john goodman toxicology results

11
8/3/2019 John Goodman Toxicology Results http://slidepdf.com/reader/full/john-goodman-toxicology-results 1/11 '" , r ~U ~~ IH jA N :LE DEFEe V EH IC LE M OV EM E NT I VEHICLE SPECiAl. FUNC IONS .... IiV IInproper Oriving / Action ~0 , J Oofects 0E?J 01 S tr ai gh t A h ea d I2J IZl 1 Non. fZI 2 Care le ss D riving (Exp la in In Narrallvel 02 O.t.Sr.... 02 Slowing I Stopped I Stalled 2 F ar m I2J 3 Failed T o Y ie ld R ig ht · ct- Way 03 Worn I S m o ot h Tires 03 Making Left Tu m [2JlZJ 3 Police Pursua 00 I mp ro pe r B a ck in g ~ D e te ct lv e / Im p r op er ~ B ac kin g 4 Recreational 05 Imp ro pe r L an e C ha ng e Lights 05 Making R l gh tT u m 5 E m "' 1) en cy O p er atio o 06 Im pro pe r T um [Z][ZJ 05 P u nc t ur e I Blowout [71[71 06 C h an gi ng L an e s 6 Coostructlon I Maintenance 0 7 A lc oh ol- U nd er I nf lu en ce 06 Sleering MeeI\, 0 7 E nt eri ng / L ea ving / P ar1 <ln g S pa ce 11 P as sin g S OU RC E OF C AR RIE R IN FO RM AT IO N DB D ru gs - U nd er I nf lu en c. 07 Wndshleld WIpera 08 Pr o pe r ly P a r i< e d 12 D ri ve rl es s or 1 N o I ll p pl i ca b l e I2J [2 J 09 Alcohol & D ru gs - U n dO ! i nf iu e nc e 0[2] OS E qu ip me nt / Vehicle n All Other 09 I m p ro p er ly P a ri <e d Run .... ay Vehicle 2 Shipping Papers 10 F oU aw ed T ao Clo se ly Detect I ( Ex pl a in In Narrallve) 10 Making U ·T um n AllOthar (Explain 3 V e hi cl e S i de 00 1 D is re ga rd ed T ra ff ic Signal POINT OF UL JSIUN In Narrativel 4 Driver 12 E x ce e de d Saf. Speed LJmlt 19 I m pr op e < Load 01 OnRoad ~~ rlIhAt> 13 D isre ga Td ed S to p Sign 20 D isr e ga r de d Other Traffic Conlrol 02 Not On Road "ACT1Qrl_ 14 F aU ed To M aln la ln E qu lp ./ V eh ic le 2 1 O ri vln g W r on g SJde I Wa y 03 S h ou ld er 01 CrossIng Not a t in t e rs a c t lo n 07WO 15 I mp ro pe r P as s in g 22 Fi.mg Police ~Madian 0 2 C ro ss i' Ig at Mid-blocl< Crouwallc InRca [2] fZI 6 [)rove Lett 01 C e nt . .. . 23 V e hi cl e Mo di fi ed 05 Tu m lane 0 3 C ro s oi ng ot Intoructlon 08 Standing/Playing 00 7 E xc e e d e d S taled S pe e d Um it 24 Driver Dlstrection(Exp1ain 'wnRK AR!'A ~ 1)4 W a lI d ng , I, Io n 9 R o ad W i th T r .i lf lc I n R oa d 18 O b st ru ct in g T ra ff ic In Narrallve) 01 Nooe 0 5 W a lk in g Along R oa d A ga in st T ~f fic 09 Sia nd in g In Pedestrian Wand n A ll O t he r I E xp la in In Narrative) 0 2 N ea rb y [2J[2J 06 WorIdng on V e hi cl e I n R oa d n All Other ( Ex p la in In Narratlvel 03 E nt er ed 83 