** POLICE DEPARTMENT REPORT RECORD PAGE 1 DR REPORT...

f ** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **

ORIGINAL PAGE NUMBER: 1 DR NUMBER: 2002 21401968

REPORT DATE: 20020731 TIME: 0502

OFFENSE: 390DTYPE OF REPORT: AGGRAVATED DUI

PROSECUTION DESIRED: YES SUSPECT[S]: BOOKED

LOCATION: N 32ND AVENUE BEAT: 0913 GRID: BJ21

W CAMELBACK ROAD

DATE/TIME OF OCCURRENCE: TUE 073002 2122

REPORTING OFFICER[S]: MICHAEL MCANERNY 7126 UNIT: 91K

TRAVIS HUNTER 7235

PREMISES: VEHICLE STREET/ROADWAY/ALLEY

OFFENSE INVOLVED: BIAS -

REPORT DISPOSITION: FIELD CLEARED BY ARREST OVER AGE 18: YES

******** SUSPECT INFORMATION

ARRESTED PERSON-01:

NAME: MCCOY, JOSIE REYNA

RACE: W SEX: F AGE: DOB: 1959 HT: 504 WT: 140

HAIR: BLK EYES: BRO SSN:

OLN: D016 AZ R&I: PACE

WORK HOURS: VARIOUS DAYS OFF: VARY

LEVEL OF FORCE RESTRAINT,JOINT LOCKS,PRESSURE PTS,OR CUFFS

ARREST:

DATE: 073002 TIME: 2141 DAY: TUE GRID: BJ21

LOC: 003200 W CAMELBACK ROAD PHOENIX AZ

PHX.P.D. BOOKING NO: 000002212005

**** VICTIM INFORMATION ****

VICTIM —01:

NAME: STATE OF ARIZONA

VICTIM -02:

NAMEz:_

RACE: H SEX: F AGE: DOB: 1991 HT: 503 WT: lOl

HAIR: BLK EYES: BRO SSN:

OCCUPATION: STUDENT/5TH GRADE

CAN ID SUSPECT(S): YES SUSPECT(S): APl

VICTIM REQUESTS NOTIFICATION

2002 21401968 Continued.

PUBLIC RECORDSV

7 an? [CARE; 39.1%,, EEK.Seq

r ** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **


**** SUSPECT VEHICLE ****

VEHICLE NUMBER: 01 INVOLVED PERSON: AP—Ol MCCOY JOSIE REYNA

VEHICLE YEAR: 99 MAKE: KIA MODEL: STYLE: 4DVIN: KNAFB1219X5797133 OAN:COLOR: TOP/SOLID—WHI

LICENSE PLATE: 952EDx STATE: AZ TYPE: PC YEAR: 02

*** PROPERTY/EVIDENCE ***

RECOVERY LOCATION: 000000DATE: 000000 SEARCH WARRANT INVOLVED:

0001 PKG 001 CODE:EI v 022

ITEM: IPHOTO BRAND: POLARO MODEL: PHOTO COLOR:SIZE: QUANTITY: 0001 SERIAL/ACCT/ID:

DESCRIPTION: ONE POLAROID PHOTO OF V2.

0002 PKG 002 CODE:CI APOl

LAB/FIELD:A ITEM: PSPECIM BRAND: MODEL: BLOOD COLOR:SIZE: QUANTITY: 0001 SERIAL/ACCT/ID:

DESCRIPTION: BLOOD KIT TAKEN FROM AP1.BAC

**** NARRATIVE ****

SERIAL NUMBER: 7126

ON 073002 AT APPROXIMATELY 2122 HOURS, APl JOSIE MCCOY COMMITTEDAGGRAVATED DUI BY DRIVING A VEHICLE IN THE STATE OF ARIZONA WHILE UNDERTHE INFLUENCE OF ALCOHOL BY HAVING HER DAUGHTER V2

, IN THEVEHICLE WITH HER AT 3200 WEST CAMELBACK.

ON 073002 AT APPROXIMATELY 2122 HOURS, OFFICER HUNTER #7235 AND I WHILERIDING AS A TWO MAN UNIT WERE TRAVELLING EASTBOUND ON CAMELBACK FROM 35THAVENUE. WE WERE TRAVELLING IN THE #1 LANE AND AT APPROXIMATELY 34TH AVENUEBEGAN PASSING A WHITE SEPHIA KIA IN THE CURB LANE. AS WE WERE PASSING THEKIA, IT SWERVED INTO OUR LANE APPROXIMATELY ONE AND A HALF FEET CAUSINGOFFICER HUNTER TO SWERVE INTO THE TURN LANE TO AVOID A COLLISION. WEPULLED UP NEXT TO THE WHITE KIA WHERE OFFICER HUNTER TURNED ON HIS LIGHTS.

AS I LOOKED INTO THE KIA, I OBSERVED A HISPANIC FEMALE, LATER IDENTIFIEDAS APl JOSIE MCCOY SITTING IN THE DRIVER’S SEAT. API WAS SLUMPED OVER THEWHEEL. HER FACE WAS APPROXIMATELY THREE TO FIVE INCHES AWAY AND BOTH OFHER HANDS WERE ON THE TOP OF THE STEERING WHEEL. WHEN OFFICER HUNTER LITUP THE WINDOW, APl NEVER TURNED TO LOOK AT OUR VEHICLE. OFFICER HUNTERSLOWED DOWN HIS CAR AND WE PULLED BEHIND THE WHITE KIA. THE KIA WASTRAVELLING APPROXIMATELY 4OMPH AT WHICH TIME OFFICER HUNTER INITIATED ATRAFFIC STOP. THE WHITE KIA SLOWED DOWN TO APPROXIMATELY 10~15MPH WHILECONTINUING TO TRAVEL EASBOUND. THE VEHICLE TURNED RIGHT ONTO 32ND AVENUE

2002 21401968 Continued.

‘

** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **


IN THE REAR PASSENGER SEAT I OBSERVED A YOUNG HISPANIC FEMALE LATERIDENTIFIED AS V2 OFFICER HUNTER MADE CONTACT WITH AP1.

I HEARD HIM ASK AP1 IF SHE KNEW WHY WE PULLED HER OVER. SHE STATED THATSHE DID NOT. HE THEN INFORMED HER THAT SHE SWERVED INTO OUR LANE ANDALMOST HIT US. AP1 DENIED SWERVING INTO OUR LANE. OFFICER HUNTER SPOKEWITH AP1 FOR A MOMENT LONGER AND ASKED HER TO EXIT THE VEHICLE. HE THENASKED ME IF I COULD GO TALK WITH AP1 BECAUSE HE BELIEVED HE SMELLED ANODOR OF ALCOHOL ON HER BREATH. AS I WALKED OVER TO AP1, I OBSERVED THATSHE HAD A FLUSHED FACE AND WATERY EYES. AS I SPOKE TO AP1, SHE HAD HERRIGHT HAND HOLDING ONTO THE OPEN FRONT DRIVER DOOR FOR BALANCE. I WALKEDUP TO AP1 AND ASKED HER IF SHE HAD ANY ALCOHOL TO DRINK THAT NIGHT. SHEFIRST ANSWERED THAT SHE DID-NOT. AS SHE SPOKE, I SMELLED A MODERATE ODOROF AN ALCOHOLIC BEVERAGE COMING FROM HER BREATH. AFTER SPEAKING WITH HER,I ASKED HER TO STEP AWAY FROM THE DOOR WHILE I CONTACTED THE HISPANIC MALESITTING IN THE FRONT PASSENGER SEAT. AS I LEANED INTO THE CAR, I SMELLED ASTRONG ODOR OF AN ALCOHOLIC BEVERAGE EMITTING FROM IT. I ASKED THEHISPANIC MALE IF THEY HAD BEEN DRINKING ALCOHOL. THE HISPANIC MALE DENIEDIT. I THEN LOOKED BACK AND ASKED V2 WHAT HER RELATIONSHIP WAS TO AP1. SHESTATED AP1 WAS HER MOTHER. I THEN STEPPED BACK AND RECONTACTED AP1. IINFORMED HER THAT I SMELLED AN ODOR OF ALCOHOL COMING FROM'HER AT WHICHTIME SHE MADE MENTION TO A COLOGNE SHE WAS WEARING. AS I SPOKE WITH AP1, INOTICED THAT SHE HAD A HEAVY SWAY FROM FRONT TO BACK SWAYING APPROXIMATELYSIX TO EIGHT INCHES. I ASKED AP1 TO STEP AWAY FROM THE BACK OF HER CARSEVERAL TIMES. AS SHE STEPPED AWAY, IT APPEARED SHE BEGAN LOSING BALANCESO SHE STEPPED BACK AND LEANED AGAINST THE VEHICLE. BASED ON APl’S DRIVINGBY SWERVING OVER THE LANE AND ALMOST COLLIDING WITH US, THE ODOR OF

ALCOHOL FROM HER BREATH, HER FLUSHED FACE AND WATERY EYES, I ASKED HER IFSHE WOULD COMPLETE SOME FSTS FOR ME. AP1 STATED THAT THIS WAS ALLUNNECESSARY AND WE WERE NOT BEING FAIR TO HER. I INFORMED HER THAT IBELIEVED THAT SHE MAY BE UNDER THE INFLUENCE OF ALCOHOL AND I WOULD LIKEHER TO COMPLETE THE FSTS. AP1 STATED THAT SHE WOULD ATTEMPT THE FSTS. AP1STATED SHE DID NOT HAVE ANY DISABILITIES NOR DID SHE GET A BUMP ON THEHEAD.

