JDD - Incident Report

COUNTY OF LOS ANGELES

INCIDENT REPORT

ACTION: Active InActive Pending NON CRIMINAL # OF ADULT ARRESTS # OF SUBJECT DETENTIONS URN# Page 1
CLASSIFICATION 1/ LEVEL/ STAT CODE
, / /
ATTEMPTED
COMPLETED
DATE, TIME, DAY OF OCCURRENCE
PRINTS REQUESTED
COMPLETED
BY: TIME
LOC. OF OCCURRENCE BUS. NAME
Sex Offense Victim Info? YES NO
Domestic Violence
Non-Personal (Gun, Knife, Etc)
Personal (Hands, Feet, Fist, Etc)
Injury
Major Minor None
Non-Criminal
CODE: V-VICTIM W-WITNESS I-INFORMANT R-REPORTING PARTY P-PARTY
CODE # OF LNAME FNAME MNAME SEX RACE ETHNIC ORIGIN DOB AGE
V I W R P of
RES. ADDR CITY ZIP VICTIM OF OFFENSE(S) (CLASSIFICATION)#: RES. PHONE DAY PHONE
BUS. ADDR CITY ZIP ENGLISH SPEAKING: YES NO BUS. PHONE DAY PHONE
CODE: S-SUSPECT SJ-SUBJECT M-PATIENT S/V-SUBSPECT/VICTIM SJ/V-SUBJECT/VICTIM
CODE # OF LNAME FNAME MNAME DRIVER'S LICENSE (STATE No.)
S M of
RES. ADDR CITY ZIP RES. PHONE
BUS. ADDR CITY ZIP BUS. PHONE
Unemployed
SEX RACE ETHNIC ORIGIN HAIR EYES HGT. WGT. DOB AGE
CHARGE WHERE DETAINED OR CITE #
,
AKA MONIKER BOOKING NO.
Vehicle # Suspect Status Impounded
# Victim Stored Outstanding
License(STATE and No.) Year Make Model Body Type Color
Registered Owner Identifying Features CHP 180 Submitted: Garage Name and Ph
,
By DEP Court Exp/Vacation Date Employee#
DEP Court Exp/Vacation Date Employee#
Station Unit/Car# Shift
Approved Date/Time Employee#
Victim Desirous of Prosecution YES NO
Assignment
HQ Notification Req. Dep. Date/Time
YES NO
Special Request Distribution
Susp/Subj Release Approved By Time PCD Submitted:
YES NO
TT B/C by Date Time: Secty.
DATE TIME RECEIVED TAG # URN # PAGE
Page 2
INPUT/CHECKED NCIC, CII, ETC:
YES NO
EVIDENCE HELD:
YES NO
EVIDENCE ENTER IN:
PATROL / NARCOTIC / SAFE /
Ledger/Page# Ledger/Page# Ledger/Page#
BY
EVIDENCE HELD:
BLOOD BULLET BULLET CASING CHECKS CLOTHES CREDIT CARDS ELECTRONIC EQUIP FINGERPRINTS
FOOTPRINTS FRAUD DOCUMENTS GSR HAIR JEWELRY MISCELLANEOUS MONEY NARCOTICS
OTHER PRINTS PAINT PHOTOGRAPHS RAPE KIT RECEIPTS TOOLS URINE VEHICLE IMPOUNDED
VEHICLE PARTS WEAPONS
PROPERTY CODE: S-STOLEN R-RECOVERED L-LOST F-FOUND E-EMBEZZLED D-DAMAGED EV-EVIDENCE
Code Item# Quan Description Serial # Value
PART I STATISTICAL INFORMATION
TYPE OF PROPERTY STOLEN RECOVERED
TYPE OF PROPERTY STOLEN RECOVERED
VICTIM OF SEX CRIMES REQUEST FOR CONFIDENTIALITY
PURSUANT TO SECTION 293(a) OF THE CALIFORNIA PENAL CODE, YOU ARE INFORMED THAT YOUR NAME WILL BECOME A MATTER OF PUBLIC RECORD, UNLESS YOU REQUEST THAT IT REMAIN CONFIDENTIAL AND NOT BE A PUBLIC RECORD, PURSUANT TO SECTION 6254 OF THE GOVERNMENT CODE.
I, HEREBY (DO) (DO NOT) ELECT TO EXERCISE MY RIGHT TO PRIVACY.
SCREENING FACTORS
YES NO YES NO
1. SUSPECT IN CUSTODY 7. GENERAL SUSPECT DESCRIPTION
2. SUSPECT NAMED/KNOWN 8. GENERAL VEHICLE DESCRIPTION
3. UNIQUE SUSPECT IDENTIFIERS 9. UNIQUE M.O. OR PATTERN
4. VEHICLE IN CUSTODY 10. SIGNIFICANT PHYSICAL EVIDENCE
5. UNIQUE VEHICLE IDENTIFIERS 11. TRACEABLE STOLEN PROPERTY
6. WRITER / REVIEWER DISCRETION 12. MULTIPLE WITNESSES
REPORT CONTINUATION NARRATIVE URN Page 3

