertainty at issue and what is needed to demonstrate its credib ility . Users of a measurement result are responsible for determining what is adequate to meet their needs . [ A- 1 at 2 - 3 . ] Consistent with these requirements , the American Assoc iation for Laboratory Accreditation ( A2 LA ) " has noted that " [ t] raceabi lity is characterized by six essential e lements , " as follows : 1. an unbroken chain of going back to a stated reference acceptable to the parties , usually a national or international standard; 2. measurement the uncertainty of measurement for each step i n the traceability chain must be c alculated or estimated according to agreed methods and must be stated so that an overall uncertainty for the whole chain can be calculated or estimate d ; 3. documentation : each step i n the chain must be performed according to documented and generally ac knowledged procedures ; and the results must be recorded ; 4. the laboratories or bodies performing one or more steps in the chain must supp ly evidence for their techn i ca l competence ( e . g . by 18 A2LA is an accreditation body that accredits laboratories providing c a l ibration services , among others ( 1 7 T80- 1 7 T 8 1 ) . Stolz test i f ied that the A2LA Policy on Measurement Traceab il ity is recogn i z e d as authoritative by the scientific community ( 1 7 T 7 9 - 1 7 T8 0 ) . 89 demonstrating that they are accredite d ) ; 5. reference to SI units : the chain of comparisons must , where possible , end at primary standards for realization of the S I units ; 6. c alibration intervals : c a librations must be repeated at appropriate interval s ; the length in of these intervals will depend on a number of variables ( e . g . uncertainty required , frequency of use , way of use , stability of equipment ) . [ D- 1 2 at 4 . ] The cc thermometer used in the ca libration process provides NIST-trace able measurement results, and the " Traceable Certific ate of Ca libration for Digital Thermometer " provided by Control Company satisfies the e lements needed to establish NIST trace ability [ 7T204- 7T206 ; 1 2Tl 1 3 ; 1 3 T6 2 - 1 3T 6 6 ; 1 7 T8 2 - 1 7 T8 3 ; 1 7 T l 4 3 - 1 7 T l 4 4 ; 1 7 T2 1 1 - 1 7T2 1 2 ; D- 1 0 ; D - 10A] . The State has taken somewhat confusing and contrary positions regarding the asserted NIST trace ability of the Draeger temperature probes , at times suggesting that the probes are NIST traceable and at others relying on the NIST trace ability of the instrumentation used to c alibrate the probes . For example , the State argues that "Draeger relies on fundamentally fol lowing a traceability of measurements reflected in their operations , trainin g , and procedures , " that "NIST- 90 traceable standards were used to certify the CU- 3 4 s , the temperature probes and the simulator solutions , " and that it has " proven NIST-traceabi lity of' the " safeguards' in place that ' ' ensure scientific reliability even if the N I ST thermometer step is skipped ( Pb4 ; Pb57-Pb58 ) . But it also states that " [ i)n testing the component parts of the Alcotest , Draeger uses instruments that are third-party certified as traceable to NIST" and that the probes "are certified for accurac y using instrumentation with measurements traceable to NIST " ( Pb 1 9 ; Pb 30 ) . For the reasons detai led below, I find that neither the black key probes nor the agency probes provide N I ST-traceable measurement results. Shaffer explained the process by which Draeger checks and certifies the accuracy of its probes. He noted that Draeger uses a "service workshop " rather than a " l aboratory , " and the service technic ians perform the procedures ( 9 T4 4 ; 9T60 ) . He stated that "our organi z ation is covered by an ISO 9001 accreditation , and equipment that we use in our process is from laboratories that maintain NIST traceability for the ir 91 equipment " ( 9 T 6 5 ) . The service workshop does not have accreditation beyond ISO 9 0 0 1 ( 9 T 6 5 - 9T6 6 ; 1 0 Tl3 9 ) . 19 When doing an annual certification on a black key or agency temperature probe , Draeger prepares "a 34 degree C water bath " ( 9Tl3 2 ) . This i s " a large tank , maybe about the s i z e of a large fish tank" ( 9 Tl5 9 ) . It " has a pretty sophi sticated piece of equipment at its core " called an " immersion c irculator " ( 9 Tl5 9 ) . The technician sets the temperature , and it heats and c irculates the liquid ( 9Tl5 9 ) . Typically , the water bath is " prepared the day before and there ' s plenty of equilibration that goes on " ( 9Tl5 6 ) . " Accreditation i s a proc e s s by which an internationally recogniz e d accrediting organi z ation determines that a laboratory or company adheres to a set of recogn i zed standards ( 1 2 T 2 0 6 ) . ISO 9 0 0 1 ca n apply to any company and " s ets out the criteria for a qual ity management sy stem . " ISO 1 7 0 2 5 i s " the standard for calibration of testing laborator ie s " in particular ( 7T 4 8 ; 8Tl0 1 - 8Tl0 2 ) . I S O 1 7 0 2 5 accreditation indicates " a finding of a laboratory's competence and capabi l ity to provide technically sound and appropriate measurement services within the scope of [ the ] accreditation " ( 7 T 4 8 ) . ISO 1 7 0 2 5 i s " the hi ghest level of accreditation " for a testing laboratory ( 1 2 T 4 7 ) . ISO 1 7 0 2 5 accreditation i s not nece s s ary to e stablish NIST-traceab i l ity , but such accreditation i s evidence of the competence of the laboratory performing ca l ibrations ( 7 Tll8 ; 7 Tl2 1 ; 1 3 T 4 5 - 1 3 T4 6 ; 1 7 T2 2 2 ) . As N I ST exp l a ins : "Laboratory accreditation does not speak to the specifics of any individual measurement result but to overall capabil ity of a lab to provide the serv i c e " ( A - 1 at 9) • 92 The technician measures the temperature in the water bath "with equipment that has certificates with NIST-traceable measurements at its core , " specifically an Ome ga HH4 1 model digital thermometer ( Omega thermometer ) ( 9T 159 - 9 T l 60 ) . Shaffer noted, " So everything e l s e that happens in the rest of our procedure comes from the integrity of that measurement right there " ( 9 Tl59 ) . Shaffer ac knowledged that , if Draeger failed to use a NIST-traceable th ermomet er such as the Ome ga thermometer during this water bath proc e s s , " that would be a problem" because it would undermine the " fundamental measurement " ( 1 1T58 - 1 1 T59 ) . Baum agreed that the s cientific r el iab i l ity of Draeger's proc e s s for testing its probes would be undermined if the Omega thermometer was not used to ensure the correct temperature of the water bath ( 1 3T2 4 9 ) . The " current proc e s s " at Draeger i s to use three Omega thermometers to test the water tank at the s ame time ( 9T 1 6 3 ) . Previou s l y , only one Omega thermometer was used , but that changed at some point prior to 2015 ( 9 Tl 6 7 ; 10T6 - 10T7 ) . Draeger began using three Omega thermometers because "we thought it would be good to have additional val idation of this temperature s ince so much of subsequent c a l ibration activity comes from that water tank " ( 10T7 ) . The three Omega thermometers are " not 93 always giving an identical result , " and i n that c ircumstance the technic i an relies on " t he middle readin g " ( 9Tl6 5 ; 10T6 ) . The water bath is set to exactly 3 4 ° C using the thermometer that gave the middle reading ( S - 1 2 ) . The " correction factor " of the water tank is adjusted until the temperature reads exactly 3 4 ° C , even i f i t is only sl ightly higher or lower ( S - 1 2 ; S - 1 2A ) . Whi l e the probes are p l aced and rema i n i n the water bath , the technic ian measures and records the resistance of the probe to the third decimal point , using a Fluke mulitmeter ( 9 Tl 6 8 - 9Tl7l ; S - 1 2 B ) . This resistance number will determine the preliminary probe value assigned to the probe ( S - 1 2 B ; S - 1 2 C ; S - 12D ) . Then , whi l e still i n the water bat h , the probe is attached to a 7 1 10 instrument and the assigned probe value is entered ( 9T l 7 l ; S - 1 2 B ) . "And i f it's accu�ate , it will pass with that prel iminary probe value . And if an adjustment is neede d , the technic i a n will change the probe value to read the correct temperature , thereby making that measuremen t match what is in the water temp " ( 9Tl 7 l - 9 Tl 7 2 ) . Once the service technician determines that the probe " passes , " Draeger issues a cert i f icate of accuracy for that probe ( 9Tl3 2 ) . This document contains the serial number , probe value , and certification dates for the probe and states : 94 This is to certify that the Alcotest 7 1 10 Temperature Probe has been tested for accuracy with instrumentation that is traceable to the National Institute of Standards and Technology ( N IST ) . The manufacturer recommends accuracy verification of the Temperature Probe within 12 months of the certification date below , or sooner , according to your State Spec ification. For accurate temperature readings , the probe value on this certifi cate , noted below, must be programmed into the Alcotest 7 1 10 . [ S- 3 3C ; S - 3 3J ; S -3 6 ; S - 3 6 B ; D-4 . ] The measurement results from the Draeger probes do not satisfy the basic e lements of e ither an unbroken chain of c a l ibrations back to a NIST standard or an ascertainable measurement uncertainty , so those measurements c annot be NIST traceab le . Stolz opined that the documents detail ing Draeger's procedures for checking the accuracy of its temperature probes [ S - 1 2 through S - 1 2 D] are "procedures and how certain operations are being done , " but they " have no meaning regarding traceabil ity . . . [ b] ec ause they cannot connect a measurement result obtained with any of the black key temperature probes with a reference standard at N I S T " ( 1 7T2 15 ) . Stolz testified that an unbroken chain of comparisons is " absolutely essenti a l " t o traceabi l ity ( 1 7 T 8 7 - 1 7 T 8 8 ) . He opined that the black key temperature probe c annot satisfy the NI ST-traceable thermometer 95 requirement in the Ca libration Check Procedures " [ b] ecause the black key temperature probe cannot provide a NIST-traceable measurement result" ( 1 7Tl08 ; 1 7 Tlll ; D- 3 8 ) . Moreover , the Draeger probe measurement results are not made with a stated uncertainty , which is fatal to any c l aim of NIST traceability . Stolz expl ained that "measurement consists of a measurand , an expression of the unit of measure we ' re concerned with . . • [ c] oupled with a statement of the quantified uncertainty , " and that " it ' s a combination of the measurand with the stated uncertainty that makes it a valid measurement provided we can trace it to NIST " ( 1 7T2 2 2 ) . Brettell agreed that "me asurement is a combination of measurand plus uncertainty" ( 7T200-7 T201 ) . Baum also testified that the result obtained from a measurement is c a l led a measurand , and he agreed that "in order for the expression of a measurement to be scientific ally reliable" the measurand must be "expressed with an uncertainty" ( 1 4T52 - 1 4 T5 3 ) . NIST policy explains that achieving traceability includes "determining the uncert ainties at each step " ( A - 1 at 7 ) . The A2LA policy states that " [ a] crucial e l ement of the concept of measurement traceability is measurement uncertainty " ( D- 1 2 at 6). That policy explains : 96 Not onl y should there be an unbroken chain of comparisons , each measurement should be accompanied by a statement of uncertainty associated with the farthest link in the chain from N I ST , that is , the last facility that provided the measurement value . NIST does not have that information ; only the facilities that provided the measurement values to the customer can provide the associated uncertainties and describe the traceability chain . [ D- 1 2 at 10 . ) Brettell ac knowledged that " [ t] here's uncertainty in every measurement " ( 7 T206 ) . He noted that measurement uncertainty is greater the further it goes down the chain from the NIST standard ( 7 T 2 2 4 ) . Stolz noted that the existence of uncertainty in measurement is not a problem, but not knowing the extent of the uncertainty makes a measurement unreliable ( 1 7T2 1 7 ) . He explained : Wel l , every measurement has a measurement uncertainty . As a matter of fact , a measurement result is never , ever j ust a single number . It ' s always a range of values where the true value of the quantity that I want to measure lies within. And this interval where the true value lies within is usual l y stated as a measurement uncertainty , a range of value where the actual true value-it ' s impossibl e to know the true value . Even with the best possibl e measurement instruments , even with many , many repeated measurements you would not know the true value . But you on ly know it within that measurement uncertainty 97 interval . That ' s not a problem in sc ience . That is a wel l - accepted fact in science and scientists have l ived with that since ages . [ 1 7T8 8 - 1 6 to 1 7 T 8 9 -5 . ] Stolz noted that knowing the uncertainty of a measurement result " is essential bec ause without the uncertainty , again , I would not know what kind of conc lusions can I draw from a measurement result . And so the knowledge of measurement uncertainty is essentia l " ( 17T89 ) . "The test temperature needs to be actually stated with their own uncertainty and the result needs to be stated with the uncertainty" ( 1 7 T 1 4 6 ) . The uncertainty of the measurement results obtained by the Draeger probes is unknown , so those results cannot be NIST traceable . The State seeks to discount Stoltz ' s testimony regarding the need for a stated uncertainty by noting ( 1 ) the experts disputed whether the c a libration certificates for the Omega thermometers and Fluke multimeter suffic iently stated the uncertainties as to the measurement results from those instruments , and ( 2 ) Brettell testified that the NIST thermometer " is not going to have an effect on the measurement unc ertainty " of the instrument itself ( Pb 1 7 -Pbl8 ) . However , these issues are unrelated to the uncertainty that is critical to N I ST-traceabi l i t y , spe c ifically the uncertainty assoc iated with measurement results from the Draeger probes . 98 As to the documentation r elating to the Ome ga thermometers and F luke multimeter , regardless of whether the uncertainties are properly stated for measurement results obtained from those instrument s , knowing those uncertainties does not resolve the uncertainty issue for the Draeger probes . There is no dispute that the uncertainties of measurement results from the Draeger probes are unknown . The Brettell testimony cited by the State had nothing to do with the measurement uncertainty of the Draeger probes at all . I questioned Brette l l as to why the protocol he developed would "bother with this NIST thermometer" if the Alcotest instrument was "a failsafe machine" without it . He responded that "it's a standard laboratory pract ice t o do two independent tests for anything , " and he reiterated that the NIST-thermometer step was "not meaningless at a l l" and that using it "wou ld tell you that the c a l ibrating unit is either working or not working before you got into the probe or anything" ( 8 Tl3 5- 8 Tl 3 9 ) . Brettell agreed that , without the NIST tmermometer step , "there is some reduced level of certa inty" as to the good working order of the Alcotest , although "you can't quantify it" ( 8T 1 3 9 ) . I asked if this reduced level of certainty was related to the concept that "there's always some amount of uncertainty with every measurement , " and Brette l l said that "maybe we're using 99 the wrong term of the uncertainty " in that context ( 8 T l 40- 8Tl 4 1 ) . He explained that " there's an uncertainty even with " the BAC reported by the Alcotest and " t his traceable thermometer is not going to have an effect on that uncertainty , okay , because it's only chec king the calibrating unit " ( 8T 1 4 1 ) . He noted that the problem with reduced certainty in the good working order of the instrument had to do with " the error rate " rather than measurement uncertainty ( 8T 1 4 1 - 8 Tl4 2 ) . None of this testimony concerned the problem that uncertainty of the measurement results from the Draeger probes is unknown. Notwithstanding the " g lobal acceptance in the metrology community" and by the experts in this case that traceability is the " property of a measurement result whereby the result can be related to a reference through a documented unbroken chain of calibrations , each contributing to the measureme nt uncertainty , " the State tries to water down the definition of N I ST traceability to mean something other than this for the Draeger probes. During the hearings , counsel for the State ac knowledged that " [ w] ithout NIST traceability . to the CU3 4 and the [ Draeger] temperature probes , " the State ' s case has " a problem" ( 12Tl74 ) . However , counsel appeared to conflate " tested with 100 instruments traceable to NI ST" with the concept of actual NIST traceabi lity ( 1 2 T l 75 ) . Baum's testimony also attempted to conflate these separate concepts . Baum agreed with the six essential e lements of traceability set forth i n the A2LA policy ( 1 3 T 3 9 - 1 3 T 4 2 ) . However , he referred to the Draeger probes as "NIST-traceable temperature probes" even though they plainly fai led to satisfy the six e lements ( 1 4T20-14T2 1 ) . At one point , Baum said that the black key probe does not have to be traceable to N I ST as long as it's c a l ibrated with instrumentation traceable to N I ST ( 1 3T 9 1 - 13T 9 2 ) . Later , he also equated NIST traceable devices to those that are " c a l ibrated using instrumentation that's traceable to NIST" ( 1 4 T 1 6 4 - 1 4 T l 6 5 ) . Baum even suggested that the references to " a NIST traceable thermomete r " in the Cal ibration Check Procedure only means a " thermometer that's c a l ibrated with N I ST-traceable equipment " ( 1 3 T 9 2 - 1 3 T 9 3 ) . At another point , he stated that " [ t] here ' s no c l aim for traceabi l i t y " of the independent thermometer used by the coordinators , and he only inc luded the phrase " [ t] raceab il ity to a NIST . • . standard" as a requirement for a replacement for the Ertco-Hart thermometer in his December 2008 memo as "an example of qua l ity" ( 1 4 T7 1 - 1 4 T 7 2 ; D- l ) . 101 I n a footnote in its brief , the State contends that " [ i ] t is understood " that the statement that "a ' thermometer is NIST traceable' refers to the fact that it was c a l ibrated using measurements that are traceable to NIST , " c i t ing to testimony by Shaffer and to a record statement by me ( Pb45 n . 2 0 ) . This misstates the record . Shaffer merely stated that " it's a misnomer i n the scientific community" to refer to NIST-traceable instruments bec ause measurements , not instruments , are NIST traceable ( 10T 1 40 ) . Shaffer ' s overall testimony was consistent with the NIST definition of trac e abi lity , and he never stated that terming an instrument NIST-traceable i ndicates merely that it was ca l i brated using NIST-traceable measurements ( 10T 1 40- 10T1 4 4 ) . My statement on the record was in direct contrast to the State ' s synopsis of i t . I acknowledged that the parties , the witnesses , and the Court have a l l referred to " NIST traceable instruments , " despite the fact that only measurements can be NIST t raceabl e . What was actua l ly understood by the phrase , and what I c learly said , was that referring to an instrument as NIST-traceable was " a shorthand way of saying the measurements derived from this i nstrument are traceable to NIST" ( 1 2 T 1 95 ) . I n another footnote , the State appears to recog n ize this, stating : 102 The State recognizes that " instruments " cannot be traceable to NIST , but only measurements and standards can be traceable to NIST . For purposes of this Brie f , references to "NIST-traceable instruments " or " instruments traceable to NIST " are intended to refer to instruments "with measurements " or "with standards" traceable to N I ST. [ Pb2 8 n . 10 . ] Even this explanation is confusing . Only measurement results are traceable , and those results are traceable to standards kept by NIST , so it is not c lear what the State means by instruments " 'with standards' traceable to NIST . " I r e j ect Baum ' s testimony and the State's contention that the Draeger probes can be considered N I ST traceable by virtue of being c a librated or checked for accuracy with " instrumentation that is traceabl e " to NIST . Even assuming that the State has firmly established that the measurement results of the three Omega thermometers and the Fluke multimeter that Draeger used to certify the accuracy of its probes were NIST-traceab le , " simply using those instruments to check or adjust the accuracy of the probes does not make those probes N I ST-traceable . As the NIST policy notes, " ( m)erely having an instrument c a librate d , even by 20 The parties dispute the adequacy of the underlying documentation re l ating to the Omega thermometers and Fluke multimeter for establishing the NIST-traceability of the measurement results of those instruments Pb 4 4 -Pb4 8 ; Pb 5 9 - Pb6 1 ) . 103 NIST , is not enough to make the measurement result " from that instrument NIST traceable ( A- 1 at 2 ) . I n two footnotes , the State contends that Judge King ' s report in Chun " recognized the NI ST-traceability of the black key and agency temperature probes" ( Pb 3 1 n . 1 1 ; Pb3 9 n . 