Unlmown FIRST I UBSEQUENT HARMfUL EYENIfSl 01 C ollis ion W ith MV '" T ra ns po rt! R ur End) 15 C o l is i on W i th ArUmai 29 MV R an Into DItch/CUlvert r?I r7t 02 C ollis io n W ith MV In T ra ns po rt { Head Onl 16 MV H~ Sign I Sign Post 30 Ra n O ff Road I nt o W a t er ILl ILl 03 C oiR sio n W ith MV inTransport{ AI1g1e) 17 MV H ~ U tiu ty P ol. I Uglrt Pol. 31 Over1lJmed [2J f2J 1)4 C oU ls to n W It h MV In Transportf Lett Tum) 18 MV Hn Guardral 32 Occupant FeU From Vehicl. OS C o l isio n W it h IN In TraMpOrt{ RlgIlt Turnl 19 MV Hit Fence 33 T ractorlTrailet Jeckknlfed 08 Colfision WIth MV in Transport( S Idesw ipe! 20MY H it Concret. 8anior Wai 34 An [2][2] 07 C ollis io n W ith MV In T ransportt B acl<.d Intol 21 M V H it B ridgelP ier/A butrnontIR ai 35 E xplosion 08 C ollision With Parked Car 22 lIN Hil Tr.e/Shrubbert 36 Downhill Runoway 09 ColUslo.. With MV on RoadWay 23 ColflSion With Constroctlon Bvricade $Ign 37 Cargo LO l or Shift l2J [2] 10 CollIsion With Pedestrian 24 Collision With Tralfic Gal. 38 Separallon of Unit. 1 t Collision With B icycle 25 ColUsion WIth Crach Attenuatora 39 Median Cn>UOVer 1 2 C ol lI si on W I th B ic yc le (Bike Lane) 2 6 C ol li si on W it h Axed Object A b ov e R o ad n All Other (ExpIsIn In [2] [ZJ 13 Comsion With Moped 27 MV Hi! Other Fixed Object Namtlve) 14 Collision With Train 28 Collision WIth M o...tM t O b e ct On Rood (A DO mO NA l NA RRA TIV E) Toxicology reports revealed John Goodman had a blood alcohol level of a .177 % w/v ethyl alcohol, Hydrocodone at 42ng/mL, and Dihydrocodeine at less than 10 nq/rnl, at the time of the blood draw. A oom ON AL P AS SE NG ER S , P AS Sf P AS SE NG ER 'S N AM E C U RR E NT A D DR E SS CITY & STATE lIPCOOE DATE OF BIRTH RACE SE X LO C INJ S, EQUIP. ~ c--- - rt PASS' P AS SE NG ER 'S N AM E CURRENT ADDRESS CITY & STATE Z iP C OD e ~ ~ ['SEX lO C INJ S.EQUIP. EJECT. --- I PASSl P AS SE NG ER 'S N AM E C U R RE N T A D D RE S S ~ODE DATE OF BIRTH RACE SEX LO C INJ S, eqUIP. EJECT, I 'ASS' P AS SE NG ER 'S N AM E CURR£NT~ CITY & STATE ZIP CODE DATE OF BIRTH RACE SEX LO C INJ S.EQUIP. EJECT. I ISSI P AS SE NG ER '5 N AM E ~ADDRESS CITY & STATE ZIP COOE DATE OF BIRTH RACE SEX lO C INJ So, EOUIP. EJECT, .i-> I ;s. ~ CURRENT ADDRESS CITY & STATE Z IP G O DE D A TE O F B IR TH RACE SEX LO C IN J S.EQUIP' EJECT. -- I 'nON II N AM E OF V IO LA TO R FL S TA TU TE N UM BE R CHARGE ""IIU I'I N UM BE R ·ION. NAME OF VIOLATOR , ",. u t: NUMBER CHARGE C IT AT IO N N UM BE R - Page 2 2 Of

