Case# 2016-0349 MEDICAL REGISTER CITY AND COUNTY OF SAN FRANCISCO - RECORD OF DEATH Name: GONGORA, LUIS Alias: DOE #44, JOHN ADDRESS: NO FIXED ADDRESS DATE OF DEATH: 04/07/2016 TIME: 12:42 PM REPORTED BY: NP R. MENZA DATE OF REPORT 04/07/2016 TIME: 1:00 PM REPORTED PHONE: 206-8201 PLACE OF DEATH: SFGH 4 ICU 94103 TYPE OF CASE: 187 OFFICER INV DATE AND TIME OF INCIDENT: 04/07/2016 10:00 AM PLACE OF INCIDENT: SHOTWELL BETWEEN 18TH AND 19TH ZIP: 94110 NEXT OF KIN: DATE NOTIFIED 04/08/2016 BIRTHDATE: 04/25/1970 AGE: 45 SEX: MALE RACE WHITE HISPA RECEIVED AT MEDICAL EXAMINER: 04/07/2016 TIME: 4:00 PM RELEASED TO: Funeraia Bayview FUNERAL DIRECTOR RELEASED DATE: 04/11/2016 TIME: 16:15 CLOTHING RECEIVED: NO RECEIVED BY: RELEASE SIGNED BY RELATIONSHIP: SPOUSE POUCH: No RESIDENCE PROPERTY LISTING INITIALS EVIDENCE LISTING INITIALS SEALED IN POUCH 3 ANIS I I 2 GSR samples (WITH BODY 16 photos I I VERIFIED BY: MN DATE: 4/11/2016 PUBLIC ADMINISTRATOR: DATE NOTIFIED: PLACED IN BOX RECEIVED AMOUNT: $0.00 RECEIVED BY: RELATIONSHIP: RECEIVED BY: RELATIONSHIP: BODY SEARCHED BY: MARK NAGAYO #112 AT: SFGH PREMISES SEARCHED BY: AT: PREMISES SEALED BY: DATE: EXAMINATION: AUTOPSY PERFORMED BY: PARK NLD. EVIDENCE DISPOSITION: INVESTIGATORS: THOMAS MCDONALD #110 MARK NAGAYO #112 FOREG DEBT TRUE r1 A Case#: I201e?034? i Status: JOHN Name: 1 alias: #44 Police Notified Police_Office: ti?d Police_At_Scene: Police_0fficer: LPEALTA Officer: 77 Station: Homicide_0ffice: SFPD Homicide Officer: IHUTCHINGS I ??imi?A AlB_or_HR_NotIerd: Date: I 04/07/201jl Date. TIme 7 173753 [MB?Of?cer: Nature: Fingerprints_Taken: IVES 1Palmprints_Taken: NO Taken?By: Taken Date: TogCll_D ate: Photos_Date: 7 "7 04/07/2016 04/07/2016 7 04/0 016IMatch: 7 04/07/2016} Match: Match: iY Match#: 8649201 Match#: 77 7/2 Match#: TMM N0 TDERALTA MISSION 150-286-132? '18? OFFICER Case#: 2016-0349 MEDICAL EXAMINER I REPORT CITY AND COUNTY OF SAN FRANCISCO RECORD OF DEATH Date/Time of Death: 04/07/2016 12:42 PM NAME: GONGORA LUIS PLACE OF DEATH SFGH4 ICU Age: 45 Sex: MALE Ht: 5'6? Wt: 152 PA POLICE NOTIFIED POLICE STATION NOTIFIED POLICE OFFICER Race WHIT Is NIC YES SFPD PERALTA HOMICIDE NOTIFIED DATE TIME HOMICIDE OFFICER SFPD 04/07/2016 1:53:00 PM HUTCHINGS MARITAL STATUS: UNKNOWN IDENTIFIED BY: FINGERPRINT COMPARISION AT: SFPD ID BUREAU DATE: 04/07/2016 FINGERPRINTS TAKEN PALMPRINTS PRINTS TAKEN BY DATE YES NO J. WASLEY 04/07/2016 TO SFPD DATE: 04/07/2016 7 TO CII DATE: 04/07/2016 SFPD MATCH: SFPD 8649201 CII MATCH: CII TO FBI DATE: 04/07/2016 PHOTOS DATE: 04/07/2016 FBI MATCH: FBI TAKEN BY: TMM POLICE AT SCENE AT SCENE OFFICER POLICE STATION NO PERALTA MISSION SFPD 160-286-132 AIB or HR NOTIFIED: AIB DATE: AIB OFFICER: NATURE: 187 OFFICER INVOLVED CASE HISTORY The subject, a Hispanic male approximater 30 years of age, was in the vicinity of Shotwell Street between 18th Street and 19th Street. He was armed with a knife and in some manner sustained multiple gunshot wounds at the hands of police. He was emergently transported to San Francisco General Hospital (SFGH) were he underwent surgical procedures. He expired there on 04/07/2016 at 1242 hours. Information was received from SFGH medical records, nurse Practioner Rebecca Menza, and San Francisco Police Department (SFPD) Officer Peralta filing incident report #160?286-132. On 04/07/2016 shortly after 1000 hours members of the Homeless Outreach Team came into contact with the subject who at that time was waving what was described as a large kitchen knife in the air. They contacted SFPD and officers responded to the scene. Once in the vicinity SFPD officers were directed to the subject who was at that time on Shotwell Street between 18th Street and 19th Street. They approached the subject using verbal commands and Iess-than?lethal bean bag rounds were deployed at the subject. These had no effect and the subject was then shot multiple times by police. Emergency Medical Services were