### U.S. DEPARTMENT OFTRANSPORTATION OFFICE OF HEARINGS WASHINGTON, DC 

## SEP 012016 ***************************** In the Matter of: KENNETH RAY RUMBERGER 

## * * Docket No. FAA-2015-0639 

### * Case No. 2015WP270015 

## * ALJ -RAWALD 

## * ***************************** TO: Honorable Douglas M. Rawald and Respondent COMPLAINANT'S OPPOSITION TO MOTION TO DISMISS 

## DOCKET

COMES NOW, Complainant, by counsel, pursuant to 14 C.F.R. 

### § 13.218(d), files this Opposition to Respondent's Motion to Dismiss, served by mail onAugust 15, 2016. Introduction The Complaint alleges Respondent violated 14 C.F.R. § 91.11 when, on or about November 15, 2014, he pointed a laser at an aircraft- N341HP, and the beam oflight illuminated the aircraft's cockpit, interfering with a crewmember in the performance of the crewmember's duties. See, 76 FR 76611-76612 (Dec. 8, 2011): directing laser beams towards aircraft operating
on the ground or in the air so that it interferes with a crewmember in the performance of the crewmember's duties is a violation of section 91.11; and persons violating section 91.11 are subject to a substantial civil penalty. Background Respondent moves for dismissal stating that the Complainant's evidence does not meet the clear and convincing standard of proof. Respondent attaches to his motion the releasable portions ofEnforcement Investigative Report (EIR) 2015WP270015 and a declaration from the passenger who was in Respondent's vehicle at the time ofRespondent's arrest.

### The releasable portions of the EIR include the Laser Beam Exposure Questionnaire completed by the aircraft's pilot in command- CHP Officer Gavitte and a summary "Record Review" of the Richmond Police Department Arrest Report. (Richmond Police Department requested that its arrest report not be disseminated. 1) 

### In support ofhis motion, Respondent states that the Laser Beam Exposure Questionnaire contains contradictory responses; that portions of the EIR released to him are blacked out; and that the "Record Review" ofthe Richmond Police Department arrest report is biased. In further support ofhis motion, Respondent includes and refers to his passenger's declaration wherein the passenger states he only observed Respondent aiming the laser pointer at street signs. Argument In accordance with 14 C.F.R. 

### § 13.223 ofthe Rules of Practice in FAA Civil Penalty Actions, the standard ofproofin this matter is by the preponderance ofreliable, probative, and substantial evidence. The pmtions of the EIR that were blacked out were withheld as containing privilegeddeliberative, pre-decisional material. See, the undersigned counsel's cover letter to Respondent providing the releasable portions of the EIR, which is attached to Respondent's motion to dismiss. CHP Office Gavitte explains that the reason he responded "No" on the Laser Beam Exposure Questionnaire to the questions "Did the laser illumination incident interfere with your performance ofpilot or crewmember duties during the flight?" and "Did the laser illumination

1 On August 22, 20 16, the undersigned counsel contacted Respondent andprovided Respondent with the records section supervisor contact information ofthe Richmond Police Department so that he could obtain the report ofhis arrest directly with the Richmond Police Department. 2

### Narrative/Supplemental, dated August 25, 2016, with attached Exhibit 1, Flight Officer W. Lowe's Narrative/Supplemental, dated November 15, 2014, and with attached Exhibit 2, the Laser Beam Exposure Questionnaire completed by Officer Gavitte. Officer Gavitte states that he
was able to mitigate the laser strike to his eyes by taking his hand offa flight control (collective) to block the laser beam, by using his peripheral vision only for navigating on a forward path, and by lowering his vision inside the cockpit so that he would not lose control. Thus, there is no dispute that the laser beam illuminated the cockpit ofthe helicopter and the laser beam interfered with Officer Gavitte's performance of his piloting duties; Officer Gavitte took extraordinary
measures to maintain control ofhis helicopter. On the remaining issue, Respondent denies he pointed a laser at the police helicopter. However, Officer Gavitte states that the laser beam appeared to deliberately track the aircraft. See Exhibit C-1, at p. 5 ofExhibit 2. WHEREFORE, the Complainant respectfully requests this Court deny Respondent's motion to dismiss. Respectfully submitted, Patricia A. MeNall Acting Assistant ChiefCounsel For Enforcement By: Lisa Toscano, Attorney Enforcement Division, Western Team email: Lisa.M.Toscano@faa.gov Telephone: (310) 725-7100 (main) (310) 725-7110 (direct) (310) 725-6816 (fax) Dated: August 26,2016