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Page 1: John Goodman Toxicology Results

8/3/2019 John Goodman Toxicology Results

http://slidepdf.com/reader/full/john-goodman-toxicology-results 1/11

'"

, r ~U ~~ IH jA N :LE D E F E e V EH IC LE M OV EM E NT I VEH IC LE SPEC iA l. FUNC IONS

.... IiV IInproper Oriving / Act ion

~0, J Oo fects

0 E ? J0 1 S tr ai gh t A h ea d

I 2 J I Z l1 Non.

f Z I2 C are le ss D riv ing (E xp la in In Narrallvel 02 O.t.Sr.... 02 Slow ing I Stopped I Stalled 2 F ar m I 2 J3 Failed T o Y ie ld R ig ht · ct- Way 03 W orn I Sm o ot h T i re s 03 Mak ing Left Tu m

[ 2 J l Z J 3 Po l i ce P u r s u a 00I mp ro pe r B a ck in g ~ D e te ct lv e / Im p r op er ~ B ac kin g 4 Recrea t iona l

05 I mp ro pe r L an e C ha ng e Lights 05 Ma k in g R l gh tT u m 5 E m "' 1) en cy O p er at io o

06 Im pro pe r T um

[ Z ] [ Z J0 5 P u nc t ur e I Blowou t

[ 7 1 [ 7 106 C h an gi ng L an e s 6 Coostructlon I Main tenance

0 7 A lc oh ol- U nd er I nf lu en ce 06 Sleer ing MeeI\, 0 7 E nt eri ng / L ea vi ng / P ar1 <ln g S pa ce 1 1 P as sin gS OU RC E O F C AR RIE R IN FO RM AT IO N

D B D ru gs - U nd er I nf lu en c. 07 Wndshleld W I p e r a 08 P r o pe r ly Pa r i< e d 12 D ri ve rl es s o r 1 N o I ll p pl i ca b l e I 2 J [2 J09 Alcoho l & D ru gs - U n dO ! i nf iu e nc e

0[2]OS E qu ip me nt / Vehicle n All Othe r 09 I m p ro p er ly P a ri <e d R u n . . . . ay V e h i c l e 2 S h ip p i ng Pape r s

1 0 F oU aw ed T ao C lo se ly De te c t I ( E x pl a in I n N a r ra l lv e ) 1 0 M ak in g U ·T um n AllO thar (Explain3 V e hi cl e S i de 00

1 D is re ga rd ed T ra ff ic S ig n a l PO INT O F UL J SIUN In Narra tive l 4 D r i v e r1 2 E x ce e de d Saf. Speed L J m l t 1 9 I m pr op e < Load 01 OnRoad

~~

r lIhAt>

1 3 D is re ga Td ed S to p Sign 2 0 D i sr e ga r de d Othe r Traffic Conl ro l 02 Not O n R oa d "ACT1Qr l_14 F aU ed T o M aln la ln E qu lp ./ V eh ic le 2 1 O ri vln g W r on g SJde I Wa y 0 3 S h ou ld er 01 Cros s Ing No t a t in t e rs a c t lo n

07WO15 I mp ro pe r P as s in g 22 Fi.mg Po l i ce ~Madian 0 2 C ro ss i' Ig a t Mid-blocl< Crouwa l lc I n R c a [2] f Z I6 [) rove Lett 01 C e nt . .. . 2 3 V e hi cl e M o di fi ed 05 Tu m lane 0 3 C ro s oi ng ot Intoructlon 08 Standing/Playing

007 E xceeded S ta led S peed Um it 24 Dr ive r D ls t r e c t io n (Exp1a in 'wnRK AR!'A

~1)4 Wa lI d ng , I, Io n 9 R o ad W i th T r .i lf lc I n R oa d

18 O b st ru ct in g T ra ff ic In Narrallve) 01 Nooe 0 5 W a lk in g Along R oa d A ga in st T ~f fic 09 S ia nd in g In Pedest r ian Wand

n A ll O t he r I E xp la in In Narrative) 0 2 N ea rb y

[ 2 J [ 2 J06 Wor Idng on V e hi cl e I n R oa d n A l l O t he r ( Ex p la in In Nar ra t lv e l

0 3 E nt er ed 83 Un lmown

FIRST I UBSEQUENT HARM fUL EYENIfS l

01 C ollis ion W ith M V '" T ra ns po rt! R ur End ) 15 C o ll is i on W i th A r U m a i 29 MV R an I n t o D I t ch /CU lv e r t r?I r7t02 C ollis io n W ith M V In T ra ns po rt { H ea d O n l 16 MV H ~ S ig n I Sign Post 30 Ra n O ff R o a d I nt o W a t er ILl ILl03 C oiR sio n W ith M V in Transport{ A I1g1e) 17 M V H ~ U tiu ty P ol. I Uglr t Po l . 31 Over1lJmed [ 2 J f 2 J1)4 C oU ls to n W It h M V In Transportf L e t t Tum ) 18 M V Hn Guard ra l 3 2 Occupan t F eU From Veh ic l .