LOS ANGELES COUNTY
CRIME ANALYSIS INFORMATION FORM

SUSPECT/SUBJECT INFORMATION
URN
Suspect # Name Vallardo, Homar Suspect # Name Garcia, Lourdes
Item
Cap/Hat

Coat/Jacket

Dress/Skirt

Glasses

Gloves

Jewelry

Pants

Shirt/Blouse

Shoes

Shorts

Other

DESCRIPTION

 Item
Cap/Hat

Coat/Jacket

Dress/Skirt

Glasses

Gloves

Jewelry

Pants

Shirt/Blouse

Shoes

Shorts

Other

DESCRIPTION
Blue/Gray plaid longsleeve shirt Light Gray longsleeve shirt
Brown jean pants Red jean short pants
L R UNK SCARS/MARKS/TATTOOS/ODDITIES L R UNK SCARS/MARKS/TATTOOS/ODDITIES
SUSPECTED GANG MEMBER NAME OF GANG SUSPECTED GANG MEMBER NAME OF GANG
HAIR LENGTH FACIAL HAIR WEAPON KNIFE OTHER WEAPON
COLLAR BEARD FIREARM Style: BODILY FORCE
y LONG CLEAN SHAVEN Style: MULTIPLE LIGATURE
y SHORT FUZZ MULTIPLE BUCK SLING SHOT
__________ GOATEE BB/PELLET BUTCHER/KITCHEN SYRINGE
HAIR TYPE LOWER LIP HANDGUN DIRK/DAGGER/STILLETTO TASER/STUN GUN
BALD y MOUSTACHE RIFLE HUNTING/BOWIE __________
RECEDING SIDE BURNS SAWED-OFF SIMULATED
V#____ V#____ ACQUAINTANCE
V#____ V#____ BABYSITTEE (PERSONS WATCHED/ BABY)
V#____ V#____ BOYFRIEND/GIRLFRIEND
V#____ V#____ CHILD
V#____ V#____ CHILD OF BOYFRIEND OR GIRLFRIEND
V#____ V#____ COMMON-LAW SPOUSE
V#____ V#____ EMPLOYEE
V#____ V#____ EMPLOYER
V#____ V#____ EX-SPOUSE
V#____ V#____ FRIEND
V#____ V#____ GRANDCHILD
V#____ V#____ GRANDPARENT
V#____ V#____ HOMOSEXUAL RELATIONSHIP
V#____ V#____ IN-LAW
V#____ V#____ NEIGHBOR
V#____ V#____ OTHER FAMILY MEMBER
V#____ V#____ OTHERWISE KNOWN
V#____ V#____ PARENT
V#____ V#____ RELATIONSHIP UNKNOWN
V#____ V#____ SIBLING (BROTHER OR SISTER)
V#____ V#____ SPOUSE
V#____ V#____ STEPCHILD
V#____ V#____ STEPPARENT
V#____ V#____ STEPSIBLING (STEPBROTHER OR STEPSISTER)
V#____ V#____ VICTIM WAS OFFENDER
V#____ V#____ VICTIM WAS STRANGER
y y THICK UNSHAVEN SHOTGUN SWITCHBLADE
THINNING __________ SIMULATED TOY
WIG TEETH ZIP GUN : __________
__________ BROKEN/CHIPPED __________ Blade:
HAIR STYLE BRACES Action: FIXED
AFRO/NATURAL BUCK DERRINGER FOLDING
BRAIDED/DREADLOCKS CROOKED FULLY AUTO CHEMICAL
BUSHY DECAYED PUMP CAUSTIC
BUTCH FALSE REVOLVER INFECTIOUS
y y COMBED BACK GAP/SPACE SEMI AUTO MACE
CURLERS GOLD CAP SINGLE SHOT PEPPER SPRAY
CURLY JEWELED __________ SIMULATED
FLAT TOP MISSING Barrel Type: TEAR GAS
GREASY NONE SINGLE BARREL TOXIC
JHERI CURL SILVER CAP DOUBLE BARREL __________
MILITARY STAINED THREE BARREL BLUNT INSTRUMENT
NETS __________ 4 OR MORE BARREL BASEBALL BAT
PONY TAIL SPEECH __________ BILLY CLUB
PROCESSED ACCENT Color/Finish: BRASS KNUCKLES
PUNK DISGUISE BLUE STEEL BRICK/ROCK/BOTTLE
SHAVED LISPS CHROME/NICKEL CLUB/BLUDGEON
STRAIGHT MUMBLES DULL BLACK HAMMER/TOOL
WAVY RAPID RUSTED NUNCHAKUS
__________ RASPY STAINLESS STEEL TIRE IRON
COMPLEXION SLOW __________ __________