3

### DOCKET NO. FAA-2015-0639 CERTIFICATE OF SERVICE I hereby certifY that on this date I have sent by United States First-Class mail, the COMPLAINANT'S OPPOSITION TO MOTION TO DISMISS, and Exhibit C-1 with Exhibits 1 and 2, addressed as follows: Hearing Docket Federal Aviation Administration Wilbur Wright Building, Suite 2W1000 Attn: Hearing Docket Clerk, AGC-430 800 Independence Avenue, S.W. Washington, DC 20591
The Honorable Douglas M. Rawald Administrative Law Judge U.S. Department ofTransportation Office ofHearings, M-20 1200 New Jersey Avenue, S.E. (Ell-310) Washington, D.C. 20590 Comiesy Facsimile: (202) 366-7536 Kenneth Ray Rumberger 2451 Church Lane, SPC 38 San Pablo, CA 94806-5945
Dated: August 26, 2016 •7; 

### /'

# ~**~;;C;;u~-\~** Antonia

### Garci~, Paralegal Specialist Enforcement Division, Western Team Lawndale, CA

4STATE OF CALIFORNIA NARRATIVE/SUPPLEMENTAL CHP 556 (Rev. 7-90) OPI 065 DATE OF INCIDENT/OCCURRENCE 

# I TIME (2400} 11/15/2014 0007 "X" ONE "X" ONE 

### 0 Narrative 

### 0 Collision Report INCIC NUMBER9314 

## I

**OFF~CER** 1.0. NUMBER 015945 TYPE SUPPLEMENTAL

### rx-APPUCABLE} 

### 0 BA Update 

### 0 Fatal 

### IZI Supplemental 

### IZI Other: FAA 

### 0 Hazardous Materials 

### 0 School Bus CrTY..COUNTY/JUDIC!AL DISTRICT Richmond/Contra Costal LOCATION/SUBJECT Over Hilltop Dr. all-80/Kenneth Rumberger 1. 

### SUMMARY {FACTS} Page of 2 NUMBER 

### D Hit and Run Update 

### IZI Other: FAA laser form REPORTING OJSTRICTfBEAT I CITATION NUMBER
STATE HIGHWAY RELATED 

### 0 Yes 

### 1Zl No

2. 

### This SU[l[llemental re[lort is being Qre[lared to clarify my QOSition, involvement in and resQonses in the laser beam 3. 

### guestionnaire regarding a laservs. aircraft incident on November 15, 2014. 4. 

### On that date I was on dutv, in uniform and emQloyed as a Qeace officer with the California Highway Patrol. I was 5. 

### and am assigned as an officer/helicoQter Qilot with the CHP's Golden Gate Division Air O[lerations Unit based at 6. 

### Napa Airport. 7. 

### On 111!5/14 I was flying as the Qilot-in-command (single Qilot} ofa marked CHP/law enforcement helico[lter, a 8. 

### EuroCO[lter AS-350 B3 registration N34!HP, "H-32". The crew consisted ofmyselfand my [lartner, Officer W. 9. 

### Lowe,#I9436, a non-Qilot Flight Officer/Paramedic who is also a [leace officer. I was using Night Vision Goggles 10. 

### (NVG's} during the flight. 11. 

### At aQQroximately 0007 hours we were on Qatrol overthe Ci!)' ofRichmond near HilltoQ Dr. and I-80 freeway. At 12. 

### an altitude ofa1:11:1roximately 1200' MSL, we were struck by a green laser light. The beam entered the cock12it 13. 

### windshield from a ground 12osition from the left/front ofthe aircraft. Though myNVG's were in the down 12osition 14. 

### the beam entered from the left side hitting my naked eye. The beam a12I:leared to track the helico12ter as we were in 15. 

### a left hand tum and the beam struck the aircraft a second time from the front. The beam shined brightly and caused 16. 

### me tem12ora!:):' flash blindness. When it shined through the 12lexiglass it "scattered" and was disorienting/distracting 17. 

### besides causing tem1:1orary blindness. When the beam subseguently hit the aircraft from the front, I lifted my left 18. 

### hand from the collective control to block/minimize the beam and had to use my [leriQheral vision only to see ahead. 19. 