1 8 ) . This , however , mischaracterizes Judge King ' s statements . First , as noted above , there was no dispute in Chun regarding the nature or extent of the calibration check process or the meaning of N I ST traceability . Second , Judge King ' s statements in his Chun report do not actually " recogni z e " the NI ST traceability of the probes at a l l . Judge King stated : Calibration of the Alcotest 7 1 10 involves a wet bath simulator , the Draeger CU3 4 , and one bottle of 0 . 10 ethanol alcohol solution . The ethanol alcohol solution is poured into the simulator j ar where it is heated to 3 4 plus or minus 0 . 2 degrees c . A NIST traceable temperature probe monitors the temperature of the simulator solution . NIST refers to the National Institute of Standards and Technology , which is responsible for establishing , maintaining and pub lishing basic standards of measurement consistent with their international counterparts . Each temperature probe has a probe value , which ca n be changed only by a coordinator using the " black-key " functio n . When the instrument determines that the simulator has reached the correct temperature , the coordinator hooks up the simulator to the back of the instrument through the rear port of the cuvette . The coordinator then hits the escape key , the function appears on the display screen , the coordinator types in 104 cal ibrate , and fol lows the instrument's prompts . [ King SMR at 4 4 - 45 . ] I t is not c lear f rom this description whether Judge King was referring to the Ertco-Hart thermometer as a "NIST-traceable temperature probe " or did not c learly understand that the thermometer was an independent component from the Draeger probes . His later reference to " the NIST-verified temperature probe " c ites testimony from F lanagan that the temperature of the CU3 4s is ver i f i ed " using ERTCO HART digital N I S T " ( King SMR at 1 4 1 - 4 2 , citing 54T25 ) . In short , despite some apparent confusion regarding the distinction between probes and thermometers , Judge King understood that the c a l ibration check process required a NIST-traceable measurement result for the CU3 4 s . This proceeding has c l arified that the only way to obtain such a measurement result is to us an independent NIST- traceable thermometer i n the process , not just the Draeger probes . I also f ind persuasive two reasons given by Stolz in addition to lack of NIST traceabi lity as to why the Draeger probes c annot serve as an e f fective substitute for the CC thermometer in the ca l i bration check process . First , Stolz noted that the Alcotest will report an incorrect temperature i f the probe value i s not entered correctly ( 1 7Tlll- 1 7 T 1 15 ; D- 3 8 ) . 105 As discussed i n more de tail in the following section , both this problem and the potential for probe value drift between annual recertif i cations is a c ause for concern regarding the accuracy of the probe's temperature reading . Second , Stolz explained that a probe failure could occur such that the resistance reported by the probe might not change in accordance with a temperature change in the solution being measured ( 1 7Tl2 3 ; 1 7 Tl58 ) . This problem would not be detected by Draeger's recertification process, which checks the probes at a single point and does not test over a range of temperatures ( 1 7Tl2 3 ) . Stolz explai ned that , because the probes are only tested at a single temperature , if the resistance of a given probe did not change as the temperature of the solution changed , it "would a lways report the resistance corresponding to 3 4 degrees Ce lsius" regardless of the actual temperature of the solution ( l 7Tl58 ) . 2 1 The State concedes that using an independent NI ST-traceable thermometer " improves confidence in the results , " but it contends that i t " does not affect the scientific reliability of " Stolz also opined that the Draeger probes cannot be an effective subst itute be cause a hardware or software malfunction in the Alcotest could affect the temperature reading of the Draeger probes ( 1 7Tl2 2 ) . I find this unpersuasive bec ause there was no evidence of any such malfunction ever occurring or that such an unspec ified malfunction would produce an incorrect temperature reading . 106 the instrument" ( Pb 5 2 ) . This sets up a false dichotomy treating "confidence" and "re liabil ity" as separate concepts . As Brettel l's testimony showed , confidence and reliabil ity are interrelated concepts, not separate ones . Brette l l explained that "when we t al k about reli ab i l ity , and you ' re asking a question about the degree of reliabi l ity , it's really the degree of confidence that you have in the measurement of that instrument " ( 7 T 2 4 2 ) . Thus , Brette l l essentially equated degrees of reliability with degrees of confidence . This cuts against the State's effort to distinguish the two concepts and argue that Brette l l ' s only purpose i n requiring the NIST thermometer was to i ncrease confidence but not reliabil ity . Brett e l l continued that thought as fol lows : "So when you t a l k about the degree of r el iab i l i t y , sc ientific reliab i l ity of a n i nstrument , you ' re really talking about the uncertainty and level of confidence that you make in that measurement" ( 7 T 2 4 4 ) . On redirect examination , Brett e l l expanded upon the concept of confidence and rel iabil ity : And I thought I explained that the word necessity really wasn ' t a technical term. And I went on to explain about confidence levels and the difference - the different levels of reliabil ity based upon the confidence leve l s . [ 8T 6 - 2 to 6 . ] 107 c. of NIST-traceable thermometer From the outset of this proceedi n g , the State has argued that the NIST thermometer step is not even part of the cal ibration check procedure . Instead , it argues , it is only a " pre-step , ' the purpose of which is to provide an ' " administrative convenience" and which has very l ittle or nothi n g to do with scientific rel iabil ity. The convenience , according to the State , is to enable the coordinator to be assured that the simulators have heated to the correct temperature range before he attaches the b lack key probe to the Alcotest instrument and activates the CALIBRATE function . Once that function is activated , if any S IM TEMP or other error is generated, the ca l ibration process will automatically abort . The coordinator will then be confronted with two choices . Assuming the error indicates that one of the CU34s is out of tolerance , the coordinator could replace that CU34 with a different one ( if one is available ) , put in a new solution of the same concentration that had previously been in that unit , heat it up for an hour , and start the process over agai n . The second choi c e would be to take that Alcotest instrument out of service . Both choices , of course , would cause inconvenience . 108 I n its September 1 9 , 2 0 1 6 letter to Judge Grant requesting the appointment of a special master , the State i nc luded a footnote stating : As bac kground , the Office of Forensic Sc ience included the prel iminary N I ST traceable thermometer step in New Jersey's cal ibration procedure not because of scientific necessity but rather for a practi cal purpose - to confirm that the liquid simulator solutions are within the accepted temperature range before the coordinator initiates the actual ca l ibration . This preliminary step is distinct from the actual c a libration , in which the temperature of the l iquid simulator solutions is measured independently by a black key temperature probe connected to the instrument , separate and apart from the NI ST-traceable digital thermometer . If the black key temperature probe confirms that the temperature of the liquid simulator solutions is within the required ranges , the Alcotest instrument records that temperature on the resulting printed reports . If the black key temperature probe records that the temperature of the liquid simulator solutions is not within the required ranges , the Alcotest instrument will end the c alibration and will give an error message . I n other words , the black key temperature probe ensures proper c a libration of the Alcotest instrument , regardless of the use ( or non-use ) of the NI ST-traceable digital thermometer . [ D- 6 . ] This assertion by the State , which i t has continued to advance throughout the proceedings before me and in its post- 109 hearing proposed Findings of Fact and Conclusions of Law i s s imply not supported by the evidence . I n his overall test imony , Brettel l repeatedly stated that the purpose for which he put the NIST thermometer . step in the procedure was to achieve s cientific reliabi lity. He emphasized the extreme importance of an accurate temperature in the CU 3 4 s , espec i a l ly the agency CU3 4 that i s used in the CALIBRATE function . All experts agreed with him on that . Brette ll repeatedly explained that only by a direct temperature measurement with an independent and out s i de N I ST-traceable thermometer could a s c i entifically reliable measurement of those temperatures be achieved . The CU3 4 s themse lves are not equipped with any kind of read-out screen , as a result of which the temperature of the solutions they contain are unknown until measured . Brettel l was unwi l ling to rely on the Draeger probes for that measurement , i n s i s ting that an out s ide NI ST-traceable temperature measuring device , completely independent of Draeger , was neces sary . I f the NIST thermometer measured the temperatures of the solutions as within range , that would estab l i s h that the CU3 4 s were in good working order . There after , having accurately determined that the temperatures of the s imulator solutions were within the required range , the 110 good working order of the Draeger probes could be "verified" if they also reported in-range temperatures . I re ly upon several aspects of the evidence in rejecting the State ' s "pre-test" argument . First , if this were merely an administrative convenience to avoid activating the CALIBRATE function without first checking the CU3 4 temperatures , the same result could be achieved by using the black key temperature probe . Klimik and Shaffer both testified that with the black key probe , the coordinator could , before activating the CALIBRATE function , simply press the escape key , pull up the appropriate scree n , and , using the black key probe , get a temperature reading on each of the CU3 4 s without activating the CALIBRATE function. The obvious inference to be drawn from this is that Brett e l l did not have suffic ient confidence in the sc ient ific reliab i l ity of using the black key probe for that purpose , notwi thstanding the many safeguards built i nto the Draeger equipment. Of course , this would be consistent with his unwavering testimony that the black key probe could only be verified for accuracy by indirect means after first measuring the solution temperatures with an independent NI ST-traceable thermomete r . And Brett e l l , as we ll as most other witnesses , would leave the step i n the procedure i f writing it anew today . 111 I n the seventeen years that the Alcotest 7 1 10 has been in use in New Jerse y , neither Brettell nor his successors ever took steps to remove the NIST step from the check procedure and replace it with the black key probe as an administrative conveni ence before activating the CALI BRATE function . My second point of reli ance is based on Brette l l ' s very credible and forceful testimony when confronted with the above quoted footnote from the State ' s September 1 9 , 2 0 1 6 letter . Brette l l was shown the footnote and asked to read its contents out loud , after which this col loquy occurred : Q. Thank you . Do you agree with that statement? A. No , I don ' t . Q. What don ' t you agree with? A. Wel l , it's - it's not to confirm that the l i quid simulator solutions are within the accepted temperature range , but it's to confirm - i n a way , that's true , but it's more to confirm that the actual simulator , or c a l ibrating unit ' s operating properly to get to that temperature . Q. And do you agree that that step was not scientific a lly necessary? A. Wel l , it was for me . [ 7 T 1 4 8 - 2 5 to 7Tl4 9 - 1 2 . ] I remember very distinctly that Brettell expressed his initial answer , "No , I don't , " in an emphatic tone . When he 112 went on to answer what he didn ' t agree with , about half-way through , just before s aying "in a way, that's true , " he paused in a reflective manner , and then allowed that it would have the effect of informing the coordinator that he could now actuate the c a libration functio n , but that is not the purpose for the step . The purpose is to make sure that the CU34 is operating properly , which would be indicated by the fact that it achieved an in-tolerance temperature reading , as measured by a NIST traceable thermometer . Third , after learning that the Ertco-Hart thermometers could no longer be used , the State did not take steps to remove the NIST thermometer step from the Calibration Check Procedure . Ins tead , it doub led down through Baum's Dec ember 2 3 , 2 008 memorandum recommending the purchase of a new model digital thermometer which would comply with all of the strict requirements for NIST trac eability and would be produced by an ISO 1 7 02 5 accredited lab . His recommendation was accepted and the Control Company thermometer was put into use. In the Holland litigation , defendants chall enged the use of this substitutio n , c laiming that , under Chun's literal terms , only the Ertco-Hart could be us ed . The Holland Court rejected that argument and , after a remand for an evidentiary hearing, concluded that the Control Company thermometer was comparable 113 and a sufficient substitute for the Ertco-Hart . The State never asserted in that litigation , either as its primary or alternative position , that a NIST-traceable thermometer is not required to assure scientific re liability . It did not seek authorization to remove the NIST thermometer step from the c alibration check procedure or to designate it as an optional step . It certainly did not argue to the Hol land court that it was a mere pre-step for administrative convenience that had nothing to do with scientific reliability . Finally , the State inte nds to leave the NIST thermometer step in as a mandatory part of the c alibration check proc ess . It does not seek j udicial authorization to remove it or designate it as optional . The evidence supports the finding that the NIST thermometer step is an integral part of the c a libration check procedure , not a " pre-test " or administrative convenience . Indeed , if that step reveals a simulator solution temperature even slightly outside the precise range allowed , the coordinator is required to stop everything and not proceed with the CALIBRATE function . D. Undetected miscalibrations The witnesses agreed that it is critic a l that the CU34s heat to 3 4 ° C , plus or minus . 2 ° C . This precise temperature range is important because , at the correct temperature , the 114 headspace i n the CU34 will generate an ethanol concentration within the correct tolerance to pass control and l inearity tests . Having the temperature in the correct range is particularly critical for the agency CU34 when used in connection with the CALIBRATE function. During control and l i nearity tests , the instrument measures the ethanol concentration but makes no internal changes . During the CALIBRATE function , however , the instrument is essent i a l l y being instructed that the headspace ethanol concentration it is measuring is 0 . 1 0 , and it adjusts itself to that and bases a l l of its subsequent cal culations on that instruction unt i l the next CALI BRATE function ( 7 T8 4 ; 1 0 T5 1 ; 1 1 Tll3 ) . If the headspace ethanol concentration is not 0 . 1 0 , the adj ustment and subsequent c alculations will be wron g . Both Brette l l and Stolz testified that each 1 ° C change i n the temperature of the simulator solution from the target 3 4 ° C would cause a change i n the ethanol concentration of the headspace of approximately seven percent ( 7 T 9 2 ; 1 1T 1 6 8 ) . As Stolz expla i ned , if a coordinator performed the CALIBRATE function with an agency CU3 4 heated to 3 3 ° C rather than 3 4 ° C , then " everything that i nstrument sees " unt i l its next CALI BRATE function "would actually be reported as seven percent highe r " ( 17T16 8 ) . Performing the CALIBRATE function based on an 115 incorrect headspace calibration ( a miscalibration ) , if left undetected throughout the remainder of the ca libration check process , would impact l ater breath tests pe rformed on that instrument because the coordinator would have " taught the instrument that a .1 sample looks like a .09 3 samp l e " and then placed the instrument back in service ( 1 7Tl6 8 ) . Thus, an undetected miscalibration based on a too-low temperature would have the effect of overstating the true BAC during later breath tests . Conversely , if the agency CU34 was heated to 3 5 ° C during the CALIBRATE function , the instrument woul d report headspace readings as seven percent lower than the actual concentration being measured until the next CALIBRATE function was pe rformed . An undetected miscalibration based on a too-high temperature would have the effect of understating a sub j ect's BAC in later breath tests . The State's witnesses did not dispute that , if the CALI BRATE function was completed using an agency CU34 heated to the wrong temperature , then a miscalibration would occur and the Alcotest would fail to read subsequent ethanol concentrations correctly . It also does not dispute that , if undetected , this miscalibration would have the effect of either overstating or understating the results of breath tests performed on that 116 instrument , depending on whether the agency CU3 4 temperature was too low or too high . Using the NIST thermometer as required i n the calibration check proc e s s would e f f ectively prevent an undetected miscalibration from ever happening because the out-of-range CU34 would be identif ied and rep laced before the coordinator ever began the CALIBRATE function ( 6Tl55 ; 7 Tl07 ) . Both Klimik and Brette l l testified that coordinators are trained not to proceed with the c a l ibrat ion check if the NIST thermometer shows any of the CU3 4 s to be heating out of range ( 6T l 55 ; 7Tl07 ) . Thus , no miscalibration could ever occur unle s s the NIST thermometer step was s kipped . The State does not dispute this . Rather , the State ' s argument i s that the NIST thermometer i s not e s s ential because the instrument i tse l f and other components have so many checks and balances that it would be ( 1 ) unlikely for a mis cal ibration to occur during the CAL IBRATE function , and ( 2 ) virtually impos s ibl e for a mi s c al ibration to pass undetected during the remainder of the ca l ibration check proc es s . Shaffer was the primary proponent of this theory , although Brettell agreed with it in h i s test imony ( 7 T 8 9 - 7 T 9 6 ) . Shaffer tes t i f ied that a s i tuation i n which an unident i f ied mi s c a l ibration could occur was " pretty unimaginab l e " ( 10T58 ) . Brette l l , referring to 117 Shaffer ' s theory as expressed in Shaffer's report , said that it would be " l ike trying to line u p t he moon and a l l the planets at the same time for that to really happe n " ( 8T 1 3 3 ) . Shaffer noted that the NIST thermometer requirement in the cal ibration process is specific to New Jersey and neither required nor recommended by Draeger ( 10T3 4 - 10T3 5 ) . I n his opinion , a check with the NIST thermometer is not necessary for scientific rel iabil ity because of " three fundamental measurement mechanisms" in other components used in the cal ibration check ( 10T3 7 - 10T3 8 ) . First , the Draeger temperature probes "are measuring the solution temperature as an integrated part of the cal ibration process bui lt into the instrumentation" ( 10T3 8 ) . Second, the CU34 is "an independent piece of equipment separately and independently certified and tested , " its " sole purpose " is to heat simulator solution to the proper temperature range , and it " has an i ndependent temperature measuring probe inside it which operates independently and generates its performance independentl y " ( 10T3 8 - 10T3 9 ) . Third , the simulator solutions are independently certified for accuracy and , bec ause of Henry ' s l aw , if the temperature of a CU3 4 were out of range , the headspace concentration of ethanol would be out of toleranc e , " and this would be identified throughout the process" ( 10T40 ) . 118 Shaffer drew an exhibit de lineating each step i n the cal ibration check process and listing the CU3 4 , probe , and solution used at each point ( 10T 4 2 - 10T58 ; S- 4 6 ) . He opined that , if the agency CU34 had an out-of-range temperature , that error would necessarily be detected unless both probes, all three other CU3 4 s , and four of the five simulator solutions used were also wrong or malfunctioning ( 10T4 2 - 10T58 ) . Moreover , according to Shaffer , each of the malfunc tioning components would have to be wrong " in tandem" with the others to avoid detection of the errors ( 10T4 2 - 10T58 ) . Shaffer explained that , if the agency CU34 were heating out of range during the CALIBRATE function , the black key probe used to perform that function would report a SIM TEMP error rather than perform the function unless that probe , too , was malfunctioning ( 10T50- 10T5 1 ) . He further explained : Not only that , but they would have to be wrong in the same direction , meaning they would have to both be false l y , you know , creating and reporting a temperature too low or too h i gh . And then even further , they would need to be reporting in the same direction , but also the same magnitude . It wouldn't be enough if they were just too low and one was , let's say , 2 degrees too low and the other 5 degrees too low . They would have to be wrong together . [ 10T5 1 - 3 to 1 1 . ] 119 Thus, before a miscalibration could occur , both the agency CU34 and the black key probe would have to be incorrect . If a miscalibration occurred , Shaffer noted that the control test would not detect it , as the same agency CU34 and black key probe used in the CALIBRATE function are used in that test ( 10T53 - 10T54 ) . However , Shaffer testified that a miscalibration would be detected in the first step of the linearity test , when the coordinator uses his own 0 . 