WHILE I WAS PROCEEDING WITH MY FSTS WITH AP1, OFFICER HUNTER ASKED THEDISPATCHER FOR AN HGN OFFICER TO RESPOND TO OUR LOCATION AND OFFICERMANNING #6137 WAS EN ROUTE. THE FIRST FST I ATTEMPTED TO DO ON AP1 WAS THEONE LEG STAND. I EXPLAINED THE DIRECTIONS OF THE ONE LEG STAND AND ASKEDIF SHE UNDERSTOOD THE DIRECTIONS. SHE STATED SHE DID. I ASKED HER IF SHEWOULD BEGIN THE TEST AT WHICH TIME SHE LOOKED AT ME AGAIN AND WANTED ME TORE EXPLAIN IT. AFTER I EXPLAINED IT THE SECOND TIME, AP1 ASKED ME WHICHLEG SHE SHOULD LIFT UP. I INFORMED HER THAT SHE HAD THE CHOICE. AP1ORIGINALLY PICKED UP HER RIGHT FOOT AND HELD IT FOR APPROXIMATELY ONESECOND. SHE THEN STAGGERED TO HER LEFT TWO TO THREE STEPS. SHE THENRECOMPOSED HERSELF AND ATTEMPTED TO DO THE TEST WITH THE LEFT FOOT UP. SHELASTED APPROXIMATELY TWO TO THREE SECONDS AND PLACED HER FOOT DOWN. AP1

2002 21401968_ Continued.


DR NUMBER: 2002 21401968PAGE NUMBER: 4ORIGINAL

DID NOT RAISE HER FOOT AGAIN. I ASKED AP1 IF SHE UNDERSTOOD THE

DIRECTIONS. SHE STATED SHE DID, I ASKED WHY SHE DID NOT COUNT OUT LOUD.

SHE STATED SHE FORGOT. IT SHOULD BE NOTED THIS FST WAS COMPLETED ON

ASPHALT BETWEEN APl’S VEHICLE AND THE PATROL CAR.

I THEN OBSERVED A HOUSE JUST TO THE EAST OF OUR LOCATION WHICH HAD AN

EXTENDED DRIVEWAY WHICH WAS FLAT. THE LINES IN THE DRIVEWAY WERE LONG

ENOUGH SO THAT WE COULD DO THE NINE STEP WALK AND TURN AND THEY DID NOT

HAVE ANY ELEVATION, I ESCORTED AP1 TO THAT LOCATION AND HER STAND IN IN

THE NINE STEP WALK AND TURN POSITION WHILE I EXPLAINED THE TEST. AFTER I

EXPLAINED THE FST THE FIRST TIME, I ASKED AP1 IF SHE UNDERSTOOD IT. SHE

LOOKED AT ME AND ADVISED IT WAS NOT RIGHT FOR ME TO USE SOMEONE ELSES

DRIVEWAY FOR THE FST. AS SHE WAS EXPLAINING THIS TO ME THE HOMEOWNER

EXITED THE SIDE GATE AT WHICH TIME I ASKED IF I COULD USE HIS DRIVEWAY. HE

STATED THAT I COULD AND HE EVEN TURNED ON A MOTION LIGHT SO WE COULD SEE

BETTER. I RE EXPLAINED THE NINE STEP WALK AND TURN. I ASKED AP1 IF SHE

UNDERSTOOD IT. SHE STATED SHE DID. AP1 TOOK ELEVEN STEPS FORWARD. EVERY

STEP HAD A THREE TO FIVE INCH GAP. ON THE FIFTH STEP SHE STAGGERED OFF TO

THE LEFT AND RECOMPOSED HERSELF. SHE DID NOT COUNT OUT LOUD AND USED HER

ARMS FOR BALANCE. AFTER AP1 RECOMPOSED HERSELF AND STOOD THERE. SHE THEN

STATED SHE WAS DONE WITH THE FST. I THEN ESCORTED A31 NEXT TO OUR PATROL

VEHICLE WHILE OFFICER HUNTER STOOD BY AND SPOKE WIT{ HER. I THEN

RECONTACTED V2 AND ADVISED HER THAT I NEEDED TO GET A PHOTOGRAPH OF

HER AT WHICH TIME SHE EXITED HER VEHICLE AND STOOD NEXT TO IT. I WENT TO

MY PATROL VEHICLE AND GOT MY DIGITAL CAMERA. I RETUZNED TO V2 AND TOOK ONE

POLAROID PICTURE OF HER. THE PICTURE WAS LATER IMPOUNDED AT CACTUS PARK

STATION AS EVIDENCE SHOWING V2 WAS UNDER THE AGE OF

DUI.

AT APPROXIMATELY 2139 HOURS, OFFICER MANNING ARRIVE

HOURS, HE PERFORMED HGN WITH AP1 IT SHOULD BE NOTED

ON DURING THE HGN TEST. OFFICER MANNING STATED HE G

HE ALSO ASKED ME IF I COULD INCLUDE IN MY AIR APl'S

TO BACK AT 2141 HOURS, AP1 WAS PLACED UNDER ARREST

15 FOR THE AGGRAVATED

3 ON SCENE. AT 2140

AP1 KEPT HER GLASSES

OT SIX CUES ON THE TEST

HEAVY SWAY FROM FRONT

FOR AGGRAVATED DUI. THE

FRONT MALE PASSENGER OF THE VEHICLE CONTACTED A FRIEND OF AP1 TO COME AND

GET THE VEHICLE LATER. HE ALSO STATED HE WOULD WATCH OVER V2 UNTIL AP1

GOT OUT. AP1 STATED THAT WAS OKAY WITH HER. SHE STATED THAT SHE AND THE

MALE HAD BEEN LONG TIME FRIENDS OF TEN YEARS. SHE ALSO STATED SHE WANTED

ALL HER PROPERTY TURNED OVER TO HIM. THE ONLY PROPERTY THAT WAS KEPT FOR

AP1 WAS THE IGNITION KEY. OFFICER HUNTER AND I TRANSPORTED AP1 TO I-17 AND

NORTHERN, THE K—MART PARKING LOT WHERE OFFICER TIEMAN #5462 ATTEMPTED TOPROCESS HER FOR DUI. AP1 REFUSED TO DO THE BREATH TEST ON THE FIRST TIME.OFFICER TIEMAN EXPLAINED TO AP1 THAT IF SHE DID NOT SUCCESSFULLY COMPLETETHE BREATH TEST HER LICENSE WOULD BE SUSPENDED FOR ONE YEAR AND OFFICERHUNTER AND I WOULD GET A WARRANT TO GET A BLOOD SAMPLE;E. AP1 ANSWERED,D"FINE THEN TAKE MY BLOOD." WHEN THE SECOND BREATH SAMPLE CAME AROUND SHE

GAVE APPROXIMATELY ONE SECOND BURST OF AIR AT 0227 HOURS AT .176 DEFICIENTSAMPLE. AP1 THEN PRETENDED TO TRY TO BLOW IN THE TUBE. SHE STATED SEVERALTIME BECAUSE SHE HAD . SHE APPEARED TO SPEAK IN A CLEAR VOICE AND

DID NOT HAVE ANY PROBLEMS. AP1 CONTINUED TO DECEIVE THE MACHINE BY

BREATHING SOFTLY OR UNTIL HER THREE MINUTE TIME WINDOW EXPIRED. AT THAT

2002 21401968 Continued.



TIME APl WAS ESCORTED OUT OF THE DUI VAN AND PLACED INTO MY VEHICLE.

OFFICER MANNING RESPONDED TO THE SCENE TO HELP ME WITH THE SEARCH WARRANT.

AFTER THE PAPER WAS FILLED OUT AT THE DUI VAN, OFFICER MANNING, OFFICER

HUNTER AND I TRANSPORTED APl TO THE CACTUS PARK STATION WHERE OFFICER

MANNING FAXED THE TELEPHONIC WARRANT TO JUDGE TOLBY .JUDGE TOLBY SIGNED

THE WARRANT AT WHICH TIME OFFICER MANNING CONTACTED OFFICER TREADWAY #6241

WHO IS A CERTIFIED PHLEBOTOMOMIST RESPONDED TO OUR LOCATION. OFFICER

TREADWAY RESPONDED TO CACTUS PARK AND AT 0051 HOURS, HE SWABBED APl’S LEFT

ARM WITH A NON ALCOHOLIC IODINE SWAB. HE REMOVED TWO VIALS OF BLOOD FROM

HER LEFT ARM.HE THEN SEALED TO VIALS OF BLOOD IN THE BLOOD BOX. HE THEN

GAVE THE BLOOD BOX TO ME FOR CHAIN OF CUSTODY. OFFICER TREADWAY STATED HE

WOULD FILL OUT A SUPPLEMENT WHICH WAS LATER ATTACHED TO MY AIR. OFFICER

TAYLOR #6110 AND FLYNN #2921 WERE RIDING AS A WAGON. AFTER THE BLOOD WAS

SEALED IT WAS GIVEN TO ME I GAVE IT TO OFFICER TAYLOR TO IMPOUND AT 620

WEST WASHINGTON. OFFICER TAYLOR IMPOUNDED THE BLOOD WHICH ENDED OUR CHAIN

OF CUSTODY. APl WAS BOOKED INTO MADISON FOR ONE COUNT AGGRAVATED DUI

28—1383.A.3 BY DRIVING UNDER THE INFLUENCE OF ALCOHOL WHILE DRIVING WITH A

CHILD UNDER 15 IN THE VEHICLE. FOR FURTHER INFORMATION ON OFFICER HUNTER’S

ORIGINAL CONTACT WITH AP1, PLEASE SEE HIS SUPPLEMENT.