called with paramedics responding. The subject was emergently transported to SFGH Emergency Department. The subject was assessed and a thoracotomy was preformed. The subject was than taken to the Operating Room where an exploratory Iaparotomy was preformed. The subject was then taken to the Intensive Care Unit Case#: 2016-0349 MEDICAL EXAMINER I REPORT CITY AND COUNTY OF SAN FRANCISCO - RECORD OF DEATH where he expired at 1242 hours. This office was notified of the death at 1300 hours. This office then notified the SFPD Homicide Bureau at 1353 hours. investigation at the scene revealed the subject supine on a metal morgue gurney unclothed and enclosed in a pouch. Gunshot residue samples were taken and the hands were placed in paper bags secured at the wrists with zip ties. Three antemortem samples were collected from the hospital. One of these samples was possibly pretransfusion and the collection date was indicated as 04/07/2016 at 1115 hours. Identification and notification of next of kin is pending at this time. INVESTIGATOR: THOMAS MCDONALD #110 MARK NAGAYO #112 Case#: {2015-03407 Status: CLOSED Name: [eoEoTsK' Witt?Jr's ?7 alias: #44 EJOHN Date: 7 04/03/2015 Time: 9:00 i Contact_Person: Comments: Three telephone calls to the San Francisco Mexican Consulate were made at the request of Director Wirowek. Each call went unanswered and the telephone call directory, when prompting for an "English" ?speaker, would disconnect the call. was unable to speak with a representative as each attempt resulted in 5the repeated directory error. i A investigator: if Date: Time: Contact_Person: SGT. M. HUTCHINGS Contact_Phone: Comments: lHomicide Bureau was informed of the identification of the deceased and the pending notification of family lmembers. Review of CLETS, Accurint, and local hospital records were negative for next of kin on the subject. Investigator: Case#: 3016-0349 ?7 Status: CLOSED Name: pgng/?: 7' alias: Date: 04/07/2016 Time: 23:00 Contact_Person: Contact?Phone: gmments: 34/07/2016 at approximately 2300 hours. Director Wirowek spoke with SFPD Identification Technician Juliet lwho reviewed the subject's ID jacket for additional demographic information. The subject's middle name is lreportedly, "Demetrio." and he was born in the country of Mexico on 4/25/1970 (pending contact with Mexican lConsul General at this time see Activity 1). Past interaction with law enforcement identified first interaction with local law enforcement which occurred in i12/2010 with San Francisco police arresting the subject possessing and possibly attempting to distribute jmarijuana. 4/2014, the subject is arrested by Santa Clara County where he is placed on a ICE Hold at Santa Clara lCounty Jail. Per Deputy Castaneda of Santa Clara Sheriff's Office. after the subject served 4 days in lthe Santa Clara Main Jail. custody was ultimately transferred to San Francisco District Attorney's Office for an loutstanding warrant for Felony Assault. 12/2014, the subject spent an additional 4 days in Eimwood Complex in Milpitas, California. Reason for ldetention is uncertain at this time. jLastly in 9/2015. the subject was arrested after obstructing vehicle traffic flow after apparently laying in the [roadway of a Si Francisco City street. Investigator: Date: Time: 23:45 Contact_Person: aim Contact_Phone: 77 Comments: EDirector Wirowek spoke to Santa Clara Sheriff's County Deputy Castaneda #07859 of the "Administrative Booking" Division via telephone call on the above listed date and time. The subject's Santa Clara Sheriff's County ECV153. During the subject's prebooking proceedings on 4/2014 detention, he listed a home address on East Maude Avenue in Sunnyvale, California with a "415" Area code provided as his home telephone number. The telephone number has been reassigned to a female who denied knowledge of the decedent. She reports on 4/07/2016 at approximately 2335 hours. that she has had this number for