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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 **
ORIGINAL PAGE NUMBER: 2 DR NUMBER: 2002 21401968
**** 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 **
ORIGINAL PAGE NUMBER: 3 DR NUMBER: 2002 21401968
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.
** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **
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.
** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **
ORIGINAL PAGE NUMBER: 5 DR NUMBER: 2002 21401968
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
** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **
SUPPLEMENT PAGE NUMBER: 1 DR NUMBER: 2002 21401968 1
REPORT DATE: 20020731 TIME: 0502
TYPE OF REPORT: AGGRAVATED DUI OFFENSE: 390D
PROSECUTION DESIRED: YES SUSPECT[S]: BOOKED
LOCATION: N 32ND AVENUE BEAT: 0913 GRID: BJ21W CAMELBACK ROAD
DATE/TIME OF OCCURRENCE: TUE 073002 2122
REPORTING OFFICER[S}: MICHAEL MCANERNY 7126 UNIT: 91KTRAVIS HUNTER 7235
PREMISES: VEHICLE STREET/ROADWAY/ALLEY
OFFENSE INVOLVED: BIAS -
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.
** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **
VSUPPLEMENT PAGE NUMBER: 2 DR NUMBER: 2002 21401968 1
INVOICES:
DR ENTERED BY : A3608 DR FINALIZED BY : A3608
END OF REPORT DR NO: 2002 21401968 001
** PUBLIC **\
PHOENIX POLICE DEPARTMENT REPORT ** RECORD **
SUPPLEMENT PAGE NUMBER: 1 DR NUMBER: 2002 21401968 2
REPORT DATE: 20020731 TIME: 0455
TYPE OF REPORT: AGGRAVATED DUI OFFENSE: 390D
PROSECUTION DESIRED: YES SUSPECT[S]: BOOKED
LOCATION: N 32ND AVENUE BEAT: 0913 GRID: BJ21
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
OFFENSE INVOLVED: BIAS -
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.
** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **
SUPPLEMENT PAGE NUMBER: 2 DR NUMBER: 2002 21401968 2
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
VICTIM RECEIVED RIGHTS INFORMATION: NO MAIL-IN SUPPLEMENT:
INVOICES:
DR ENTERED BY : A2481 DR FINALIZED BY : A2481
END OF REPORT DR NO: 2002 21401968 002
** RECORD **** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT
SUPPLEMENT PAGE NUMBER: 1 DR NUMBER: 2002 21401968
REPORT DATE: 20020801 TIME: 1734
TYPE OF REPORT: AGGRAVATED DUI OFFENSE: 390D
LOCATION: N 32ND AVENUE BEAT: 0913 GRID: BJZl
W CAMELBACK ROAD
DATE/TIME OF OCCURRENCE: TUE 073002 2123
REPORTING OFFICER[S]: KEITH KROGH 3468 UNIT: T38
THOMAS TIEMAN 5462
PREMISES: VEHICLE STREET/ROADWAY/ALLEY
OFFENSE INVOLVED: BIAS —
*** PROPERTY/EVIDENCE ***
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.
VICTIM RECEIVED RIGHTS INFORMATION: NO MAIL-IN SUPPLEMENT:
INVOICES: 2996046
DR ENTERED BY 3468 DR FINALIZED BY 3468
END OF REPORT DR NO: 2002 21401968
3
003
** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **
SUPPLEMENT PAGE NUMBER: 1 DR NUMBER: 2002 21401968 4
REPORT DATE: 20020808 TIME: 1007
TYPE OF REPORT: AGGRAVATED DUI OFFENSE: 390D
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 OFFICERES]: WILLIAM ARNOLD A4297 UNIT: C23
PREMISES: VEHICLE STREET/ROADWAY/ALLEY
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.
VICTIM RECEIVED RIGHTS INFORMATION: NO MAIL-IN SUPPLEMENT:
INVOICES:
DR ENTERED BY : DRLAB DR FINALIZED BY : DRLAB
END OF REPORT DR NO: 2002 21401968 004
** PUBLIC ** PHOENIX POLICE DEPARTMENT REPORT ** RECORD **
SUPPLEMENT PAGE NUMBER: 1 DR NUMBER: 2002 21401968 5
REPORT DATE: 20020820 TIME: 0315
TYPE OF REPORT: AGGRAVATED DUI OFFENSE: 390D
LOCATION: N 32ND AVENUE BEAT: 0913 GRID: BJ21W CAMELBACK ROAD
REPORTING OFFICER[S]: WILSON MANNING 6137 UNIT: 91K
OFFENSE INVOLVED: BIAS -
*** PROPERTY/EVIDENCE ***
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
VICTIM RECEIVED RIGHTS INFORMATION: NO MAIL-IN SUPPLEMENT:
INVOICES: 3001826
DR ENTERED BY : A2987 DR FINALIZED BY : A2987
END OF REPORT DR NO: 2002 21401968 005
_
‘
3” V, U,/
- ‘DU'PVANIT390 AL°°H°UNFLUENCEREP°RT VIDEO EVIDENCPHOENIX POLICE DEPARTMENT
.