ACNE/POCKED SLURRED Grip/Stock: CUT/STAB
ALBINO STUTTER ALTERED BAYONET/SWORD
DARK __________ BONE/PEARL/IVORY BOTTLE/GLASS
FRECKLED HANDED COLLAPSES/FOLDS ICE PICK
LIGHT/FAIR LEFT METAL/PLASTIC MACHETE
y y MEDIUM y y RIGHT NO GRIP RAZOR
PALE BOTH RUBBER/VINYL SCREWDRIVER
RUDDY TAPED THROWING STARS
SALLOW THUMB HOLE __________
TANNED WOOD EXPLOSIVE/ INCENDIARY
WEATHERED GAUGE _____/_____ FIREWORKS
WRINKLED CALIBER _____/_____ MOLOTOV COCKTAIL
__________
LOS ANGELES COUNTY
CRIME ANALYSIS INFORMATION FORM - M.O. FACTORS
URN
AREA TARGET: NON-RESIDENTIAL METHOD OF ENTRY: TOOLS USED SUSPECT PRETENDED TO BE:
AIRPORT AUTOMATED TELLER BODILY FORCE BUSINESS PERSON
BEACH CASH REG/DRAWER BOLT CUTTER CONVERSATION/BEFRIENDED
COMMERCIAL CLASS RM/SUPPLIES BRICK/ROCK CUSTOMER
CONSTRUCTION SITE COIN OP MACHINE CHANNEL LOCK/PLIERS DELIVERY PERSON
DESERT DISPLAY ITEMS CUTTING INSTRUMENT FAMILY MEMBER
FREEWAY/HIGHWAY OFFICE ELECTRONIC DEVICE FIND MONEY
GOLF COURSE SAFE/BOX GLASS CUTTER HANDICAPPED
HARBOR SNACK BAR KEY LEND ASSISTANCE
INDUSTRIAL/WHOLESALE STORAGE LOCKER PRY TOOL NEED ASSISTANCE OR EMERGENCY
MOUNTAINS/FOOTHILLS VEHICLE SAW/BURN/DRILL NEED TOILET/PHONE/WATER
OCEAN BICYCLIST SLIDE HAMMER OFFERED GOODS/SERVICES
OPEN FIELD CUSTOMER SLIP DEVICE POLICE/SECURITY
PARK ELDER/SENIOR CITIZEN VEHICLE POSITION OF TRUST
RESIDENTIAL DISABLED PERSON __________ REPAIR PERSON
RIVER OWNER/EMPLOYEE SECURITY SYSTEM SALES PERSON
RURAL/ISOLATED PEDESTRIAN NONE SEEK EMPLOYMENT
SCHOOL GROUNDS TRANSIENT AUDIBLE ALARM SOLICIT DONATIONS
SHOPPING CENTER VICTIM IN VEHICLE CAMERA UTILITY EMPLOYEE
y STREET/ALLEY __________ CRIME WATCH __________
VACANT LOT POINT OF ENTRY/EXIT DOG VICTIM WAS:
WATER/LAKE IN EX FENCE/BARS ASKED TO POSE/MODEL
__________ FRONT GUARD SERVICE BLINDFOLDED
STRUCTURE: RESIDENTIAL REAR OPERATION ID BOUND/GAGGED
APARTMENT SIDE OUTSIDE LIGHTING BURNED
CONDO/TOWNHOUSE GROUND LEVEL SECURITY SIGN/STICKER CUT/STABBED
CONVALESCENT HOSPITAL UPPER LEVEL SILENT ALARM DISTRACTED
DUPLEX ADJACENT BLDG SPECIAL LOCKS/DEADBOLT DRUGGED/SEDATED
MOBILE HOME BASEMENT WINDOW BARS EXPLOITED
SINGLE FAMILY DOOR/SCREEN __________ FACE COVERED
VESSEL/BOAT DUCT/VENT SUSPECT ACTIONS FOLLOWED
__________ FENCE/GATE ATE/DRANK ON PREMISES FONDLED
STRUCTURE NON-RESIDENTIAL FIREPLACE CASED LOCATION FORCED TO DISROBE
BANK/FINANCE FLOOR COSTUME/DISGUISE WORN FORCED TO FONDLE SUSPECT
BAR GARAGE DEFECATED/URINATED FORCED TO LIE ON FLOOR
BUSINESS OFFICE GLASS DOOR DEMAND NOTE USED FORCED TO MASTURBATE
CARGO CONTAINER HOUSE BEING FUMIGATED DEMANDED DRUGS/MONEY/ETC. FORCED TO MOVE
CATERING TRUCK LOUVRE DISABLED PHONE FORCED TO ORALLY COPULATE SUSPECT
ENTERTAIN/RECREATE MAIL SLOT DISABLED POWER GANG RELATED
FAST FOOD PET DOOR DISABLED SECURITY SYSTEM HANDCUFFED
GAS STATION ROOF/SKYLIGHT DISABLED VEHICLE

