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20191130 owens19113018 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3G 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 08:36 PM Date Notified 11/30/2019 Time Arrived 08:42 PM Date Arrived 11/30/2019 Crash Time 08:36 PM Crash Date 11/30/2019 Investigating Officer/Deputy DEPUTY LUCAS SHEPARD Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0F03P3GAdditional InformationPHOTOS Photos ByDEPUTY L. SHEPARD Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON NOVEMBER 30TH, 2019, DEPUTY SHEPARD WAS SENT TO A REPORTED HIT AND RUN CRASH LOCATED ON STATE HWY 77 APPROXIMATELY 300 YARDS WEST OF THE INTERSECTION WITH COUNTY HWY K IN THE HAYWARD TOWNSHIP IN SAWYER COUNTY. DEPUTY SHEPARD MADE CONTACT WITH THE COMPLAINANT AND DRIVER OF UNIT ONE. SHE WAS IDENTIFIED AS SHE ADVISED THAT SHE HAD BEEN TRAVELING WEST ON HWY 77 AND A VEHICLE HAD REPORTEDLY HIT HER TRAVELING EAST. THE ROADS WERE SNOW COVERED AND VERY SLIPPERY. SHE STATED THAT SHE OBSERVED THE EASTBOUND TRAVELING VEHICLE, WHICH SHE BELIEVED TO BE EITHER A PICKUP TRUCK OR AN SUV. THE VEHICLE WAS IN AND OUT OF IT'S LANE AND BEGAN SLIDING SIDEWAYS AND OUT OF CONTROL AS SHE WAS PASSING IT. THE VEHICLE SIDE SWIPED HER VEHICLE AND CONTINUED DRIVING EAST WITHOUT STOPPING. THE SIDE MIRROR OF HER VEHICLE WAS SHATTERED AND THERE WAS A SINGLE SCRATCH ON THE SIDE OF HER CAR. PHOTOS WERE TAKEN AND OWENS WAS THEN RELEASED FROM THE SCENE. ANOTHER OFFICER CHECKED EAST ON 77 FOR THE POTENTIAL SUSPECT VEHICLE, BUT WAS UNABLE TO LOCATE IT. Crash Time 08:36 PM Crash Date 11/30/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 19113018 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3G WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5105944 X Coordinate 160250.1875 Longitude -91.389646398 Latitude 46.022698966 ON STH77 WB 0.29 MI W OF CTHK WB 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) SNOW Environment Factor(s) WEATHER CONDITIONS Roadway Factor(s) NONE Road Surface Condition(s) WET, SNOW, ICE 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 NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area UNKNOWN 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 MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 55 Pre CrashTire Mark Direction Of Travel WESTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage MINOR DAMAGE Vehicle Damage 9--LEFT SIDE MIDDLE, 11--LEFT FRONT CORNER Initial Contact Point 11--LEFT FRONT CORNER Bus Use NOT A BUS Body Style 4H - HATCHBACK 4 DOOR Color SIL - SILVER (ALUMINUM) Model XL7 LIMITE Year 2007 Make SUZUKI Vehicle Identification Number 24610101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle UNITVEHICLECrash Time 08:36 PM Crash Date 11/30/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 19113018 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3G 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 02Event 03Event 04Individual Insurance Company PROGRESSIVE-ADVANCED-INSURANCE-CO Policy Holder UNITInjury Distracted By Distracted By Action NOT DISTRACTED Distracted By Source NOT APPLICABLE (NOT DISTRACTED) 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 NON DEPLOYED 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 WHITE Date of Birth 12/04/ Sex FEMALE Citations Issued 0 Driver UN Individual Safety EquipmentITIDUALINDIV Crash Time 08:36 PM Crash Date 11/30/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 19113018 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3G 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 UNKNOWN Road Curvature UNKNOWN Surface Type UNKNOWN Traffic Control Inoperative/Missing UNKNOWN Traffic Control UNKNOWN Traffic Way UNKNOWN Emergency Motor Vehicle Use UNKNOWN Special Function UNKNOWN Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed LimitPre CrashTire Mark Direction Of Travel UNKNOWN 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 08:36 PM Crash Date 11/30/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 19113018 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3G WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address , , Owner Name 0202Driver Actions 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 NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License NumberAddress , , RaceDate of Birth SexCitations Issued 0 Driver UN Individual Non Motorist Safety EquipmentITIDUALINDIV Crash Time 08:36 PM Crash Date 11/30/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 19113018 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3G 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 08:36 PM Crash Date 11/30/2019Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.