approximately 2 years. Investigator: .1. MRQWEK Case#: [2016-0349 1 Status: Name: alias: EOE #44 Date: 04/68i201sj Time: 1:00; Contact_Person: Sheriff DeputyHarer #10733 Contact_Phone: 72? sDirector Wirowek received a return telephone call on the above listed date and time from Santa Clara Sheriffs County Deputy Harer #10733 of the "Intake/Booking Division". In an effort to locate next of kin, Director Wirowek requested for review of all possible visitor records, writtenlelectronic correspondence sent or received, and telephone cells (both outgoing and incoming) during subject's detention in Santa Clara County facilities. Per santa Clara Sheriff?s Deputy Harer #10733. during the subject?s detention in Santa Clara County Main iJail in 4/2014 and the 12/2014 detention in Elmwood Complex located in Milpitas, the subject did not have any visitors during both 4 day detentions. Additionally the subject did not receive telephone calls or other correspondence. Deputy Harer reconfirmed the limited Emergency Contact name. No address or telephone number is listed for the supposed contact. Relative designation is listed solely as "Relative." No additional information was provided. investigator: #1 Date: 7 94/08/2013 Time: 18:30 ROTHER Contact_Person: Contact_Phone: Comments: I met with the brother on the above' listed date and time when notification occurred in person. The subject had been in the San Francisco Bay Area for approximately 8 years according to the brother. The gsubject would collect recycling containers to sustain himself. The brother denies current alcohol. tobacco. or lillicit drug use. The subject did consume alcoholic beverages to the point of intoxication, however it had reportedly been several years since heavy consumption. Additionally brother confirmed prior street drug use, but was unaware of the particular drug of choice. To the best of his knowledge the subject was not using presently, however he would not necessarily describe their interaction today as "close". The brother said the subject was somewhat "distant" and estranged from him and the other family members. L. . . "g Investigator. J. Case#: 2356-0349 Name: GONGORA les alias: JOHN Date: ?i'mzme Time: Contact_Person: Contact_Phone: i 7 4' Comments: Funeral home contacted the office stating that "Luis Gongora" has another name via the Mexican consulate under the name "Pak, Luis" also confirmed by the wife located in Mexico. investigator: J. WIROWEK if Date: f_ Time: 7:45 Contact_Person: ?Gary Watts. Homicide Contact_Phone: Comments: ll?umed a call to Homicide InvestigatorGary Walts regarding the autopsy findings. We discussed each wound track and confirmed there were 6 gunshot wound tracks in the body. i . . Investigator: PARK, 070. #107 2016?0349 unnum- CLOSED I x: GONGORA - rm? - LUIS JOHN 04/08/2016 (ti Homicide mm: m. Firearm CAUSE OF DEATH: MULTIPLE GUNSHOT OUNDS Attach Picture ViewPhoto ??rt [pk CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2016?0349 Name: GONGORA, LUIS Date Time of Necropsy: April 8, 2016 0900 Hours AKA: DOE #44, JOHN Age: 45 Height: 5'6? Weight: 152 lbs. PRELIMINARY EXAMINATION: The body is that of a male, received in a sealed plastic pouch with blue seal 21520 that is broken at 4:14 PM on April 7, 2016. A Medical Examiner identi?cation tag is attached to the body bag, labeled ?John Doe #44 2016?0349.? The decedent is received wearing a hospital gown. There are no items of jewelry on the body, which is not accompanied by other valuables. Slight to moderate rigor mortis is in the larger muscle groups of the upper and lower extremities and the smaller muscle groups of the neck and jaw. Pink?purple lividity is posterior, and the body is cold to the touch. EXTERNAL The body is well-developed and well?nourished. The scalp has a full crop of up to 6 inches in length, straight black hair. Facial hair consists of a trimmed mustache and heard stubble. The eyes have brown irides. The