OS C o ll is io n W it h IN In TraMpOr t { RlgIlt Turn l 19 MV H it F ence 33 T racto rlT ra ile t Je ckkn lfed

08 Colfision WIth MV in Transport( S Idesw ipe! 2 0 M YH it Concret. 8anior W ai 34 An [2] [2]0 7 C oll is io n W ith M V In T ransportt B ac l< .d In to l 21 M V H it B ridge lP ie r/A bu trnon tIR ai 35 E xp lo s ion

08 C o llis ion W ith Parked Car 22 lIN Hil Tr.e /Sh rubbert 3 6 D ow nh il l Runoway

09 Co lUs lo .. W ith M V on RoadW ay 23 Co lflS ion W ith Constro c tlon Bvricade $Ign 37 Cargo LO ll or Shi f t l 2 J [2 ]10 Co llIs ion W ith Pedestrian 24 Co llis ion W ith Tra lfic G a l. 3 8 Separa llo n of U n it.

1 t Col l is ion W ith B icyc le 25 ColUs ion WIth Cr a c h A ttenua tora 39 M edian C n>UOVer

1 2 C ol lI si on W I th B ic yc le (Bike Lane ) 2 6 C ol li si on W it h Axed Objec t A b ov e R o ad n All Othe r (ExpIsIn In [2 ][ Z J13 C om sion W ith M oped 27 MV Hi! O the r F ixed Objec t Nam tlve )

14 C ollis ion W ith Tra in 28 Co ll is ion WIth M o...tM t O b e ct On Rood

(A DO mO NA l NA RRA TIV E)

Toxicology reports revealed John Goodman had a blood alcohol level of a .177 % w/vethyl alcohol, Hydrocodone at 42ng/mL, and Dihydrocodeine at less than 10 nq/rnl, at the

time of the blood draw.

A oom ON AL P AS SE NG ER S

, P AS Sf P AS SE NG ER 'S N AM E C U RR E NT A D DR E SS CITY & STATE lIPCOOE D A TE O F B IR T H RACE SE X LO C IN J S , EQU IP . ~

c----rtPASS ' P AS SE NG ER 'S N AM E CURRENT ADDRESS CITY & STATE Z iP C OD e

~~ [ 'SEX lO C IN J S .EQUIP . EJECT.

- - - IPASS l P AS SE NG ER 'S N AM E C U R REN T AD D RESS

~ODED A TE O F B IR T H RACE SEX LO C IN J S , e qU IP . EJECT,

I'ASS' P AS SE NG ER 'S N AM E

CURR£NT~CITY & STATE ZIP C ODE DATE OF BIRTH RACE SEX LO C INJ S .EQUIP . EJECT.

IISSI P AS SE NG ER '5 N AM E ~ADDRESS CITY & STATE Z IP COOE DATE OF BIR TH RACE SEX lO C INJ So ,EOUIP. EJECT,.i-> I;s.

~CURRENT ADDRESS C ITY & STATE Z IP G O DE D A TE O F B IR TH RACE SEX LO C IN J S . EQ U I P ' E J ECT .