PASS/A3608/7l26/LIVE/073102/0541

VICTIM RECEIVED RIGHTS INFORMATION: NO MAIL—IN SUPPLEMENT:

INVOICES: 2995441 2995440

DR ENTERED BY : A3608 DR FINALIZED BY : A3608

END OF REPORT DR NO: 2002 21401968


SUPPLEMENT PAGE NUMBER: 1 DR NUMBER: 2002 21401968 1


TYPE OF REPORT: AGGRAVATED DUI OFFENSE: 390D


LOCATION: N 32ND AVENUE BEAT: 0913 GRID: BJ21W CAMELBACK ROAD


REPORTING OFFICER[S}: MICHAEL MCANERNY 7126 UNIT: 91KTRAVIS HUNTER 7235



REPORT DISPOSITION: FIELD CLEARED BY ARREST OVER AGE 18: YES

= *** REQUEST FOR SCIENTIFIC ANALYSIS *** =

CURRENT DR IS: 2002 21401968 001 BIOLOGICAL EVID (BLOOD,SEMEN,TISSUE):NAM:

NAM: OFFzAGGRAVATED DUI

LOCATION: 000000 N 32ND AV JAILED:OFCR REQ OF ANALYSIS:MCANERNY, MICHAEL DATE OCC:000000 TIME:OOOO

(LAST,FIRST,MIDDLE) FIRM NAME USE BUS. DATE REQ:073102 TIME:0502VIC: DUI RELATED:

BUS:

MARIJUANA: DRUGS: BLOOD ALc: BREATH ALC: OTHER: PER INVOICE:

INVOICE ITEM # SFX TYPE INVOICE ITEM # SFX TYPE

0002995441 0002 PSPECIM

BLOOD DRAWN BY: 1.DATE/TIME DRAW:OOOOOO / 0000LOC OF DRAWING: 2.DATE/TIME DRAW:OOOOOO / 0000

**** NARRATIVE ****

SERIAL NUMBER: 7126

BAC

VICTIM RECEIVED RIGHTS INFORMATION: NO MAIL-IN SUPPLEMENT:

2002 21401968 1 Continued.


VSUPPLEMENT PAGE NUMBER: 2 DR NUMBER: 2002 21401968 1

INVOICES:


END OF REPORT DR NO: 2002 21401968 001

** PUBLIC **\

PHOENIX POLICE DEPARTMENT REPORT ** RECORD **






W CAMELBACK ROAD

DATE/TIME OF OCCURRENCE: TUE 073002 2121 / TUE 073002 2140

REPORTING OFFICER[S]: TRAVIS HUNTER 7235 UNIT: 91K

MICHAEL MCANERNY 7126

PREMISES: STREET/ROADWAY/ALLEY OCCUPIED: YES


r **** NARRATIVE ****

SERIAL NUMBER: 7235

ON 073002 AT APPROXIMATELY 2121 HOURS, WHILE RIDING IN A TWO-MAN UNIT,

OFFICER MCANERNY #7126 AND I WERE TRAVELING EASTBOUND ON CAMELBACK ROAD

FROM 35TH AVENUE, WHEN WE OBSERVED A 1999 KIA FOUR-DOOR SEDAN THAT WAS

WHITE IN COLOR TRAVELING IN THE CURB LANE IN FRONT OF US, EASTBOUND ON

CAMELBACK FROM 35TH AVENUE. AS WE APPROACHED 34TH AVENUE AND CAMELBACK,

THE LISTED WHITE VEHICLE SWERVED INTO OUR LANE, FORCING US INTO THE CENTER

LANE OF TRAFFIC. THE VEHICLE THEN SWERVED BACK INTO THE CURE LANE, AND,

AS I PULLED NEXT TO THE VEHICLE AND TURNED ON MY SIDE OVERHEAD LIGHT, I

OBSERVED A HISPANIC FEMALE WHO WAS SLUMPED OVER THE STEERING WHEEL AND DID

NOT REACT WHEN THE LIGHT WAS TURNED ON IN HER DIRECTION.

AT THIS TIME I GOT BEHIND THE LISTED VEHICLE AND CONDUCTED A TRAFFIC STOP

AT THE LOCATION OF 32ND AVENUE AND CAMELBACK ROAD. I CONTACTED THE

DRIVER, WHO WAS LATER KNOWN TO ME AS AP1 JOSIE. AT THIS TIME I ASKED

JOSIE FOR HER DRIVER’S LICENSE AND I ALSO ASKED JOSIE IF SHE KNEW THE

REASON WHY SHE WAS STOPPED TONIGHT. JOSIE RESPONDED TO ME BY STATING, NO,

I DO NOT. I EXPLAINED TO AP1 JOSIE THE REASON THAT OFFICER MCANERNY #7126

AND I HAD STOPPED HER, AND I STATED TO AP1 JOSIE THAT HER CAR SWERVED

APPROXIMATELY TWO FEET INTO OUR LANE FROM THE CURE LANE WHICH SHE WAS

DRIVING IN AND THEN HER VEHICLE SWERVED BACK, FORCING OUR VEHICLE INTO THE

CENTER LANE OF TRAFFIC. AP1 JOSIE STATED TO ME, "NO, I DID NOT, IT WAS

THE OTHER CAR IN FRONT OF ME." JOSIE STATED THIS TO ME SEVERAL TIMES.

AT THIS TIME I ASKED AP1 JOSIE IF SHE HAD ANY ALCOHOL TO DRINK DURING THE

DAY OR EARLIER IN THE EVENING ON 073002, AND SHE STATED TO ME NO, SHE DID

NOT. WHILE I WAS SPEAKING TO AP1 JOSIE, I SMELLED A FAINT SMELL OF

ALCOHOL THAT WAS COMING FROM THE VEHICLE. I ALSO OBSERVED A MALE

PASSENGER IN THE FRONT SEAT WHO AP1 JOSIE DESCRIBED TO ME AS A FRIEND AND

I ALSO OBSERVED AP1 JOSIE’S TEN-YEAR-OLD DAUGHTER, , WHO WAS SITTING

IN THE BACK PASSENGER SIDE OF THE VEHICLE. I ASKED AP1 JOSIE TO STEP OUT

2002 21401968 2 Continued.



OF THE VEHICLE, AND AS SHE STEPPED OUT OF THE VEHICLE I COULD SMELL

COLOGNE. I ASKED AP1 JOSIE IF SHE WAS WEARING ANY COLOGNE TONIGHT, AND

SHE STATED TO ME, YES, I AM, I’M WEARING COOL WATER COLOGNE, IT’S A NEW

COLOGNE.

AT THIS TIME I ASKED OFFICER MCANERNY #7126 TO COME TO THE DRIVER’S SIDE

OF THE CAR AND CONTACT AP1 JOSIE TO VERIFY THE ALCOHOL SCENT THAT I WAS

GETTING WAS FROM AP1 JOSIE AND NOT FROM THE VEHICLE. AT THIS TIME OFFICER

MCANERNY #7126 CONTACTED AP1 JOSIE. OFFICER MCANERNY CONTACTED AP1 JOSIE

AND THEN STARTED TO PERFORM FIELD SOBRIETY TESTS (FST’S) ON AP1 JOSIE.

AFTER OFFICER MCANERNY #7126 CONDUCTED THE FST’S WITH AP1 JOSIE, I ASKED

HER AGAIN IF SHE HAD BEEN DRINKING ANYTHING TONIGHT, AND SHE STATED TO ME,

YES, I HAVE. AP1 JOSIE STATED TO ME THAT SHE HAD APPROXIMATELY TWO TO

THREE SMALL GLASSES OF MICHELOB BEER AT A BAR LOCATED AT APPROXIMATELY

2700 W. BETHANY HOME ROAD. AP1 JOSIE ALSO TOLD ME THAT SHE ARRIVED AT THE

BAR AT APPROXIMATELY 1900 HOURS, AND PICKED UP HER DAUGHTER AT

APPROXIMATELY 2100 HOURS, FROM CASTLES AND COASTERS THAT IS LOCATED NEAR

METROCENTER ON I—l7. AP1 JOSIE ALSO STATED TO ME THAT SHE KNEW SHE WAS

DRINKING TONIGHT AND IT WAS HER FAULT.

AP1 JOSIE WAS BOOKED INTO THE MADISON STREET JAIL. SEE OFFICER MCANERNY’S

ORIGINAL FOR FURTHER INFORMATION.

PASS/A2481/OFF 7235/VW 04564/073102/1117


INVOICES:



** RECORD **** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT

SUPPLEMENT PAGE NUMBER: 1 DR NUMBER: 2002 21401968



LOCATION: N 32ND AVENUE BEAT: 0913 GRID: BJZl

W CAMELBACK ROAD


REPORTING OFFICER[S]: KEITH KROGH 3468 UNIT: T38

THOMAS TIEMAN 5462


OFFENSE INVOLVED: BIAS —


RECOVERY LOCATION: 000000

DATE: 000000 SEARCH WARRANT INVOLVED:

0001 PKG 001 CODE:EI AP01

ITEM: RVTAPE BRAND: MODEL: COLOR:

SIZE: QUANTITY: 0001 SERIAL/ACCT/ID:DESCRIPTION: VIDEO TAPE OF APl BEING PROCESSED FOR DUI.

**** ****NARRATIVE

SERIAL NUMBER: 3468

THIS DR WAS CREATED FOR IMPOUNDING VIDEO TAPE OF APl BEING PROCESSED

FOR DUI. APl JOSIE MCCOY WAS BOOKED FOR AGG DUI.