INJURED/HIT
HOSPITAL

SLIDING GLASS DR

EXCESSIVE FORCE

LOCKED IN
HOTEL/MOTEL WALL FIRED WEAPON

MADE TO COUNT
INDUS/MFG/WHSE WINDOWSCREEN FONDLED SELF PINCHED
JAIL/PRISON __________ GRAFFITI PISTOL WHIPPED
JEWEL/COIN/PAWN VEHICLE ENTRY/EXIT HID IN BUILDING SHOT
LIQUOR IN EX IGNITION PUNCHED SLAPPED
MARKET CAMPER/SHELL MOTORHOME JUMPED THE COUNTER THREATENED
MINI MART CONVERTIBLE KNEW LOC OF HIDDEN STASH TORTURED/MUTILATED
NURSING FACILITY DOOR MASK WORN __________
PARKING STRUCT/LOT DRIVER SIDE MASTERBAT./EJAC. BIAS-MOTIVATED INCIDENT:
PHARM/MED/DENTAL HOOD PHOTOGRAPHED/VIDEOED RACIAL
PUBLIC BUILDING PASSENGER SIDE PILLOWCASE TAKEN/USED ANTI-WHITE
RELIGIOUS BUILDING SUNROOF POLICE SCANNER USED ANTI-BLACK
RESTAURANT TRUCK BED RANSACKED ANTI-AMERICAN INDIAN/ALASKAN NATIVE
RETAIL GOODS TRUNK RECORDED/LOGGED EVENTS ANTI-ASIAN/PACIFIC ISLANDER
RETAIL SERV/REPAIR WINDOW RIPPED/CUT CLOTHING ANTI-MULTIRACIAL GROUP
SCHOOL WINDWING SELECTIVE PROPERTY TAKEN RELIGIOUS
STORAGE/RENTAL __________ SMOKED ANTI-JEWISH
VEHICLE-COMMRL METHOD OF ENTRY TAKEOVER ANTI-CATHOLIC
VESSEL/BOAT ATTEMPT ONLY TOOK CONCEALABLES ANTI-PROTESTANT
VIDEO/MUSIC BODILY FORCE USED MULTIPLE WEAPONS ANTI-ISLAMIC (MUSLIM)
__________ CUT VEH. USED TO REMOVE PROPERTY ANTI-OTHER RELIGION
TARGET: RESIDENTIAL HID IN BUILDING VANDALIZED ANTI-MULTI RELIGIOUS GROUP
ATTIC KICKED VICTIM'S NAME USED ANTI-ATHEISM/AGNOSTICISM
BEDROOM KNOB TWIST VICTIM'S TOOLS USED ETHNICITY/NATIONAL ORIGIN
DINING ROOM LET IN/RUSE WASHED CLOTHING/BEDDING ANTI-ARAB
GARAGE/PKG. AREA LOCK BOX WIPED SCENE AFTER CRIME ANTI-HISPANIC
HALLWAY LOCK CUT/BROKEN __________ ANTI-OTHER ETHNICITY/NATIONAL ORIGIN
KITCHEN LOCK PUNCHED SUSPECT WAS/HAD: SEXUAL
LAUNDRY ROOM LOCK SLIP/KEY/PICK ALCOHOL ON BREATH ANTI-MALE HOMOSEXUAL (GAY)
LIVING/FAMILY ROOM NO FORCE ANGRY ANTI-FEMALE HOMOSEXUAL (LESBIAN)
MAIL BOX OPEN FOR BUSINESS APOLOGETIC ANTI-HOMOSEXUAL (GAYS AND LESBIANS)
PATIO/PORCH OPEN/UNLOCKED BAD BREATH ANTI-HETEROSEXUAL
SAFE/BOX PHONE BODY ODOR/UNUSUAL ODOR ANTI-BISEXUAL
STORAGE/SHED PRIED GANG-RELATED GENDER
STABLES/TACK ROOM REMOVED INTIMIDATE/COERCE ANTI-MALE
VEHICLE SMASHED NEVER SPOKE/QUIET ANTI-FEMALE
__________ TUNNELED POLITE/KIND DISABILITY
UNBOLTED GATE PROFANITY ANTI-MENTAL
__________ QUOTES, UNUSUAL ANTI-PHYSICAL
RAGE
TRUST VIOLATION
UNDER INFLUENCE
__________
$ $