20190419 stender- hilgartI, SGT. AL-MOGHRABI, WAS DISPATCHED TO A PROPERTY DAMAGE HIT AND RUN CRASH AT WENDY & JOE'S STEAKHOUSE LOCATED AT 3480W STH
70 IN THE TOWNSHIP OF LORETTA. I WAS ADVISED THE VICTIM WOULD BE WAITING AND THAT THE SUSPECT WAS KNOWN. UPON MY ARRIVAL I
MET WITH THE VICTIMS, . THEY DIRECTED MY ATTENTION TO THEIR 2016 CHEVY IMPALA WHICH WAS PARKED
FACING WEST ON THE SOUTH SIDE OF THE FRONTAGE ROAD IN FRONT OF THE ESTABLISHMENT. THERE WAS DAMAGE TO THE FRONT
PASSENGER DOOR AND PASSENGER SIDE CENTER TO THE POINT THE FRONT DOOR WOULD NOT OPEN. I WAS THEN DIRECTED TO A WITNESS,
, WHO STATED HE HAD ARRIVED AND OBSERVED A DARK COLORED FORD BEARING WI REGISTRATION CAR BACKING UP
APPROXIMATELY 15 FEET FROM IN FRONT OF THE BUILDING WITH A FEMALE IN THE FRONT PASSENGER SEAT. STATED HE WITNESSED THE
DRIVER LOOK DOWN AT SOMETHING WHILE CONTINUING BACKWARDS INTO THE VEHICLE. AFTER STRIKING IT, STATED THE
OPERATOR PULLED FORWARD, PAUSED, THEN LEFT. THE OWNER OF THE ESTABLISHMENT IDENTIFIED THE OPERATOR AS
AND TOLD ME HE LIVED IN THE MOTEL UNITS ON LOG LODGE RD. I PHOTOGRAPHED THE VEHICLE AND ADVISED I WOULD
ATTEMPT CONTACT. A SHORT TIME LATER I ARRIVED AT RESIDENCE AND OBSERVED THE VEHICLE HOWEVER I COULD NOT OBSERVE
19041904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS6 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
DT4000 (STANDARD CRASH)Reportable
TagsSchool Bus Related
NOActive School ZoneGovernment
Property
Reporting
ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
00
Total Units
02
Time Notified
07:51 PM
Date Notified
04/19/2019
Time Arrived
09:05 PM
Date Arrived
04/26/2019
Crash Time
07:50 PM
Crash Date
04/19/2019
Investigating Officer/Deputy
SERGEANT NICK ALMOGHRABI
Agency Crash Number
19041904
Primary Crash Document #Document Number Override
6VL15G5WS6Additional InformationPHOTOS, OTHER DOCUMENTS
Photos BySGT ALMOGHRABI
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 07:50 PM
Crash Date 04/19/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 6
This report does not include any CJIS data.
DAMAGE. I MET WITH WHO TOLD ME HE HADN'T REALIZED HE STRUCK ANOTHER VEHICLE. WHEN ASKED IF HE HAD A FEMALE
PASSENGER WITH, TOLD ME IT WAS HIS WIFE WHO WAS NOW SLEEPING. I EXPLAINED THAT I WOULD BE COMPLETING A CRASH REPORT
INDICATING A HIT AND RUN AND PROVIDED HIM WITH MY CONTACT INFORMATION AND CASE NUMBER. I SPOKE WITH BY PHONE AND
EXPLAINED MY FINDINGS. ADVISED HE DID NOT WISH FOR A CITATION TO BE ISSUED SO LONG AS THE CRASH REPORT INDICATED A HIT
AND RUN.