INVOICES: 2996046

DR ENTERED BY 3468 DR FINALIZED BY 3468

END OF REPORT DR NO: 2002 21401968

3

003







W CAMELBACK ROAD


REPORTING OFFICERES]: WILLIAM ARNOLD A4297 UNIT: C23


OFFENSE INVOLVED: BIAS —

OVER AGE 18: YES

HM NARRATIVE HM

SERIAL NUMBER: A4297

ORIGINATING DR: 200221401968 001 LIMS: 02-19736 REPORT 1

THE FOLLOWING INFORMATION IS A SUMMARY OF THE LABORATORY EXAMINATION

RESULTS. CONTACT THE LABORATORY SERVICES BUREAU FOR THE OFFICIAL REPORT.

—- RESULTS OF SCIENTIFIC ANALYSIS --

SECTION : TOXICOLOGY ANALYST: WILLIAM ARNOLD(A4297)

ITEM 2995441—0002— THE ETHYL ALCOHOL CONCENTRATION OF THE BLOOD SAMPLE WAS

DETERMINED TO BE 0.181.


INVOICES:

DR ENTERED BY : DRLAB DR FINALIZED BY : DRLAB






LOCATION: N 32ND AVENUE BEAT: 0913 GRID: BJ21W CAMELBACK ROAD

REPORTING OFFICER[S]: WILSON MANNING 6137 UNIT: 91K



RECOVERY LOCATION: 000000

DATE: 000000 SEARCH WARRANT INVOLVED:

0001 PKG 001 CODEzEI UKOO

ITEM: JDOCUME BRAND: MODEL: SEARCH WRT COLOR:DESCRIPTION: TELEPHONIC SEARCH WARRANT PAPERWORK INCLUDINGRETURN SEARCH WARRANT/AFFIDAVIT/SUPPORT OF SEARCH WARRANT/AND STANDARDDUPLICATE ORIGINAL SEARCH WARRANT

**** NARRATIVE ****

SERIAL NUMBER: 6137

THIS SUPPLEMENT WAS GENERATED TO INITIATE AN INVOICE TO IMPOUND THE COPYOF THE TELEPHONIC SEARCH WARRANT PAPERWORK IN THE ARREST OF JOSIE REYNA

MCCOY, WHITE FEMALE, 04—02-59.

INCLUDED IN THIS PAPERWORK IS THE RETURN, STANDARD ARIZONA INVENTORYAFFIDAVIT AND RETURN SEARCH WARRANT SIGNED BY JUDGE TOBY ON 080102 AS WELLAS THE AFFIDAVIT IN SUPPORT OF TELEPHONIC SEARCH WARRANT AND THE STANDARDDUPLICATE ORIGINAL SEARCH WARRANT.

THIS PAPERWORK WAS IMPOUNDED AT CACTUS PARK PRECINCT.

PASS A2987/OFF #6137/VW #9798/082002 1110 HOURS


INVOICES: 3001826



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NOTE'

LEVEL 10: OFFICER PRESENCE LEVEL STRAIGHT BATON USED LEVEL ISCHARGED HANDGUN AT SUBJECT

LEVEL 20: VERBAL PERSUASION, NEGOTIATION, OR COMMAND LEVEL 53' SIDE~HANDLE BATON USED LEVEL . ISCHARGED SHOTGUN AT SUBJECT

LEVEL 30: RESTRAINT, JOINT LOCKS, PRESSURE POINTS, CUFFS LEVEL XPANDABLE BATON USED LEVEL 73: DISCHARGED RIFLE AT SUBJECT

LEVEL AI: CHEMICAL AGENT USED AND No VISIBLE (COMPLAINT OF INJURY LEVEL LASHLIGHT USED As BATON LEVEL u: DISCHARGED BEAN BAG AT SUBJECT

LEVEL 42: CHEMICAL AGENT USED AND VISIBLE / COMPLAINT OF INJURY LEVEL ANINE BIT LEVEL Ba: INJURY NOT BY POLICE

LEVEL 51: HARD EMPTY-HAND TECHNIQUE USED LEVEL 60: CAROTID CONTROL TECHNIQUE USED LEVEL 98: No CONTACT MADE WITH SUBJECT

WERE YOU OPERATING THE VEHICLE? YES No WHERE WERE YOU GOING? PROM WHERE DID YOU START?

(RECORD ANY OTHER RESPONSE)

WHAT TIME DID YOU LEAVE? WHAT TIME IS I ACTUAL AM WHAT IS THE DATE TODAY? : ACTU6I,WHAT DAY OF THE WEEK Is IT? I ACTUAL

IT NOW? 3TIME PM 5 DATE 3002 g DAV TUE

WHAT HAVE You BEEN DRINKING? How MUCH DID YOU DRINKT WHERE WERE YOU DRINKING?

|WHAT TIME DID vou START DRINKING?

WHAT TIME DID you 510? mu you HAVE AN ACCIDENT? YES No THE TIME Is #.AT HAVE YOU BEEN DRINKING SINCE THE ACCIDENT7

naINKINm m: v55 WHERE-n WHAT TIME DID THE ACCIDENT YES No ASK IN ACCIDENT SITUATION ONLY)'

OCCUR? (IF YES, WHA AND HOW MUCH?)

AT WHAT LOCATION WERE YOU STOPPEDBY THE OFFICER? YES NO IF YES. DESCRIBE

HOWINJUR OCCURREBLARE YOU'L”

YESMY’MOMWWWLAWAY, I DIDNT EXPECT THIS, MY SON CALLED ME ON THE CELL PHONE

HAVE YOU BEEN TO A DOCTOR OR DENTIST IN THE LAST TWO WEEKS YES NO NATURE OF ON GOING TREATMENT:

(IF YES, WHEN, AND WHAT WAS THE REASON FOR THE VISIT?)

ARE YOU HURT? YES NO (IF YES. DESCRIBE)

‘DID YOU GETA BUMP ON THE HEAD?

HAVE YOU TAKEN ANY MEDICATION IN THE PAST 24 HOURS? TYPE OF MEDICATION (OR NAME)

YES NO IF YES DATE TAKEN: TIME TAKEN: PM

DO YOU HAVE DIABETES? DO YOU TAKE INSULIN FOR ANY REASON? YES NO DO YOU HAVE ANY ALLERGIES’I YES NO

YES NO (IFYE WHY (IF YES WHAT ARE THEY?)

ARE YOUR ALLERGIES BOTHERING You Now?YES NO (IF YES, IN WHAT WAY?)

DO YOU HAVE ANY PHYSICAL DISABILITIES? YES NO (IF YES. DESCRIBE)

IS THE OFFICER THAT ARRESTED WHEN DID YOU LAST EAT? AM I .

YOU HERE NOW?0_

YES NO DATE: TIME PM

How MUCH SLEEP HAVE YOU HAD WHEN DID YOU WAKE UP TODAY? COULD YOU FEEL THE EFFECTS OF ALCOHOL IN ANY WAY WHILE DRIVING?

IN THE LAST 24 HOURS? RESPONSE:

ON A SCALE OF ZERO TO TEN, ZERO BEING COMPLETELY SOBER AND TEN COMPLETELY DRUNK. HOW WOULD YOU RATE YOURSELF AT THE TIME YOU WERE DRIVING?

O I 2 3 4 5 6 7 8 9 IO (CIRCLE SUBJECTS RESPONSE)

DO YOU HAVE A PRIOR DUI CONVICTION? UNUSUAL COMMENTS BY SUBJECT: INTERVIEW STOP TIME

QII/673002_

WHAT BROUGHT SUBJECT g ACCIDENT 5 0,1125“ (U51- .N WHNESS SEC-“ON, D OTHER (EXPWN)WAS THERE ANY EVIDENCE OF ILLNESS / INJURY)

TO OFFICERS A‘I'I'EN'I'ION7 G CHANGWG LANES D SPEED S WEAV‘NGDISABILITY? YES NO -IF YES. EXPLAIN:

EXTERNAL CONDITIONS AT SCENE OF ARREST (CIRCLE ALL THAT APPLY)

WEATHER CLEAR CLOUDY FIAINING WINDY OTHER (EXPLAIN)

LIGHT DAY TIME NO LIGHTS VEHICLE LIGHTS FLASHLIGHT OTHER (EXPLAIN)CONDITIONS NIGHT TIME STREET LIGHTS MOON LIGHT COMMERCIAL BUSINESS LIGHTING

TYPE OF SURFACE USED FOR LEVEL CEMENT DIRT STREET WET DRY PARKING LOT USED LINE FOR WALK & TURN

‘ FIELD SOBRIETY TEST UNEVEN ASPHALT GRAVEL SIDEWALK OTHER (EXPLAIN) FOOTWEAR

PAGE ONE 304450 Rev 3,95

~ ATTACH PHOTOGRAPH HERE ATTACH GCI STRIP CHART HERE

ARIZONA DEPARTMENT OF HEALTH SERVICES

STANDARD OPERATIONAL PROCEDURE

INTOXILVZER MODEL 5000

WITH VAPOR RECIRCULATION WITH KEYBOARD

DUPLICATE TEST - WITHOUT SAMPLE CAPTURE OPTION


I

STANDARD OPERATIONAL PROCEDURE ‘ F '

GCI FIELD COLLECTION UNIT -

CITY OF PHOENIX POLICE DEPARTMENT

JUSIEMCCOY

UNDERWENTA15 MINUTE DEPRIVATION PERIOD

NO

AGENCY cm or PHOENIX POLICE DEPARTMENT AGENCY

NAME OF SUBJECT JOSIE MCCOY DATE 073002 NAME OF SUBJECT

INSTRUMENT SERIAL NO. 10912 LOCATION OF TEST T390DATE

OPERATOR

TIElIéIAN#5462 TIME OF TEST

KIT SEALED PRIOR To USE YESTEST RESULT

,‘mdAC TIME

LOCATION TO TEST

0_ OPERATOR

IMMEDIATELY PRECEDINS THE ADMINISTRATION OF THE TEST THE SUBJECT TIME SAMPLE COLLECTED

TER 7235

U) 11. REPEAT STEPS 1 THRU 9.

