This arrest report summarizes the arrest of Adam Chernobyl on January 20, 2018. It notes that he was arrested for evasion at 7:18pm on US Route 13 near Mile Marker G after cutting off another driver and leading police on a brief pursuit. The report provides identifying information about Mr. Chernobyl as well as details of the arresting agency, charges, vehicle information, where he was confined, and bond information.
1. Check up to 3 types of activity for each
DCI Status Quantity Type Measure Suspected Type
Possess Buy Sale Mfg. Importing Operating
ARREST REPORT
DCI-608F Rev. 3/92
Agency Name
Current Address
D.O.B.
ORI Date/Time of Arrest OCA
Taken Fingerprint Card Check Digit # (CKN) Arrest Tract Residence Tract Arrest Number
Name (Last, First, Middle) Age Race Sex Place of Birth Country of
Citizenship
Phone Occupation
Employer's Name Address Phone
Also Known As (Alias Names) Hgt Wgt Hair Eye Skin Tone Consumed Drug/Alcohol
Scars, Marks, Tattoos Social Security # OLN and State Misc. # and Type
Nearest Relative Name Address Phone
If Armed, Type of Weapon Place of Arrest
Charge #1
Charge #2
Charge #3
Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date
Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date
Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date
VYR Make Model Style Color Lic/Lis Vin
Vehicle:
Date/Time Confined Place Confined Committing Magistrate
Type Bond Amt. Bond Trial Date Court of City
Assisting Officer Name/ID Number Released By: Name/Dept/ID Date/Time Released
Arresting Officer Signature/ID # Date/Time Submitted Supervisor Signature
Case Status: Case Disposition: Arrestee Signature
Resident
Non-Resident
Unknown
Yes No Unk
On-View
Left at Scene
Criminal Summons
Order for Arrest Citation Warrant
Secured Unsecure
Place of Storage
Released to other at owners request Name of Other
Impounded
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2.
3. Inventory on File?
Date/Time Hrs.
Written Promise
Other
Unsecured
Secured No Bond
Hrs.
L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found
(Check "OJ" column if recovered for other jurisdiction)
Complainant VictimName: Address: Phone:
Hrs.
Futher Inv.
Arrest/No InvestigationInactive Closed
Cleared By Arrest / No Supplement Needed
Fel
Misd
Fel
Misd
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Misd
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ARRESTINFO.
AGENCY
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OFARREST
San Andreas Arrest Report
05 N/A
N/A Roadway House 5078481054
Chernobyl, Adam 5/9/75 44 Cau M Grape Sd. US
1486 Main St. , Grape Seed, SA 555-2315 None
Clucking Bell Factory 8712 US Rte. 1, Paleto Bay, SA 555-0176
5'9" 164 Bro Blu Whi
Tatto of star on calf 601-11-543 N/A
Chernobyl, Marie 1486 Main St., Grape Seed, SA 555-1289
Evasion 1 N/A 2800.2
2003 Ferrari Enzo Coupé Black 46EEK572 ZFFXR48A5X0940119
Davis Inpound Lot Yes
4 9 John Reyleigh
Adam Chernobyl
01 20 1918
9851327 SA
N/A US Rte. 13, Mile Mrkr. (G)
DeGrand, Michell 1024 Marina Dr., Sandy Shores555-2873
05 01 20 2005
Mr. Chernobyl was caught cutting another motorist off: the complainent,
Mr. DeGrand. After that, a traffic stop was commenced at 7:03 PM, after
which he eluted. He was apprehended at 7:18 PM.
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Blaine Cty. Sheriff's Off. BSO15165420