04 CU3 4 and a bottle of 0 . 04 solution ( 10T54 ) . If the black key probe had incorrectly reported the agency CU34 temperature to be in range , thus allowing the misc alibration , then the 0 . 04 CU34 would have to ' 'fail also in the same direction and the same magnitude " for the black key probe to consider its temperature to be in range ( 10T54 ) . In addition , if the instrument had been calibrated to the wrong ethanol concentration during the CALIBRATE function , then the instrument's reading of the headspace of the 0 . 04 solution would be out of tolerance unless the coordinator ' s bottle of 0 . 04 solution was not the concentration it purported to be ( 10T54 ) . He explained : To complicate matters , in this hypothetical , this solution , bec ause of Henry ' s Law, a very we l l understood scientific principle , the foundation of what was used as wet bath simulators , this solution needs to fail , but it needs to fail in an opposite direction . 120 Bec ause if-if we ' re assuming in the hypothetical that A, B and C [ the agency CU3 4 , the black key probe , and the coordinator ' s 0 . 04 CU3 4] are low, then in order for us to pass this ste p , this solution would need to be correspondingly higher because Henry ' s Law , if it ' s truly cooking at a temperature lower than 3 4 , then its concentration would need to be too high in order for it to come into the proper tolerance range for the instrument . [ 10T54 - 1 2 to 2 4 . ] The same rationale applicable to the 0 . 04 portion of the linearity test would also be present for the 0 . 08 and 0 . 1 6 portions , meaning that the coordinator ' s 0 . 08 CU 3 4 , 0 . 1 6 CU3 4 , bottle of 0 . 08 solution , and bottle of 0 . 1 6 solution would a l l also have t o fail i n tandem, " i n a correspondingly incorrect offset , " for the instrument to get through the linearity test without detecting the misca libration and triggering an error ( l0T54 - 1 0T56 ) . Finally , even assuming that all of these coordinated errors occurred , in the final step of the c alibration process the coordinator performs a solution change using the agency probe and a new bottle of 0 . 10 solution from a different lot than the solution used during the control test ( 10T57 ) . Shaffer testified that the agency probe would have to be wrong in the same way and to the same degree that the black key probe was wrong , or it would detect a SIM TEMP error in the agency CU3 4 , 121 which was used for the CALI BRATE function and is used again for the final solution change ( 10T57 ) . Moreover , the 0 . 10 solution used in the solution change wou ld have to be wrong in tandem with the wrong solutions used during the l i nearity test , or the ethanol concentration readings taken during the solution change would be out of tolerance ( 10T57 ) . Shaffer conclude d , " [ T] hat's 10 different independent unique things failing together in an orchestrated way in order for that scenario to hold true " ( 10T60 ) . He stated , " I almost c an ' t even imagine i t " ( 10T60 ) . Brettel l also noted that for an undetected miscalibration to occur , the CU3 4 s , probes, and simulator solutions wou ld " al l have to be off in the same direction" ( 8 T l 3 3 ) . I refer to this theory as the ten-tandem failures theory. Shaffer also noted that each of the four different simulator solutions that would have to be wrong in the ten tandem-failures theory " has its own NIST traceability trail " ( 10T58 ) . Because " those solutions would have to be wrong in order for such a scenario t o p l ay out without fai lure b y the instrument , " he was even more confident that " such a hypothetical could not be rea l i z ed " ( 10T58 ) . This theory has a certain appeal . The NIST thermometer serves the purpose of ensuring that the CU3 4s are heating 122 ' properly. I f multiple oth e r safeguards serve the same purpose and actually make it "pretty unimaginable" that an undetected miscalibration could actua lly occur and lead to incorrect BAC results , then the NIST thermometer would serve l ittle practical purpose . Shaffer ' s insistence that four of the f ive simulator solutions would have to be wrong for an undetected miscalibration to occur , if true , would be particularly persuasive . Although lots of simulator solution are purchased through Draeger , ( l ) they are manufactured to the spec i f ied concentrations by an independent vendor , ( 2 ) Draeger provides a certif ication as to the accuracy of the concentration i n each lot , and ( 3 ) the OFS tests and certifies the accuracy of samples of every lot before author i z ing purchase of bottles within that lot ( 10T 1 1 6 - 10Tll6 ; 15T7 4 - 15T7 6 ; 15T1 9 2 - 15Tl9 5 ; 15T 2 2 9 -15T2 3 0 ; King SMR 6 7 , 108 ) . Alaouie test i fied in detail about the process used by the OFS to certify the accuracy of each lot of simulator solution, and he noted that he could not recall any c ircumstance in which the OFS tested a lot and determined that its stated ethanol concentration was inaccurate ( 15Tl 9 2 - 15T2 2 7 ; 15T2 3 1 ; S-15 through S-2 4 ) . The OFS testing of the solutions does indeed meet NIST standards and the measurement of the solutions is N I ST-traceable . 123 The parties did not dispute this evidence , and it compels the conc lusion that the stated ethanol concentrations of the bottles of simulator solutions used by ADTU coordinators and police agencies are correct . There is no basis to suppose that any lot of mislabeled solution or wrong-concentration solution could somehow slip through both the or iginal and OFS analyses , much less that unrelated lots of different concentrations would slip through and then a l l be used during the same c a l ibration check procedure. Thus , if the State is correct in its position that an undetected miscalibration simply could not occur unless four of the five bottles of simu l ator solution were wrong , then terming the ten-tandem-failures theory " pretty unimaginable " would be accurate . Defendant , amicus, and part ic ipating counsel have all essentially fa i l e d to address t he ten-tandem-fai lures theory , either i n expert report s , through Stolz's direct testimony , or in their proposed findings of fact and conc lusions of law . However , Stolz was asked about i t on cross-examination . He posited " a scenario" in which an undetected misc a l ibration could occur " even if a l l your solutions are absolutely correct or have very sma l l tolerances i n concentration" ( 1 7 T 1 6 7 - 1 7 T 1 6 9 ) . He noted that , if one were to "assume that the temperature that Draeger use [ d] " to test and certify all of the probes and CU3 4s 124 used in a given c alibration check was 3 3 ° C rather than 3 4 ° C , then a misca l ibration would occur , but i t would remain undetected because a l l of the other solution concentrations , whi le actually seven percent higher than reported , "would fall neatly on the ca l ibration curve that we want to verify and it would not indicate a problem" ( 1 7Tl6 8 - 1 7 T 1 6 9 ) . Thus, Sto l z presents a scenario i n which it would b e possible for a n undetected miscalibration t o occur if t h e solution concentrations were correct and the only " problem" was that the two probes and four simulators provided by Draeger had been somehow "misse t " to treat 3 3 ° C as if it were 3 4 ° C . On the surfac e , Stol z's scenario appears to target the strongest aspect of the ten-tandem-failures theory , namely the astronomi c a l ly-unlikely possibility that four of five simulator solutions could somehow be wrong in a coordinated manner during a cal ibration check . I n the Stolz scenario , the solutions could be fine and only the six devices provided by Draeger would have to be wron g . The Stolz scenario also posits a hypothet ical as to how it would be possible for all six devices to be wron g ; specifical l y , Draeger could have mistakenly misset everything to the wrong temperature . Brettell echoed this concern when explaining why he considered i t necessary to include the NIST thermometer step in 125 the c a l ibration check process in the first place . I n designing the c a l ibration check procedures , Brette l l was aware of the importance and legal significance of "the results that come out of the evidential breath testers , " so he wanted "to do everything in my power to make sure the instruments are working properly" ( 7 T2 3 8 ) . So , even though he thought "Draeger puts out a great instrument" with many checks and balances, he "wanted an independent test done on the cal ibrating unit to be done to make sure that that c a l ibrating unit was working" ( 7 T2 3 8 ) . He testified , "I wanted to make sure it was working . It ' s as simp l e as that . And I wanted to make sure it was - I didn ' t want to rely on Draeger to · tell me that this thing was working" ( 7 T2 40-7T2 4 1 ) . Brettel l later explained : I felt - it was my view of this is that the Alcotest 7 1 10 MK I I I is manufactured by Draeger and calibrated by Draeger . The CU34 simulator c a l ibrating units are manufactured by Draeger and certified by Draeger . The simulator solutions are purchased from [ Guth] through Draeger . Draeger puts a solution ( sic] on that , and we independently check that and test that . And so I wanted an independent temperature check to make sure that the c a l ibrating unit was working . Because the calibrating unit is what the Alcotest is based on . And it ' s an independent component . And so i f we independently tested the solution it was in , and we independently tested the temperature 126 it was i n , at least that part of the component and the instrument is independently tested from Draeger . And I fe lt that was very import ant , okay . * * * And it's simply bec ause of one very sma l l part of the ca l ibration chec k , which I think is important . But if you put everything into Draeger • s hands as far as certifying the solutions , the instrument , the ca librating unit and everything else , what if - what if there is a bias or an error in Draeger ' s laboratory? What impact would that have on the breath test program in New Jersey? And so as far as the risk assessment , I took every step I could to independently test as much as I could of this program independently of Draeger to make sure that if that happened , we have a good chance of stopping it before it proliferated out . And so that's my view of this situation . [ 8T2 9 - l to 8 T 3 0 - 1 3 . ] Brettell confirmed this is " exactly why I added this step " ( 8T3 0 ) . He later added : The NIST thermometer would tell you that the ca l ibrating unit is either working or not working before you got into the probe or anything . Because is it - I don ' t even know, is it possible that something could go through Draeger that the c a librating unit and the probe are tied together and there ' s a bias and it goes right into the instrument and nothing catches it? Okay . And so it you can test that with an independent thermometer , then I'm sure that calibrating 127 unit is working and then we can move on from there . [ 8T l 3 8 - 7 to 1 7 . ) Brettell's concern was justified that , absent the inc lusion of the NIST thermometer step , a potential systemic bias in Draeger's e quipment or procedure might have gone undetected . The NIST thermometer step has been part of the process since its inception and , notwithstanding the fact that Dennis a l legedly failed to use his NIST thermometer when performing three calibration checks , there is no reason to suppose that Klimik and the other coordinators have ever failed to use their NIST thermometers as they were trained to do . The problem with Stol z's ' 'Draeger could have set everything to 3 3 ° C by mistake' theory is that it does not present a ' realistic scenario of a problem that could actua lly have resulted from a single coordinator skipping the NIST thermometer step . A sce nario in which both an agency ' s and coordinator ' s equipment could a l l be misset to accept a temperature outside the required range of 3 3 . 8 ° C to 3 4 . 2 ° C ( 1 ) could not occur absent systemic errors in Draeger ' s processes , and ( 2 ) would be detected unless no coordinators used their NIST thermometers . As to the first point , Stolz supposes a type of systemic error within Draeger that would have to result in a very large number of misset probes and CU3 4 s . Mere isolated issues within 128 Draeger's recertification process affecting only a few probes or simulators could not realistically lead to a scenario in which an agency's two devices ( probe and CU3 4 ) and a coordinator's four devices ( b lack key probe and three CU3 4 s ) had all been misset to accept the same wrong temperature yet all c ame together in one c alibration check procedure . Moreover , even assuming this somehow happened at one agency , because coordinators typic a l ly visit two agencies per day , four days per week , the misset c oordinator's devices would repeatedly run into a problem unless the probes and CU34s at subsequent agencies had also been misset . Thus , only a systemic error at Draeger resulting in a missetting of large numbers of devices could realistic a l ly result in a circumstance in which an undetected misc alibration could occur and remain undetected as the coordinator who performed it moved from agency to agency . Second, even assuming a systemic problem occurred at Draeger causing a large number of devices to be misset , the problem would have been detected by coordinators using the NIST thermometer . Klimik's testimony that coordinators are trained to do the NIST thermometer step " every time " with " [ n ] o exceptions" and that he has , in fact , done so , was c redible ( 6Tl05-6Tl 0 6 ) . Accordingly , the Stolz theory that everything 129 from Draeger could be misset is an extremely unlikely possibility . This analysis , while negating Stol z ' s theory , does serve to il lustrate the significant role of the NIST thermometer in the ca libration process . Daily use of the NIST thermometer by the six coordinators in the fie ld is what would reveal a systemic bias at Draeger . This il lustrates the critic al importance of using the NIST-traceable thermometer in this process . This analysis also shows that the ten-tandem-failures theory is not irrefutable , as argued by the State . Continuing with the ana lysis , I am persuaded by other evidence and testimony that the ten-tandem-failures theory signific antly overstates the case in contending that ten errors would have to happen in a coordinated manner for an undetected misca libration to occur . Taken together , the evidence suggests that under the right circumstances three p l ausible and relatively minor failures , specifically in the agency CU3 4 and both probes , could result in an undetected misc a libration . Significant l y , none of these failures would involve any of the simul ator solutions or depend upon speculative software bugs or large-scale systemic error . The State ' s position is that an agency CU3 4 temperature that was even slightly outside the precise temperature range of 130 3 4 ° C , p lus or minus . 2 ° C , would result in a SIM TEMP error bec ause the agency and black key probes would either ( 1 ) if functioning correctly , recogni ze the out-of-range temperature in the agency CU3 4 during the CALIBRATE function , or ( 2 ) if functioning incorrectly , mistakenly read the temperature of the coordinator CU3 4s as out-of-range during the l inearity test . Thus, the State contends that even malfunc tioning probes would generate a SIM TEMP error at some point during the c a l ibration process unless a l l of the CU34s were malfunctioning in tandem with the agency CU3 4 . However , the evidence regarding probe value suggests that , in some circumstances , a Draeger probe might interpret as acceptable a temperature range that over l aps but is not coextensive with the actual acceptable range of 3 4 ° C , p lus or minus . 2 ° C . All of the witnesses agreed that if the probe value entered by the coordinator into the instrument was not the same as the actual probe value , then the reported temperature measurement from that probe ( the misaligned probe ) woul d not be correct ( 6T4 4 ; 6 T 8 1 - 6 T8 3 ; 8 T l 2 7 - 8 T 1 3 0 ; 8T 1 5 7 - 8 T l 5 8 ; 9Tl 1 7 - 9 T 1 1 8 ; 10T 1 4 6 ; 1 2 T 1 3 1 ; 1 4 T 6 - 14T7 ; 1 7Tl l l - 1 7 T l l 5 ) . Klimik noted that if the probe value entered into the instrument was lower than the actual 131 probe value , the i nstrument wou ld " read" a lower temperature than the actual temperature of the simu lator ( 6T 8 2 ) . The evidence also established two pl ausib le ways in which the entered probe value could be wrong : ( 1 ) a data entry error by the coordinator , or ( 2 ) probe value dri f t . As detailed above , coordinators must manua lly input the probe value of the black key probe before performing the CALIBRATE function and of the agency probe before performing the solution change , and no record is made of the number entered ( 6 T 69 ; 6T7 1 - 6 T7 2 ; 6T7 8 - 6 T7 9 ; 6Tl42 ) . A simp le typo by the coordinator , for example entering '' 5 '' rather than ' " for a probe value of 106 , could easily occur '6 and potentially go undetected . Also , during its year of use , a probe value could drift to the point at which , by the time it is sent to Draeger for recertification , the probe value assigned to that probe must be changed in order to match the manner in whic h the probe is actually measuring resistance . Shaffer testified that entering the wrong probe value "would absolutely give an error message . . . [ p] robably in the f i rst step of the calibration process" ( l0T l 4 5 - 10T l 4 6 ) . He was asked to consider a spe c i f i c example in which the actual probe value was 108 and the coordinator incorrectly entered 9 8 ( 10T l 4 6 ) . Shaffer testified that , in that circumstance , the Alcotest wou ld report that a 3 4 ° C solution was " something l i ke 132 3 3 . 5 , maybe 3 3 . 0 , somewhere in that range , degrees C readin g " ( 10Tl 4 6 ) . Shaffer , however , only addre ssed the hypothetical in which the entered probe value and the actu al probe value diverged by ten points , and he was not aske d to quantify the temperature that would be reported if the actual probe value was only s lightly different from the probe value entered into the ins trument . Both Brettell and Klimik testified that a mis aligned probe might or might not abort the calibration check proce s s , depending on the degree of mis alignment . Brettell testified that , under some circumstance s , a misaligned probe might report a s appropriate a simulator-solution-temperature range that overlaps but is not coextensive with the actual acceptable range of 3 4 ° C , plus or minus . 2 ° C . A probe misaligned in this way could report as within range both ( 1 ) an agency CU3 4 that was heating s lightly below the correct temperature range , and ( 2 ) three coordinator CU3 4 s that were heating properly . Brette ll explained it thus ly : Because if it happens that that probe value overlaps the real probe value , because when you put that probe value in there , there is a range of resistance that that probe is matching , okay . So let's s ay we put a probe value of 103 and we have a certain range , it's pos s ible that those two probe values in a certain part of 133 that range will overlap , okay , for the resistance . Follow me? So that if you put in the wrong probe value and it measures the resist ance , it might be out of range for that number and give you abort the test , or it could read the resistance in that range that overlapped what the real resist ance is and would say is temperature is okay . so it could . THE COURT : Would be confident that the is as a result? THE WITNESS : You wouldn ' t know . You wouldn ' t know unless tested with a NIST traceable thermometer . [ 8T 1 2 7 - 1 6 to 8Tl2 8 - 1 0 ( emphasis added ) . ] Brette l l thought that " most likely if you put in the wrong number , it will not read the temperature [ as ] right " and will abort the test ( 8 T 1 2 9 - 8Tl30 ) . He acknowl edged , however , that because the probe value inputted by the coordinator is not recorded, there would be no way to know if an inadvertent mistake had been made ( 8Tl2 9 ) . The same would be true if the probe value had drifted from the number assigned in its last Draeger recertific ation . Most signific antly , " [ y] ou wouldn ' t know unless you tested with a NI ST-traceable the rmometer . " Later , Brettell acknowledged that if a probe value was incorrectly inputte d , " the instrument may or may not pick it up , . . . depending on how c lose to the actual probe value his mistake is" ( 8 Tl56 ) . He explained : 134 A. Wel l , if the proper probe value was inserted , the resistance range would be lining up with the temperature range equal l ike this . Okay . If the probe value is put in differe ntly , such that the resistance range is shifted one way or the other , okay , now , the resistance range is here and the temperature range is here , there's an ove r l apping range where that - if that resistance reads in there , it's going to read the proper temperature , okay . If it reads the resistance down here , okay , it's not going to read the right temperature . Q. But then he removes the black key temperature probe and inserts - and substitutes for that the department's temperature probe , which has its own probe value , which he is then required to input into that mach ine , and he does that step proper ly , okay ? A. Okay . Q. Can tell me whether that ' s - that wouldn't the difference between an a . 