AGREE WITHIN omo ALDOHOL CONCENTRATION,

TYPE Y OR NAND VERIFY CALIBRATION CHECK COMPLETED. GO TO STEP 10,

V ) 10. WHEN DISPLAY READS "TEST COMPLETE," REMOVE TEST RECORD CARD.

NOTE: DUPLICATE TESTS SHALL BE BETWEEN 5 AND 10 MINUTES APART. Two CONSECUTIVE TESTS SHALL

4—.“—KIT RESEALED—VES NO

IMMEDIATELY PRECEDING THE ADMINISTRATION OF THE TEST THE SUBJECT

FROM 2141 TO BY WAS OBSERVED FOR 20 MINUTES

HI 1. DISPLAY READS “PUSH BUTTON TO START TES'I" OR “PRESS START TEST FROM To ByBUTTON TO START NEXT TEST." BREATH TUBE IS WARM TO TOUCH.

t?z mafia”; fiflg’égfr‘I-CARD"

DO soI I 1. ATTACH MOUTHPIECE AND CHECK VALVE T0 TEMPLATE.

v I 4: INPUT INFORMATION IN RESPONSETo DISPLAY. ( I 2

QESAEOF‘JEEEIQELmEgrogg'ggfgbwm'N PLACE MOUNT HANDLE

VI 5. AIR BLANK COMPLETED.'

VI 6. IF DISPLAY READS, “IS SIMULATOR SOLUTION TEMPERATURE 34° C :02 C7," ( I 3‘ PLUG IN CRIMPER (RED LIGHT 0N)- ALLOW TEN MINUTES WARM-UR

TYPE Y OFI N AND VERIFY CALIBRATION CHECK COMPLETED CHECK THERMOMETER RANGE 3945" C

V I 7.

Egggg‘floggggggiéflgsfiifigowEAHAVE SUB‘ECT BLOW AS LONG AS ( I 4. OBTAIN BREATH SAMPLE. RECORD DATE AND TIME ON CARTON.

4/) 3_ NR BLANK'COMPLHED

‘

( I 5. REMOVE TEMPLATE, INSPECT CRIMP, RECORD JAW NUMBER

L/ I 9. A. IF DISPLAY READS “WAIT.”GO TO STEP 11 w

OR

V ) B. ,F DISPLAY READS “TEST COMPLETE,” Go To STEP “1 I I 6. REPACK TEMPLATE IN KIT Box. SEAL AND MARK SEAL.

OR NOTE' THIS CHECKLIST IS A COPY OF DHSIDSLS/FORM 0403 (REV 12~91)

C I C. IF DISPLAY READS “IS SIMULATOR SOLUTION TEMPERATURE 34° C 2 0.2 07,"

(IN GREEN ARC).

IF FELONY DWI, ASK SUBJECT: I. DID YOU KNOW YOUR LICENSE WAS SUSPENDED /REVOKED7 - RESPONSE:

SUBJECT ADVISED OF RIGHT TO ARRANGE FOR AND PAY FOR AN INDEPENDENT CHEMICAL TEST BY: SUBJECTS RESPONSE;AMTIEMAN #5462

“ME 2233 FM ADVISED/JAILFf

SUEJECT’S RESPONSESUBJECT ADVISED OF RIGHTTO SECOND BREATH SAMPLE BY: TIME PM

TYPE OF TEST SECOND BRE T SAMPLE TAKEN WAS THERE ANY REASON TO BELIEVE THE CI YES

m BREATH U GCI KIT# E] YES NO INSTRUMENT WAS OPERATING INCORRECTLY? x NoD BLOOD CI URINE (IF YES, EXPLAIN)R A I BUREAU CHECK/PRIOR DWIs CLERK'S SERIALWTIME DRIVER'S LICENSE CHECK RESULTS

NO PRIORS MDT/7126 VALID LICENSE

2. HOW DID YOU KNOW? - RESPONSE:

(USE NARRATIVE SECTION IF NEEDED)

SUSPECT COURT DATE PROVIDED To VICTIM CI YES [I No

IN ACCIDENT SITUATIONS COMPLETE THE FOLLOWING: D FIFIE DEPARTMENT D TREATED AND RELEASED D FATALITY VTREATMENT OF INJURY: I:I ADMITTED To NOSPITAL D ACCIDENT REPORT COMPLETED

D VICTIM’S RIGHTS INFORMA‘DON PROVIDED To VICTIM’? D YES I] No

OFFICER’S OBSERVATIONS OF SUBJECT’S PHYSICAL CONDITIONEXAMINATION: (CIRCLE WORDS DESCRIBING OBSERVED CONDITION -ADD WORDS OF YOUR OWN)

ASK OF ARRESTED PERSON. DO YOU WANT TO MAKE ATELEPHONE CALL: D YES D NO - TIME: 2210 AM/PM

BREATH ODOR OF INTOXICATING LIQUOR —APF‘ARENTLV NONE FAINT MODERATE STRONG STRONG

COLOR OF FACE APPARENTLY NORMAL FLUSHED PALE OTHER (DESCRIBE) F LUSHEDmm msmmesu mom URINE

CLOTHING CONDITION ORDERLY wan vomr OTHER IDESCRIBEI ORDERLY

CLOTHING DESCRIBE: TENNIS SHOES

EYES APPARENTLY NORMAL WATERV BLOODSHOT OTHER (DESCRIBEI WATERY/BLOODSHOTPOLITE ANT G ST C STUPOROUS COOPERATIVE

ATTITUDE LAUGHING I’Ssfii‘r‘wéAnewzmnvs SLEEPING A"m°é?§o'§s%'AIBEIUN°°°PE“‘"VE ARGU MENTATIVEPROFANITY BELCHING URINATING ON SELF RICCOUGHING SLURRED SPEECH

UNUSUAL ACTION VOMITINE CRYING COMEATIVE THREA'TENING OTHER (DESCRIBE) E D

PHONE NUMBERS DIALED TIME I OFFICER'SINITIALS IF RESPONSE IS UNUSUAL, ENTER IT HERE (BE SPECIFIC):

WITNESS SECTION

I

2

3.

(IF ADDITIONAL SPACE IS NEEDED, USE THE NARRATIVE SECTION ON PAGE 4)

NAME: LAST FIR T M.I ORIGIN SEX DOB ADDRESS (INCLUDE ZIP CODE) PHONE #‘s

212::WAGE TWO 804460 Rev 3/98

REF. CHECK.’ F‘ BLflHK

JEEZT TESTH F: BLHHHHIR EILHHK""HBTEC’T Tfl‘T

suwecrs NAMEmM—

TIME FIRSY OBSERVEDINsmuMENT LOCATION

OPERATOR

ADDmoNAL INFORMA‘HON AND [OR REMARKS

éNTOXILVZEHW WSTHUMEN’Y PRINYER CARD

%‘‘

Driver ResponsibilityW h Ie Motor Vehicle Division LE or DR Case Number 21401968, . . . PO ex 2100

_13597 D IV ISIO n Phoenix AZ 85001-2100 “mph” Numbe’s 'ssue"_“My” “mm

Cha'ge': D ARS 28435" E 254382 8254383 444433 3 Yes a No While drivin a commercial motor vehicle?pp Ican ame irs , Mi 9, as, so or

JOSIE REYNA MCCOY 040259Address

0n (date) 073002I at (time) 2123

V at (iocauan) 34004200 W CAMELBACKI] I had probable cause to believe that the person named, caused or was cited for an accident resulting in death or serious physical injury while driving amotor vehicle. Citation Number (if none issued, state probable cause on lines below):1 l had reasonable grounds to believe the person named was driving or in actual physical control of a motor vehicle while under the influence ofintoxicating liquor and/or drugs, and l placed the named person under arrest therefor.

Among the facts leading to that balieI were: FAIL TO DRIVE IN ONE LANE. ODOR 0F ALCOHOL, SLURRED SPEECH, MEN 6 CUES. POOR FSTS.ADMITTED TO DRINKING

For the above stated reasons, I read the lollowing to the person named above:g Arizona law requires you to submit to and successiully complete tests of breath. blood or other bodily substance as chosen by the law enforcementofficer to determine alcohol concentration or drug content. The law enforcement otficer may require you to submit to two or more tests, You arerequired to successlully complete each of the tests.

a lithe results of the tests indicate your alcohol concentration is .08 or above or .04 or above in a commercial vehicle, your Arizona driverlicense/permit or nonresident driving privilege will be suspended for not less than 90 consecutive days.E If you refuse to submit or do not successfully complete the specified tests, your Arizona driver license/permit or nonresident driving privilege will besuspended for 12 months, or for 2 years it there Is a prior implied conSent reiusal, within the last 60 months, on your record. You are, therefore,required to submit to the specified tests.