bulbar and palpebral conjunctivae have no petechiae. Hemorrhagic chemosis is in bilateral bulbar conjunctivae. The sclerae are nonicteric. The pupils are equal. The external nose is normally formed, and the midline septum is intact. The external ears are normally formed, and the auditory canals are normal. The oral mucosa is tan, smooth, and moist, and the upper and lower frenula are intact. The teeth appear natural and are in fair repair. The neck contents are midline. The chest and abdomen are both symmetric. The abdomen is ?at. The vertebrae are in the midline of the back, and the anus and external genitalia are normal. The penis does not appear circumcised. The testes are bilaterally descended the scrotal sac. .5- The upper and lower extremities are normally formed, with a normal distribution of associated soft tissues. The ?ngernails are medium length and thickened, and have been previously cut on April 7, 2016. The ?ngernail clippings were submitted as ?Evidence.? The toenails are short and thickened. IDENTIFYING MARKS AND SCARS: An illegible tattoo that appears to start with the letter is on the base of the left thumb. A l/2?inch irregular ovoid scar is on the left elbow. A 1-inch linear scar is on the medial distal left thigh. Linear scars, up to 1/2 inch, are on the left calf. Irregular scars are scattered throughout the left and right knees. EVIDENCE OF MEDICAL INTERVENTION: An endotracheal tube enters the mouth and ends in the trachea. A hard cervical stabilizing collar is around the neck. Gauze wrap is around the top of the head. Gauze packing is within the gunshot wound on the left deltoid, and the wound is covered by gauze and adhesive dressing. A bilateral thoracotomy incision is on the mid chest, below the level of the 6th rib. The thoracotomy incision is covered by gauze and clear yellow adhesive tape. Two chest tubes, draining bloody ?uid, enter the right lower chest, pass through the 8th intercostal space, and end in the chest cavity. Two chest Page 1 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2016-0349 Name: GONGORA, LUIS Date Time of Necropsy: April 8, 2016 0900 Hours AKA: DOE #44, JOHN tubes, draining bloody ?uid, enter the left 7th intercostal space, and end in the chest cavity. A 14.5?cm vertical stapled incision is on the mid abdomen. A Foley catheter enters the urethra and ends in the urinary bladder. A single?lumen catheter enters the anteromedial proximal right upper arm. A single?lumen catheter enters the left antecubital fossa. A single?lumen catheter enters the right inguinal area. A hospital identi?cation tag is around the left wrist labeled ?India TR 2344.? An intraosseous catheter enters the proximal anterior left lower leg. An intraosseous catheter enters the proximal right lower leg. A hospital identi?cation sticker is in the medial right foot labeled ?India, TR 2344.? A hospital identification tag is bound to the left great toe labeled ?India, TR 2344.? A single-lumen catheter enters the dorsal left foot. A hospital identi?cation tag is bound to the right great toe, labeled ?India, TR 2344.? EVIDENCE OF INJURY: PERF ORATIN GUNSHOT WOUND OF LEFT UPPER FOREHEAD: An entrance-type, irregular gunshot wound is on the left upper forehead, l/2-inch below the vertex of the head and 2 inches to the left of the midline. The gunshot wound is a 4.5 3.4- cm irregular defect. No soot, stippling, or muzzle imprint is associated with the gunshot wound. An up to 2 mm margin of purple is at 7 to 8 o?clock of the wound. Brain matter is protrudes from the defect. The projectile passes through the skin and soft tissues of the left forehead, through the left frontal and parietal skull, through the left temporoparietal lobes of the brain, and exits though a 1.8 1.5-cm irregular defect above and posterior to the left ear. No soot or stippling is associated with the exit wound. The exit wound is 4?1/2 inches to the left of the midline, 3?3/4 inches