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20190803 quadererSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB05 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 11:50 PM Date Notified 08/03/2019 Time Arrived 11:56 PM Date Arrived 08/03/2019 Crash Time 11:40 PM Crash Date 08/03/2019 Investigating Officer/Deputy DEPUTY CALEB JORSTAD Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0Z7RB05Additional InformationPHOTOS Photos ByDEPUTY CALEB JORSTAD Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON AUGUST 3RD, 2019 AT APPROXIMATELY 2350, I DEPUTY JORSTAD WITH THE SAWYER COUNTY SHERIFF'S OFFICE WAS DISPATCHED TO 13201 BACON STRIP IN THE TOWNSHIP OF HAYWARD FOR AN AUTOMOBILE ACCIDENT. I ARRIVED ON SCENE AT APPROXIMATELY 2356. WHILE TRAVELLING ON BACON STRIP, I OBSERVED BROKEN PLASTIC ON THE WEST SIDE OF THE ROAD. I PULLED INTO THE DRIVEWAY, WHERE I OBSERVED A GREEN SEDAN PARKED IN THE DRIVEWAY. I EXITED MY VEHICLE AND WAS APPROACHED BY TWO FEMALES. THE DRIVER, IDENTIFIED AS () TOLD ME SHE WAS TRAVELLING SOUTHBOUND ON BACON STRIP RETURNING HOME FROM WORK WHEN A VEHICLE THAT WAS TRAVELLING WESTBOUND ON WATERTOWER LANE DID NOT STOP FOR THE STOP SIGN LOCATED AT WATERTOWER LANE AND BACON STRIP. A SAID SHE SWERVED TO THE LEFT TO AVOID THE VEHICLE HITTING THE DRIVER'S SIDE OF HER VEHICLE. THE VEHICLE IMPACTED THE PASSENGER SIDE ON THE FRONT OF S VEHICLE. SAID THE VEHICLE SLOWED FOR A MOMENT AND CONTINUED TRAVELLING ON BACON STRIP TOWARDS ROUND LAKE SCHOOL ROAD. KYRA TOLD ME SHE DID NOT KNOW WHAT KIND OF VEHICLE IT WAS, ONLY THAT IT WAS A SMALL CAR. Crash Time 11:40 PM Crash Date 08/03/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB05 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y CoordinateX Coordinate LongitudeLatitudeON BACON STRIP 0 FT W OF WATERTOWER LANE IN THE TOWN OF HAYWARD 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 - ON ROAD Animal Type Weather Condition(s) CLEAR Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DARK/UNLIT Manner of Collision 06--SIDESWIPE/OPPOSITE DIRECTION First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type L-INTERSECTION Junction Location INTERSECTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade LEVEL Road Curvature UNKNOWN Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control STOP SIGN 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 20 Pre CrashTire Mark Direction Of Travel SOUTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 1--RIGHT FRONT CORNER, 2--RIGHT SIDE FRONT, 12--FRONT Initial Contact Point 12--FRONT Bus Use NOT A BUS Body Style 4D - 4DR Color GRN - GREEN Model FUSION Year 2006 Make FORD Vehicle Identification Number 43550101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle UNITVEHICLECrash Time 11:40 PM Crash Date 08/03/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB05 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 0101Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED VEHICLEUNIT Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event MOTOR VEH IN TRANSPORT02 Event 03Event 04IndividualInsurance Company LIBERTY-INS-CORP Policy Holder UNITInjury Distracted By Distracted By Action UNKNOWN Distracted By Source Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-FRONT Injury Severity NO APPARENT INJURY00101 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race INDIAN Date of Birth 11/23/ Sex FEMALE Citations Issued 0 Driver UN Individual Safety EquipmentITIDUALINDIV Crash Time 11:40 PM Crash Date 08/03/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB05 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00101Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO To/From SchoolAction Other Action Prior Action LocationStriking Unit #Non Motorist UNITINDIVIDUALTruck Bus or HazMat NO Road Grade LEVEL Road Curvature UNKNOWN Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control STOP SIGN 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 LimitPre CrashTire Mark Direction Of Travel WESTBOUND Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type PASSENGER CAR02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status HIT AND RUN Unit Summary UNITVehicle Removed By OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage VEHICLE NOT AT SCENE Vehicle Damage VEHICLE NOT AT SCENE Initial Contact Point VEHICLE NOT AT SCENE Bus Use NOT A BUS Body StyleColor ModelYearMakeVehicle Identification Number 0202Country of IssuanceStPlate TypeLicense Plate Number Vehicle UNITVEHICLECrash Time 11:40 PM Crash Date 08/03/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB05 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address , , Owner Name 0202Driver Actions FAILED TO YIELD RIGHT-OF-WAY, UNKNOWN Driver Prior Action Other Vehicle Factors UNKNOWN What Driver Was Doing UNKNOWN VEHICLEUNIT Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04Injury Distracted By Prior Action LocationStriking Unit # Distracted By Action Distracted By Source Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT APPLICABLE Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT APPLICABLE Airbag NOT APPLICABLE Injury Severity NO APPARENT INJURY00202 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 NumberAddress , , RaceDate of Birth SexCitations Issued 0 Driver UN Individual Non Motorist Safety EquipmentITIDUALINDIV Crash Time 11:40 PM Crash Date 08/03/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB05 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition NOT OBSERVED Drug Type 00202Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug UseSuspected Alcohol Use To/From SchoolAction Other Action UNITINDIVIDUALCrash Time 11:40 PM Crash Date 08/03/2019Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.