Q Will you submit to the specified tests? 8 Yes [:1 No ("person unreasonably delays the completion oi test, read the following to him or her.)You are not entitled to further delay taking the tests for any reason. Further delay will be considered refusal to submit to the tests,Will you submit to the specilied tests? UV“ [3 No

j The above admonitions were not read because the person was either unconscious or incapable or refusal.j The person submitted to 1:] imam )3 blood tests and the results indicated an alcohol concentration of:R The person refused to take or did not complete the tests in the Iollowlng manner:

SIMULATED BLOWING] BLEW AROUND TUBE / PUFFING SAID SHE HAS_l Yes L No Did the person cause serious physicai injury as defined in ARS 13-105 during this incident?

.l certify, pursuant to ARS 28-1561, that the above is true and correct, I request that any hearing be held in “m— Gaunt)!-aw norcemen ' cer Iln name

396umer

126/7235

SURRENDER OF ARIZONA DRIVER LICENSEPursuant to ARS 284321 and 28-1385, the law enforcement officer shall require the surrender of all Arizona driver licenses or permits in the person'spossession. lino license or permit is attached, state reason: [:1 Lost C] Destroyed [:1 Nonresident 1:] Other:

TEMPORARV DRIVER PERMITThis entire form will serve as a temporary driver permit which will expire 15 days from Date Served. However, if you request a summary review orhearing, then this permit will remain valid until the summary review or hearing decision has been made. If your Arizona driver license/permit is currently5 E es H

‘

mm ’m mrm Not Issued Because

Licensee Signature— SERVEDOriginal - Motor Vehicle Division Pink and YBHGW ' Licensefl Blue - Law Enlorcement Agency

Restrictions

EXHIBIT WWW-EN

OPERATIONAL CHECKLIST


STANDARD OPERATIONAL PROCEDURE

INTOXILYZER MODEL 5000

DUPLICATE TEST

AGENCY PHOENIX POLICE DEPARTMENT

NAME OF SUBJECT MCCOY ,JOSIE REYNA DATE 073002

INSTRUMENT SERIAL NO 10912 LOCATION OF TEST; T390

OPERATOR TIEMAN #5462

TEST RESULTS 0. REF AC TINIE 2223

0. 4176 TIME 2228

0. TIME

Immediately preceding the administration of the tests, the subject underwent a 15-minute deprivation

period from 2141 to 2235 by MCANERNYIHUNTER 7126/7235

(v) 1, Display reads "PUSH BUTTON TO START TEST" or "PRESS START TEST BUTTON TO

START NEXT TEST". Ensure breath tube is warm to touch

(‘/) 2 . Press Start Test button.

(J) 3. Ifdisplay reads "INSERT CARD", do so.

(J) 4. Input information in response to display.

M 5. Air blank completed.(J) 6. If display reads "IS SIMULATOR SOLUTION TEMPERATURE 34 C +/- 0.2 C?" check

. temperature using thermometer, type Y or N; verify reference standard check completed

(J) 7. Insert mouthpiece into breath tube. Have subject blow as long as possible. Record AC result

abover

(\/) 8. Air blank completed(J) 9. a. If display reads "WAIT", go to step 11.

OR

b. If display reads "TEST COMPLETE", go to step 10.

OR

c. If display reads "IS SIMULATOR SOLUTION TEMPERATURE 34 C+/-O.2 C7", check

temperature using thermometer, type Y or N; verify reference standard check completed,

go to step 10,

(V) 10. When display reads “TEST COMPLE ", remove test record,

(V) ll. Repeat steps 1 through 9, as necessary (see note below).

Note: Duplicate tests shall be administered at intervals of not less than 5 minutes nor more than 10 minutes apart,

Two consecutive tests shall agree within 0.020 alcohol concentration.

(Forth c lAB/dlts/tsb)

DETAILS OF ARRESTr

. DOBSUBJECT 5 NAME ORIGIN SEX

MC OY JOSIE W F 59

STANDARDIZED FIELD SOaRtETv TESTS WORKSHEEY OR NUMBER

I Instructions to subiect are provided as gnidallnal to enable the otllcer to be consistent In administering each ol the FSTS. 21401 9682. Documentation aids atsjrovidad to assist the etlicer In recording the behavior and actions at a Sub ect dunng the FSTs. 7

ASK SUBJECT: I'D LIKE YOU TO PERFORM SOME PHYSICAL TESTS. IS THERE ANY REASON WHY YOU CANNOT PERFORM THE TEST? ij YES t_‘iNo IF YES. ENTER RESPONSE

(BE SPECIFIC)

RHOMaERG — MODIFIED FINGER TD NOSE FINGER COUNT HORlzDNTAL GAZE WALK AND TURN ONE LEG STAND1NVSTAGMUS

INSTRUCTIONS TO INSTRUCTIONS To INSTRUCTIONS To INSTRUCTIONS To INSTRUCTIONS TO

SUBJECT: SUBJECT: SUBJECT: INSTRUCTIONS TO SUBJECT: SUBJECT:WHEN I TELL vou. I WANT WHEN I TELL YOU. I WANT WHEN I TELL YOU I WANT SUBJECT: WHEN I TELL YOU. t WANT WHEN I TELL YOU TO

YOU STAND WITH YOUR

FEET TOGETHER AND

YOUR ARMS DOWN TOYOUR SIDES, CLOSE YOUREYES AND TILT YOUR HEAD

BACK. DO YOU UNDER-STAND7

(OFFICER: THIS POSITIONSHOULD BE MAINTAINEDFOR 20-25 SECONDS. YOUMAY REQUIRE THE SUB».IECT TO RECITE THEALPHABET AND/OR BACK-WARD COUNT DURING THE

TEST.)

D Required additional (nstluc-tion during testing.

U Opened eyes during test-

(rig.

CI Failed to keep heels

together thmughcut.U Failed to keep head (med

back.

I: Swayed Iront to back or

side to side (Recordbelow).

CI Evror In backward count

(strd below)

CI ThIs FST not admlnistetedtor satety (subject‘s)

YOU TO STAND WITH YOUR

FEET TOGETHER AND YOUR

ARMS DOWN TO YOUR

SIDES. POINT YOUR INDEXFINGERS. NOW CLOSEYOUR EYES AND TILT YOURHEAD BACK. USING THEFINGER I TELL YOU. TOUCH

THE VERY TIP OF YOURNOSE WITH THE VERY TIP

OF YOUR FINGER. DO YOU

UNDERSTAND?

CI Required addlIiOnaI insIruC-tIon dunhg testing.

Cl Opened eyes dutlng IRSIA

ing.l:l Failed to keep Iaet

together throughout.0 Failed to keep hose tilted

hack. Used hand OIIIEI thanthe one designated.

CI Missed nose with fingertip(Record miss locatIons

beiow).I] Touched nuse with other

than fingertip,Cl Swayed lront to back or

Side to Side.

YOU TO STAND WITH YOURFEET TOGETHER ANDYOUR ARMS DOWN TOYOUR SIDES. WHEN IN-

STRUCTED. ON THE HAND ITELL YOU TO USE. COUNTOUT LOUD WHILE TOUCH-ING THE PROPER FINGERWITH YOUR THUMB. YOUMUST COUNT EXACTLYTHIS WAY..I-2v3>4-4-3-2-1.DO YOU UNDERSTAND?

L] Required additional instruc-

tion during Iesllng.D Used hand other man the

one designated.('3 Missed touching ail the

proper lingers (Recordbelow).

D Counted incorrectty(Record beiow).

D This FST not administeredtor salety (subject’s)

D This FST rIOI administeredfor SEIer tomcer's)

I AM GOING TO CHECKYOUR EYES. NOW KEEPYOUR HEAD STILL AND FOL~LOW THIS WITH YOUR

EYES. DO NOT MOVE YOUREYES BACK TO CENTERUNTIL I TELL YOU. DO YOUUNDERSTAND?

(OFFICER: REQUEST THATTHE SUBJECT REMOVE

GLASSES IF WORN ORENSURE CONTACTS ARE

PROPERLY FITTED.)

(OFFICER: SHOULD THE

SUBJECT MOVE HIS HEAD.HAVE HIM SUPPORT HISCHIN WITH HIS FISTSJ

B Let! aye does not loliow

smOOIth.Right aye does not Iollow

Smoalhty.U Moderate to distinct

Nystagmus at maximum

deviation ol the IS“ eye.D Moderate to distinct

Nystagum at maximumdeviation oi the right eye.

G La" Eye OnseI BEFORE45“

U Right eye onset BEFORE

45.

I} Thls FST "OI admlnisleied

CI

YOU TO PUT YOUR LEFT

FOOT ON THE (IMAGINARY)LINE AND THEN PLACEYOUR RIGHT FOOT IN

FRONTOF IT.

MAINTAIN THAT POSITIONWHILE I EXPLAIN THE RESTOF THE INSTRUCTIONS.

WHEN ITELL YOU TO BEGIN.TAKE 9 HEELvTovTOE STEPS

DOWN THE (IMAGINARYLINE. TURN AROUND AND

TAKE 9 HEELsTO~TOE STEPSBACKL WHEN YOU TURN.YOU MUST PIVOT SO THAT

EITHER THE BALL OR THEHEEL OF ONE FOOTREMAINS ON THE (IMAGI-NARY LINE. KEEP YOURHANDS TO YOUR SIDES.WATCH YOUR FEET AT ALL

TIMES. AND COUNT YOURSTEPS OUT LOUD. ONCEYOU START DO NOT STOP

UNTIL YOU HAVE COMPLET-ED THE TEST. DO YOUUNDERSTAND?