below the vertex of the head, and 1?1/2 inches superior and posterior to the left external auditory meatus. Gray metal projectile fragments are recovered from within the left temporalis muscle, the soft tissues of the left temporal scalp, and left temporal lobe of the brain. The wound path is associated with diffuse subgaleal in bilateral temporal and left parietal scalp, fractures of the left frontal, bilateral temporal, and bilateral parietal skull, approximately 200 ml of clotted subdural hematoma, pan?hemispheric and basilar subarachnoid hemorrhage, lacerations of the left temporal and parietal lobes, contusions on the left frontal, temporal and parietal lobes up to 3 2.5 cm in greatest dimension, and soft tissue and muscle The direction of the wound path, with the body in anatomical position, is downward, right to left, and front to back. Page 2 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2016-0349 Name: GONGORA, LUIS Date Time of NecrOpsy: April 8, 2016 0900 Hours AKA: DOE #44, JOHN PENETRATIN GUNSHOT WOUND OF LEFT DELTOID: An entrance-type gunshot wound is on the left deltoid, 10-1/2 inches below the vertex of the head and 9?1/2 inches to the left of the anterior midline, and 2 inches below the top of the left shoulder. It is a l?cm irregular ovoid defect. No soot, stippling, or muzzle imprint is associated with the gunshot wound. The wound has an up to 2 mm circumferential margin of purple The projectile passes through the soft tissues and muscles of the left upper arm, through the proximal left humerus, and a projectile is recovered ?om within the soft tissues and muscles of the left shoulder area. The projectile consists of a deformed copper?jacketed, gray metal core. The wound path is associated with soft tissue and muscle and fracture to the left humerus. The direction of the wound path, with the body in anatomical position, is back to front and left to right. . PERF GUNSHOT WOUND TO RIGHT UPPER BACK: An entrance-type gunshot wound is on the right upper back, 6-3/4 inches to the right of the midline, 14?1/2 inches below the vertex of the head, and 4-1/4 inches below the top of the right shoulder. It is a 1.4 l?cm irregular ovoid defect. No soot, stippling, or muscle imprint is associated with the gunshot wound. A 4 3?cm purple is at 2 to 4 o?clock. A 3.1?cm in length, irregular superficial abrasion is at 2 o?clock. The projectile passes through the soft tissues and muscles of the right upper back, through the proximal right humerus, and exits the anterior right upper arm through a 1.7 1.1?cm irregular defect. No soot or stippling is associated with the exit wound. The exit wound is 4- 1/2 inches below the top of the right shoulder and 16 inches below the vertex of the head. The wound path is associated with soft tissue and muscle and fracture to the right humerus. Gray metal projectile fragments are recovered from the soft tissues and muscles of the right shoulder area. The direction of the wound path, with the body in anatomical position, is left to right, downward, and back to front. PERFORATING GUNSHOT WOUND TO RIGHT LOWER CHEST: An entrance?type gunshot wound is on the right lower chest, 2-1/2 inches to the right of the midline, and 20 inches below the vertex of the head. It is a 2.5 2-cm irregular defect. No soot, stippling, or muzzle imprint is associated with the gunshot wound. An up to 1 cm margin of purple surrounds the wound. Page 3 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2016?0349 Name: GONGORA, LUIS Date Time of Necropsy: April 8, 2016 0900 Hours AKA: DOE #44, JOHN The projectile passes through the soft tissues of the anterior chest wall and exits the left lower chest through a 2.5 2?cm irregular defect. No soot or stippling is associated with the wound. The exit gunshot wound is 1 inch to the left of the midline and 23 inches below the vertex of the head. An up to 3.2 cm margin of red?purple surrounds the wound. The wound path