### U12on return to Na12a I ex12erienced 12ain/irritation/redness to [lrimarily my left eye. 20. 21. Z2. . 23. 24. 25. 26. 27. 28. 29. 30. 31. PREPARER'S NAME and 1,0 NUMBER DATE REVIE'NER'S NAME 

### P. Gavitte #15945 08/25/16 Use previous ed1t1ons unbl depleted rATE
Exhibit C-1 1Chp556_1114.paf

### STATEOF CALIFORNIA NARRA TIVEISUPPLEMENTAL CHP 558 

### (Rev 7-90) OPI 065 DATE OF INCIDENT/OCCURRENCE 

## l T!ME (2400) 

### 11115/2014 0007

**·x~aNe** "X" ONE 

### 0 Narrative 

### D Collision Report 

# I NCIC NUMBER

### 9314 

### I OFFICER 1.0. NUMBER 

### 015945 TYPE SUPPLEMENTALjlrAPPUCABLE} 

### 0 BAUpdate 

### 0 Fatal 

### IZl Supplemental 

### 181 Othec FAA 

### 0 Hazardous Materials 

### 0 School Bus CITY/COUNTY/JUDICIAL DISTRICT 

### Richmond/Contra Costa/ LOCATION/SUBJECT 

### OverHilltop Or. at l-80/Kenneth Rumberger 1. 

### QUESTIONNAIRE RESPONSES Page 2 of 2 NUMBER 

### D Hit and Run Update 

### 181 othec fAA 

### laserfonn REPORTING DISTRICT/BEAT I CITATION NUMBER
STATE HIGHWAY RELATED 

### 0 Yes 

### 181 No

2. 

### I answered "no" in the guestionnaire to the guestions, "Did the laser illumination incident interfere with }'OUr 3. 

### Qerformance ofQilot or crewmember duties during the flight?" and "Did the laser illumination incident disru[Jt }'OUr 4. 

### mission?". Due to the number ofincidents and safe!}' concerns related to laserillumination I 

### have conducted 5. 

### training to mitigate disorientation. Part ofthis training is to "aviate" first, kee[J the aircraft fl}'ing to [Jrotect m}' 6. 

### crew, m}'selfand [Jersons/[JroQertv on the ground. In this case "aviating" included the mitigating resQonse oftaking 7. 

### m}' hand offa control {collective} to blockthe laser beam. It 

### also included having to view the forward Qath ofthe 8. 

### aircraft with QeriQheral vision onl}' as well as lowering my vision to inside the cock[Jit to make sure I 9. 

### didn't lose control. Regarding the second guestion of"Did the laser illumination incident disruQt }'OUr mission?". 10. 

### I 

### answered "no" as I 

### took the guestion to mean, did we divert from an active call {IJursuit, search etc.} to handle the 11. 

### laser incident. While we were not on another active call, we were on an active Qatrol flight which includes security 12. 

### checks ofinfrastructure such as bridges, refineries, (JOWer stations etc. and we did divert from this securi\)' Qatrol to 13. 

### recover from the laser illumination and follow the SUS(Ject and have ground officers affect 

### an arrest. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. PREPARER'S NAME and LD. NUMBER P. Gavitte 

### #15945 DATE REVIEWER'S NAME 08/25/16

.. Use previous edttions until depleted DATE


### Exhibit C-1 2Chp556_1114_pdfSTATE OF CALIFORNIA 

### NARRA liVE/SUPPLEMENTAL DATE OF INCIDENT TIME 11/15/2014 0020 Nbc NUMBER OFFICER 

### 1.0. NUMBER 1478 14-17058

PAGES I OF S 1



### 1 SUMMARY: 2 On Saturday, November 

### 15, 2014 at approximately 0007 hours, 1 was on patrol 

### as a Flight Officer in 3 CHP Helicopter H-32 with my partner Officer/Pilot Gavilte, ID #15945, flying along 

### 1-80 eastbound in a 4 shallow left tum at approximately 1200 feel over the city of Richmond. 

### 5 As we were flying, I noticed a bright green flash from myfront left side. 

### I immediately recognized this flash 

### 6 to be that ofa green laser being pointed at our aircraft. 

### I knew it to be a laser pointer as 

### I have been 7 illuminated with a green laser before while in the aircraft. I told the pilot 

### we were being lased, and we were 

### 8 immediately lased another lime, now from a head on position to the aircraft, as the laser appeared 

### to be 

### 9 tracking the helicopter. The area from where the laserwas coming appeared to be the intersection of 

### 10 westbound Hilltop Drive and the on-ramp 

### to 1-80 eastbound. 

### Isawthe laser was coming from the driver 

### 11 side window of a light colored sedan which was the only vehicle atthe intersection, stopped at the red light. 12 When the light turned green, the stvcontinued on Hilnop Drive at a high rate of speed until it caught up to 

### 13 several cars and had toslow down. The s/vthen stopped in the left tum Jane of Hilnop Drive, preparing to 14 make a left tum onto Robert Miller Drive. 