(OFFICER: DO NOT CON-TINUE UNTIL SUBJECTINDICATES UNDERSTAND-ING. ONLY ANSWER QUES-TIONS OR REPEAT THEPART NOT UNDERSTOODDURING THE TEST. ONLYREMIND THE SUBJECT TOWATCH HIS FEET 7 NOOTHER REMINDER.)

STAND WITH YOUR FEET

TOGETHER AND YOURARMS DOWN AT YOURSIDES WHEN I TELL YOU TO.I WANT YOU TO RAISE ONELEG AEOUT SIX INCHES OFFTHE GROUND AND HOLDTHAT POSITION, LOOK ATTHAT FOOT AND KEEP YOURARMS AT YOUR SIDES. AT

THE SAME TIME. COUNTFOR 30 SECONDS IN THEFOLLOWING MANNER I001.1002. 1003. ETC. UNTIL I

TELL YOU TO STOP. DO YOUUNDERSTAND?

(OFFICER: YOU MUSTDEMONSTRATE AND MUSTCOUNT SEVERAL COUNTSFOR CLARIFICATION. DO

NOT CONTINUE UNTIL THE

SUBJECT INDICATES THATHE UNDERSTANDS.)

Sways while balancingUses arms to balance.

Hopping.Puts (out down.

Cannot no test (Puta toot

down three or more times.)

SUEDED This FST not edmrnisxered

IDr saIely (subject's)D This FST not administeredD This FST not administered [3 This FST not administeted tor setety (Sublea's) to, sare omcenrs'or saiety (Miner's) for SHINY(Subiect‘si El This FST not administered

W ( )

D This FST not administered tor saler (ONicer's) D Cannot keen ba'ancetor salety (Olttcer's) Whilelistening to

I: CONTACT LENSES Ins'mc‘msr

(3 Hard l:i Starts belore instructions

D So" are Irnrshed.

El Stops While walking to

steady salt.

DOCUMENTAHONU VG” M59”

D Does not touch heel to

toe. DOCUMENTATION:.— .—. I:l Loses balance white walk-

Time: Ing (That is steps on line)Cl Uses arms IDT baianca.

D Loses balance while

N turning.M"

El Incorrect number at steps.(3 Cannot on test. (Steps on

WW Iline three or more times.)

DOCUMENTATION:‘

SWAv:

A “ad HGm This FST not administered

a“). (o Fm... 5m. .0 5.... cent i N Technician tor satiety (Subjecl‘s)D None (1 Mann "‘9'" '"d" “"9" O [J This FST not administered:1 Sllgm D Slight Len index Flrrgor A lot satety (OIIIcer's) \D Mod-rate D Moderate DOCUMENTATION: WALK AND TURN TEST SixD Heavy E: Heavy INCHES

ALPHABET.

ABCDEFGHI T C. ' 56.999 SWAY:J K L M N o P O

RSTUVWXYZSWAv:

COUNT: I Back to Front Side to std......... _ A

, Ir .4 a _ a , an“ 7 Non. is None. _ L v L. L L L W ,

"(SI Slight I. , Slightr r—

7 7 ‘ _ 7 V v _ __ .4 7 7

DRAW LINES To r1353” i “3.7;”ROSITION TOUCHED LEFT RIGHT‘ ' '

C CITATION NUMEERIS CODE CHARGE DESCRIPTION

DRIVING. OR tNACTu HY L o F T VEHI LE w IL NDER THE INFLUENCEH 25W1A1 OF INTOXICATING LIO I%.EWFWWREIOWOLA szrswz AC.ID%OR HICHERt -~ -. - »

~ - -

“r- CONTROLOFAVEHICLE

G28-13% EXTREMEDJJI—Lfi—_

is

‘

I SUBJECT wit—D NAME (LAST. FIRST. M I) ADDRESS PHONE # CATEmME AM I

i RELEASED To:TAX] MI I

SAGE THREEiii. v MD Rev we

DETAILS OF ARREST

DID THE SUBJECT REQUEST AN ATTORNEY AT ANY TIME? D VES 3&0 IF YES DOCUMENT THE REQUEST (BE SPECIFIC) AND TIME: AMIPM

SUBJECTS RIGHT

INDEX FINGERPRINT

ARRESTING OFFICER/S SERIAL NUMBER/S WAGON OFFICER/S SERIAL N MBER/

MCANERNYIHUNTER 7126,72357126 7235

PAGE FOURBO-NfiD Rev 3/99

SUBJECTS NAME'

Miro/1+

ALCOHOL INFLUENCE REPORT SUPPLEMENT

:03 IL:

ORIGIN

£5 W 4 H 1'STANDARDIZED FIELD SOBRIETY TESTS WORKSHEET

I InslrucIIons to suhpcl ave prmnded as guideunee Ia enema the u

2. Documentation ads are Providedto assist me omcdr II'I vecanan me benawor and actione oI a sage: dining me FSTs.

ASK SUBJECT: I'D LIKE YOU TO PERFORM SOME PHYSICAL TESTS. IS THERE ANY REASON WHY YOU CANNOT PERFORM THE TEST?

SEX DOE

Nice! to be conslsIenI In adminisIBnng Each DI the FSTSI

5‘7DR NUMBER

YOU STAND WITH YOUR


ARMS DOWN TO YOUR

SIDES. CLOSE YOUR EYES

AND TILT YOUR HEAD BACK.DO YOU UNDERSTAND?

(OFFICER: THIS POSITIONSHOULD BE MAINTAINED

FOR 20.25 SECONDS, You

MAY REQUIRE THE sua-JECT T0 RECITE THE

ALPHABET AND/OR BACK-WARD coum DURING THE

TEST.)



ARMS DOWN TO OUR SIDES,POINT YOUR INDEX FIN-

GERS. NOW CLOSE YOUR

EYES AND TILT YOUR HEAD

BACK, USING THE FINGER I

TELL YOU, TOUCH THE VERY

TIP OF YOUR NOSE WITH

THE VERY TIP OF YOUR FIN-

GER DO YOU UNDER-STAND?


FEET TOGETHER AND YOURARMS DOWN TO YOUR

SIDES, WHEN lN-STRUCT-

ED, ON THE HAND I TELL

YOU TO USE. COUNT OUT

LOUD WHILE TOUCHINGTHE PROPER FINGER WITH

YOUR THUMB. YOU MUST

COUNT EXACTLY THIS

WAY.I.I-2-3-4-4-3<2vII DO

YOU UNDERSTAND?

I AM GOING TO CHECK

YOUR EYES. NOW KEEP

YOUR HEAD STILL AND FOL-

LOW THIS WITH ‘KJUR EYESIDO NOT MOVE YOUR EYESBACK TO CENTER UNTIL I

TELL YOU. DO YOU UNDER-

STAND?

(OFFICER: REOUEST THAT

THE SUBJECT REMOVEGLASSES IF WORN OR

ENSURE CONTACTS ARE

PROPERLY FITTED.)

(OFFICER: SHOULD THE

SUBJECT MOVE HIS HEAD.HAVE HIM SUPPORT HIS

YOU TO PUT YOUR LEFT

FOOT ON THE (IMAGINARY)LINE AND THEN PLACE

YOUR RIGHT FOOT IN

FRONTOF IT.

(OFFICER: WHEN THE SUB—

JECT ASSUMES THIS POSI-

TION. CONTINUE WITH THE

INSTRUCTIONS.)

WHEN I TELL YOU TO BEGIN,TAKE 9 HEEL-TO-TOE STEPSDOWN THE (IMAGINARYLINE, TURN AROUND AND

TAKE 9 HEEL-TO-TOE STEPS

BACK. WHEN YOU TURN,YOU MUST PIVOT SO THAT

(HE SPECIFIC)

RHOMBERG — MODIFIED FINGERTO NOSE FINGER COUNT HORIIgTN‘TGALGAZE WALK AND TURN ONE LEG STAND

NV “US

INSTRUCTIONS TO I INSTRUCTIONS TO INSTRUCTIONS TO INSTRUCTIONS TO INSTRUCTIONS TO

SUBJECT: SUBJECT: SUBJECT: INSTRUCTIONS TO SUBJECT: SUBJECT:

WHEN I TELL YOU‘ I WANT WHEN IT'ELL YOU, I WANT WHEN I TELL YOU I WANT SUBJECT: WHEN I TELL YOU. I WANT WHEN I TELL YOU TO

STAND WITH YOUR FEET

TOGETHER AND YOURARMS DOWN AT YOURSIDES WHEN I TELL YOU TO,

I WANT YOU TO RAISE ONELEG ABOUT SIX INCHES OFF

THE GROUND AND HOLD

THAT POSITION. LOOK AT

THAT FOOT. AT THE SAMETIME. COUNT FOR 30 SEC-

ONDS IN THE FOLLOWINGMANNER 1001, 1002. IODSI

ETC. DOYOU UNDERSTAND’.I

(OFFICER: YOU MUST

DEMONSTRATE AND MUSTCOUNT SEVERAL COUNTSFOR CLARIFICATION. D0

1/40/79?flD YES fla‘No IFvEs, ENTER RESPONSE

BREATH ODOR OF INTOXICATING LIQUOR — AFFARENTLY NONE FAINT MODERATE STRONG

CHINWITH HIS FISTS.) EITHER THE BALL on THE NOT CONTINUE UNTIL THE

6 . 5”

50,4 Y HEEL 0" ONE 700T SUBJECT INDICATES THAT

I-‘IEMVAINsON

12E(was; HE UNDERSTANDS.)