is associated with soft tissue The direction of the wound path, with the body in anatomical position, is right to left and downward. PERFORATIN GUNSHOT WOUND TO MID RIGHT FOREARM: An entrance?type gunshot wound is on the mid dorsal right forearm, 26?1/2 inches below the a vertex of the head, and 17 inches below the top of the right shoulder. It is a 1.4 0.7-cm irregular ovoid defect. The projectile passes through the soft tissues and muscles of the right forearm and exits through an irregular defect on the mid ventral right forearm, 15?3/4 inches below the top of the right shoulder and 26 inches below the vertex of the head. It is a 5.7 3?cm irregular defect. No soot or stippling is associated with the gunshot wound. The wound path is associated with soft tissue and muscle The direction of the wound path, with the body in anatomical position, is back to ?'ont and upward. PERF GUNSHOT WOUND OF RIGHT PROXIMAL OREARM: An irregular gunshot wound is on the lateral proximal right forearm, 9?1/2 inches below the top of the right shoulder. It is a 3.8 l-cm irregular defect. No soot, stippling, or muzzle imprint is associated with the gunshot wound. A 5.3 2.5?cm irregular gunshot wound is above the right elbow, centered 17 inches below the top of the right shoulder, and 22 inches below the vertex of the head. No soot, stippling, or muzzle imprint is associated with the wound. A 6?mm irregular defect is immediately below this wound. The two defects extend into the soft tissue and muscle only and have intersecting wound tracts. Trajectory, and entrance and exit wounds cannot be discerned given the irregular con?guration of the wounds. The projectile passes through the soft tissues and muscles of the right forearm. The wound path is associated with soft tissue and muscle Page 4 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2016-0349 Name: GONGORA, LUIS Date Time of Necropsy: April 8, 2016 0900 Hours AKA: DOE #44, JOHN OTHER INIURIES: Purple up to 2?1/2 inches, are on the left upper eyelid and medial aspect of the left lower eyelid. A purple is on the right upper eyelid and lateral aspect of the right lower eyelid. A l/8-inch abrasion is on the nose. A 1-1/2 l-inch abrasion and light blue up to 1/2 inch, are on the right upper mid back. Super?cial abrasions, up to 1/2 inch, are below this area of abrasion and on the right mid back. A 1 1-inch abrasion and 2?1/2 2-1/2 blue?purple are on the right mid lateral back. A 1?1/4 1/2?inch abrasion is on the right lower back. A 4?mm irregular defect, with surrounding 2.5 2?cm circumferential light blue is on the anterior right shoulder. No soot or stippling is associated with this irregular defect. There is no wound path. The defect extends into the soft tissue. A 5 blue?purple is on the lateral right upper arm. A 2?1/2 2-inch abrasion is on the lateral right upper arm. INTERNAL EXAMINATION: Bilateral thoracotomy incision is as previously described. The body cavities have no adhesions. The musculoskeletal system is well-developed. The muscles have a normal color and consistency. The vertebral column and pelvis are intact. NECK: The anterior neck strap muscles and soft tissues have no injury. The hyoid bone and thyroid cartilage are intact. The thyroid gland is normal in size and has a tan, lobulated without masses or The larynx and trachea are lined by intact and congested mucosa. The tongue has no injury. HEAD AND CENTRAL NERVOUS SYSTEM: Subgaleal are as previously described. Skull ?actures are as previously described. Subarachnoid hemorrhage and subdural hematoma are as previously described. The brain is 1230 grams. Injury to the brain is as previously described. The uninjured cerebral and cerebellar hemispheres are symmetric. The cerebral gyri and sulci are normal. The cingulate gyri, unci, and cerebellar tonsils are not herniated. The mammillary bodies and the cranial nerve roots are well formed and symmetric. The blood Vessels on