0 7 9 and a . 0 8 0 on a breath test? A. I couldn't tell that . Q. cou l d . A. No . [ 8T157 - 2 5 to 8Tl5 8 - 2 2 ( emphasis added ) . ] K l imik acknowledged that a misa l i gned probe could indicate that a temperature was within the appropriate range , even though it was not ( 6 T8 1 - 6T8 3 ) . He said that " [ h ] ypothetically speakin g , " it was possible that the b l ack key temperature probe could show a CU3 4 temperature as within range even though the 135 NIST thermometer would show that it was s lightly out of range ( 6Tl55 ) . This was hypothetical in Klimik ' s view becau s e he said he wou ld never proceed to c alibrate the instrument if the NIST thermometer was, not in range , but if someone did , it could possibly happen that the process would " go ( ) through c l e a r " { 6T155 ) . Of cours e , if t h e CU34 was not initia l l y tested with the NIST thermometer , the coordinator would not know that the black key probe was incorrectly reporting a s light out-of-range temperature as being within range . I n addition to the problem of incorrectly entered probe value or probe value drift , Stolz noted that the Draeger probes could fail in such a way that changes in temperature would not result in corresponding changes in resistance ( 1 7 T 1 2 3 ; 1 7 Tl58 ) . If this happened to a black key probe , it wou ld fail to detect the problem if the agency CU34 was out of range , but it wou ld still " read " the coordinator ' s CU 3 4 s as within range . The State ' s position is that any or a l l of these is sues with the Draeger probes would not result in an undetected miscalibration because , even if they occurred , if the simulator solutions were correc t , then the ethanol headspace concentration wou ld be out of tolerance and the c a libration check procedure would fail at the linearity test stage . I find this 136 unpersuasive. Like Shaffer's ten-tandem-failures theory , the State's position substant ially overstates the case. As stated in the Calibration Check Procedure , the acceptable tolerance in the l inearity test allows the ethanol headspace to be "within plus or minus 5% or 0.005 , whichever is greater' ( S - ' 32 ) . Logic a l l y , given the range of this toleranc e , some out-of range temperatures in the agency CU34 could lead to a miscal ibration that wou ld ( 1 ) change the linearity test results from what they would have been had the CU34 temperature been correct , but sti l l ( 2 ) fall within the acceptable tolerance range and appear to "pass" the l inearity test . The State's position does not take into account the credible testimony of its own witnesses , which establ ishes that relatively minor inaccuracies in three components could al low miscal ibrations to slip through undetected . And , very important in the analysi s , the State's witnesses could not quantify the problem because without performing the NIST thermometer ste p , the process l ac ks NIST traceab i l i t y , as a result of which no scientifica l l y accurate temperature measurement of the CU34 was ever achieved and no measure of uncertainty in such a measurement is known . Ma j or inaccuracies wou ld be detected because of Henry ' s Law . But , even so , the evidence does not establish where a line might be drawn with reasonable scientific 137 reliability . The State bears the burden of proof by cl ear and convincing evide nce . Its failure to prove this critical fact by that s tandard , if it is indeed capable of such proof , cannot be disregarded and results in a substantial diminution in the scientific reliability of resulting breath tests . Signific antly , although Brettell general ly agreed with the ten-tandem-failures theory , he still be lieved that it was important to include the NI ST-traceable the rmometer step in the calibration check proce s s . He testified : A. When I was the Director of the laboratory , I required the calibrat [ ing] units to be checked by a N I ST-traceable thermometer prior to being checked by the Draeger probes . And I - because I wanted an independent test that was traceable to NIST . Q. And you haven't changed that opinion? A. No . But I'm not the Director of the lab anymore . Q. I understand , but you ' re giving us your best opinion here today as an expert . A. Yes . Q. So the failure to use that - so the utiliz ation of that is nece s s ary , in your opinion ? A. I n my opinion , it's - you have to understand where I ' m coming from, okay? As the Director of the laboratory Q. Wel l , could you answer my ques tion yes or no 138 A. No, I woul d like to - THE COURT : Let him answer it the way he wants to answer it . MR . FISHMAN : Sure , Judge . A. As the Laboratory Director , my responsibility is for the quality of this breath testing program . And as you can see from this hearing , the results that come out of the evidential breath testers is very important . It expands a large number of people and there ' s a lot of lega l , you know , ramifications of it . So from where I ' m sitting I have a very - you know , I have a lot of responsibility for this . And so I ' m going to do everything in my power to make sure the instruments are working proper ly . Draeger puts out a great instrument . The probes work fine . If you have the solutions c a librated and the probes are working and calibrated , the instruments are working , everything is fine . And so they have a design-arranged - they have a really exuberant checks and bal ances . And I think we - I went over this and somebody explained them, but I think 10 or more things have to go wrong in a row for a wrong breath alcohol value to come out of the instrument . With a l l that said , all that data depends on Draeger . And from where I'm sitting , and my responsibilitie s , I wanted an independent test done on the c a librating unit to be done to make sure that that c a librating unit was working . And so that was j ust my c al l . The instrument reliably put out a breath test samp l e ? sure it wil l . 139 And so that's how I fee l . This word " necessary " keeps comin g up . It's only necessary from where you sit and stand on this . So that's my expl anation of it . [ 7 T2 3 7 - 2 to 7T2 3 9 - 3 . ] The evidence supports the conc lusion that a misc alibration resulting from an agency CU34 heating slightly outside the acceptable range might not ( 1 ) trigger out-of-tolerance results for ethanol concentration during the linearity test , or ( 2 ) be detected by the black key or agency probe if ( a ) the probe values entered into the instrument were incorrect , whether because of coordinator error or probe drift , or ( b ) probe failure occurred . Having these three errors occur in a single c alibration check process is unlike l y , but they are nevertheless possib le errors based on the evidence . Signific ant l y , this evidence suggests a p lausib le circumstance in which only three of the devices used during the calibration check process ( the agency CU3 4 , the black key probe , and the agency probe ) could be slightly wrong yet ultimately result in an undetected miscalibration . These potential errors are not " pretty unimaginable " or " like trying to line up the moon and a l l the pl anets at the same time . " I find that the State has failed to show that an undetected miscalibration could not p l ausibly occur during a calibration 140 check proc e s s if the NIST thermometer step was s kipped . Such an undetected mi sca l ibration would result in incorrect results in evidentiary breath tests done on such an instrument unti l the next cal ibration . E. Discuss ion of B aum and Alaouie I n the previous section , I discussed in detail the bas i s for Shaffer's opinion that the s c ientific reliability of breath tests produced by an Alcote s t device which was calibrated without using the NIST thermometer step would not be undermined or c a l l ed into que s tion . Shaffer's theory required detai led analys i s because it is somewhat complex and because it forms a fundame ntal underpinning of the State's pos ition in this case . In this sect ion , I will go on to discus s the " bottom li ne " opinions rendered by two of the State ' s other experts , Baum and Alaouie . Unlike Shaffer's theor y , the opinions rendered by these experts were supported by several dis crete reason s . In each c a s e , I find the reasons unpersuasive and I find it unneces sary to provide a n extens ive discus s i on . When Baum was a s ked for his ultimate opinion regarding the i s sue presented in this c as e , this was the colloquy : Q. I s i t a required legal step? A. It's required by the Chun dec i s ion , yes . 141 Q. Doctor , is the use of the Control Company digital thermometer , based upon your expertise , required scientifically in . order for the instrument to be scientifically reliable ? A. No, it is not . Q. Can you p lease explain to the Court the basis of your opinion? A. The basis of my opinion is , there ' s a number of systems in the instrument to indicate and stop i f the temperature is not appropriate . First of a l l , as I testified recent l y , during a solution change , it ' s not used or during evidential breath testing it ' s not used . Second , there is the CU3 4 , which is this c a l ibrat [ in g ) unit , and the CU3 4 is calibrated annually by Draeger Sc ienti f ic , and that is cal ibrated to show that it can hold the temperature 3 4 plus or minus 0 . 2 degrees Celsius . Also , there is the temperature probes , whether it's the black key or agency temperature probes that are c a l ibrated annua l l y . And those also have to be within range . And the instrument wi l l not go forward with the test . There ' s complic ated source code in the instrument that won't al low it to go forward if it is not reading . The overriding decision is the instrument , it's not the hand [ -] held thermometer , of whether to go forward or not with the test . * * * Q. Doctor , the black key temperature probe and the cal ibration process , what effect does that have on your opinion , i f any? 142 A. The cal ibration and the black key temperature probe is cruc ial to make sure that it properly c an read the temperature of 3 4 degrees . Q. The agency temperature probe and the calibration of the agency temperature probe , what e f fect does that have on your opinion? A. Agai n , it is cruc ial that it ' s cal ibrated so that it c an read the temperature of 3 4 degrees plus or minus the 0 . 2 degrees . Q. The testing of the CU 3 4 simu lators , the ca l ibration of the CU3 4 simulator s , what e f fect does that have on your opinion? A. Agai n , it shows that the simulators will heat up to and maintain the proper temperature , which is also very important . Q. And the testing of the simulator solution and the lots that you referred to earlier , what effect does that have on your opinion? A. That also a ffects the opinion because it's very important to have simulator solution with the right amount of alcohol , because it could not be proper l y ca l ibrated with the wrong amount of alcohol . [ 1 2 T 2 4 4 - 1 1 to 1 2 T2 45- 1 4 ; 1 2 T 2 45 : 2 3 to 1 2 T2 4 6 -2 2 ] . Baum ' s first reason contains two components . He rel ies on the fact that the protocol does not require use of the NIST 143 thermometer ( 1 ) during a solution change , or ( 2 ) during evidential breath testing . At the very end of the c a libration process , the coordinator performs a solution change , using the agency CU3 4 . There is no need to test the agency's C U 34 at that time bec ause it was just tested an hour or two earlier with the NIST thermometer and proven to be produc ing a solution temperature within the required range . Then , after the calibration procedure is completed and the coordinator leaves , the local or State Police who are qua lified as operators in that agency are required to perform periodic solution changes after not more than twenty- f ive breath tests are administered . These solution changes are conducted during the six-month cycle preceding the next calibration chec k . I n Chun , a thorough analysis was conducted and it was determined that with a l l of the spec ified requirements and procedures , including a six-month calibration check interval ( as opposed to Draeger ' s recommended one-year interva l ) , the Alcotest device and its components would be deemed suf f ic iently scientif ically reliable to be in good working order . Thus , there is no need during the six-month interval for further testing of the agency CU3 4 , which was established in the previous c alibration check to be in good working order by virtue of measuring its temperature with a 144 NIST-traceable thermome ter . This same reasoning applies to breath tests administered during the six-month interval . I n his second reason , Baum relies on the fact that the agency CU34 is c alibrated annua l l y by Draeger . F rom that , he concludes that it has been estab l ished that the CU34 can be relied upon to produce in-range temperatures during that year . For reasons previously discussed in this report , whether Draeger uses NI ST-traceable instrumentation or not in its annual calibration process , the device c a l ibrated does not achieve NIST trace ability . Stated different ly , that device does not acquire the abi lity through that process to produce temperature measurements traceable to a NIST standard . The same is true with respect to the first portion of Baum's third reason , namely that the black key and agency probes are c a l ibrated annually by Draeger and , in the course of that c a libration , were determined to have read temperatures within range . Again , that process does not confer on the Draeger probes the capability of rendering a NIST-traceable measurement result . Reliance upon the CU3 4s and the Draeger probes without the NIST thermometer results in a temperature determination that simply lacks NIST trace abil ity . That is the scient ifical ly required aspect of the temperature measurement that is essential to dete rmining the good working order of the CU34s before the 145 CALIBRATE function can be activated and the c a libration check procedure can be comp leted . I n the second part of Baum ' s third reason , he states that after the CALIBRATE function is activated, the instrument will not be able to go forward if there is a temperature error detected by the Alcotest firmware . He continues that " [ t] he overriding decision is the instrument , it ' s not the hand [ -] he l d thermometer , of whether to go forward or not with the test . " That statement is incorrect . Everyone in this case agrees that if the " hand-held thermometer , " which is the NIST thermometer , does not read within range , the coordinator is not permitted to " go forward " with the test . After expressing those three reasons, several additional questions were posed to Baum by way of fol low-up as set forth above . To the extent that those fol l ow-up questions dealt with the black key temperature probe , the agency temperature probe , and the CU3 4 s , Baum ' s answers added nothing to his three stated reasons . Finally , he was asked whether the testing for accuracy of the simulator solutions affected his opinion . He answered affirmative ly . However , for reasons expressed e lsewhere in this report , the accuracy of the simul ator solutions wil l not necessarily prevent miscalibrations if the agency CU 3 4 and the 146 Draeger probes are slightly misaligned . This is why it is so extremely important to ascert a i n , with an independent NIST traceable temperature measuring device , that the temperatures are precisely within range . If those temperatures , part icularly in the agency CU3 4 , which is used in the CALIBRATE function and which " teac hes" the instrument what a 0 . 10% ethanol concentration i s , are even slightly outside the allowable tolerance , that i nstrument could slip through the cal ibration check process and result in a miscal ibration . There is no dispute that the accuracy of the solution concentrations is essential . The evidence c learly supports a finding that the testing pe rformed by the OFS achieves the required NI ST-traceable accuracy . But that alone will not necessarily prevent miscalibrations if temperatures are slightly off under c ircumstances described elsewhere in this report . Counsel for the State further questioned Baum about the Shaffer theory , with which Baum said he agreed ( 1 2T25 1 - 1 2 T 2 52 ) . This does not require further discussion here , because , for the reasons set forth in the previous section of this report , I have re j ected Shaffer ' s theory . Accordi ngly , I do not find the reasons given by Baum in support of his opinion to be persuasive , either individually or collective l y . This finding is further ampl ified by my 147 assessment of Baum ' s credibility . I therefore reject Baum ' s ultimate opinion . Alaouie expressed his opinion in the fol lowing col loquy : Q. Although the use of the Control Company digita l thermometer is a required step , if a coordinator does not use this step for whatever reason , would the fact that the coordinator skipped the step make the results of the calibration process scientific a l ly unreliab l e ? * * * A . No , it does not . Q. Why? A. Because the Control Company temperature - digital thermometer is used in a qualit ative administrative manner where the observation is only visua l . There's no documentation of the observation . The instrument does not perform any adj ustments based on that observation . And the vendor Draeger does not require the use of that temperature probe . THE COURT : So it's bec ause it ' s not recorded THE WITNESS : Correct . THE COURT : it's bec ause there are no manual or automatic prompts that would cause an adj ustment to be made? THE WITNESS : Correct . THE COURT : And bec ause Draeger does not require it? 148 THE WITNESS : Correct . And there i s a l s o no documenta�ion of that observation as well . THE COURT : That was the fir s t thing I a s ked . THE WITNESS : Yes . [ 1 6Tl0- 1 8 to 1 6 Tl l -2 4 . ] Counsel for the State fol lowed up with two additional questions , asking whether the annual testing by Draeger of the black key temperature probes and CU3 4 s played a role in his opinion . Alaouie answered a f f i rmative ly . With respect to the black key temperature probes , he stated : A. The black key temperature probe or the agency temperature probe are the one s that are actually monitoring the temperature of the solution . Both of these are NIST traceab le . And the whatever l i ke status mes s ages will be triggered due to the fact that the temperature is out of tolerance will be reported by those spec i f i c temperature probe s , whether it's the bl ack key or whether it ' s the agency's temperature probe . [ 1 6T l 2 -6 to 1 4 . ] With re spect to the CU3 4 s , he stated : THE WITNESS : Yes , it does . Because the s ame thing, the CU34 gets cal ibrated annually . It comes with a certificate of accuracy to NHTSA, which i s N-H-T-S A, which stands for the National H ighway and Traffic Safety Adminis tration . [ 1 6 T l 3 - 8 to 1 2 ] . 149 I do not find any of these reasons, individually or collective l y , persuasive as a basis for Alaouie ' s opinion . His first reason is that the coordinator only makes a visual observation of the NIST thermometer temperature reading , but does not record the result . Whi le this is true as a statement of fact , it ignores that it is a mandatory part of the cal ibration process and , when a coordinator certifies that he has performed a l l required steps in that process , he i s , in effect , documenting that he observed a temperature reading produce d by the N I ST-traceable thermometer in each CU34 between 3 3 . 8 and 3 4 . 