HomeMy WebLinkAboutB1 MB202950001 Dickey Int Off Etchason 102620_RedactedDATE PREPARED: 12/22/2020
INCIDENT REPORT
R1VI;RS101-; county sheriff CA0330000 □ INITIAL SUPPLEMENTAL
I FILENUMBtR
MB 20 295 0001
8 OFFENSES - rODE SECTION
A.O.D. (no change)
10. OFFENSES - CODE SECTION (Add or Change to)
O.l.S.
12. OFFENSES - CODE SECTION (Add or Change to)
211 PC
14. LOCATION OF OCCURRlvNCE
401 l-)ast Amado Road. Palm Springs
18. BUSINESS NAME
WtRvWiMmTfE ....
B Ja II MHlllSit _&DATEmMEINV.TERM 6ADULTARR 7 JUV ARR
20 2300 2 0
CRIME COUNTS 9 EDI> CODE
Assist Other Department - P.S.P.D. 01 25A2-N
CRIME COUNTS 11 EDP CODE
OITicer Involved Shooting-Non-lnjury 01 13C8-N
CRIME COUNTS 13 EDP CODE
Robbery 01 12F1-F
15. REP. DIST 16. OCCURRED ON- DATEATME 17 OR BETWEEN DATE/TIME
RD161 10/21/2020 0045 10/21/2020 0215
19 BUSINESS PHONE 20. CASE STATUS/ CLEARANCE
ArrestAgua Calienle Casino
21. WAS TINS INCIDENT RELATED TO MARIJUANA? 0 YES 0 NO (If yes, briefly include in narrative or additional details how it was related)
22. BWC VIDEO (CAPTURED BY VOU OR ANY OTHER DEPARTMENT MEMBER)YES m NO
VICTIM-REPORTING PARTY - WITNESS - OTHERS:D
iiiMI 24 NAME (Last. First. Middle)
Palm Springs Police Officer Etchason # 15902
25 SEX 26. RACE 27 DOB
SEE ADDITIONAL PERSONS REPORT
29. HI 30. WT 3! HAIR 32. EYES
34. RESIDENCE ADDRESS
N/0
CITY ZP 35 EMAIL ADDRESS 36 RES PHONE
37 BUSINESS ADDRESS
200 South Civic Drive
CITY
Palm Springs, CA
ZIP
92262
38. l".MAiL ADDRESS 39 BUS PHONE
760 323 8116
1131 41. NAMEd-asi, First, Middle)42. SEX 43. RACE 44. DOB JR. 49 EYES Sa SKIN
ii
51 RESIDENCE ADDRESS CITY ZIP 52 EMAIL ADDRESS 53 RES PHONE
54. BUSINESS ADDRESS CITY Z]p 55 EMAIL ADDRESS 56 BUS PHONE
SUSPECT: B ADULT □JUVENILE IH
58 NAME (Usi, First. Middle)
Kinney. Lemuel HI (PB)
68. DRIVER S LICENSE NUMBER / ID NUMBER
73 RESIDENCE ADDRESS CITV
CITY
76. BUSINESS ADDRESS CITV
Parole CDC # AW4065
CITY
79. JUVFNILL DISPOSITION nOTHER JURIS
80 GANG DATA
PAROLE □ PROB.\T[ON B SEE ADDI I IONAL PERSONS REPORT 0 ARRES1 ED
59 SEX 60.RACE 6! DOB 62.AGE 63.HT 64. WT 65
M B 10/11/1996 24 510 220 B
72 Cll NUMBER
75 RES. PHONE
78. BUS PHONE
None
JUV. CRT. PROB. |_jWITHIN DEPT. nDiri AlNED riNOT DETAINED
11. TATTOOS/SCARS/MARKS/Ci.OTHING DESCRIPTION
iM nnsyrtsinv 69 STATE 70. SOCIAL SECURITY NUMBER 7! MNI NUMBERyesLTnoIEI cA
ZIP 74 EMAIL ADDRESS
ZIP 77 EMAIL ADDRESS
GANG NAME(S): ^
n Member Q Associate D Self-Admit Q Prior Knowledge 4204-1849
TATTOOS / SCARS / MARKS |Q Face Q Neck B R. Arm O L. Arm B Hands B Torso B Back B Legs
^terview
1 1
of PSPD Officer Etciiason # 15902 on ll)/26/20
VEHICLE:REFER TO CHP 180 FORM FOR STOLEN, RECOVERED, TOWED OR IMPOUNDED
84 STATE 85 YEAR 86 MAKE 87. MODEL 88. BODY STYLE
90 COLOR/COLOR 92. OTHER IDENTIFIERS 93 DISPOSITION 01- VEHICLE
□ PROPERTY REPORT ATLACHED FOR STOLEN, RECOVERED OR DAMAGED PROPERTY
REPORTING OFFICER OFFICER ID REVIEWED BY'DATE . i ENTERED BY/DATE
Dickey 4204 SoT
COPIES TO
97. DAMAGED PROPERTY VALUE
ENTERED BY/DATE
Riverside County Sheriff-Incident Report Form A 435 (Revised 08-19-2019)