- - I'nON II N AM E O F V IO LA TO R F L S TA TU TE N UM BE R CHARGE ""IIU I'I N UM BE R

·ION . NAME OF VIOLATO R , ",. u • t: NUMBER CHARGE C IT AT IO N N UM BE R

-Page

2 2Of

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CHEMICAL TEST INFORMATION

Name John Goodman

Test Offered: 0 Breath 1 8 1 Blood 0 Urine

Was Test Refused: 0 Yes 1 8 1 No

1 8 1 Alive 0 Deceased

o Other _

BREATH TEST INFORMATION

Test Requested By _

Test Given ByLocation _

__________________ Date Time 0a.m 0 p.m

BLOOD TEST INFORMATION

Test Requested By Investigator Troy Snelgrove # 5475

Blood Drawn By _;C_;e_;_c.;;_el.;_:ia_B.._e.;:_;t...:ts Title _R_N _

Oate02/12/2010 Time 3:59 1 8 1 a.m 0 p.m. Location Wellington Regional Medical Center

Analyzed By Dustin Yeatman, Toxicology Manager

Results of Test·1 7 7 and . 1 7 8 g% w /v ethyl alcohol, 4 2 ng/mL Hydrocodone, and Less than 1 0 ng/mL Dihydrocodeine

CHAIN OF POSSESSION

Received Fro

By Date Time o a.m o p.m

Received Fro

By Date Time o a.m o p.m

Received Fro

By Date Time o a.m o p.m

Received Fro

By Date Time o a.m o p.m

Received From

By Date Time o a.m o p.m

ADDITIONAL COMMENTS

Case Number _ 1 _ 0 _ - 0 _ 3 _ 7 _ 8 _ 9 6 . . _ _ _ Page _

HSMV 62706 (Rev. 1189)

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.,

)

TRAFFIC HOMICIDE BLOOD COLLECTION FORM

PLEASE US THIS FORM WHERE VICTIM IS SERIOUSLY INJUREDORDECEABED

DO NOT READ IMPLIED CONSENT

SECTION ONE

Case Number: /0--OS?;'"

Suspect's Name: I J J h . . . . . : £ 6 = u M 'r""It{ ~

Suspect's DOB:

Height: "0:::>

Sex: M

Weight: 02/.2:

Date/Timeof incident: ..2/1.;1)/0 e.. 010S-~ .

SECTION TWO ~ n

IF SUBJECT FREELY/VOLUNTARILY AGREES TO GIVE BLOOD

.ASK: ould you agree to giveme a sample of your blood for

alcohol an g testing purposes?"

1

Ifsuspect willnot consent or if suspect hesitates or asks you a

question, make sure you clarify that suspect is freely and

voluntarily consenting to the blood withdraw, otherwise look for PC

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SECTION TWO '13H

IF PROBABLE CAUSE EXISTS TO TAKE BLOOD, SUBJECT HAS NO

RIGHT TO REFUSE

YOUMUST HAVETHEFOLLOWING4 ELEMENTS FORPC:

Probable)Jause that suspect drtyin.g:

B"'SUBpect'sdmissions rn--Witnesses

~ys1cal evidenceo Other: __

Probable Cause that suspect was under the influence:

IZM:fdorf alcohol lB'tfedlwatery eyes

011"actsof crash itself 01tYstagmus

o Sy.bject'sadmisstons U?1Jifficultywith speech

I3'13tatementsof other witnesses, passengers, etc.

o EVidencein and around vehicles or other evidence at sceneo·Other: __

Probable CaUBehat suspect caused or contributed to cause:

~cts of crash itselfGY1CdmisSions/statementsby suspect

o Witness accounts

~ct that suspect was under the influence

o Other: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Probable Cause that serious injury or death occurred:

aYStatement from PMJother medical personnel

B1?ersonal observationso Other: _

2

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:) )

SECTION THREE

2ND BLOOD DRAW

Consensual OR Probable cause to draw

SECTION FOUR

BLOOD WITHDRAWAL INFORMATION

Location of BloodDraw: t J ~ / l ; , . J h,,, . . g .u ; /~ncJ . m,j,~J ~J:rDate ofBloodDraw: oJ,/aj!o Time of Blood Draw: {)~t£0 a(p.cTime blood was requested: ()35"fName of Person Drawing Blood: C-<:.cd, i : : . . ~t+> 7 2 . rJ.

gLNurse (R.N./L.P.N.) 0Doctor0Lab Technician 0Paramedic

Names of Persons Present: __ L J ; : _ ; A ; . . : , . : & - = - _ 7 i ~ 1 ~ c . . £ J J L - - _