2 degrees Celsius . The fact that the specific reading is not memori a l i z ed does not detract from the importance of this step . Indeed , if this step is not successfully completed , the protocol prohibits the coordinator from continuing with the cal ibration check procedure . The lack of recording of the NIST thermometer temperature readings is no different than the lack of recording of the entry of the correct probe value . Nowhere does the coordinator write down nor does the i nstrument capture the actual probe value the coordinator entered . Therefore , by Alaouie's reasoning , it is not documented that the coordinator entered a probe value that matches the probe value assigned to his black key probe or that which is assigned to the agency probe . It is left to the 150 trustworthiness of the coordinator to do it in a diligent and reliable manner and , when signing his certification , indirectly documenting that he did so . No one would suggest that entering the correct probe value is not extremely important . Indeed , the certificates of accuracy issued by Draeger for the black key and agency probes state s : " For accurate temperature readings , the probe value on this certificate , noted below, must be programmed into the Alcotest 7 1 1 0 " ( S - 3 3C ) . Alaouie ' s second reason is that " [ t] he instrument does not perform any adj ustments based on that observation . " Once the CALIBRATE function is activated, his statement is correc t . However , he agreed with my c l arification or ampl ification of that re ason that "it's because there are no manual or automatic prompts that would cause an adj ustment to be made . " If the NIST thermometer reading is out of range , the coordinator never activates the CALIBRATE function . This constitutes a manual prompt that there is a SIM TEMP error , and it directs the coordinator to stop everything and refrain from activating the CALI BRATE function unless the malfunctioning CU3 4 is replaced and , after heating for an hour , produces a readi ng from the NIST thermometer that is within range . Alaouie ' s statement that the digital thermometer step is merely used i n an " administrative manner " is consistent with the 151 State's position in this case that it is nothing more than a " pre-ste p " that was put into the procedure for administrative convenience so coordinators would not encounter a waste of their time if they blindly activated the CALI BRATE function only to get a SIM TEMP error through the black key temperature probe , which would abort the test . If that happened , the coordinator would either start a l l over again or be required to take the Alcotest device out of service . As I have discussed elsewhere in this report , and particularly in Section IV ( C ) , this characteriz ation by the State is completely unsupported by the evidence and I rej ect it . Alaouie's third reason , that Draeger does not require the NIST thermometer requires little discussion . Each State tailors its own system to its own needs and specifications , putting in additional safeguards as it deems appropriate beyond those minima lly required by the manufacturer . New Jerse y , under Brettel l's very capable direction , inst alled a number of these , such as testing the simu lator solutions separately in the OFS , c alibrating devices fol lowing the New Jersey c alibration check process when rec eived from Draeger ( either new or after being returned from a repair ) , and requiring a one-hou r , rather than thirty-minute , heat-up time . These are a l l beyond Draeger ' s recommendations . Likewise , as a result of based on Judge 152 King's recommendation , the Court shortened the ca libration time to six months , rather than the one year recommended by Draeger . Indeed , in addition to the importance of NIST traceability of temperature measurements , one of Brettell's primary reasons for inserting the NIST thermome ter step was to assure that a scientific ally reliable temperature measurement would be obtained by a N I ST-traceable thermometer , separate and independent from Draeger and the Alcotest instrument . Al aouie ' s answer to the fol low-up questions cited above , are likewise unpersuasive as a source of support for his opinion . I n the first , he states that the Draeger black key and agency temperature probes are NIST traceab le . For the reasons I have previously stated at length , they are not . Alaouie's statement constitutes an acknowledgment that NIST trace ability is essential to the temperature measurement . However , his statement that NIST traceability is achieved with the Draeger probes alone is unsupported by the evidence . I n his other fol low-up answer , Al aouie said that his opinion was also influenced by the fact that the CU34s are c a librated annually by Draeger with a certificate of accuracy to NHTSA standards . Such a certification is far removed from the requirements for NIST traceability . Like the Draeger probes , the good working order of the CU34s cannot be determined in a 153 scientifically r e liable manner without the initial use of an independent NI ST-traceable thermometer . According l y , I reject Al aouie's opinion that fai lure to perform the NIST-traceable step in the calibration process does not c a l l into question or undermine the scientific reliability of the cal ibration process and subsequent breath test results produc ed by that i nstrument . F. Discussion of Brett e l l Of the State's four expert witnesses , the opinions rendered by three of them ( Shaffer , Baum and Alaouie ) on the ultimate issue in this case were expressed in definitive terms in favor of the State ' s position . For the reasons already state d , I have rejected those opinions as unsupported by the evidence . The opinions rendered on the ultimate issue by the State ' s other exper t , Brette l l , cannot be so simply described . Excerpts of his testimony can be picked out which might seem to support the State ' s position that fail ing to use the NIST thermometer will not undermine or c a l l into question the reliability of the cal ibration procedure or resulting breath tests . Other excerpts are to the contrary . A ful l reading of Brete l l ' s testimony is necessary for a fair assessment of what his opinion actual l y i s . I do not mention these potential ly conf l icting aspects of his testimony as indicating any measure of evasiveness , 154 deceitfulne s s , lack of knowledge , bia s , or the like . I n section I I I ( A ) ( 2 ) , discussing Brette l l ' s qualifications and credibi lity , I stated that he answered all questions candidly and forthrightl y , regard l e s s of who was asking them, that he was very si ncere and careful in answering , and that he disp layed a very high level of appreciation for the solemn respons ibility he had in se lect ing a breath testing device and developing s c ient i f i c a l l y reliable protocols to achieve , as best as could be done , the highest level of sc ientific reliabil ity in breath test result s . I concluded that his tes timony was very credible and his opinions are entitled to very substantial weight . I adhere to those a sse s sments . I al s o adhere to my credibility a s s e ssment comments that Brettel l ' s knowl edge of the Alcotest 7 1 1 0 , the c a l ibration check procedure ( which he developed and authored) and the sa feguards in it , and New Jersey ' s breath testing program are c le arly superior to that of any other witne s s in this case . Based upon my observations of Brettell ' s tes timony over two f u l l days and his demeanor in rendering that testimony , and now having read through the transcripts of his testimony , this is my conc lus ion . Brette l l bel ieves that the Alcotest 7 1 1 0 i s a reliable breath testing ins trument that produces reliable breath test resul t s . After a l l , it was he who was largely responsible 155 for tes ting and validating the instrument and recommending its purchase for use in New Jersey to replace the Breathalyzer ins trument . And , in Chun , after a very protracted hearing , Judge King rendered a comprehensive and thought ful report in which he concluded that the device is gener al l y scientifically reliable . The Supreme Court then conducted its own exhaustive analys i s of the record and in a comprehensive opinion concluded that the device is suffic iently sc ienti fically reli able to al low its reports to be admitted in evidence . Everything stated in the preceding paragraph , however , is tempered by a n indispen s able qual ification , namely that a l l of the necess ary procedures and s a feguards for testing the device and administering breath tests with it are fol lowed . Certainly , the Chun court expre s s ed this qualif ication in stating that it had " no doubt that the device , with the safeguards we have required , is suffici ently s c ientifically reliable that its reports might be admitted . " 1 9 4 N . J . at 158 . My analys i s of Brettel l ' s testimony l eads me to conclude that the overriding thrust of his testimony and ultimate opinion regarding the role of the NIST thermometer in the c a l ibration procedure weighs in favor of the qua l i fication that the 7 1 1 0 is a good breath te sting device that produces r e l iable breath test 156 result s , if a l l requirement s22 are complied with , use of the NIST thermometer . I n other words , Brette l l holds two opinions relevant here , namely that the device is generally reliable and that us e of the NIST thermometer in periodically cal ibrating it is a necessary component in a s s uring that rel iabil ity . These opinions are not at odds with each other and are certainly not mutua l ly exclus ive . Indeed , their harmonization should be readily understandable in l i ght of the extreme measures taken by Brett e l l and his OFS col league s to test and val idate the device , to develop protoco ls and safeguards to achieve the highest leve l of sc ientific reliability pos s ible , and to put the ins truments into the f i e l d , knowing they wou ld be in the years to come essentially the final arbiter of guilt or innocence of many thousands of individu a ls - that is i f they are in good working order , and the breath test is administered correctly by a qua l i f i ed operator . My finding based on Brette l l ' s overall tes timony i s that he holds the opinion that s kipping the NI ST thermometer step would 22 I do not suggest that " a l l requirement s " should be taken l itera l ly . I am aware that there might be s ome requi rements that are quite per functory or insignific ant and not performing them would be of little consequence in potent i a l ly af fecting s c ientific r e liab i l ity . 157 undermine or c a l l into question the s c ienti fic r e l i abi lity of the c a l ibration proc e ss and breath test results . I n this report , I have quoted a number of pass ages from Brette l l ' s testimony that i l lustrate the point . He testified, for example , that the NIST thermometer step , along with other required steps in the calibration proce s s , was made a part of a group of steps that were col lectively nece s s ary to ensure the s c ienti fic rel iabil ity of the proce s s . ( supr a , 3 5 - 3 6 ) . He further testified that , because the accuracy of the CU3 4 temperature is " extreme ly , extremely important , " the NIST thermometer step was put into the proc e s s " to make sure that the calibrating unit was tested against the standards of NIST when before we started anything . '' ( supra , 8 4 ) . He said , " I took every step I cou ld to independently test as much as I could of this program independently of Draeger to make sure that i f 11 there was " a bias or an error in Draeger ' s laboratory , " we wou ld ''have a good chance of stopping it before it pro l iferated out , '' and that was " exactly why I added this step . " ( supra , 12 7 ) . I n addressing the " neces s ity " of the N I ST thermometer step , Brette l l s aid : Draeger puts out a great instrument . The probes work f ine . I f you have the solutions calibrated and the probes are working and 158 ca librate d , the ins truments are working , everything is f ine . [ s upr a , 1 3 9 . ] In other test imony , he made c l ear that the only way to make sure that the Draeger probes are working correctly is by indirect means , which i s rel iant upon prior testing with the N IST thermometer . He explained : The only thing that gets checked with that [ the NIST thermometer ] is the c a l ibrating unit . The ( Draeger ] probes do not . The probes are double checked once the c a l ibrat [ i ng ] unit is checked and working and up t ( o ] temperature . I f you put the probe in there and the probe reads the temperature , then now you know the probe i s a l s o working . [ 8 T 1 1 6 - 1 4 to 2 0 ( emphasis added ) . ] On another occ a s ion , when a s ked what would be the consequence of skipping the NI ST thermometer step , Brett ell began his answer by s aying i f you went on with t he c a l ibration procedure " and everything ' s working properly , " you would l i ke ly get a correct reading because of the many " checks and balances in there with the tempe rature probes , " so that if that step is left out , " a s long as everything else i s working properly on the instrument , you ' re going to get accurate readings " ( 7T97 ) . Once again , Brettel l expressed the view that you would probably get a good reading because the 7 1 1 0 i s generally reliab l e , but that would be the case only if everything is working properly . And , 159 throughout h is testimony , he reiterated that the only way to make sure a l l of the Draeger components are operating properly is by starting with the independent NI ST-traceable step in the c alibration procedure . On another occas ion , when pre s s e d about the accuracy of results coming through the " Alcote st machine , " Brettell said " the reason that you are doing this test with the cal ibration i s t o make sure that that ' s a l l working " ( 8 T 4 4 ) . He then went on to say : "When you put a certified solut ion into the cal ibrating unit , and you set everything up properly and running and you get out the same concentrat ion , you have verified that everything i s working properly " ( 8 T 4 4 ) . This reaff irms that " s etting everything up properly " means complying with the c alibration check procedure . In turn , with an accurate s imu lator s o lution , and the application of Henry ' s Law, obtaining a correct reading on the nomi nal ethanol concentration wi ll verify that everything is working properly . Again , the ver i f i cation of an accurate result is dependent upon complying with the procedure , including the NIST thermometer . I n another portion of his tes timony , Brettell was questioned about what would happen i f , hypothet ically , a NI ST traceable thermometer was not us ed in the cal ibration proces s . He responded that " i f the probes are working properly and the 160 solutions are certified properly and the calibrating unit is heating u p properly , you ' re going t o get an accurate reading on the Alcote s t 7 1 1 0 MKI I I - C " ( 7T 1 5 6-7T1 5 7 ) . Once agai n , he conditions the likel ihood of an accurate reading on the Draeger probes having worked properly in the calibration proce s s . In tur n , as his other testimony repeatedly establishes , the good working order of the Draeger probes cannot be directly determined through the Alcote st firmware , but mu st be indirectly verified by a prior temperature measurement with the NI ST thermometer . I n Augu st 2 0 1 7 , in lieu of furn i s hing an expert report in antic ipation of his expert tes timony , Brette l l submitted to a Q&A st atement conducted by a State Police detective and two attorneys from the Attorney General ' s Office representing the State in this case . I n his testimony in this hearing , he conf irmed that he was a s ked whether failing to use the NI ST thermometer would undermine or c a l l into que stion the s c ientific rel iability of the breath test subsequently perf ormed on that instrument and that he gave the fol lowing answer : My answer : As as all of the of the instruments black were no . [ 8 T3 7 - 2 4 to 8 T3 8 - 1 ( emphas i s added ) . ] 161 Once again , Brette l l would expect an accurate reading but his expectation is qualified by the condition that a l l of the components , including the black key temperature probe , were operating properly . From the tota lity of Brette ll ' s testimony and in recognition of his high level of credibility and knowledge , I do not attribute these qua lifying comments to hedging , lack of certai nty , or evasivene s s . I attribute them to his honest belief that the 7 1 1 0 is a reliable breath testing instrument , but that reliabi lity depends very substant ially on the us e of the NI ST-traceable thermometer in the c alibration proce s s . Brette l l ' s test imony , taken as a whole , supports the finding that f a ilure to use the NIST thermometer in the cal ibration process does undermine or c a l l into que s tion the scient ific reliab i lity of the calibration process and of breath test results produced by that device . G. Other states The State asks me to find that " [ t ] he use of a NI ST traceable digital thermometer by a coordinator to test the temperature of the simulator solutions before beginning the ' Cal ibrate ' function to cal ibrate the Alcotest instrument is not done in any other state " ( Pb 7 7 ) . It contends that there is " uncontroverted evidence that no other state or j uri sdiction 162 that uses the Alcotest 7 1 1 0 MK I I I-C , or a wet-bath s imu lator in its recal ibration protoco l , requires this pre-te st temperature check to verify the temperature before beginning the c a l ibration procedure " ( Pb 5 3 ) . The fact that the NI ST-thermometer step " i s unique to New Jersey , " the State argues , shows that " not doing " this step i s generally accepted in the sc ienti f i c community ( Pb 5 3 ) . I re j ect the State ' s proposed f i nding of fact on this point . The evidence i s insufficient for any finding regarding the manner i n which other states us ing the Alcotest 7 1 1 0 have ensured the correct temperature of any wet bath simulators used in connection with c a l ibrating or performing linearity tests on the instrument . Moreover , uncontroverted evidence establis hed that the instrument was highly cus tomi zed for each jur i sdiction and that other j uri sdictions had procedures and saf eguards not in use in New Jersey , so the State ' s attempt to equate procedures in dif ferent j ur i sdictions creates a f a l s e comparison . The State points to testimony by Shaff er and Baum as supporting the proposit ion that the NIST thermometer step " i s unique to New Jersey , '' and it seeks a f inding that " coordinator [ s ] " i n other states do not " te s t the temperature of the s imulator solutions before beginning the ' Ca l ibrate ' 163 function to ca l ibrate the Alcote st instrument " with a NIST thermometer ( Pb5 3 ; Pb7 7 ) , The evidence falls far short of e s tab l i shing this point . Shaffer ac knowledged that there is " a step in the New Jersey protoc ol , the c a libration protocol s , requiring the use of a Control Company NIST thermometer" and that this step was " spec i f ic to New Jer s e y " ( 1 0T34- 10T35 ) . However , Shaffer agreed on cro s s -examination that it was " [ v ] ery fair to s ay " that the states using the instrument each " had different requirements as to ca libration " ( 1 0T9 3 - 1 0T 9 4 ) . For ins truments sold to New Jersey , Draeger "customi zed the 7 1 1 0 to be in compliance with " this s t ate ' s specific c a l ibration check procedures ( 9 T l 9 ) . Shaffer testified that " [ i ] n its heyday , " the Alcotest 7 1 1 0 was used as the exc lus ive instrument in New Jersey , Mas sachusett s , and Alabama ( 1 0 T 9 3 ) . He a l s o testi fied that , by January 2 0 1 8 , only New Jers ey , Alabama , and " a few counties in California " were s t i l l u s ing the Alcote st 7 1 1 0 ( 9 T 7 ) . Shaffer gave no tes timony regarding how any jurisdi ction other than New Jersey ca l ibrated its i nstrument s , whether CU3 4 s were u s e d , or what those j urisdictions did to ensure the correct temperature of any CU 3 4 s used before performing the CALIBRATE function . Shaffer did testify tha t , for the Alcotest 7 1 1 0 , " the software is highly cus tomi zed for every cus tomer , " so the 164 instruments may look the same in diff erent j ur is dictions and " the internal hardware c omponents may be mo stly the same , " but the instruments are dif ferent ( 9 T l 0 ) . He explained : For applications like thi s , there ' s no possibi lity of us being able to j u s t take something off the she l f , as it were , and to be able to j u s t s ell it to any j uri sdiction . It requires a lot of customi zation . And so much so that the software becomes the most expensive part of what we provide in a sys tem to a j u r isdiction . [ 9 T 1 0 - 1 9 to 2 5 . ) Shaffer also testified that Alabama has ' ' a very robust data analys is procedure and program in p lace " to review evidential breath tests and check the performance of its ins truments ( 9 T2 8 - 9T29 ) . Baum testi f ied that he "be lieve [ d ] Alabama and Massachusetts " used a ''wet bath proce s s " but did not " u s e the separate NI ST-traceable thermometer step which is spec ific in New Jer s ey " ( 1 2 T2 3 1 - 1 2 T 2 3 2 ) . However , on the s econd day of his test imony , Baum contradicted this and s aid he had no real knowledge regarding steps other states did or did not take . Baum s a id that he was "wa s n ' t aware of what versions " of the Alcote s t Al abama used , and he never spoke to his Alabama counterpart regarding the Alcotest program there ( 1 3 T 1 9 2 - 13Tl93 ) . 165 Baum acknowledged that his earl ier tes timony was to the effect that Alabama used a wet bath s imulator and the 7 1 1 0 ( 1 3T2 1 0 - 1 3 T2 1 1 ) . When pres sed on the dis crepancy , Baum answered , " I s aid I bel ieve . I didn ' t s ay I was positive . I said I believed . That ' s what I testified on Thursday . " ( 1 3T2 1 2 - 13T2 1 3 ) . Then , looking at Alabama ' s operator manual for the 7 1 1 0 , with a reference to a " Dry Gas Calibration Check , " Baum conceded that " [ i ] t does appear that they did us e the dry gas " ( 1 3T2 1 3 ; D- 2 1 ) . On cross -examination , Baum was asked about the respective " c alibration proce s s e s " of New Jersey, Alabama , and Massachusetts : Q . And that was it . And you also underst and each one of tho s e states had different requi rements that they wanted to do in their respective calibration proc e s s e s , correct? A . Correct . Q . Not a l l three states had the same ca l ibration proces s , correct? A . Correc t . Q . Each state had requirements that were some were different from the other state s , correct ? A . Correct . Q . And some were different from what Draeger had - what Draeger does in the cal ibration proc e s s , correct? 