### I asked Richmond Police Department Dispatch for any available 15 unit in the area to assist in conducting an enforcement stop on the vehicle. Three ground units responded 16 to the Intersection of HIIHop Drive at Robert Miller Drive before the light turned green for the s/v totum left 17 onto Robert Miller Drive. When the lightturned green, the s/v quickly turned left and changed lanes, 18 rapidly accelerating from traffic. The s/vthen made a left turn onto Birmingham Drive, followed by a right 19 turn onto Lancaster Drive, followed by another leftturn onto Southampton Court. The s/v went to the end 20 ofthe court and then slowly turned around and began coming backtowards lancaster Drive. By this lime, 21 Iwas able to direct the units to where the s/v was, and as the s/v made a left tum back onto Lancaster 22 Drive, the Richmond Police Officers conducted an enforcement stop after I confirmed they were behind the 23 right vehicle. From the time we were lased, until the time the enforcement stop was made, I never lost 24 sight ofthe s/v. The primary unit, callsign 1 Lincoln 8, was Officer Shanks #1478. He identified the driver 25 as Kenneth Ray Rumberger and ultimately placed him under arrest for violation of 247.5 PC- Pointing a 26 Laser Pointerat an Aircraft. The green laserwas located and later booked Into evidence at the Richmond 27 Police Station. (Referto Officer Shanks's arrest report for details involving his arrest and evidence booking) 28 29 RECOMMENDATIONS: 30 I request this supplemental be added to Officer Shanks's report to assist in the prosecution of Kenneth Ray 31 Rumberger 

### forthe crime of247.5 PC- Pointing a Laser Pointer at an aircraft.


### PREPARED BY W.LOWE 

### I OFFICER I.O.NUMBER 019436 DATE 

### 11/15/2014 REVIEWER'S NAME 

## DATE

Exhibit 1 1

### I certifythis IOP is a Certified true copy. 

### DavidT. Jensen Dated 1/9/2015

Exhibit 1 2

# Federal Aviation Administration LASER BEAM EXPOSURE QUESTIONNAIRE Complete questionnaire and e-mail to: laserreports@faa.gov OR send via fax to FAA Washington Operations Center Complex (WOCC). (202) 267-5289 ATIN: DEN CONTACT INFORMATION Name of pllot/crewmember reporting 

# I Peter Gavilte E-mail address and phone number(e.g., home, cell, worl<) 

# Ipgavitte@chp.ca.gov (707) 257-0103 wor1< What seat Inthe cockpitwereyou occupying atthethne ofthe laser beam exposure? ('Left 

## r. Right ('Jumpseat ('Alght Engineer ('Other/Notapplicable How many crewmembers ontheflight had laser lightshined directly Intheir eyes? (' None (the laser light beam did notdirectlyenteranyone's eyes) ('One (i'Two ('Three ('Fouror

### more Note: Ifanyotherctewmemberhaddirectexposure

### to the laserlight

### In theireyes, each person exposed should complete theirown copyofthis FAA LaserBeam Exposure QuesOonnalre
FLIGHT INFORMATION Flight number, call signand aircraft registration number (e.g., SWA572,

**soulhwes~** N287WN) 

# I "H-32" N341 HP Aircraft Make and Model (e.g., Boeing 737, Cessna 172, Airbus A320, BAE Jelstream 32, Demler 328) 

# IAEC AS-350 helicopter Category ofaircraft ('Airplane (i' Rotorcraft (' Ughterthan air ('Other (spoclfy) Type ofoperation ('Commercial AvlaDon (' General Aviation ('Military (i' Law Enforcement 

# .------------------------------, ('Medical ('News Reporting ('Other (specify) 

# L---------------------l Data oflaser Incident 'November 15, 2014 

# I Please enterdateoflaserIncident In Month Day, Yearformat (e.g, July27, 20U). OR mou..click In
L.

**c.:;_.;_.::..:.:....;.;:.:..:~c.:;_---'·** the data field tc display a drop down arrow toview calendar and makeyourselection. Thecalendar selection is optimized for PC's and may notbe available on aMac. Time oflaser Incident (enter UnlversalllmeCoordinated (UTC/Zulu) fonmat rounded to the nearestfrve minutes)