Completion of Certification ofBloodWithdrawal Form: ~

(CERTIFICATE OF BLOOD WITHDRAWALON NEXT PAGE)

3

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FLORIDA DEPARTMENT OF LAWENFORCEMENT

ALCOHOL TESTING PROGRAM

CERTIFICATION OF BLOOD WITHDRAWAL

I certify that as a physician, certified paramedic, registered nurse,

licensed practical nurse, or other person authorized by a hospital to

draw blood, or as a licensed clinical laboratory director, supervisor,

technologist or technician, I am authorized by 316.1932,316.1933,

322.63, 327.352 and 327.353, Florida Statutes, to withdraw blood

at the request of a law enforcement officer.

I certify that on (date) . . ; ; . , , ; , z L , C . 7 j _ ; : : . 1 c . L . / ; L . ; ' / o = : . . - , I withdrew blood from

(driver/subject) d ..A . . . . £ l .cQJ mg -. at the request of

(officer) -rtV vTrD r . > ' " ~ ~ rO""'-

The samples were collected and labeled inaccordance Withthe

provisions ofChapter 11D-S.012, Florida Administrative Code.

Before collectingthe blood sample(a), the skin was cleansed with an

antiseptic that did not contain alcohol. Theblood sample(s) were

collected inglass evacuation tubes that contained a preservative

and an anticoagulant. Immediately after collection, the tubes were

inverted several times. Theblood collection tubes were labeled with

the name of the person tested, the date and time the sample( s) were

collected and the initials of the person who collected the sample(s).

~t(!_t:L{ F t - 6efhs(Print name of person withdrawing blood)

(Title of person withdrawing blood)

4

(Signature) (Date signed)

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SECTION FIVEBLOODWITHDRAWALCHECKLIST

Checked expiration date on collection kit:

~s 0No Date of expiration: __ ( - t L t rL -.2 - " " ; O f - / ! - I e : : J ; ; _ _ _ _ _r 7

Kit supplied by:0"Tnvestigatingofficer 0Other: _

Observedentire blood collection procedure:

r . i Y ' fes 0No 0Observed by someone other thaninvestigating officer _

Contents of kit used to draw blood:

o Yes rio 0If"no" explain:

CertificajJ.on of BloodWithdrawal Form completed:

q;yYes 0No

Initials 5)l'person who drew the blood recorded Oil the vial labels:

ries 0No

Time and-date ofblood draw recorded on vial labels :

ries 0No .

Name o~pect of blood draw recorded on vial labels:

rB"Yes 0No

Vial cont§ld:tswere properly mixed:

B"Yes 0No

5

Vials were sealed by:

o Person who drew the blood r/officer o Other

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Vials were placed in collection kit by: ./

o Person who drew the blood cr'Officer 0Other

Collection kit was sealed by:o Person who drew the blood ~er o Other

Evidenceseal completed and attached and collection kit secured by:

~fficer 0Other .

Ccllecttop- kit secured in collection box by:

g--Qfficer 0Other

Collecti9R box secured and stored:

~Yes 0No

Where stored: ~ &.d (1v'-'~ 6h<c: t f~ t rFe~c~ C-:e± l , . , J " .

Propert~dence forms completed:

fB""Yes 0No

Request y o . r Analysis completed:

rles 0No

BECTIONSIXINITIAL EVALUATION FOR Th.IPAIRM:ENT

Indicia of drug and/or alcohol invoI:~!iiment:

Odor on breath: 0None lP8trong 0Moderate

Clothing condition: ~erlY 0Disorderly

o Other: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Attitude: ~perative

o Other: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

o Faint

o Bloody

o Uncooperative

6

Color of face: 0Normal ~shed o Pale

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Eyes: 0Normal ~oodshot .c: ~Sy

Pupils: 0Normal

o Poor reaction to light

riilated o Constricted

Speech: 0Not slurredo Other: _

~ed o Mumbling

Unusual actions: 0Crying 0Laughing 0Hiccupping

o Other: _..,-- _

Balance: - - - " " ! I , ~ l : : . . . ; h ~ . ~ I . t ~ / , . . . , ~ _ J i . { ) ~ o L _ _ u b , L 6 . 1 ( . . c . J : I - - - - - - - -

