EFTA00130591 U.S. Customs and Border Protection U.S. Department of Homeland Security TECS - Secondary Inspection Report 08/20/2019 09:46 EDT Generated By: Page 1 of 1

Referral Source
Referred By	Referred Date		Referred Time		Referred From
	12/29/2013		10:03 EST		Advanced Passenger
Referral Reason
REFER FROM IOPV
Encounter - 19523914
Last Name	First Name		DOB		Travel Document Presented
					Travel Document Presented
Hispanic	Gender		Race		Yes
No	M - Male		U - UNKNOWN		Yes
Lost / Stolen Document		Doc No.		Doc Type
				PN - PASSPORT
Issuing Country	Nationality		City of Birth
USA - UNITED STATES		USA - UNITED STATES		Father's First Name
Country of Birth		Father's Last Name		Father's First Name
				Mother's First Name
Father's Middle Name		Mother's Last Name		Mother's First Name	Mother's First Name
					Mother's First Name
Mother's Middle Name
Admissibility
Secondary Officer Name	Site Id		Inspection Start Date and Time
	AV51		12/29/2013 10:08 EST
Inspection End Date and Time		Last Update Date and Time			10/15/2015 07:38 EDT
12/29/2013 10:09 EST		10/15/2015 07:38 EDT			10/15/2015 07:38 EDT
Stated Last Name	Stated First Name		Stated DOB

Disposition		Admit Until Date
USC - U.S. CITIZEN
Deferred To		CCD Used
		No
WHTI Compliant		FN Number
Yes					Related Document Number
Create Incident Log		Incident Log Report #			Related Document Number
No					SAS Number
Create EMR		EMR Number			SAS Number
No					Charge Code
Referral Code		Create PLOR			Charge Code
		Yes			Admissibility Inspection Complete
Comments History					Admissibility Inspection Complete
Entered By: H Created Date/Time: 12/29/2013 10:09 EST NCIC negative. Not a match to the B-10 records. 3 strike rule applies, no match to DOB, POB, Derog.
Referral Reason History
Referred By: Referred Date/Time: 12/29/2013 10:03 EST \| Referred From: Advanced Passenger REFER FROM IOPV

For Official Use Only / Law Enforcement Sensitive