T390 2200F
UL” VAN: YES NO IF YES # ARRESTING OFFICER RELEASE TIME_‘___—
SUSPECT RELEASE TIME H
' UNDERAGE DRINKER DRIVING mI» MISDEMEANOR DUI
NAME. LAST FIRST MIDDLE #
I—v
D DUI DRUGS
E L w | T T nAT= N H St"'
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> DRP RES, PLACE NAME (II any) 2%1963
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.BUS PH NE NUMBER DUI CITATION NUMBERS
EMPLOYER FOOD CITYBUS'NESS ABDWISSI'HAVE AND NORWERENY‘
STATE 2"” O
DRIVER'S mafia)“ 8R? FORWSED SUPERVISOR A ALIAs
._,_,
VREGISTERED OWijs'E
ADE ARREST NUMBER
E
COLORINHITETIME OEAITfST
H LICENSEPgflm ml! fizE VEWMAKE1 i135 MODELfin
LOSNW-TMWOKMELBACK szooLWI‘PRfifEE‘fiIKCK 9673mm “MEEWTNDE”ARREST
LDCATIOIBJ12GRID
D ORE EVALUATION COMPLETED BY: INTERVIEW S‘TAERETVIIEIIIE 9WDATE: 073002
MIRANDAWARNr‘mKwLOCATION
& Northern Ave TIMESUBJECTS RESPONSE
D
'MPL'EDCC’NS‘IIEIIKNERSHezmm“
l-17 & Northern Ave“E
2220 SUBJEWSF‘TIIIWOTGOING TO
CIRCLE YES OR NO RESPONSES/ADD SUBJECT'S COMMENTS/USE NIA WHEN QUESTION DOES NOT APPLY; USE NARRATIVE
SECTION FOR LENGTHY RESPONSES. IF SUBJECT REQUEST AN ATTORNEY SEE NARRATIVE SECTION.I IF A SPECIFIC TIME IS INDICATED IN A PARTICULAR INTERVIEW QUESTION, RECORD THE SPECIFIC TIME GIVEN BY THE SUBJECT.
CLARIFY ANY VAGUE RESPONSES.
- USE OF RCE CODES
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
ARIZONA DEPARTMENT OF HEALTH SERVICES
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
ARIZONA DEPARTMENT OF HEALTH SERVICES
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
FEET TOGETHER AND 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.)
YOU TO STAND WITH YOUR
FEET TOGETHER AND YOUR
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?
YOU TO STAND WITH YOUR
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.)
. I.
_
I.
.
.v
_
' -
NAR LINE. EP v u
D
{Edismgdgsu‘mminstruc D
SmgmdggiggeiInstruc D
Sgtlfigeiinstrud
FfngéIAcé‘OHANDS 70 YOUR SIDESI~
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
I:I Inb kwa new. 015mm u IBCI'S) A PART NOT UNDERSTOOD .. ,
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)
I I I
I an inge Ip. devIation ol the left eye. 1;] mi FsT Iadmlnlel ed
D msFSTm d NewWATCH HIS FEET ‘ No s "0
.
9'
’D'Isa'w(Sugpm;[I ant
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
~
'
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
8/
r
E! Hard ‘slsadyseII. 4)I AWL!- .
13 Sen pr nose nut toucn heel io‘
¢ 7‘ 0/) 3 5:3;Ice
—I
DocquNTAnoN‘
.u .- m I’vw
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
V
. I}; I
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
ABCDEFGHI ®@® ' @(I) 372% I It ’19
JKLMNOPO ,'
5”"
RSTUVWXVZ swmr
COUNY: ______ L , "V {Iam In Front Side Io Side
\ / A El Non. III Non.
A r 7 E 7 7 A - — — —i:i sum :1 sugm
_ A _ _ _ ‘ _ _ _ _ v
D Mod-me D Moder-I-
BRAWLINEgTo31 Hmy CI Heavy
osmcu uano LEFT RIGHT t . ,,
J." I...
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
'
L/I
‘
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]
[W
v‘-\visioI/'Ili\plebolcmy checklist. doc
7/
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/ I/I51E60[aMIS/Zébg/xfly/
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