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3'

WATCH voun FEET AT ALL

I] ppened ayes during ieet- I:I Openedeyes during Ieet. CI Used nend other man the a RIghIero ensei BEFORE TIMES AND COUNT YOUR

mg, mg} 0"“ “swam,

‘5‘ STEFs' OUT LOUD. DO YOU

D FaIIad In keep heels Iogelh- I:I FeIIed In keep Ieet D Missed Iouchlng an the a Madman; to disarm uNDEHs-rmm w Sways wniie baianeing

a: Inmugneui. tegemer Ihmughom, proper Ilngem (Recent Nyslagum at maximum 5.74Uses am: In balance.

I] Failed to keep head mm D Failed to keep head tmed WW)- devintion 0' m- "am we. (OFFICER: DO NOT CON- a Hopping.back, back. Used hand 0019: then I: oeunted incerrscw 3' Hugh!wedded not «aim TINUE UNTIL SUBJECT

w pm im down

[I Swayad Ironi to new a. me one desIgnatsd. (Record below). smooth INDICATES UNDERSTAND-v

side to side (Romvd I] Missed nose wIIh tingettip Ix’ Letteye unset BEFORE 'NG- ONLV ANSWER QUES" K cam“ d° MI (Pm-Ia"

“km. (W w W [I [ThisFST

rig!badminisleved45.TIONS on R EPEAT TH E 60W" ""99 °' "W9 "mes-I

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Efirrotm seemrdcounl )

I D m! FST no! “minim,”13 Modemtoto disiinet DURING THE TEST GNU, I] Tm FST not administered

( aco ). uEma?“nrdse

min otherfor “my (mum

Nyslagmus a maximumREWND THE SUBJECT To IarsaIely (Subjaas)

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I an inge Ip. devIation ol the left eye. 1;] mi FsT Iadmlnlel ed

D msFSTm d NewWATCH HIS FEET ‘ No s "0

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9'

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to back or 2!grocer:de

naI Iollaw OTHER REMWDER)ier saieiy (Omcei’s)

CI This FST not administered

‘

03gr\\ Hes r’Ier saIety (Oflicais) D This FST not adminialeved I] This FST noI aamInIsIered p; Cannot keep eeiance _

r00 K

DIorsalely (Subiea's) Iar seIety (Subisa‘s) wmIe listening to / 5 TS

This Fs‘r no! admlnistared E] This FST not adminisIered Instrumions.7

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Ier eeiety IoIIicereI Iei satety (Oflicefs) E] Starts heiore instructionsa 5 “as m ’7 IF

are finished. Léfi— a :v M:I: CONTACT LENSES Stops wniie walking to

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13 Sen pr nose nut toucn heel io‘

¢ 7‘ 0/) 3 5:3;Ice

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DocquNTAnoN‘

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D VG“ mm“ H Loses balance whlle neik- Dflocuflsfino. 1,

ing (That IS steps on Ilne) V a,”-- ——~ MHING QwssafiK

Uses arms Ior balance: > '37:.”my

I Z, 40 pi Loses balance wI'uIe (A‘

Time: IumingI A

’

Incerredi number of sreps. IN I] Cannot dD test. (Steps onI

MmIine Ihvse or move Ilmes.)

a I: 7 I: This FST neiedrninistered

SWAY: DOCUMENTATION, s. M '

Ior saIeiy (SueIecI-s)

gen:In From Side to sue

" C] This FST not administered

ne I:i NoneIor sets (Miners

D 5"!” D 5...,““lam-"1.x Flnw A damned HGN Technician

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DModIuh Duodenu LeItmdeirFInger A3’5 6/41

[1 Heavy I:I Hulvy DOCUMENTATION: WALK AND TURN TEST LVUIQY3 73)” 3:5,,“ALPHABET: 7'00 K II ’7 I25 I “5‘0

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5”"

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COUNY: ______ L , "V {Iam In Front Side Io Side

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A r 7 E 7 7 A - — — —i:i sum :1 sugm

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osmcu uano LEFT RIGHT t . ,,

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WHAT BROUGHT SUBJECT D ACCIDENT CI CITIZEN (LIST IN WITNESS SECTION) RIOTHER EXPLAIN ’Ié/fl" WAS THERE ANY EVID E 0" 'LLNESS/ 'NJURY)

T0 OFFICERS ATTENTION?I I ' 5

DISABILITY" vEs (InaW-IFvEs EXPLAIN‘CI CHANGING LANEs [I SPEED [I WEAVING Emmi est/(cg

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L/I

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UNUSUAL ACTION vowma came COMBATIVEHICCOUGNING ’SLURREDSPE

THREATENING OTIIERIDEW’)

COLOR OF PAGE IAPPARENTLY NORMAL g FLUSHEn‘mDEscRIBE) _

CLOTHING CONDITION ISA;va“‘TBII‘L‘”°‘I’M“°%‘IIER(mienI‘UHI flj/fI/Z I, / {5L0 fg‘A/U‘jA

CLOTHING IDESCRIBE:

EYES AFPAFIENTLY NORMAL WATE BLOODSHOT OTHER (DESCRIBE)

A

ATTITUDE {$3.5m “$335.2” (3&3?er TEEN? dI‘EEZFE'EEs’gnee“"C°°PEWWEVROFANITY BELCHING URINATINGONSELF

j

BO-MSDA New 7/96

ALCOHOL INFLUENCE REPORT SUPPLEMENT'

'

" '

DID THE SUBJECT REQUEST AN ATTORNEY AT ANY TIME? VES E No IFYES DOCUMENTTHE REQUEST (BE SPECIFIC) AND TIME:, AMIPI!

EXTERNAL CONDITIONS AT SCENE 0F ARREST (CIRCLE ALL THAT APPLY)

WEATHER C CLEAR CLOUDY RAINING WINDY OTHER (EXPLAIN)

uen‘r - : .I N LIGHTS VEHICLEWLWFLASHLIGHT OTHER (EXPLAIN)

CONDITIONS m (figs? MOON LIGHT COMMERCIAL BUSINESS LIGHTING

TYPE OF SURFACE USED FOR (mg) q: DIRT STREET WET DFIY PARKING LOT (E SED LINE F LK &TI an)FIELD SOBHIETVTEST V EN 1.853} GRAVEL SIDEWALK OTHER (EXPLAIN) FOOTWEAR

a: ,U/

562' 23/166”DI?“ wig/W»? Pole

Poem/g}? DJFOR/Mfla/Uv

ARRESTING OFFICER/S SERIAL NUMBER/S

177%09%,” 7/2144WA N FFICER S SERIAL NUMBER/

80-146DA New 7/96

PHLEBOTOMY BLOOD DRAW REPORT

Draw Nozzooz-Ifo PhoIongaNlj BAC: <‘< DNA: Other:

SUBJECT: osIé III/If.DATEOFBIRTH2~ 5‘}

REQUESTING AGENCY: Pflx PD DR #: 2 11-10 I ‘IG 9OFFICER:

Mggagkgg SERIAL #: 7’ 7» 6

SEARCH WARRANT: NE] CONSENT DRAW: YE] N8JUDGE:

WEI—E?

COMMUNICABLE. CONTAGIOUS, OR INFECTIOUS DISEASES: YD NISLM

ASPIRIN, STEROIDS OR BLOOD THINNER.’ YD Ng

FIRST DRAWDATE: ’7 R I—OZ TIME: 00:! BLOOD KIT LOT #: 2W 57BLOOD KIT EXPIRATION DATE: (0 - 30 —o 3 EQUIPMENT: €73DRAWN FROM (Body location): LEE," MED/ALCLOTTING TIME: 5 fig COOPERATIVE: YENU

SECOND DRAWDATE: TIME: BLOOD KIT LOT #:BLOOD KIT EXPIRATION DATE: EQUIPMENT:DRAWN FROM (Body location):CLOTTING TIME: '

COOPERATIVE: YE] NC]

THIRD DRAW -

DATE: TIME: BLOOD KIT LOT #:BLOOD KITEXPIRATION DATE:

DRAWN FROM (Body location):CLOTTING TIME:

EQUIPMENT:

a COOPERATIVE: YE] NE]

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VENIPUNCTURE CHECKLIST FOR

BLOOD ALCOHOL CONCENTRATION

Subject Name: \JéSle’ 15603Draw#: 2002’ IL DR#: 2‘40] 8

Confirm source identity

Confirm with arresting officer if draw is search warrant or consentW

E 1

E» 2.

[:l 3. If consent, confirm with source

8 4‘

Verify expiration date on blood kit and ensure kit has not expired

@—5. Record expiration date on draw report

gr 6. Record blood kit lot number on draw report

Q’ 7. Wash hands and properly glove

E» 8. Remove and assemble equipment and supplies

m 9. Select appropriate venipuncture site

gm. Cleanse draw site with provided alcohol—freeprep pad

E 11. Apply tourniquet

@ 12. Anchor vein

$13. Use the equipment supplied: in the kitrand a scalp vein/winged infusion needle when

appropriate and withdraw blood specimens from the source

Q14. Allow both provided tubes to fill to maximum volume

Q15. Assure proper mixing of anticoagulant powder by slowly inverting tubes a minimum of five

(5) times

K16. Place absorbent material, remove needle, and apply direct pressure to site

317. Dispose of needle in a sharps container

62:18. Label and seal blood kit ~ give directly to the investigating officer

[849‘ Ensure source has appropriate bandaging‘

a 20. Dispose of used material"

"- [3/21.Remove gloves and wash hands

[3 22. Repeat steps 4 through 21 for each additional draw

iwvtlvisioliuleslplebotomy checklist doc

** POLICE DEPARTMENT REPORT RECORD PAGE 1 DR REPORT...

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