166 A . Correct . Q . S o the f act that - s o New Jersey had a couple of steps that s ome of the other states were n ' t us ing , correct? A. Correct . Q . And I ' m sure the other states had steps that New Jersey weren ' t u s i ng , correct? A . I don ' t know their Q . You don ' t know? A . I don ' t know. [ 1 3 T 5 6 - 1 7 to 1 3 T 5 7 - 2 1 . ] I find that Baum of fered no credible tes timony regarding procedures in any other states . The "Al abama Breath Alcohol Testing Program Operator Manual , Draeger Alcotest 7 1 1 0 MK I I I C " and certain relevant portions of the Alabama Department of Foren s ic Sc iences Adminis trative Code were admitted into evidence and further i l lustrate the impossibility of any meaningful comparison between New Jersey ' s ca libration check procedures and the procedures used in Alabama ( D- 2 l ; D- 2 2 ) . What Alabama terms a " c al ibration check" is not the periodic procedure by a coordinator including the CALIBRATE function and various tests , but rather part of the breath testing sequence itself and the functional equivalent of the control test per formed in New 167 Jersey during an actual evidentiary breath test ( D-2 1 at 8 - 9 ; D- 22 at 1 - 1 - 3 , 1 - 1 - 1 0 ) . For its • c alibration check , " Alabama utilizes dry gas cyl inders rather than wet bath s imulators ( D- 2 1 at 1 9 ; D- 2 2 at 1 - 1 - 3 , 1 - 1 - 1 0 ) . Al so , in Alabama each Alcotest ins trument is sent to the Alabama Department of Forensic Sc iences ( ADFS ) annually for a " battery of tests • to confirm its good working order ( D- 2 2 at A l to A- 7 ) . The ADFS performs a variety of tests and checks , including a linearity check with wet bath s imulators ( D- 2 2 at A- 3). I t appears that the ADFS cal ibrates each instrument prior to running the tests , but this is not entirely c lear from the record ( D- 2 2 at 1 - 1 - 3 ) . Details of the annual evaluation by the ADFS were included in the code • to inform the pub lic of the quality control or good laboratory practic e s • in p lace at the ADFS but " do [ ] not constitute a rule " ( D- 2 2 at A- 1 ) . Thus , even the limited record regarding Alabama ' s procedures shows ma j or differences from New Jersey ' s , one of the most si gnif icant being that Alabama does not s end a coordinator into the f ield to e ither ( l ) cal ibrate the instrument , or ( 2 ) ensure that the simulator used by that agency is functioning properl y . Plainly , Alabama procedures would not mandate a NIST thermometer be used to check the simulator solution temperature of the agency ' s dry gas cylinders that do not us e a solution . 168 The ADFS c a l ibrates each ins trument in-hous e , and the record i s s i lent a s to the manner in which i t ensures that its own wet bath s imu lators are heating to the correct temperature . The ADFS might very we l l check its own equipment routinely us ing a NIST thermometer . Certainly , nothing suggests that the ADFS s imply a l lows the Alcote s t 7 1 1 0 probes to val idate the s imu lator solution temperature when it c a l ibrates ins truments . Nothing whatever was presented regarding cal ibration procedures in Mas sachusetts or the counties in C a l i fornia us ing the Alcotest 7 1 1 0 . In addition , even a s suming that the NIST thermometer step is " unique to New Jer sey , " no conclus ions regarding general acceptance could legitimately be drawn , given ( 1 ) the small number of other j urisdi ctions us ing the ins trument , and ( 2 ) the indication that New Jer s e y , purchasing more than twice as many ins truments as Alabama , was poss ibly the most substantial user of the ins trument . The State ' s argument suggests that New Jersey i s an out l ier , dif fering from a large and uniform bl ock of " other state s " that have affirmatively chosen to skip the NIST thermometer step . This inference i s unsupported . The evidence shows that relatively few jur i sdict ions have used the Alcotest 7 1 1 0 for evidenti a l breath testing and that those that have are in the proc e s s of replacing that instrument . 169 According to Shaffer , the Alcotest 7 1 1 0 stopped being of fered for s a l e in the United States " anywhere in the time frame from maybe 2 0 1 2 to 2 0 1 5 " ( 10T74 ) . Brettell testified that he was aware that " Al abama had a program" using the. Alcotest 7 1 1 0 and that " Massachusetts was evaluating i t " at the time of the Chun hearings in 2 0 0 6 ( 7 T 1 7 0 - 7 T 1 7 1 ) . Alabama has evidently s e lected the Intoximeter Datamaster to replace the Alcotest 7 1 1 0 ( 9T 2 6 - 9T2 7 ) . New Jersey has se lected Draeger ' s Alcotest 9 5 1 0 to replace the 7 1 1 0 ( 1 4 T 8 4 - 1 4 T 8 9 ) . That change has not yet been finali z ed or imp lemented . Shaffer e s t imated that New Jersey purchased between 6 0 0 and 7 0 0 Alcotest 7 1 1 0 instruments ( 1 0 T l 9 5 ) . He noted that Al abama has " around 2 8 0 " Alcote st 7 1 1 0 s , and he gave no figures for how many instruments were purchased by Mass achu setts or the four counties in Cali fornia ( 9T 2 7 ) . These facts suggest that , far from being an out l ier , New Jersey was such a substantial us er of the Alcote st 7 1 1 0 that no valid conclusions regarding general acceptance of Alcotest 7 1 1 0 cal ibration procedures cou ld be made that exc luded thos e used here . H. list The State also argues that the general acceptance of " not doing " the N IST thermometer step is " further borne out by the 170 fact that the CU- 3 4 s imulator is on the Conforming Products Li s t ( ' CPL ' ) . " Citing the King SMR in Chun , the State notes that the CU3 4 was " tested and evaluated by Volpe , a part of the Research and Innovative Technologies Administration of the U . S . Department of Transportatio n , to make sure that it meets the model specifications for a wet bath s imulator as set forth by " the National Hi ghway Traffic Safety Administration ( NHTSA ) ( Pb 5 3 ) . The presence of the CU3 4 on the CPL is merely an indication that the device is generally appropriate for purchase , but it does not inform the i s sue of whether , whe n , or how the performance of the device should be periodically checked with a NIST thermometer . I ndeed , the f act that Draeger annually checks and certi fies each CU3 4 for accuracy us ing its own NIST thermometer indicates a recognition that inclus ion of the device on the CPL does nothing to ensure the continued performance of individual CU3 4 s . Moreover , the Chun hearing testimony of Edward Conde , the Volpe employee who performed various testing on the Alcotest 7 1 1 0 , undermines rather than supports the State ' s po s ition regarding the use of the NIST thermometer . At the time of the Chun hearings , Conde had worked at Volpe for twenty years ( King SMR 1 3 1 ) . He testi f ied that Volpe tested 171 and evaluated both evidential breath testing ins truments and c a l ibrating units , and he noted that the evaluations are " for the benefit of States when they ' re making purchasing de cis ions . It ' s j ust a recommendation " ( Chun 1 T 4 5 ) . " I n 1 9 9 6 , 2 0 0 3 , and 2 0 0 6 , Volpe tes ted dif ferent firmware vers i ons of the Alcotest 7 1 1 0 to determine if they met the mode l spec i f i cations recommended by NHTSA" ( King SMR 1 3 0 -3 1 ) . Conde was off ered as an expert in the chemi stry of breath testing ( King SMR 1 3 1 ) . Judge King found him to be " very credible and candid , " and he "was quite impressed" with Conde ' s testimony ( King SMR 1 3 7 ) . Conde testi fied in detail as to how Volpe tests breath- testing instrume nts and cal ibrating units ( King SMR 2 8 - 3 0 , 1 3 4 - 35 ) . He exp la ined that , when testing breath-testing instruments such as the Alcotest for prec i s ion and accurac y , Volpe used wet bath s imulators manufactured by Guth and Repco " to introduce a certain concentration of alcohol into" the instrument ( Chun 1 T 5 5 - 1 T5 8 ) . Then the fol lowing exchange occurred : Q . To check the s imulator temperature , what piece of equipment i s used? A . The Draeger device has a thermistor probe , but I independently wi ll use a NIST thermometer to make sure that the temperature is what the probe s aid it was . Q . Would that thermometer also be traceab l e ? 172 A . That ' s NIST traceabl e , yes . 1 T 5 8 - 1 8 to 2 5 . ] Thus , when evaluating the Alcotest 7 1 1 0 and using Volpe ' s own wet bath simulators , Conde did not s imply rely on e ither the good working order of Volpe ' s s imu lators or the Alcotest temperature probe s . Rather , he independently verified the s imulator solution temperature u s ing a NIST thermometer . I n addi tion , the Chun tes timony of Chappe l l , the former N IST employee who was qua lified as an expert in legal metrology, contradicts the State ' s sugge stion that inclus ion on the CPL somehow e l iminates the subsequent need for a NIST-traceable thermometer chec k . Chappe l l testified in general regarding the principles of legal metro logy . He s a id that " [ i ] n order to have confidence in the operation " of a " legal measuring instrument , " " responsible official s " use a three- step proc e s s of "metrological control , " spec i f i c a l l y , ( 1 ) type evaluation or approval ; ( 2 ) initial veri fication ; and ( 3 ) subs equent veri fication 3 T8 8 ; King SMR 1 5 3 ) . By following this proc e s s , " the responsible officials cou ld have some confidence that the ins truments that are providing this evidence in the field or measurements in the field were under control or giving an accurate reading" ( Chun 3 T8 8 ) . 173 Testing by the NHTSA and inclusion on the CPL i s merely the first step , i . e . , type evaluation or approval 3T89-3T94 ) . " I t i s for information to - for the regulators and users of the instrument to indicate that . this manu fac turer i s capable of measuring - of manufacturing such an ins trument and it meets these spec i f i cations " 3 T 9 3 -3T9 4 ) . Regarding the Alcotest , Chappe ll s aid that , in New Jers ey , the cal ibration check proc e s s i s the initial veri fication step for new ins truments and the subs equent verification step for instruments already in the f i e ld 3T 1 1 6 - 3 T l l 8 ) . The temperature of the s imulator solution " has to be correct in order to get a reference sample of known concentrat ion " 3T143 ) . Chappe ll testified , " I n subs equent veri fication , of cours e , the ins trument - the temperature measuring i nstrument as soc i ated with determin in g the temperature of the reference solution would be verif ied , would be calibrated or veri f ied , me aning that it would be c ompared with a measuring device that has trace ability to temperature measuring reference standards maintained by the national measuring in s titute or NIST" 3T137 ) . Chappel l ' s test imony i s consi stent with the conc lusion that inclusion of an instrument on the CPL is only the first step in the three-step proc e s s of " metro logical contro l " and that a 174 NI ST-traceable thermometer should be used to check the simulator solution during subs equent cal ibration procedures . V. FINDINGS OF FACT AND CONCLUS IONS OF LAW A. of fact 1. Brette l l inc luded the NI ST-traceable thermometer step in the cal ibration procedure ( D- 3 2 ) from the very beginning of New Jersey ' s use of the Alcotest 7 1 1 0 , approximately seventeen years ago . 2. He inc luded this step for s c ientific reasons , to ensure the good working order of the CU3 4 s by measuring the s imulator solution temperatures at the beginning of the c a l ibration proc e s s and establishing their in-tolerance accuracy to a NI S T standard . 3. It is critical to the proper operation of the Alcotest instrument that the simulator-solution temperatures be within the correct range when performing the CALIBRATE function , running control and l inearity tests , and performing a s o lution change . 4. This requirement was inserted into the c a l ibration procedure as a mandatory part of the procedure . 5. As Brettel l acknowledged , a l l of the steps in the c a l ibration procedure are c o l lectively s c ienti fically neces s ary to the reliabil ity of the c a l ibration proce s s . 175 6. This requirement was put into the procedure long before there fore , i t was not mandated by a court but was voluntarily put in by the chief forensic s c ientist in New Jers ey . 7. The requirement has remained part of the protocol continuously s ince its inception . 8. I n the present litigation , the State has expre s s ly s t ated that it has no intention of removing this step as a required part of the calibration procedure , and is not requesting court author i z ation to do s o . 9. Prior to two Attorney General memos suggested the s c i entific importance of this step . DAG Stephen Monson , advised prosecutors in his August 2 3 , 2 0 0 5 memo ( D- 1 7 ) to provide certificates of accuracy of the NIST-traceable thermometer in discovery in DWI cases because that document , together with others , serves to " s upport " the cal ibration report and c a l ibrating unit new standard solution report , which mu st be placed in evidence as one of the longstanding foundational documents to establ ish the good working of the device , which in turn renders the BAC reading admis s ible in evidence . I n his Apr i l 3 , 2 0 0 6 memo ( D- 1 6 ) , DAG Monson provided legal advice regarding temperature probe documentation in DWI cases . He stated that the NIST-traceable temperature measuring system 176 information shou ld be recorded directly on the calibration record a s part of the documentation " s atisfying the foundational burden of proof of proper operation of the instrument . " 10. Coordinators began handwriting the serial numbers on their reports after the is s uance of the April 3 , 2 0 0 6 memo . When e f forts to revise the firmware to capture the serial numbers on the printed reports proved unsuc c e s s fu l , Alaouie i s sued a memo on March 1 2 , 2 0 1 3 , establ i shing a procedure for writing the serial number of the NIST-traceable temperature measuring system on a pre-printed portion of the calibration report . 11. When Draeger informed the OFS that it would no longer perform annual c a librations and is sue new cert ificates of accuracy for Ertco-Hart digital thermometer s , the State did not choose to e l iminate this step , nor is there any official record of any internal discuss ion or s u ggestion that consideration be given to deleting this step . 12 . Instead , Baum is sued a deta iled memorandum on December 2 3 , 2 0 0 8 ( S - l O C ) , stating that calibration of an Alcotest 7 1 1 0 requires the use o f a N IST-traceable thermometer to as sure an accurate temperature determination of the s imulator solutions . He set forth five detailed criteria for a new NI ST-traceable thermometer to replace the Ertco-Hart . He recommended the 177 Control Company digital thermometer , which he stated met the required criteria and would be " acceptable for temperature determination . " His recommendation was accepted by ADTU official s , and the change from Ertco-Hart to Control Company was implemented . Notwithstanding any personal views that Baum may cl aim to have held to the contrary , his official position acting as a s c ientist and in his capacity as Director of the OFS was that a NIST-traceable thermometer should remain as a mandatory step in the c a l ibration procedure . 13. The switch to Control Company generated the State v . Holland litigation , in which two Appellate Division dec i sions were i s sued in 2 0 1 1 . Holl and 4 2 2 N . J . Super . at 1 8 5 , and Holland II 4 2 3 N . J . Super . at 3 0 9 . The defendants chal lenged the switch , urging the court to find that only the Ertco-Hart thermometer was authorized in Chun and that no substitute could be allowed . I n that litigation , the State never as s erted , either as its primary or alternative position , that use o f a NIST-traceable thermome ter was not scientifically nece s s ary to as sure rel iability of results . Instead , it adhered to the position that a NIST-traceable thermometer was nece s s ary for that purpose and the Control Company digital thermometer met the requirements of N IST traceabi lity . 178 14 . Putting as ide ver i f ic ation during the cal ibration check proce s s of the s imu lator solution temperatures , a l l other aspects of the ca l ibration process include methods to repeatedly verify accuracy or steps that are more stringent than Draeger requires or recommends . These are : ( a ) all Alcotest 7 1 1 0 instruments , when received i n New Jersey from Draeger ( e ither new or after being returned from a repair ) are recal ibrated fol lowing the New Jersey cal ibration protocol before being placed in service i n the fie l d , notwithstanding that Draeger had i s sued a certi f i cate of accuracy for them; ( b ) the s imulator solutions , after being received from Draeger , are retested for accuracy in the OFS ( random s amples ) although they come with a certi f ication of accuracy from the supplier ; ( c ) although Draeger requires only thirty minutes heating time for the CU3 4 s , New Jersey requires a minimum of one hour ; and ( d ) although Draeger requires calibration every twelve months , New Jersey requires it every six month s . 15 . The temperature of a s imulator solution i s dependent upon the good working order of the CU3 4 , a Draeger product . Measurement of that temperature through the Alcotest instrument during the cal ibration process i s dependent upon the good working order of the black key temperature probe ( also a Draeger product ) and entry of the correct probe value a s s igned to that 179 probe by Draeger . Even i f the a s s igned probe value is correctly inputted , it may be inaccurate due to probe value drift or probe fai lure . The probe does not measure temperature . It detects resistance , which is temperature dependent . The Alcotest 7 1 10 ins trument then calculates and reports temperature based on that resi stance through a series of complex cal culations utiliz ing al gorithms imbedded in the ins trument . ( The agency temperature probe determines temperature in the s ame way . ) 16. There is no s c ientifically reliable method to determine the required accuracy of the temperature of the s imulator so lutions , and thus ve rify the good working order of the CU3 4 s , other than to measure the temperatures with an independent NIST-traceable thermometer . 17 . Brette l l deemed it nec e s s ary to verify the critical l y important temperature o f the CU3 4 s through an out s ide and independent NIST-traceable temperature measuring device . Such a device would be outside of the Alcotest 7 1 10 algorithms and independent of the Draeger equipment . He deemed this nece s s ary in the event there was some unknown " bia s " in the Draeger l ab , and because it i s the only scientifically reliable way to directly measure the temperature of the s imulator so lutions . 18 . I f , after heating for at least one hour , any of the s imu lator solutions are determined to be out of range , based 180 upon testing them with the NI ST-traceable thermometer , New Jersey protocol requires that the c a l ibration not proceed . Thus , even i f the black key or agency probe were to reveal an in-range temperature reading, New Jersey ' s protocol prohibits coordinators from performing the c a l ibration if the NIST traceable thermometer does not reveal correct temperatures . 19 . Although the NIST thermometer step occurs before activating the CALIBRATE function , as it mu st to accomplish its purpos e , it is not a mere pre-test or administrative convenience as argued by the State . The NI ST-traceable thermometer step i s an integral part of the cal ibration proces s , and it is nec e s s ary to ensure sc ientific r e l i ability of the proce s s . 20. As part of its argument in this lit igation , the State acknowledges that us ing the NI ST-traceable thermometer provides enhanced confidence in the sc ientific reliab i l ity of the cal ibration proc e s s and breath test results subsequently performed on that device . Enhanced confidence incre as es sc ient i f i c r e l i abil ity . 21. Brette l l , the State ' s most knowledgeable and persuas ive witne s s , credibly testified that documenting the use of a NI ST-traceable thermometer is part of the documentation that " s upports the good working order of the devic e " and that failure to use a NI ST-traceable thermometer results in " some 181 reduced level of certainty " in the reliabil ity of the device , although he was unable to quantify the amount of reduction . 22 . The Draeger black key and agency temperature probes are not N IST traceable . 23. The Draeger temperature probes are not capable of directly me asuring s imulator solution temperatures to a NIST traceable standard . 24 . The Draeger temperature probes do not provide an acceptable substitute for the NI ST-trac eable probe required by the c a l ibration procedure to accurately measure s imulator so lution temperature s . 25. Scient i f i c a l ly accurate temperature measurements of s imu lator so lutions through the use of Draeger temperature probes can only be indirectly ve r ified , based on a prior NI ST traceable measurement that was within toleranc e , obtained by a NI ST-traceable thermometer ( in conjunction with the us e of accurate N IST-traceable s imulator s olutions and app l ic ation of Henry ' s Law ) . 26 . The s imulator solutions used in the New Jersey breath testing program are accurate . The OFS checks random s amples from each lot produced by the supp l ier . The OFS conducts its check procedure in accordance with proper s c ientific practices 182 and determines accuracy by reference to NIST-traceable standards . 