HomeMy WebLinkAboutD5 R192200009 Dickey Projectile from Kevyn Weintraubs legINCIDENT REPORT
DATE PREPARED: 8/15/19 RIVERSIDE COUNTY SHERIFF CA0330000 0 INITIAL 411.. SUPPLEMENTAL
1. FILE NUMBER
R 19 220 0009
2. DATE/TIME REPORTED 3. DATE/TIME ASSIGNED 4. DATE/TIME INV. START 5. DATE/TIME INV. TERM 6. ADULT ARR
1
7. JUV ARR
8. OFFENSES - CODE SECTION CRIME COUNTS
A.O.D. Assist Other Department - P.S.P.D. 01
9 EDP CODE
25A2-N
10. OFFENSES - CODE SECTION (Add or Change to) CRIME COUNTS
O. I. S. Officer Involved Shooting - Injury 01
11. EDP CODE
13C8-N
12. OFFENSES - CODE SECTION (Add or Change to) CRIME COUNTS
243(d) PC Battery against a peace officer 01
13. EDP CODE
13C4-F
14. LOCATION OF OCCURRENCE
S. Palm Canyon X Camino Parocelo, Palm Springs
15. REP. DLST. 16. OCCURRED ON- DATE/TIME
8/8/19 1618
17. OR BETWEEN DATE/TIME
18. BUSINESS NAME
None
19. BUSINESS PHONE 20. CASE STATUS/ CLEARANCE
Arrest
21. WAS THIS INCIDENT RELATED TO MARIJUANA? Z YES O NO (If yes, briefly include in narrative or additional details how it was related)
VICTIM - REPORTING PARTY - WITNESS - OTHERS: SEE ADDITIONAL PERSONS REPORT
22. INVL
V I
23. NAME (Last, First, Middle)
PSPD Officer # 1 (confidential))
24. SEX 25. RACE 26. D013 27. AGE 28. HT 29. WT 30. HAIR 31. EYES 32. SKIN
33. RESIDENCE ADDRESS
N/O
CITY ZIP 34. EMAIL ADDRESS 35. RES. PHONE
N/O
36. BUSINESS ADDRESS
200 S. Civic Drive
CITY ZIP
Palm Springs, CA 92262
37. EMAIL ADDRESS 38. BUS. PHONE
760 327 1441
39. INVL
V2
40. NAME (Last, First, Middle)
PSPD Officer # 2 (confidential))
41. SEX 42. RACE I 43. DOB
1
44. AGE 45. HT 46. WT 47. HAIR 48. EYES 49. SKIN
50. RESIDENCE ADDRESS
N/O
CITY ZIP 51. EMAIL ADDRESS 52. RES. PHONE
N/O
53. BUSINESS ADDRESS
200 S. Civic Drive
CITY ZIP
Palm Springs, CA 92262
54. EMAIL ADDRESS 55. BUS. PHONE
760 327 1441
SUSPECT. ADULT 0 JUVENILE PAR"T E El PROBATION 0 SEE ADDITIONAL PERSONS REPORT [g] ARRESTED
56. SUS#
Si
57. NAME (Last, First, Middle)
Weintraub, Keyvn Matthew
58. SEX
M
59. RACE
W
60. DOB
030176
61. AGE
43
62. HT
511
63. WT
208
64. HAIR
Bro
65. EYES
Bro
66. SKIN
67. DRIVER'S LICENSE NUMBER / ID NUMBER
IN POSSESSION
YES 4 NO q
68. STATE
69. SOCIAL SECURITY NUMBER
70. MNI NUMBER 71. CIF NUMBER
FBI #
72. RESIDENCE ADDRESS crry ZIP
73. EMAIL ADDRESS 74. RES. PHONE
'I . BUSINESS ADDRESS CITY LIP
None
16. EMAIL ADDRESS 71. BUS. PHONE,
None
78. JUVENILE DISPOSITION 0 OTHER JURIS. 0 JUV. CRT. PROB. q WITHIN DEPT. q DETAINED q NOT DETAINED
79. GANG DATA
GANG NAME(S):
•
so. TATTOOS/SCARS/MARKS/CLOTHING DESCRIPTION
-Projectile removed from Kevyn Weintraubs leg on 8/11/19
4204-1324q Member q Associate q Self-Admit q Prior Knowledge
TATTOOS / SCARS / MARKS
q Face q Neck q R. Arm III L. Arm q Hands Torso q Back 0 Legs •
VEHICLE: El REFER TO CHP 180 FORM FOR STOLEN, RECOVERED, TOWED OR IMPOUNDED
81. INVL 82. LICENSE 83. STATE 84. YEAR 85. MAKE
.