Abili~towruk: __~U=~~~~~~~=__~o~-~b~~j~ _

ANY STATEMENTS OR REMARKS MADE BY SUSPECT DURING

THE TIME YOU WERE WITH HIMlHER:

5 :, rtO.J-- ~.LJ Jiv= J , ,'J ~ 611CJ

MISCELLANEOUS OBSERVATIONS:'

C:vt(Ar»

& .09 0 ..,1 1<4 5 7 ' 1 . ~r{}orJ,~Aj

ANY QUESTIONS IN REFER~NCE TO BLOODDRAWS, CONTACT

ELLEN ROBERTS OR ADAM MCMICHAEL

7

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ForensicSdences Division,Telephone(561)688-4200 Fax (561)688-4248

Toxicology Report

Investigator Troy Snelgrove

Palm Beach County Sheriffs Office

3228 Gun Club Road

West Palm Beach, FL 33406

PBSO Case #:

Agency Case #:

10-037896

10-037896

Secondary Agencies:

None

Suspect: GOODMAN, JOHNDate of Birth: _

REQUEST FORANALYSIS:

On 0211212010it was requested that the Crime Laboratory Toxicology Unit perform the following analysis: Toxicological

Analysis

EVIDENCE

On 0211212010,the Forensic Sciences Division received the following evidence from Troy Snelgrove of the Palm

Beach County Sheriffs Office:

SUbmission: 001 One Sealed Blood Alcohol Kit containing Blood Specimens

RESULTS ANDCONCLUSIONS:

Blood Alcohol:

0.177 g% wlv ethyl alcohol

0.176 g% wlv ethyl alcohol

Blood Drug Analysis:

Hydrocodone at 42 ng/mL

Dlhydrocodelna at less than 10ng/mL

Florida Blood Alcohol Permit # 2006011

Dustin Tate Yeatman - Toxicology/Chemistry Manager

An ASCLD / LAB Accredited Laboratory Since 1g g 1 2118/2010

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)

Florida Department of Law Enforcement

Alcohol Testing Program

BLOOD ALCOHOL ANALYSES AFFIDAVIT

_ _ D - = : . . . . . ; ' U = s " ' - i . . J . - : . . . ) 6 - - L - . . . . . ! . I ~ ~ ~ k - = - ~ ~ ~ ? a .. . . ! > o ~ - : h . . L i / Y 'O I - - ! . ~ _ v j - - L - , do hereby swear or affirm that I• 7

(Printed name of analyst)

hold a valid Florida Department of LawEnforcement Permit to Conduct Blood Alcohol Analyses and that I

analyzed a specimen which the record reflects was obtained from

00hn GOcJ(Y)~ V) on ;;/~o at 3,'S9a~.(Subject name) (Date) (Time)

The analyses performed were conducted in accordance with the provisions of Chapter 11D-8, Florida

Administrative Code. The results of the analyses were O. JII and O. I 7 ~ grams of alcohol

per 100 mL. of blood. The analytical method used was:

kas Chromatography __ Alcohol Dehydrogenase (Enzymatic)

~/Y~_ASigllatUre()fAnalyst)

Sworn to (or affirmed) and subscribed before me this --+--F---.-

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~ersonally known OR _ Produced identification Type of identification produced: _

N O TE : P ursu an t to C h a pt er 1 17 .1 0, F lo r id a S ta tu te s, l aw e nf or ce m e nt o ff ic e rs , c o rr ec ti on a l o ff ic en , t ra ff ic a c ci de nt i nv es ti ga ti on o ff ic en a n d t ra ff ic i nf ra c ti on

enforcement officers are notaries pub l i c : when engaged in the performance of o f fi c ia l d u ti es .

Use in accordance with Section 316.1934(5), Florida Statutes.. Thisform may also be used in administrative proceedings pursuant

to 322.2615, Florida Statutes. Forward within 5 days to the local Bureau of Driver Improvement Office, Division of Driver Licenses,

Department of Highway Safety and Motor Vehicles.

FDLElATP Form J 5 - February, 2000