the base of the brain, including the circle of Willis, are well formed and patent. The pituitary gland is grossly normal. The gray?white matter demarcations are distinct. The gray matter is tan and uniform. The subj acent white matter has no cystic or mass lesions. The central nuclei are well formed and symmetric. The hippocampi are normally formed. The ventricles are normal in size. The corpus callosum is well formed and intact. The cerebellum, midbrain, pons, and medulla oblongata have no gross abnormalities. The substantia nigra is gray-tan. CARDIOVASCULAR: The heart is 370 grams. The pericardial sac is intact. The epicardial surfaces are smooth and have increased fat. The coronary arteries arise normally Page 5 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2016-0349 Name: GONGORA, LUIS Date Time of Necropsy: April 8, 2016 0900 Hours AKA: DOE #44, JOHN from the aortic root, and their ostia are patent. The coronary arteries are distributed normally and have slight atherosclerosis. The right coronary artery supplies the posterior descending artery. The left free ventricular wall, the interventricular septum, and the right ventricular wall are 1.2, 1.4, and 0.3 centimeter, reSpectively. The atria are not dilated, and the atrial septum is intact. The heart chambers are unremarkable. The endocardial surfaces are smooth. The tricuspid, puhnonic, mitral, and aortic valve circumferences are 10, 6.2, 9.4 and 6 centimeters, respectively. The valves are normally formed and have no ?ision, vegetations, or fenestrations. The chordae tendinae are intact and not thickened. The aorta has no injury and is normal in course, caliber, and branch pattern. The endothelial surfaces are yellow and have slight atherosclerosis. The pulmonary vasculature is well-formed and patent. RESPIRATORY: The right and left lungs are 380 and 450 grams, respectively. The pleural surfaces are pink-red anteriorly, red?purple posteriorly and have slight anthracotic mottling. The lungs are collapsed within the chest cavities. The is dark red? purple, moderately congested, and has no focal lesions. The pulmonary vessels and bronchi are normally formed and patent. The hilar nodes are normal. HEPATOBILIARY: The liver is 1840 grams. The capsule is smooth and intact. The is brown, has a normal consistency, and has no focal lesions. The vessels of the porta hepatis are normal. The gallbladder contains 10 milliliters of tan bile and no calculi. The biliary tree is patent. GASTROINTESTINAL: The esophagus is lined by intact, tan mucosa. The stomach contains approximately 200 milliliters of brown ?uid. The gastric mucosa is intact, tan, and has decreased rugal folds. The mucosa of the small and large intestines is intact, and there is no obstruction, perforation, or masses. The rectum is normal and contains firm, green stool. I-IEMATOPOIETIC: The spleen is 70 grams. It has a finely wrinkled, purple?gray, and intact capsule. The is dark red-purple. ENDOCRINE: The pancreas is nOrmal in size and has a tan, lobulated The adrenal glands are normal in size and have bright yellow cortices and soft, brown medullae. GENITOURINARY: The right and left kidneys are 150 grams each. The cortical surfaces are smooth. The cortices are up to 6 millimeters. The renal vessels are patent. The is tan-brown and has well-defined corticomedullary junctions. The calyces and ureters are not dilated and drain normally. The urinary bladder contains 2 milliliters of yellow urine and has an intact mucosa. The prostate gland is not enlarged. The seminal vesicles are normal. The cut surfaces of the testicles have no or masses. Page 6 CITY AND COUNTY OF SAN FRANCISCO Of?ce of the Chief Medical Examiner Medical Division Case No. 2016-0349 Name: GONGORA, LUIS Date Time of Necropsy: April 8, 2016 0900 Hours AKA: DOE #44, JOHN AUTOPSY FINDINGS: I. PERFORATING GUNSHOT WOUND OF THE LEFT FOREHEAD: SUBGALEAL MULTIPLE SKULL FRACTURES SUBDURAL HEMATOMA