19041904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS6 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5088563
X Coordinate
201059.828125
Longitude
-90.852821917
Latitude
45.885640146
ON FRONTAGE RD
79 FT E
OF CTHGG WB
IN THE TOWN OF DRAPER
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
Crash Classification - Jurisdiction
NO SPECIAL JURISDICTION
Crash Classification - Location
PUBLIC PROPERTY
Relation To Trafficway
TRAFFICWAY - NOT ON ROAD
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DUSK
Manner of Collision
07--REAR TO SIDE
First Harmful Event Location
ROADSIDE
First Harmful Event
PARKED MOTOR VEHICLE
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
PARKED MOTOR VEHICLE
Total Lanes
2
Speed Limit
N/A
Pre CrashTire
Mark
Direction Of Travel
SOUTHBOUND
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
2
Operating As EndorsementsVehicle Type
PASSENGER CAR01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
HIT AND RUN
Unit Summary
UNITBus Use
NOT A BUS
Body Style
4D - 4DR
Color
BLK - BLACK
Model
EDGE
Year
2018
Make
FORD
Vehicle Identification Number
07360101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 07:50 PM
Crash Date 04/19/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 6
This report does not include any CJIS data.
19041904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS6 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
PHILLIPS, WI 54555 , US
Owner Name01Driver Distractions
UNKNOWN IF DISTRACTED
01Driver Actions
UNSAFE BACKING
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
BACKING
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
Extent Of Damage
NO DAMAGE
Vehicle Damage
NO DAMAGE
Initial Contact Point
6--REAR
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
PARKED MOTOR VEHICLE01
Event
02Event
03Event
04Injury Airbag
NOT APPLICABLE
Injury Severity
NO APPARENT INJURY00101 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
RESTRAINT USE UNKNOWN
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
WINTER, WI 54896 , US
Race
WHITE
Date of Birth
01/05/
Sex
MALE
Citations Issued
0
Driver
ITEquipment
Individual
UNINDIVIDUALCrash Time 07:50 PM
Crash Date 04/19/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 6
This report does not include any CJIS data.
19041904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS6 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
NOT OBSERVED
Drug Type
00101Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug UseSuspected Alcohol Use
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT APPLICABLE
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT APPLICABLE
UNIT Non Motorist
INDIVIDUALInjury
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT APPLICABLE
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT APPLICABLE
Airbag
NOT APPLICABLE
Injury Severity
NO APPARENT INJURY00201 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER
Safety Equipment
RESTRAINT USE UNKNOWN
On Duty Crash
Driver License NumberAddress
WINTER, WI 54896 , US
Race
WHITE
Date of Birth
08/17/
Sex
FEMALE
Citations Issued
0
Passenger
ITEquipment
Individual
UNINDIVIDUALCrash Time 07:50 PM
Crash Date 04/19/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 6
This report does not include any CJIS data.
19041904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS6 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
NOT OBSERVED
Drug Type
00201Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug UseSuspected Alcohol Use
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #UNIT Non Motorist
INDIVIDUALTruck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
MOTOR VEH IN TRANSPORT
Total Lanes
2
Speed Limit
N/A
Pre CrashTire
Mark
Direction Of Travel
UNKNOWN
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
0
Operating As EndorsementsVehicle Type
PASSENGER CAR02 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
LEGALLY PARKED
Unit Summary
UNITWhat Driver Was Doing
LEGALLY PARKED
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
2--RIGHT SIDE FRONT, 3--RIGHT SIDE MIDDLE
Initial Contact Point
2--RIGHT SIDE FRONT
Bus Use
NOT A BUS
Body Style
4D - 4DR
Color
GRY - GRAY
Model
IMPALA
Year
2016
Make
CHEVROLET
Vehicle Identification Number
15330202 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
VEHICLEUNIT Vehicle
Crash Time 07:50 PM
Crash Date 04/19/2019Wisconsin Motor Vehicle Crash
Form DT4000 5 of 6
This report does not include any CJIS data.
19041904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS6 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HOLCOMBE, WI 54745 , US
Owner Name02Driver DistractionsNOT DISTRACTED
02Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
UNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04Date of Birth
PHILLIPS, WI 54555 , US
I
(01WITNESSWitness
Crash Time 07:50 PM
Crash Date 04/19/2019Wisconsin Motor Vehicle Crash
Form DT4000 6 of 6
This report does not include any CJIS data.