### ~ **:~** l/TC/Zulu

.:··· :·i···
.. Exhibit 2 1Time ofday during laser incident Nighttime, on or after midnight local time Location 

### ofaircraft during laser Incident (Fixed Radial Distance (FRO) from navald or airport, OR add la1/long coordinates)

Helicopterwasjust south of the Intersection of Hilltop Dr. and 1-60 freeway in the City of Richmond, CA Estimated geographic locaUon ofthe laser source (e.g.,lhe laser source relative to KDFW approach end of runway 35L was approximately 220 degree redial and 2 miles. You can also provide estimated !at/long coordinates)

the laser source was from within 

### a vehicle stopped at the Intersection of Hilltop Dr. and 1-80 Approximate altitude ofthe alrcneft above ground level (AGL) 

### 1501

- 1000 Feet AGL Primary direction offlight atthe time ofthe laser Incident \N 

### IS 

# r-r.w \SW \NE 

## rse \E \W I None!Hover What phase(s) offlightwene you In duringthe laser Incident? (cheok all that apply) 

## D Taxi 

## D Takeoff 

## D Climb to altitude 

## 1Z1 Cruise allituda 

## D Descant 

## 0 Final approach 

## 0 Landing 

## D Low-altitude (<500ft. AGL) level flight 

## D Hover 

## D Other(specify) EFFECT ON FLIGH f Interference: Did the laser Illumination Incident Interfere with yourperformance ofpilot orcrewmember duties during the flight? ('Yes 

# r- No Ifyou selected "Yes" above, how did the laser Illumination Interfere with your pilot or onawmember dulles?

Flight Path: Did the laser Illumination cause the pilot/crew memberto change the aircraft flight path? I No change In flight path 

# r- Minoror non-adverse change I Majer or adverse change Disruption of Mission: Answer this question ONLY If you were conducting law enforcemenl, medical or military flight operations during the time ofthe laser illumination Incident. Did the laser Illumination Incidentdisrupt your mission? \Yes 

# r- No Ifyou selected "Yes' above, how did the laser illumination Interfere with your mission?

The flight was on operational patrol and was returning towards Napa, the home base. The flight diverted from returning

Exhibit 2 3 

# "

### I certify this 

### lOP is a Certified true copy. David 

### T. Jensen



# /7- 

# rcvz-- Dated 1/9/20JS

Exhibit 2 4LASER INFORMATION Color ofthe laserlight? (If multi-colored, check all that apply) 

# a Red 

# a Blue 

# m Green 

## 0 Yellow 

# a orange 

# [ill While 

# a Purple 

## 0 Other (specify) Tracking: Did the laserbeam appearto deliberatelytrack the aircraft?



### ----~----------------------------~ (iYes ('No l' Unsurelother (specify) Cockpit Illumination: Did the laser beam enterthrough thewindscreen and Illuminate any partofthe cockpit? (i Yes ('No ('Other(specify) Eye exposure: Oldthethe laserbeam light shine directly Intoone or both ofyoureyes? (' Old not shine Olrec1ly In myeyo(s) ("'Shined a little in my aya(s) (0 Sll!nod brightly In my eye(s)

EFFECT ON YOUR EYE(S} f\nsv.e1 qt est1ons 1:!'310\'J ONLY If :he laser be<1rn sh•nccl a l11ti8 or bngh·ty 1n ym:r :::ye\s) Old you experience any adverse VISION EFFECTS* from the exposure? (check allthat may apply) 

## D Did net experience edverse vision effects 

## 121 Glare (c:oold notsee past the light while Itwas In your eye(s)} 

## 121 Temporaryflash blindness andlor afterImages (similarto acamera nash) 

## DOne or more blind spots (spots In vlsuel field Jasfing longerthan 5-10 minutes) 

## 0 Blurryvision 

## D Significant loss 0 of'-n"'Jg:::h.:...t 

### v'-Js'-lo'-n-------------------------~ 

## D ather (specify}


### L-----------------------------------------~ 'Examples ofcommon vision effects Glare: Atemporarydisruplfan In vision

### causedby thepresence

### of abrightlight(such asan oncoming cor'sheadlights) within on

**Individual~** fieldofvision. Glorelasts onlyaslongasthebrightlightIs octuo//y presentwithin the Individuals fieldofvision. Flash blindness: AtemporaryVIsualInterferenceeffectthatpersistsafterthesource oftheIllumination hasceased, simflarto obrightcamem flash. Afterimage:An Image thatremainsIn the VIsualfieldafteran exposure toabtlghtlight. Blind