2 7 . Contrary to the State ' s argument , if the NI ST-traceable thermometer step is skipped , it is not nec e s s ary that ten separate things mu st malfunction in tandem in order for a cal ibration check to be suc c e s s fully completed with an out -of range s imu lator solution temperature . 28. A suc c e s s ful c a libration check procedure can occur i f the agency CU34 i s producing a s imulator solution temperature that i s s l ightly out of range and the black key and agency temperature probes are malfunctioning to about the s ame extent in the ir reported temperature measurement s , which could occur either because of the incorrect entry of a probe value , probe value drift that has developed, or probe failure . I n such ci rcumstance s , the out-of -range temperature in the agency CU3 4 would go undetected but would not result in a SIM TEMP error . As a result of the out -of -range temperature , the alcohol concentration in the vapor used to calibrate the Alcotest would be incorrect and would " teach" t he Alcotest instrument ah incorrect standard by which to report alcohol concentration in vapor introduced into the device . 29. The potential for thes e three things to s l ightly malfunction in the manner stated would not be a common 183 occurrence , but would be far l e s s unlikely than the ten things postulated by the State . These are plausible , evidence -based potential occurrences . 30. As a result of such a " misca libration , '' the Alcote st instrument would erroneously yield incorrect BAC readings when breath tests are administered over the next s ix months , and the error would go undetected . 31. Such miscal ibrations would e f f ectively be prevented by use of the NI ST-traceable thermometer . 32 . Although the State admits , in accordance with the testimony of its own experts , that fai lure to us e the NIST traceable thermometer in the c a l ibration proc e s s reduces the sc ienti fic reliability of the c a l ibration proc e s s and the subs equent breath tests from that instrument , it has f a i led to quantify the magnitude of the reduced s c ienti f ic reliab i l ity . Brette l l suggested that it might have been pos s ible to conduct studies for the determination of error rates or to make probabi lity c a lculation s , but this has not been done . 33. As a cons equence of Henry ' s Law, ma j or inaccuracies in the Draeger probes and the agency CU3 4 s wou ld be detected during the cal ibration process becaus e , at s ome point , an out-of-range CU3 4 temperature would generate an out -of-tolerance ethanol headspace concentration . However , the State has f ail ed t o show 184 where this point cou ld be e s tabl i s hed with scient i f i c reliability . B. Conc lus ions o f law The question posed by the Court in these proceedings is : Does the f a i lure to test the s imulator solutions with the NIST-traceable digital thermometer before cal ibrating an Alcotest machine undermine or call into question the sc ient i f ic reliability of breath tests subsequently perf ormed on the Alcotest machine? In my view , the terms " undermine " and " ca l l into question , " describe s imi lar but d i f f erent concept s . To c a l l something into que stion is to " ra i s e doubts about " it . Webster ' s II New 158 ( 1999 ) . To undermine something , within the context of the i s s ue presented here , is to "weaken , inj ure , or impair [ it ] , often by degrees . " I d . at 1 2 0 1 . Based upon the f indings of fact set forth immedi ately above , and as described and analyzed in more detai l throughout the body of this report , I conclude that f a i lure to perform the NIST-traceable step in the c a l ibration proc e s s c learly c a l l s into ques tion the subsequent validity of breath test results derived from that device . The evidence r ais es substantial doubts about the s c ient i f ic reliabil ity of breath test results produce d by Alcotest devi ces calibrated without the use of a NIST-traceable thermomete r . 185 The State ' s own experts have opined that reliab i lity i s reduced and that i t is better t o leave the NI ST-traceable step in the procedure . It has been in the procedure s i nce the inception of u se of the Alcotest 7 1 1 0 in New Jersey . It has remained in the proce s s s i nce the dis covery of the Dennis problem, which has given r i s e to this proc eeding . There is no reason whatsoever to bel ieve that , as ide from Denni s , all coordinators have not been f aithfully fol lowing t his step over the years in the thousands of calibrations they have performed . The State does not ask in this proceeding for j udicial authori z ation to delete the step . Instead , it has a f f irmatively stated its intention to continue to require the step as a mandatory part o f the procedure . The evidence c learly supports the f i nding that this step was put into the procedure to as sure scient i f ic reliability . In the course of the Holland proceedings seven years ago , the State " doubled down " on the nec e s s ity for the requirement and the importance of u si n g a temperature measuring device that meets all of the strict criteria to qu alify as " N I ST traceable , '' in accordance with the gold st andards applicable to the NIST criteria as we l l a s the qua l i f ic ations and accreditation of the laboratory that would certify its NIST traceabi lity . 186 I find it extremely important and persuas ive that for all of these years it h a s indisputably been a strict requi rement within the ca l ibration procedure that i f the NI ST-traceable thermometer temperature check of the simulator s o lutions in all four CU3 4 s do not read within tolerance , t he coordinator is not permitted to proceed with the cal ibration . I n other words , based upon the mandatory provi s ions of the procedure , which continue to be in e f fect and which wi ll continue to be in e f fect in the future , failure to achieve an in-tolerance NIST traceable temperature reading o f these four solutions serves as a "manual SIM TEMP error , " which prompts the coordinator to stop everything and not proceed to activate the CALIBRATE function . This should be treated no dif ferently than a SIM TEMP error that is generated by the Alcotest device after the CALIBRATE function is activate d , which automatically aborts the cal ibration proc e s s and prevents i t from proceeding further . I n e ither ca s e , the detected error is of s u f f icient magnitude to require termination of the intended ca libration . The only way to directly obtain a scientifically accurate and reliable temperature measurement of an aqueous solution is t o insert a NIST-traceable thermometer into it and obtain a reading . The Draeger probes are not NIST traceab le . They cannot produce a NIST-traceable temperature measurement . Their 187 accurate functioning at the time of the cal ibration proc e s s can only be determined ( or ver i f i e d ) by indirect means . Thus , i f ( l) the solut ion temperatures are f irst determined t o b e accurate b y u se o f a NI ST-traceable thermometer , ( 2 ) the s imulator s olution concentrations have been accurately determined by applying NIST-traceabil ity s tandards (which is the c a s e in New Jersey ) , and ( 3 ) the concentration of ethanol in the vapor is determined to match the nominal concentration o f that solution ( within allowable toleranc es ) , then and only then can it be sai d that the Draeger temperature probes " must be working right" because of Henry ' s Law . However , i f the NIST-traceable thermometer i s not f irst used t o directly obtain a s c ientifically reliable temper ature measurement of the s imulator solutions , then the temperature of those solutions is unknown and Henry ' s Law does not compel the conc lus ion that the Draeger probes must be working right if a concentration result fa l l ing within the allowable tolerance i s achieved . O f course , asc ertaining a NSIT-traceable meas urement in the agency CU34 is of the utmost importance in the CALIBRATE func tion, during which the Alcotest ins trument i s being adj usted to a concentration leve l given to it by the 0 . 1 0 simulator solution used in that funct ion . 188 For the reasons stated in this report , the evidence supports the finding that miscalibrations can occur , whi c h , in turn , will produce inaccurate breath test readings which will go undetected . Although the c ircumstances in which miscal ibrations can occur are somewhat limite d , they are indeed plausible and can easily be prevented by s imp ly fol lowing all steps in the cal ibration procedure , as every coordinator is required to cert i f y that he or she has performe d , as one of the e s s ential prerequ i s ites to admi s s ibil ity in evidence of the reading . The State argues that the NIST-traceable thermometer step was only put into the proc e s s to increase conf idence in results . It impli e s that any such increased conf idence i s s l ight and unimportant . This argument contains two serious f l aws . First, as exp lained i n this report , confidence and reliab i l i ty are not mutually exclus ive concepts . They are part of the s ame concept and part of a s ingle continuum. As Brettel l credibly explained , as more steps are utili zed that increase conf idenc e , the greater will be the leve l of rel i ab i l i ty achieved . Second , the evidence c learly establishes that the NIST thermometer step was put in the c a l ibration check procedure for the expres s purpose of as suring the good working order of t he CU3 4 s us ed i n the cal ibration proce s s , e s pecially the agency CU34 which actually causes adju stments to be made in the Al cotest devic e , thus 189 c a l ibrating it to the ethanol concentration in the vapor it produces during t h e CALIBRATE function . Accurate temperature in the CU3 4 s is the foundation upon which the entire cal ibration proc e s s is built and it is nec e s s ary to ensure s c ient i f ic reliability . This i s not a s l ight conf idence builder of l ittle or no consequenc e . It i s e s s ential . As stated in the body of this report , Conde test i f ied accordingly in Chun . He exp lained that in testing instruments for Volpe , which was contracted by the NHTSA as part of the proc e s s of approving breath testing devices and s imulators for inclu s i on on the conforming products l i s t , he would not rely upon probes that c ome with the device but would always start with his own NI ST-traceable thermometer to test s imulator solution temperatures to as sure their accurac y , and thus as sure scient i f ic reliability of the entire proces s . In this litigation , it was e stab l i s hed that Draeger itse l f , as explained by its employee , begins its c a l ibration proc e s s of the CU3 4 s and temperature probes in its s ervice workshop by testing the wet bath to be utili zed in the proc e s s with a NI ST traceable thermometer produced by an independent third-party company , Omega Engineer ing , Inc . Sha f f e r ac knowledged that without this NIST-traceable starting point with a NIST-traceable thermometer , the s c ient i f i c re l i abi lity of its entire 190 cal ibration proc e s s would be cal led into question and undermined . Baum agreed with Shaffer on this point . And Bre tte l l required the s ame starting point when he drafted the procedure for cal ibrating the Alcote st 7 1 1 0 . He continues to hold the opinion that NIST-traceability is " c ritic ally important " in determining temperature accuracy in the CU3 4 s before proceeding with the cal ibration . This is the estab li shed s c i ent ifically accepted practice in such procedure s . All experts agreed that breath test results are l e s s scienti fically rel iable without the NI ST-traceable thermometer step . The State concedes this point . Therefore , the evidence clearly raises substantial doubts about the sc ientific reliabi lity of breath test results without the NI ST-traceable step , thus ca l ling into question the s c ientific reliabil ity of those results . Concomitantly , because the scient ific rel iability i s weakened or impaired by some degree , the literal dictionary definition of " undermin e " is also met . However , as I have stated , I view the concepts of " c alling into que stion '' and " undermining" as having di f ferent meanings , and the d if ference requires an a s s e ssment of the degree by which scientific rel iability is reduc ed . 191 As I perceive the ultimate question ref erred to me , it i s whether the ac knowledged reduction i n s c ientific reliability o f a n Alcotest device , cal ibrated without using the NIST-traceable thermometer , is o f suffic ient magnitude or degree to deprive the device of suffic ient sc ient if ic reliabi lity such that its readings can be admitted in evidence . Of cours e , this is a special kind o f evidence . It is evidence , produced by a machine , wh ich , standing alone , proves guilt beyond a reasonable doubt , resul ting in consequences of magnitude . It is not the kind of evidence to which weight can be asc ribed depending upon the quality o f the evidence . Nor can the machine be cross examined . It i s evidence whic h , under our l aw , es tabl ishes a per se violation . For decade s , since the inception of breath testing in New Jersey , proof o f the good working order of the device has been required as mandatory foundational evidence to . allow a breath test reading in evidence . That proof i s e s t ab l i shed by the production of the coordinator ' s certification , atte sting to the f act that he or she performed the ca libration in accordance with a l l required procedures . Fai lure to have actually per formed the NI ST-traceable thermome ter step in the procedure renders inva lid a cert i fic ation attesting that all steps were followed . 192 In the Court found the Alcote s t device sufficiently s c ienti f ically r e liable to al low its breath test readings to be admitted in evidence . The Court concluded as follows : we are confident , based on this far-reaching and se arching inquiry , that the device i s suffic iently rel iable s o that t h e rights of a l l defendants have been protected . We are sat i s f ied that , with the directions we here adopt for pending and future matters , the confrontation r i ghts of all defendants have bee n , and will continue to be , protecte d . We have no doubt that the devic e , with the s afeguards we have required , is sufficiently scienti f i ca lly rel iable that its reports may be admi tted in evidence . And we are confident that , in so concluding , all of defendants ' rights have been advanced and considered . 1 9 4 N . J . at 1 4 8 . ] The quest ion therefore comes down to this . Does skipping the use of the NI ST-traceab le thermometer , which the State ' s witne s s e s have acknowledged reduces the level of s c ient i f i c reliabili ty , reduce it t o a level below that which the Court in Chun deemed " su f f ic ient l y " s c ientifically reliable to allow readings to be admitted in evidence . Use of the NI ST-traceable thermometer i s one of the s a feguards required to establish sufficient s cientific reliab i l ity . It i s not a trivial or unimportant s a feguard . Nor is it merely important or adv i s able . It i s the e s s ential starting point of the ca l ibration proce s s , and f ai lure to use it 193 can result in mi s c a l ibrations , which in tur n , wi l l cause incorrect breath test results . The State , bearing the burden of proof , has f ailed to quantify the likelihood that mi scal ibrations may occur without use of the NIST-traceable thermometer or the leve l s to which temperature inaccuracies wou ld have to be off in order to trigger a SIM TEMP or ethanol concentration error generated by the Alcotest devic e , which would abort the cal ibration and prevent a miscalibration . The State insists that no quant i f ication is nec es sary because there can never be an undetected miscal ibration . This position i s based o n the ten-things -wrong theory posited b y Sha f fer , which I have rej ected . The evidence i s o f suf f ic ient strength to persuade me that without the NIST-traceable step miscal ibrations are not merely theoretical or s peculat ive , nor so unlikely as to be such a s l i ght pos s ibility that the i s sue can be overlooked . The c a l ibration of each device is good for s ix months , during which it i s presumabl y u sed to perform breath tests on many individuals . Each of the approximately 6 0 0 ins truments now in service in New Jersey i s c a l ibrated at least twice per year . Out of the 1 2 0 0 or so annual cal ibration procedures , i f the NI ST-traceable thermome ter is not used , it i s reasonable to conclude that some number of undetected miscal ibrations wi l l 194 occur . I do reach this conclusion . This i s not speculation . It i s grounded in the evidcence . The magnitude o f the problem is quite evident in l i ght of the premise upon which this spec ial master proceeding was convened : The State informed the Court that the devices cal ibrated by a s ingle coordinator , Denni s , over severa l years produced 2 0 , 6 6 7 evidenti a l breath s amples , the validity of which has now been thrown into doubt because of the St ate ' s inabil ity to prove that Dennis used a NIST-traceable thermometer in those cal'ibrations . The State ' s argument turns the relevant sc ience on its head . The State contends that the virtual infallibili ty of the machine in the ca l ibration proc e s s serves a s the s af ety net that assures scientific reliabi l ity , and that the us e of the NIST traceable thermometer only adds s ome measure of conf idence that the s a fety net i s working . The State imp l i e s that this measure of conf idence , although unquant i f ied , i s ins ignif icant . The evidence persuade s me that the oppos it e i s the case . It i s the NIST-traceable thermometer that i s the s af ety net in the cal ibration procedure . It i s the neces s ary beginning step from which the s c ienti f i c reliabil ity of everything done in the cal ibration proc e s s flows . It i s the only temperature measuring device used in the proc e s s that produces NI ST-traceable 195 measurement results . It i s the sole source of determining a scientifically r el i able temperature measurement in the CU3 4 s . That measurement , in turn , is the only scient i f i cally r eliable basis to determine whether the CU3 4 s are functioning properly . It i s the only means by which the good working orde r , and thus the accurac y , of the Draeger black key and agency temperature probes can be indirectly veri fied . The l ikel ihood of an undetected miscal ibration i s not great , but it i s reasonably plausib l e . Of cours e , that li kel ihood can be avoided s imp ly by u s i ng the mandatorily required NIST-traceable thermometer in the cal ibration proce s s . It might be that a mi scalibration would. only affect c l o s e case s . Both s ides di spute this . The defense s ays that without the NIST-traceable thermometer , the temperature in the CU3 4 s is unknown and has no known measure of unc ertainty , as a result of which all breath test results will be unrel iable . The State s ays mi scal ibrations will affect no cas es because the built-in safeguards in the machine render the c a l ibration proc e s s infall ible , so even i f the NIST- traceable thermometer i s not used there wi l l be no miscalibrations . As previ ously state d , I have r e j ected that a s s e rtion . App lying the c lear and convincing proof standard , the evidence presented by the State has f a i l ed to produce " a f i rm 196 belief or conviction'' that the State ' s pos ition , i . e . that f ailure to use the NIST thermometer does not undermine or call into question the scient i f i c rel iabi lity of breath tests , i s correct . Mut . Ins . 