SUBARACHNOID HEMORRHAGE LACERATIONS OF BRAIN CONTUSIONS OF BRAIN SOFT TISSUE AND MUSCLE EXIT WOUND POSTERIOR TO LEFT EAR PROJECTILE RAGIVIENTS RECOVERED FROM LEFT TEMPORALIS MUSCLE AND LEFT TEMPORAL LOBE II. PENETRATIN GUNSHOT WOUND OF LEFT DELTOID: A. FRACTURE OF LEFT HUMERUS B. SOFT TISSUE AND MU SCLE C. PROJECTILE RECOVERED FROM SOFT TISSUES AND MUSCLES OF LEFT SHOULDER AREA PERF ORATIN GUNSHOT WOUND OF RIGHT UPPER BACK: A. FRACTURE OF RIGHT HUMERUS B. SOFT TISSUE AND MUSCLE C. EXIT WOUND ON AN TERIOR RIGHT UPPER ARM . D. PROJECTILE FRAGMENTS RECOVERED FROM SOFT TISSUES AND MUSCLES OF RIGHT SHOULDER AREA IV. PERF ORATIN GUNSHOT WOUND OF RIGHT LOWER CHEST: A. SOFT TISSUE B. EXIT WOUND ON LEFT LOWER CHEST PERF ORATIN GUNSHOT WOUND OF MID DORSAL RIGHT FOREARM: Hmewmuow> V. A. SOFT TISSUE AND MUSCLE B. EXIT WOUND ON MID VENTRAL RIGHT OREARM VI. PERF ORATIN GUNSHOT WOUND OF PROXIMAL RIGHT FOREARM: A. SOFT TISSUE AND MUSCLE VII. STATUS POST BILATERAL THORACOTOMIES, RECENT STATUS POST MULTIPLE CHEST TUBE PLACEMENTS, RECENT CAUSE OF DEATH: MULTIPLE GUNSHOT WOUNDS MANNER: HOMICIDE Heart, lung, spleen, liver, kidney, brain, aorta, and thyroid Spec. to Pathology: gland. Page 7 CITY AND COUNTY OF SAN RANCISCO Name: GONGORA, LUIS AKA: DOE #44, JOHN Spec. to Histology: Spec. to Microbiology: Spec. to Toxicology: Radiographs: Physicians Present: Forensic Techs: Photographer: Evidence: M.D. Hunter, M.D. In 47?- Of?ce of the Chief Medical Examiner Medical Division Case No. 2016-0349 Date Time of Necropsy: April 8, 2016 0900 Hours None. None. Two (2) antemortem blood specimens, one (1) antemortem serum, iliac vein and central heart blood, Vitreous humor, gastric contents, urine, bile, liver tissue, and right quadriceps muscles are retained. A toxicology report Will be issued I separately. Full body X?rays are taken by Jennifer-Park, D.O., Assistant Medical Examiner, San Francisco Medical Examiner?s Of?ce and ?led. M.D. Hunter, M.D., A.P. Hart, M.D., E.G. Moffatt, M.D., H. Narula, MD. D. Etheredge. D. Etheredge and Jennifer Park, D.O., Assistant Medical Examiner, San Francisco Medical Examiner?s Of?ce. Two (2) blood spot on ?lter paper, Medical Examiner?s seal #21520, left and right hand ?ngernail clippings, pulled scalp hair, left and right hand swabs, left and right hand bags, gunshot residue (GSR) kit, projectile from right shoulder, projectile fragments from head, projectile from left shoulder. @fEiIPwa?W 9M 3318 tant Medical Examiner K. AP. Hart, MD, E.G. Moffatt, MD 1- Namla. M.D. J. Park, DO. 1 l2?$ c533 new woman assesses we Page 8 Office ofthe Chief I City and County of Medical Examiner San Francisco TOXICOLOGY REPORT NAME: GONGORA, SUBMISSION DATE: 04/11/2015 M. E.: JP CASE NO: 2016-0349T REPORT DATE: 09/12/2016 ANALYTICAL RESULTS: SPECIMEN TYPE COMPOUND RESULT ANALYSIS BY Blood (AM1) Methamphetamine I 1.01 mg/L GC-MS Blood Amphetamine 0.14 mg/L GC-MS Blood (AMZ) Mephentermine Detected Blood (AMI) 2 ng/mL Blood Ag?Carboxy THC 9 1 ng/mL Blood (AM2) Caffeine Confirmed Present GC-MS COMMENTS Blood (AM): 04/07/2016; unknown hrs, "post-transfusion" written on label. 2eIoocI (AM): 04/07/2016; 1115 hrs. a Report prepared by AJM. ATM . Luke N. Rodda, Acting Director Chief Forensic Toxicologist ANALYTICAL PROTOCOL: . -. - Specimens submitted were subjected to AnalytiCal: .1 Is A, and'C. Analytical Panel A employs ID to detect and ical._Pa_nel B?employs GC-MS and/or to quantify ethanol, methanol, isopropanol 'd'aceto' a I detect, confirm and/or qu%et%f?urg_ ,qa?mmnes, Cannabinoids, Cocaine, Fentanyl, Methadone. Phencyoli 0 lat I i. A .nd- rioycic; ressants. Analytical Panel employs GC-MS to detect and/or confirm over one hundred??j??bqig?Fga?fcontact the Forensic Laboratory Division if you have questions regarding ?2'33; LI s? . HalI of?JLis?tic? 850 Bryant Street San Francisco a California 0 94103-4603 Telephone; 553-9009 0 Fax: (415) 553-9815 ACCREDITED AMERICAN BOARD OF FORENSIC TOXICOLOGY