### spot: A temporaryor permanentloss of vision ofpottoft he visualfield. Unlikean afterimage, a blindspotdoesnot fade, 01fades veryslowly(takingmanyminutes, hoursordaysto fade out). Old you experience any adverse PHYSICAL EFFECTS from theexposure? (check all that may apply) 

## D Did net experience adverse physical effect& 0Watertngeye(s) 

## 1Z1 Eye(s) discomfort or pain 

## 0 Headache 

## 0 Feeling of

**s~ock** 

## D Disorientation orr.:d.:lzzi=ne:..:ss..:..._ ___________________________ **~** 

## 0 Other (specify)

# Iscratchiness in lefteye Did

### you rub

### your eye{s) afterthe exposure? (' No significant rubbing CO: Rubbed lhem a littl•

• . '·

. .;:·

**··~** F

**~·.!** '.'' i:
.. :·: · (' Rubbed them vigorously

Exhibit 2 5

### I certifY this lOP is 

### a Certified true copy. 

### David 

### T. Jensen / -7

**·~/ ~;** 



# ..:---- Dated 1/9/2 15

Exhibit 2 6EYE EXAM RESULTS. A11t,\','t:i ques:1ons bdO'.V ONLY ifyou had an eye exem< (liter !lie

**!r:J~.er** mci(Jcn: Enterthe medical facility name:

What

### type of doctor did the primaryor mostcomprehensive examination ofyour eye(s)? I Retinal Specialist I Ophthalmologist (medical doctor spsclalizlng In eye haalth) I Optometrist (lasts forvisual acuity and eye diseases; prescribes and fils glasses/contacts) I Optician (fitsglasses/contacts) I Emergency room doctor, nurse ortechnician 

### I 01her (specify)


### L---------------------------------------------~ Describethe resulls oftile medical evaluation:

LASER INCIDENT REPORliNG Did you reportthe IncidenttoAirTraffic Control (ATC)? (o' Old not report to ATC I Reported via aircraft radio communication 

### I Reported via phone call I Reported vie walk·ln to FAA ATC facility 

### I Other (spscily)

Did you report the laser Incidentto an FAA Flightstandards (AFS) field office? (e.g., FSDO, CMO, CHDO) I Did not report to AFS I Reported via aircraft radio communication I Reported via phone call I Reported via walk-in to FAAAFS field office (o' Other {specify)

# I report forwarded to FAASpecial Agent Scott Harris Ifyou reported toan FAAAFS field office, enterthe name and office location

'':;··,.: .,;

Exhibit 2 7

### I certify this lOP is a 

### Certified true copy. DavidT. Jensen



# ~!9tlol~-

Exhibit 2 8ADDITIONAL INFORMATION Did you have any prior knowledge ortraining on the hazards and effe<rts of lasers aimed at a pllot/crewmember? ("None (" Basic information aboutthe hazards and effectsOf lasers (i Detailed, specific lnfonnation 6\lch as howto recognize and reeoverfrom laser illuminations (" Simulatortraining orsimilarexposure to laser-Hke !Dum!nations in an aviation training environment 

## r Other (specify)



### Ple~;f~r.JrGO

### to'iicill llnY}ill!dltiOnl!l)rifonmatlonor com!llen!S



### abo~ your


### fllghtitii~ii!ii~fiiicl~~~!'·r~p~f!)ng, 

## ·

**a~d/ilr.!!,itiftq~mnt** outCome:

**~** /.

# > · · •.. ···.· . · · .'·'';.

**~** 

# t':T?;'•:,
..;:";,S'
. ·

Did you reportthe unauthorized laser Illumination Incidentto

### the Domestic Incidents Network (DEN)? ("No ("Yes What local law enforcement agency dldyou contact? (Include their pltone number)

Was an arrest:macl&? (" No arras!, orarrest unlikely ("Maybe, still working the case ("Yes, arrestwas made 

## r Arreststatus is unknown (" Other (specify)



### ~--------------------------------------------~ SUBMIT COMPLETED FAA LASER BEAM EXPOSURE QUESTIONNAIRE Thank you fortakingtime to complete this questionnaire. Please "save" the completed questionnaire and submitto the FAA using one ofthe two methods described below: 1. Attach the saved PDF to an e-mail and send to: laserreports@faa.gov 2. Send via fax to FAA Washington Operations Center Complex (WOCC) • (202) 267-5289 ATTN: DEN

Exhibit 2 9

### I certifythis lOP is 

### a Certified true copy. David T. Jensen



# 6~:~;~;-

Exhibit 2 10