HomeMy WebLinkAboutF4 R192200009 Biotox For Kevyn WeintraubINCIDENT REPORT
DATE PREPARED: 8/31/19 RIVERSIDE COUNTY SHERIFF CA0330000 0 INITIAL Ej SUPPLEMENTAL
I. FILE NUMBER
R 19 220 0009
2 DATE/TIME REPORTED 3. DATE/TIME ASSIGNED 4. DATE:T1ME 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
IS. REP. DIST. 16. OCCURRED ON- DATEfrIME
8/8/19 1618
17. OR BETWEEN DATETrIME
18. BUSINESS NAME
None
19. BUSINESS PHONE 20. CASE STATUS/ CLEARANCE
Arrest
21. WAS THIS INCIDENT RELATED TO MARIJUANA? IE YES 0 NO (If yes, briefly include in narrative or additio ial details how it was related)
VICTIM - REPORTING PARTY - WITNESS - OTHERS: El SEE ADDITIONAL PERSONS REPORT
22. INVL
VI.
23. NAME (Last, First, Middle)
PSPD Officer # 1 (confidential))
24. SEX 25. RACE 26. DOB 27. AGE 28. HT 29. WT 30. HAIR 31. EYES 32. SKIN
33. RESIDENCE ADDRESS CITY ZIP
N/O
34 11MAII. ADDRESS 35. RES. PHONE
N/O
36. BUSINESS ADDRESS CITY ZIP
200 S. Civic Drive 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))
4I SEX 42. RACE 43. DOB 44. AGE 45. FIT 46. WI' 47. HAIR 48. EYES 49. SKIN
50. RESIDENCE ADDRESS CITY ZIP
N/O
71 EMAIL ADDRESS 52. RES. PHONE
N/O
53. BUSINESS ADDRESS CITY ZIP
200 S. Civic Drive Palm Springs, CA 92262
54. EMAIL ADDRESS 55. BUS. PHONE
760 327 1441
SUSPECT. el ADULT 0 JUVENILE 0 PAROLE 0 PROBATION 0 SEE ADDITIONAL PERSONS REPORT ARRESTED
56, SUSS
S I
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 ''' NO 111
68. STAT 1
69. SOC AL SECURITY NUMBER
70. MNI NUMBER 71. CH NUMBER
FBI #
72. RESIDENCE ADDRESS CITY ZIP
73. EMAIL ADDRESS 74. RES. PHONE
75. BUSINESS ADDRESS CITY ZIP
None
76. EMAIL ADDRESS 77. BUS. PHONE
None
78. JUVENILE DISPOSITION q OTHER JURIS. q JUV. CRT. PROB. q WITI-IIN DEPT. q DETAINED q NOT DETAINED
79. GANG DATA
GANG NAME(S):
so TATT00S/SCARS/MARKS/CLOMING DEscRip-rioN
-Biotox for Kevyn Weintraub
4204-1378U Member U Associate • Self-Admit • Prior Knowledge
TATTOOS / SCARS / MARKS
CI Face • Neck q R. Arm • L. Arm • Hands MI Torso • Back • Legs
VEHICLE: REFER TO CHP 180 FORM FOR STOLEN, RECOVERED, TOWED OR IMPOUNDED
" C 82. LICENSE 83. STATE 84. YEAR 85. MAKE 86. MODEL 87. BODY sTyt.E. 88. STUR/0 AUTO VALUE
Code: $
89. COLOR/COLOR 90. V1N 6 .1. OTHER IDENTIFIERS 92. DISPOSITION OF VEHICLE
93. REGISTERED OWNER 94. ADDRESS (TTY STATE ZIP 95. PHONE
101. DAMAGED PROPERTY VALUE
0 PROPERTY REPORT ATTACHED FOR STOLEN, RECOVERED OR DAMAGED PROPERTY
REPORTING OFFICER
Inv. Dickey
OFFICER ID.
4204
REVJEWED_BY/DATE,
Sgt. Broscne 4197 ENTERED BY/DATE ENTERED BY/DATE
COPIES TO: APR SENT: APR CANCE DOJ-NCIC ENTERED: D0J-NCIC CANCELLED
Riverside County Sheriff-Incident Report Form A 435 (Revised 01-23-2018)
FILE NUMBER
R 19 220 0009 CONTINUATION PAGE Page Number: 7.--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
LAW ENFORCEMENT OTHERS:
Sergeant Thurm # 2805
Investigator Trudeau # 3147
Investigator Harvey # 1701
Investigator Stoyer # 2758
Investigator Paz # 3327
Investigator Sandoval # 3655
Investigator Munoz # 3137
Deputy District Attorney R. Hightower
District Attorney Investigator S. Paixao
ASSOCIATED CASE NUMBERS:
Palm Springs Police Department # 1908P-1476
EVIDENCE:
ITEM DESCRIPTION
None
ATTACHMENTS:
ITEM QUANTITY
RSO/CHU
RSO/CHU
RSO/CHU
RSO/CHU
RSO/CHU
RSO/C HU
RSO/CHU
District Attorney's Office
District Attorney's Office
DESCRIPTION
A 1 page Biotox report
951 955 2777
951 955 2777
951 955 2777
951 955 2777
951 955 2777
951 955 2777
951 955 2777
760 863 8216
760 863 8216
DETAILS:
On 8/31/19, I (Investigator Dickey # 4204) conducted follow up investigation on the above case. I
received the Biotox report for Kevyn Weintraub which I attached to this report as attachment "A".
CASE STATUS: Arrest
1;:i Riverside County Sheriff-Form C 442 Continuation Page (Revised 11-15-2016)
R 19 220 0009
ATTACHMENT # A (1 page)
Biotox report
Bio-Tox LABORATORIES
Laboratory Director
Erin Crabtrey, M.S., D-ABFT-FT
RSO-SPECIAL INVEST. BUREAU WEST
P.O. BOX 1267
RIVERSIDE, CA 92502
PATIENT NAME
Toxicologist Toxicologist
Ola Bawardi, M.S. Kristen Steward, M.S., D-ABFT-FT
8192200009
WEINTRAUB, KEVYN
SEX DATE OF BIRTH
WEINTRAUB, KEVYN 03/01/76
BTL NUMBER REQUESTING AGENCY REQUESTED BY AGENCY NUMBER
9-23848-7 6017 DICKEY R192200009
SPECIMEN DATE COLLECTED TIME TAKEN DATE RECEIVED DATE REPORTED
HOSP BLD 08/08/19 17:00 08/19/19 03/20/19
DRUGS REPORTED AS DETECTED ARE PRESUMPTIVE POSITIVE UNLESS A MORE SPECIFIC
CONFIRMATORY ANALYSIS (LC/MS/MS) IS COMPLETED. CONFIRMATION IS REQUIRED
PRIOR TO COURT APPEARANCE BY A TOXICOLOGIST.
6-PANEL IMMUNOASSAY DRUG SCREEN
BLOOD SCREENED FOR:
AMPHETAMINES, BENZODIAZEPINES, CANNABINOIDS, COCAINE AND/OR METABOLITE,
OPIATES AND PHENCYCLIDINE (PCP)
TEST RESULTS
CANNABINOIDS DETECTED
ANALYSIS BY: S. GALLARDO
NOTE: NAME ON SAMPLE IS
TRAUMA, PT 53125.
TIME ON SAMPLE IS 1702
1965 Chicago Avenue, Suite C - Riverside, California 92507 • 951/341-9355 • FAX 951/341-9359