1 8 6 N . J . at 1 6 9 . The evidence does not persuade me that the State ' s position is " highly probable . '' In re 2 0 7 N . J . at 2 9 0 . On the contrary, I f ind that i t i s unsupported by the evidence . Most certainly the State ' s evidence is not " s o clear , direct and we i ghty and convinc ing" to lead to a " c lear conviction , without hesitancy" that the sci ent i f i c reliab i l ity of breath test results without use of the NIST thermometer in the c a l ibration proc e s s will not be undermined or c a l led into que stion . Ibid . Indeed , the testimony of one of the State ' s witne s s e s , Dr . Brette l l , i s a prime source of my analys i s of the evidence , my determination o f what the facts are based on that evidence , and my ult imate conc lus ions . H i s tes timony , cons idered in its entiret y , has been instrumental in the determinations I have made . Based upon my f i ndings of fact and my ana lys i s of them, I conclude that the State has failed to c learly and convincingly prove that failure to perform the NIST thermometer step in the calibration proce s s does not undermine and c a l l into question the good working order o f the Alcotest instrument . Skipping the 197 NIST thermometer step removes from the proc e s s a substantial and e s s ential s a feguard , the magnitude of which reduces the reliability o f the device to a leve l that is less than sufficiently scienti fically reliable to allow its reports to be admitted in evidence . Respectfully submi tte d , Jos Lisa, P . J . A . D . ( retired and temporarily a s s i gned on rec a l l ) Dated : May 4 , 2 0 1 8 198 AP P E N D I X I SUPREME COURT OF NEW JERSEY M - 2 4 4 / 2 4 5 / 2 4 6 September Term 2 0 1 6 078390 STATE OF NEW JERSEY, F I L E D Plainti f f - Movant , APR -7 2017 v. 0 R D E R EILEEN CAS SIDY , �dteb Defendan t - Respondent . This matter having been opened on the S tate ' s motion s , and good cause appearing ; it is hereby ORDERED that the motions for relaxation of the Rules of Court ( M - 2 4 4 ) and for direct certif ication ( M - 2 4 5 ) are granted, and the mi s ce l laneous motion for a remand, appointment of a spec ial mas t e r , and other relief ( M - 2 4 6 ) i s granted, in part , as provided belciw; and it is further ORDERED that the Court hereby appoints as the Special Mas ter Judge Joseph F . L i s a , J . A . D . , who is currently serving o n reca l l a s a member o f Part D i n the Superior Court , Appell ate Div i s ion ; and it is further ORDERED that the matter is remanded to the Special Master who will consider and decide the fol lowing que s t ion , along with any other que s t ions that the Special Mas t e r , in his discre tion , deems relevant to the undertaking : "Does t he failure to test the s imulator so lut ions with the NIST- traceable digital 1 thermometer before cal ibrating art Alcot e s t machine undermine or call into que stion the s c ient i f i c reliab i l i ty of breath tests subsequently performed on the Alcotest machine ? " ; and it i s further ORDERED that the Special Master shall determine the extent of part i c ipat ion of any person or entity in addition to the State and de fendant , E i leen Cassidy, provided that the Court hereby directs that all motions for partic ipation in the remand must be served and f i led with the Special Master on or before May 8, 2017 ; and it is further ORDERED that the Special Master shall hear testimony , including expert test imony , hear the arguments of the partie s , and make f indings of fact and conclusions o f law; and it is further ORDERED that the S tate shall make arrangements to ensure that the Spec ial Master receives trans cr ipts of the remand proceedings conducted pursuant to this Orde r ; . and it i s further ORDERED that the Special Master shall complete and submit to the Court a written report of his f indings on the question presented expeditiously following the comp l e t ion of the hearing ; and it i s further ORDERED that upon the f i l ing of the Special Maste r ' s written report , the partie s and other parti c ipants shall have thirty days to serve and f i le brie f s wi t h the Court and ten days 2 thereafter to f ile any responding brief s ,. and that no further �n.ibmi ssions will b<:i p<:irmitted unless requested by the Cour t ; and it is further ORDERED that upon 0ompletion of bri.e f ing , tbe- matter· ,shal l be .set down for o:t;al a:t;gume;:tt a t a date and t ime t o be establisbed by the Clerk of the Court ; and it is fur,ther ORD;ERED that j urisd.iction is reta1ned . wr_TNESS ' the Honorc(b'.Le Stuart Rabner, Chie·f Jusice I at Trenton , t his 6th day of ' l\Pril , 2017 . CI.ERK OF THE SUPREME COURT ,_ AP P E N D I X II S TATE v . CAS S I DY EXHIBIT LIST Exhibit No . Des cript ion S-1 Al cote s t 7 1 1 0 MKI I I -C with Serial No . ARWC - 0 0 6 4 S-lA Coordinator ' s bottle of 0 . 1 0 0 % S imulator Solution S-lB Agency ' s CU34 Simulator : Serial No . DDRK S 3 - 0 0 1 7 S - lC Agency ' s Alcotest 7 1 1 0 Temperature Probe : Serial No . DDXK P 2 - 3 0 1 , Probe Value 1 0 3 S-lD Coordinator ' s bottle of 0 . 0 4 0 % Simu lator Solution S-l E Coordinator ' s CU3 4 Simulator : Serial No . DDRK S 3 - 0 0 0 5 ( used with 0 . 0 4 % simulator solution ) S-lF Coordinator ' s bottle of 0 . 0 8 0 % Simu lator Solution S-lG Coordinator ' s CU34 Simulator : Serial No . DDRF S 3 - 0 0 0 9 ( used with 0 . 0 8 % s imu lator solut ion ) S - lH Coordinator ' s bottle of 0 . 1 6 0 % S imulator Solution S-lI Coordinator ' s CU34 S imulator : Serial No . DDCN 0 0 5 4 ( used with 0 . 1 6 % simulator solution ) S-lJ Black Key Temperature Probe : Serial No . DDWA P2 - 0 1 6 , Probe Value 1 0 5 S - lK Control Company digital thermometer ( S erial No . 1 7 0 4 2 8 3 6 7 ) S - lL Agency ' s bottle of 0 . 1 0 0 % s imulator solution used for solution change S-lM Cal ibration D i scovery Packet S-lN Card- Plug in from computer to Alcotest for data download S-4 State o f New Jersey Original Indictment of Marc Dennis dated 1 2 / 1 4 / 1 6 ( SGJ6 9 3 - 1 6 - 2 4 -S /Docket No . 1 6 - 1 2 - 0 0 2 1 3 - S ) S - 4A State of New Jersey Superseding Indictment of Marc Denn i s dated 6 / 2 7 / 1 7 ( SGJ7 0 2 - 1 7 - 1 7 -S / Docket No . 1 7 - 0 6 - 0 0 1 1 8 - S ) S-9B Exhibit A from sworn statement of Dr . Thomas Bret tell - Alcotest 7 1 1 0 MKI I I -C User Manual - Technical NJ vl . O S-9C Exhibit B from sworn statement of Dr . Thomas Bret tell - Alcotest 7 1 1 0 MKI I I -C User Manual - Operator NJ vl . l S-9D Exhibit C from sworn statement o f Dr . Thomas Bret tell - Alcotest 7 1 1 0 MKI I I-C us er Manual - Technical NJ v . 1 . 2 S-9E Exhibit D from sworn statement of Dr . Thoma s Brettell - Report o f Calibration for Ertco Hart Digital Temperature Measuring System S-9F Exhibit E from sworn statement of Dr . Thomas Bret tell - Calibration Check Procedure for Alcotest 7 1 1 0 MKI I I-C S-9G Exhibit F from sworn s tatement of Dr . Thomas Brettell - Calibration Packet from Long Branch Police Department , cal ibration date 1 0 / 6 / 1 5 ( C alibration documents , Cert i f ic ates o f Accuracy , Certif ications of Analy s i s , Denni s ' Coordinator Certi f i c ation card ) S-9H Exhibit G from sworn statement of Dr . Thomas Brettell - State v . Ca ssidy , 2 0 1 7 N . J . Lexis 4 1 8 ( 2 0 1 7 ) S-9I " Cal ibration Check Procedure for Alcotest 7 1 1 0 MKI I I - C " ( a . k . a . S-32 ) S-lOC Dr . Howard J . Baum, Ph . D . intero f f ice communication dated December 2 3 , 2 0 0 8 S-12 Ver i f i c ation and Ad justment of 3 4 . 0 0 c Water Tank ( current ) S- 12A Ver i f i c at ion and Ad j u s tment of 3 4 . 0 0 c water Tank ( ol d ) S-12B Simulator Temperature Probe Cert i f ication Proc e s s S-12C WI 1 9 S imulator Temperature Probe Cal ibration Procedure , Revis ion 0 2 - 2 0 0 8 S-12D WI 1 9 S imulator Temperature Probe Cal ibration Procedure , Rev i s ion 1 1 - 2 0 1 5 S-13 Cert i f icate o f C a l ibration for Omega Digital Thermometer ( Model No . HH4 1 ; Serial No . 3 0 8 7 4 3 ) Cal Due Date 3 / 2 7 / 2 0 1 5 2 S - 1 3A Certif icate o f C a l ibration for Omega Digital Thermometer ( Model No . HH4 1 ; Serial No . 3 0 8 7 4 3 ) Cal Due Date 2 / 2 7 / 2 0 1 6 S-13B Certifi cate o f C a l ibration f o r Omega Digital Thermometer ( Mode l No . HH4 1 ; Serial No . 3 0 1 3 1 6 ) S-13C Certificate o f Cal ibration f o r Omega Digital Thermometer ( Model No . HH4 1 ; serial No . 3 0 8 4 2 8 ) S-13D Cert i ficate o f Cal ibration for Fluke Mu l t imeter ( Model No . 8 7 - 5 ; Serial No . 9 9 3 8 0 0 4 2 ) , dated 4 / 1 2 / 2 0 1 4 , Certificate #10475 S-13E Certifi cate of Cal ibration for F luke Mu ltimeter ( Model No . 8 7 - 5 ; Serial No . 9 9 3 8 0 0 4 2 ) , dated 2 / 2 7 / 2 0 1 5 , Certi f icate #12123 S-15 Breath Alcohol Simulator Solution LOT # 1 3 1 1 2 0 , Date of Analys i s 1 0 / 2 5 / 2 0 1 3 - 0 . 0 4 0 % s imulator so lution used in Spring Lake on 7 / 1 0 / 1 5 S-16 Breath Alcohol S imulator Solution LOT # 1 3 1 1 2 1 , Date of Ana lysi s 1 0 / 3 1 / 2 0 1 3 - 0 . 0 8 0 % s imulator s olution used in Spring Lake on 7 / 1 0 / 1 5 S-17 Breath Alcohol Simulator Solution LOT # 1 3 1 1 2 3 , Date of Analy s i s 1 0 / 2 4 / 2 0 1 3 - 0 . 1 0 0 % s imulator solution used in Cal ibration and Part I -Control Tests in Spring Lake on 7/10/15 S- 1 8 Breath Alcohol S imulator Solut ion LOT # 1 3K1 2 5 , Date of Ana lysis 1 2 / 0 9 / 2 0 1 3 - 0 . 1 0 0 % s imu lator solution used in the solution change ( s ee Calibrating Unit New Standard Solution Report ) in Marlboro on 1 0 / 7 / 1 5 S-19 Breath Alcohol Simulator Solution LOT # 1 4A1 2 6 , Date of Ana lys i s 0 2 / 1 8 / 2 0 1 4 - 0 . 1 0 0 % s imulator s olution used in the solut ion change ( s ee C al ibrating Unit New Standard Solution Report ) in Long Branch on 1 0 / 6 / 1 5 S-2 0 Breath Alcohol S imulator LOT # 1 4 H 1 3 1 , Date of Analysis 0 8 / 1 4 / 2 0 1 4 - 0 . 16 % s imulator solution u sed in Long Branch on 1 0 / 6 / 1 5 ( Bottle No . 0 8 7 1 ) and in Spring Lake on 7 / 1 0 / 1 5 ( Bottle No . 1 2 9 0 ) 3 S-2 1 Breath Alcohol S imulator Solution LOT # 1 4 L l 3 5 , Date of Analy s i s 1 / 2 1 / 2 0 1 5 - 0 . 1 0 0 % s imulator s olution us ed in the solution change ( s ee Calibrating Unit New Standard Solution Report ) in Spring Lake on 7 / 1 0 / 1 5 S-22 Breath Alcohol S imu lator Solution LOT # 1 5 H l 4 1 , Date of Analysis 0 9 / 1 0 / 2 0 1 5 - 0 . 0 4 0 % s imulator solution used in Long Branch on 1 0 / 6 / 1 5 S-23 Breath Alcohol Simulator Solution LOT # 1 5 H l 4 2 , Date of Ana l ysis 0 9 / 1 7 / 2 0 1 5 - 0 . 0 8 0 % s imulator solution used in Long Branch on 1 0 / 6 / 1 5 S-24 Breath Alcohol Simulator Solution LOT # 1 5 H l 4 3 , Date of Analysis 0 9 / 1 4 / 2 0 1 5 - 0 . 1 0 0 % s imu lator solution used in the Calibration and Part I -Control Tests in Long Branch on 1 0 / 6 / 1 5 ( Bottle No . 0 3 2 0 ) and in Marlboro on 1 0 / 7 / 1 5 ( Bottle No . 0 3 1 8 ) S-32 " Ca l ibration Check Procedure for Alcotest 7 1 1 0 MKI I I - C " S - 3 3C Cert ificate o f Accuracy for Alcotest 7 1 1 0 Temperature Probe ( Serial No . DDXK P 2 - 3 7 6 , Certi f i cation date 9 - 2 - 1 4 , Next Certification due 9 - 2 - 1 5 ) - B l ack Key Temperature Probe a s s i gned to Sgt . Dennis S-33J Cert ificate of Accuracy for Alcotest 7 1 1 0 Temperature Probe ( Serial No . DDXK P 2 -3 7 6 , Cert i f i c ation date 7 - 2 7 -0 9 , Next Certi fic ation due 7 -2 7 - 1 0 ) - Black Key Temperature Probe a s s igned to Sgt . Dennis ; Used for Spring Lake C al ibration S-34 Certificate o f Accuracy for CU3 4 Serial No . DDXD S 3 - 0 1 8 6 , Cert i f ication date 9 - 2 2 - 1 4 , Re-Certification Due Date 9 - 2 2 - 1 5 ( Used by Dennis in Spring Lake ) S - 3 4A Certi ficate o f Accuracy for C U 34 Serial No . DDXD S 3 - 0 1 8 8 , Certific ation date 9 - 2 2 - 1 4 , Re-Cert if ication Due Date 9 - 2 2 - 1 5 ( U sed by Dennis in Spring Lake ) S - 3 4B Cert i ficate of Accuracy for CU3 4 Serial No . DDXD S 3 - 0 1 9 1 , Cert i f i cation date 9 - 1 9 - 1 4 , Re-Certific ation Due Date 9 - 1 9 - 1 5 ( Used by Dennis in Spring Lake ) S-36 Spring Lake Police Department ' s Certi f i c ates of Accuracy for its CU3 4 ( S erial No . DDYB S 3 - 0 0 0 2 ) & its Alcotest 7 1 1 0 Temperature Probe ( Serial No . DDXA P2 - 1 1 7 ) 4 S - 3 6A Certifi cates o f Accuracy for CU3 4 s us ed by Sgt . Dennis during c a l ibration of Spring Lake ' s Alcotest ( Serial Nos . DDXD S 3 - 0 1 8 6 , DDXD S 3 - 0 1 8 8 , DDXD S 3 - 0 1 9 1 ) S-36B Certifi c ate of Accuracy for Bl ack Key Temperature Probe used by Sgt . Dennis during cal ibration of Spring Lake ' s Alcotest ( Serial No . DDXK P 2 - 3 7 6 ) S-37 Spring Lake Police Department - Alcotest 7 1 1 0 Calibration Record dated 0 7 / 1 0 / 2 0 1 5 S - 3 7A Spring Lake Police Department - Alcotest 7 1 1 0 Calibration Certi fi cate Part I - Control Tests dated 0 7 / 1 0 / 2 0 1 5 S-37B Spring Lake Police Department - Alcotest 7 1 1 0 Calibration Certi ficate Part I I - Linearity Tests dated 0 7 / 1 0 / 2 0 1 5 S-37C Spring Lake Pol ice Department - Calibrating Unit New Standard Solut ion Report dated 0 7 / 1 0 / 2 0 1 5 S-42 S I M Card for Video Camera Demonstration of 1 2 / 1 4 / 1 7 in Court Cal ibration ( Di s c ) S-44 Chun Court Order dated September 1 8 , 2 0 1 0 S-46 Chart Created by Brian Shaf fer i n court S-51 Article Authored by Dr . Stol z , Ph . D . S-53 State v . Chun dated February 1 3 , 2 0 0 7 Supreme Court f inding S-54 Federal Register vol . 8 2 No . 2 1 1 dated November 2 , 2 0 1 7 D-1 C a l ibration Check Procedure for Alcotest 7 1 1 0 MK I I I-C D-2 Interof f ice Communication from Dr . Howard Baum, dated December 2 3 , 2 0 0 8 D- 3 Draeger Temperature Probe D-4 Draeger Simulator and Alcotest 7 1 1 0 Temperature Probe Certif icate of Accuracy , dated September 1 1 , 2 0 1 7 5 D-5 CU3 4 S imulator D-6 Letter from Director E l i e Honig to the Honorable Glenn Grant , J . A . D . , dated September 1 9 , 2 0 1 6 D- 7 Cal ibration Check Procedure for Alcotest 7 1 1 0 MK I I I-C , marked by Brian Shaff er D- 8 Chart ref lecting dis agreement with State ' s witne s s , Brian Shaffer D-9 Memorandum of Decis ion , Commonwe alth of Massachusetts v . Evando Anani as , Chr is t ian and Others , Docket No . 1 2 4 8 C . R . 1 0 7 5 ( February 1 6 , 2 0 1 7 ) D- 1 0 Control Company Traceable Certif icate of Cal ibration for Digital Thermometer , Certif ication No . 4 0 0 0 - 7 0 1 9 7 7 1 D- l OA Trac eable Certi ficate of Calibration for Digital Thermomete r , Certificat ion No . 4 0 0 0 - 7 0 1 9 7 7 1 , marked by Brian Shaffer D- 1 2 The American Association for Laboratory Accreditation , P l 0 2 -A2LA Policy on Me asurement Traceabil ity , dated October 2 2 , 2008 D- 1 3 Draeger S imulator and Alcotest 7 1 1 0 Temperature Probe Certi f icate of Accuracy , dated September 1 1 , 2 0 1 7 , marked by Howard Baum, Ph . D . D- 1 4 Calibration Check Procedure for Alcotest 7 1 1 0 MK I I I -C , marked by Howard Baum, Ph . D . D- 1 5 Interoff ice Communication from Ali Alaouie , Ph . D . I dated March 1 3 , 2 0 1 3 D- 1 6 Memorandum o f Legal Advice ; Al cote st 7 1 1 0 MK I I I -C , Temperature Probe Documentation , from Deputy Attorney General Stephen H . Monson to Lt . Lou Errao , dated April 3 , 2006 D-17 Supplemental Memorandum to the Alcotest 7 1 1 0 MK I I I-C training , from DAG Monson to Alcotest 7 1 1 0 MK I I I - C - County Prosecutor Contact s , dated August 2 3 , 2 0 0 5 6 D-2 0 Exhibit of Matthew w. Rie s i g , Es quire - State ' s Oppos ition to the Motion in Aid of Litigant ' s Rights and State ' s Motion in Aid o f Litigant ' s Rights ( State v . Jane H . et al . ) D-2 1 Exhibit of Matthew w. Re isig , Es quire - Alabama Breath Alcohol Testing Program, Operator Manual-Draeger Alcotest 7 1 1 0 MK I I I -C D- 2 2 Exhibit of Matthew w. Re i s i g , Es quire - Al abama Department o f Forensic Sciences Adminis trative Code , Chapter 3 7 0 - 1 - 1 Chemical Test for Intoxication . D-23 Control C ompany Digital Thermome ter D-24 Chart - Howard Baum ' s "Wrong " Exhibit D-25 Traceable Certific ate of Calibration for Digital Thermometer , Certification No . 4 0 0 0 -7 0 1 9 7 7 1 , marked by Ali Alaoui e , Ph . D . D-26 Cal ibration Check Procedure for Alcotest 7 1 1 0 MK I I I -C , marked by Ali Alaouie , Ph . D . D-27 Chart r e f lecting Draeger Recommended Criteria versus New Jersey Required Criteria by Ali Alaouie , Ph . D . D-33 Chart re f lecting the New Jersey Supreme Court ' s Question D- 3 4 Chart ref lecting Temperature Probe resi stance , voltage , number , and value by Andreas Stol z , Ph . D . D-35 Traceable Cert i f icate of Calibration for Digital Thermometer , Certi fication No . 4 0 0 0 -7 0 1 9 7 7 1 , marked by Andreas Sto l z , Ph . D . D-36 International Standard 1 7 0 2 5 , General Requirements for the Competence of Test ing and Cal ibration Laboratories , Second Edition ( 2 0 0 5 ) D-37 Traceable Certi fi cate of Calibration for Digital Thermometer , Certification No . 4 0 0 0 - 7 0 1 9 7 7 1 , marked by Andreas Sto l z , Ph . D . D-38 Chart r e f lecting so ftware or hardware f ailure and temperature probe failure 7 A- 1 NIST Policy - Supplementary Materials for NI ST Policy Review A-2 Control Company Traceable Certi ficate of Cal ibration for Digital Thermome ter A- 3 Draeger CU34 and temperature probe Certificate of Accuracy exemplars 8 AP P E N D I X III APPENDI X I I I lT = transcript o f July 13, 2017 c a s e management conference 2T = transcript of August 17, 2017 c a s e management conference 3T = transcript o f September 19, 2017 c a s e management conference 4T = transcript of October 12 , 2 0 1 7 c a s e management conference ST = transcript of November 2 , 2017 c a s e management conference 6T = transcript o f December 14, 2017 demonstration ( Klimik ) 7T = transcript of January 3 , 2018 hearing ( Brette l l ) BT = transcript of January 5 , 2018 hearing ( Brette l l ) 9T = transcript o f January 8, 2018 hearing ( Shaffer ) l OT = transcript o f January 9 , 2018 hearing ( Sh a f fe r ) l lT = transcript o f January 10, 2018 hearing ( Sh a f f e r ) 12T = transcript of January 11, 2018 hearing ( Baum) 13T = transcript of January 16, 2018 hearing ( Baum ) 14T = transcript o f January 17 , 2 0 1 8 hearing ( Baum) 15T = transcript of January 18 , 2 0 1 8 hearing ( Alaouie ) 1 6T = transcript o f January 22, 2018 hearing ( Alaouie ) 17T = transcript o f January 24, 2018 hearing ( Stol z ) 18T = transcript of January 30, 2018 hearing on exhibits 1 9T = transcript of March 22 , 2018 oral argument AP P E N D I X IV CHRISTOPHER S . PORRINO ATTORNEY GENERAL OF NEW JERSEY ATTORNEY FOR PLAINT I F F - MOVANT BY : ROBERT CZEPI E L , JR . SUPERVISING DEPUTY ATTORNEY GENERAL PROSECUTORS SUPERVISION AND TRAINING BUREAU DIVISION OF CRIM INAL JUSTICE P.O. BOX 0 8 5 TRENTON , NEW JERSEY 08625 (609) 984-0941 SUPREME COURT OF NEW JERSEY DOCKET NO . M-244/245/246 SEPTEMBER TERM 2 016 078390 STATE OF NEW JERSEY , CRIM INAL ACTION Plaint i f f - Movant , STI PULATIONS OF FACT v, EILEEN CASSIDY , Def endant -Re spondent . The State hereby s t ipulates that for purposes of the hearing before the Spec i a l Mas ter , the f o l lowing f a c t s are true : 1. On December 3, 2015, def endant E i leen Cassidy was arrested for DWI in Spring Lake Borough . 2. Prior to being charged with DWI , de f e ndant provided a breath samp l e on Spring Lake Borough ' s A l c o t e s t instrument with S e r i a l Number ARXB 0076 . 3 . Spring Lake Borough ' s Alcotest 7110 MKI I I C with Serial Number ARXB 0076 was re c a l ibrated by Sgt . Marc Dennis on July 1 0 , 2015 . 4 . Cal ibration records indicate that Sgt . Dennis prepared four CU 3 4 s imulators with s imulator solut ion prior to recal ibrating A l c o t e s t instrument with S e r i a l Number ARXB 0076 . The c a l ibration records further indi c a t e that one s imulator contained s imulator solution with an ethanol concentration of . 04 % ; one simulator contained s imulator solut ion with an ethanol concentration of . 08 % ; one s imulator contained s imulator solution with an ethanol concentration of . 10%; and one s imulator contained s imulator s o l ution with an e thanol concentrat ion o f . 16 % . 5 . Cal ibration records indicate that Sgt . Dennis al lowed the four s imulators to heat to the required temperature of 34°C ± . 2°C. 6. It cannot be corroborated whether Sgt . Dennis checked the temperature of the simulator solut ions with the Control Company N I ST - t raceable digital thermometer a f ter a l l owing the s imulators to heat to the required temperature prior to beginning the recalibration of Spring Lake Borough ' s Al cote s t i n s t rument with Serial Number ARXB 0076 as is required by the C a l i bration Protocol . 7 . Cal ibration records indicate that Sgt . Dennis performed all other required s teps in the Calibration Protocol when recal ibrating Spring Lake Borough ' s Alcotest with Serial Number ARXB 0076 . 8 . Cal ibration records demonstrate that Sgt . Dennis s i gned an Alcotest 7110 Ca l ibration Record for Spring Lake Borough ' s Alcotest with Serial Number ARXB - 0 0 7 6 c e r t i fying that he p e r formed all of the s teps in the c a l ibration protocol con s i stent with the Calibration Procedures e s t ab l i shed by the Chi e f Forens i c S c i e nt i s t . 9 . Cal ibration records indicate that Sgt . Dennis s i gned an Alcotest 7110 Cal ibration Cert i f icate for Spring Lake Borough ' s Alcote s t with S e r i a l Number ARXB 0 0 7 6 certi fying that he performed all of the steps in the c a l ibration protocol cons i s tent with the Calibration Procedures e s t ab l i shed by the Chief Fore n s i c Sc ient i s t . CHRISTOPHER S . PORRINO ATTORNEY GENERAL OF NEW JERSEY ATTORNEY FOR PLAINTI FF - MOVANT BY : ROBERT CZEPIEL , JR . SUPERVISING DEPUTY ATTORNEY GENERAL PROSECUTORS SUPERVISION AND TRAINING BUREAU DIVIS ION OF CRIMINAL JUSTICE P.O. BOX 0 8 5 TRENTON , NEW JERSEY 08625 (609) 984 0941 SUPREME COURT OF NEW JERSEY DOCKET NO . M 244/245/246 S E PTEMBER TERM 2 0 1 6 078390 STATE O F NEW JERSEY , P l a i nt i f f -Movan t , CRIMINAL ACTION v. AFFIDAVIT OF SERVICE EILEEN CAS S ID Y , D e f endant Re spondent . STATE OF NEW JERSEY SS COUNTY O F MERCER ROBYN B . MITCHELL, of f u l l age , being duly sworn according to law upon her oath deposes and says : 1. I am a Deputy Attorney General in the employ of the S t a t e of New Jersey , Divi s ion of Criminal Jus t i c e , Prosecutors Supervi s ion and Training Bureau . 2. On Augus t 21, 2017 , I did m a i l v i a E le c tronic Mai l and Regular U . S . Ma i l , S t ipulation of Fac t s , to : Hon . Joseph F . Lisa, P.J.A.D. ( ret ired and t / a on recal l ) Sentry Building 216 Haddon Avenue Westmont , New Jersey 0 8 1 0 8 2 8 1 5 Elyse S. Schinde l , Esq . Hobbi e Corrigan & Bertu c i o , PC 125 Wyckoff Road Eatontown, New Jersey 0 7 7 2 4 Sharon A . Bal samo , Esq . As s i s tant Executive D i r e c tor and General Couns e l New Jersey S t a t e Bar Associat ion New Jersey Law Center One Constitution S quare New Brunswi c k , New Jersey 0 8 9 0 1 1 5 0 0 Samuel Louis Sachs , Esq . Sachs & Scarde l l a LLC Princeton Windsor O f f i c e Park 379 Princeton - Hi ghtstown Road P.O. Box 9 6 8 E a s t Windsor, New Jersey 0 8 5 2 0 sam@samsachs . com John Men ze l , J.D. 2 911 Route 88, Suite 12 Point Pleasant , New Jersey 0 8 7 4 2 j me n z e l@men z e l law . com Matthew W . Re i s i g , Esq . Re i s i g Criminal Defense & DWI Law, LLC One Broad Street Freeho l d , New Jersey 0 7 7 2 8 Sworn to and subscribed before me this 2 1 s t day of Augus t , 2017 . An A t torney - At - Law of New Jersey
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