86. MODEL 87. BODY STYLE 85. ..; 11.1t,0 AUTO VALUE
Code: S
89. COLOR'COLOR 90. VIM # 91. OTHER IDENTIFIERS 92. DISPOSITION OF VEHICLE
93. REGISTERED OWNER 94. ADDRESS CITY STATE ZIP 95. PHONE
0 PROPERTY REPORT ATTACHED FOR STOLEN, RECOVERED OR DAMAGED PROPERTY'
101. DAMAGED PROPERTY VALUE
REPORTING OFFICER
Inv. Dickey
OFFICER I.D.
4204
REVIEWED BY/DATE
Sgt. Brosche 4197
ENTERED BY/DATE ENTERED BY/DATE
COPIES TO: APR SENT: APR CANCELLED: D0J-NCIC ENTERED: DOJ-NCIC CANCELLED
Riverside County Sheriff-Incident Report Form A 435 (Revised 01-23-2018)
FILE NUMBER
R 19 220 0009
CONTINUATION PAGE Page Number: 2_
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LAW ENFORCEMENT OTHERS:
Sergeant Thurm # 2805 RSO/CHU 951 955 2777
Investigator Trudeau # 3147 RSO/CHU 951 955 2777
Investigator Harvey # 1701 RSO/CHU 951 955 2777
Investigator Stoyer # 2758 RSO/CHU 951 955 2777
Investigator Paz # 3327 RSO/CHU 951 955 2777
Investigator Sandoval # 3655 RSO/CHU 951 955 2777
Investigator Munoz # 3137 RSO/CHU 951 955 2777
Deputy District Attorney R. Hightower District Attorney's Office 760 863 8216
District Attorney Investigator S. Paixao District Attorney's Office 760 863 8216
ASSOCIATED CASE NUMBERS:
Palm Springs Police Department # 1908P-1476
EVIDENCE:
ITEM DESCRIPTION
JDO1 Projectile recovered from Kevyn Weintraub's right leg by hospital staff at Desert Regional
on 8/11/19
(barcode 2176043)
ATTACHMENTS:
ITEM
A
B
QUANTITY
1 page
1 page
DESCRIPTION
Evidence report
PSPD property transfer receipt
DETAILS:
On 8/11/19, at 1728 hours, I (Investigator Dickey # 4204) conducted follow up investigation on the above
case. I was notified via telephone by Deputy Carrillo # 5669 that he had security detail over Kevyn
Weintraub at Desert Regional Hospital. Weintraub had s surgical procedure which resulted in a projectile
being removed from his right leg. Hospital staff provided the projectile to Deputy Carrillo and I requested
that he maintain it in his possession.
At 1745 hours, PSPD Officer Barragan # 16223 received the projectile from Deputy Carrillo at Desert
Regional Hospital. Officer Barragan transported the projectile to the PSPD evidence room and booked it
in.
Riverside County Sheriff-Form C 442 Continuation Page (Revised 11-15-2016)
FILE. NUMBER
R 19 220 0009 CONTINUATION PAGE Page Number:
1 On 8/14/19, at 1024 hours, ! picked the projectile up at PSPD from PSPD Detective Escallada who had
2 retrieved it from PSPD evidence. I transported the projectile to the Palm Desert Station and booked it into
3 evidence al 1230 hours.
4
5
6 CASE STATUS: Arrest
Riverside County Sheriff-Form C 442 Continuation Page (Revised 11-15-2016)
R 19 220 0009
ATTACHMENT # A (1 page)
Evidence print out
II I I iii 111 I II II II Riverside County Sheriff's Department
New Property / Evidence Report
Deputy Name: DICKEY,JAMES Deputy ID: 4204 Incident
Number:
R192200009
7--y epee ergo _
---:, — —f; — so
ritDesc Li e , ,, ailing d re
:,„,be3ent
:711 erw n ere y r:
2176043
P 11111 1111
8/14/2019 Item Description: JD01-BULLET FROM KEVYN
WEINTRAUBS LEG REMOVED
PSPD
081119AT
DESERT REGIO REC FR ON
8/14/19.
X
X
11/12/2019 4204
Page 1 of 1 rev 051109 N ER
R 19 220 0009
ATTACHMENT # B (1 page)
Evidence transfer receipt
Palm Springs PD
200 S. Civic Drive
CA0331100
Property Release Authorization
Date Sent:
Due Date:
(30 Days)
Case #: 1908P-1476
Attention:
( ) Evidence
( ) Found
( ) Safekeeping
Disposition Instructions: Destroy, Owner, City Use, Recyle, Training or Auction
Status Clearance
Arrest Disposition
Purging
Promise Purge
Resubmit
Item Number Status Description Disposition Person Name Relationship
16223-001 Evidence Bullet Bullet
Return to Owner
Name: -1,vv. 3 mene5 D Kt-7/ Y Z
Address/City/Zip: /...5-0v cmsyno--0 ILO ,
Phone: 951 955-- o 2,9
Ordered • 5SC:A 2--U1-00/11 t/6 023 Date: De3/4 09 /o2 y Approved By:
425
Page I of I APDC (Rev. 02/21/08) Print Date: 08/14/20197