Loading...
200111 lund-tungseth20011110 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5JW 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 10:26 AM Date Notified 01/11/2020 Time Arrived 10:45 AM Date Arrived 01/11/2020 Crash Time 10:25 AM Crash Date 01/11/2020 Investigating Officer/Deputy DEPUTY AMANDA REED Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0GMH5JWAdditional InformationPHOTOS Photos ByDEPUTY AMANDA REED Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNABLE TO DO AN ACCURATE DIAGRAM AS THE VEHICLES WERE ALREADY MOVED PRIOR TO MY ARRIVAL ON SCENE. I RESPONDED TO A REPORT OF A MINOR TWO VEHICLE ACCIDENT AT THE TOWN OF ROUND LAKE DUMP. UPON MY ARRIVAL, I MET WITH WHO HAD BEEN DRIVING AND TRYING TO MANEUVER AROUND A PARKED VEHICLE OWNED BY WHEN SHE ACCIDENTALLY SIDE SWIPED HIM. THE QUARTERS WERE MARKED OFF BY ORANGE TRAFFIC CONES TO KEEP TRAFFIC MOVING IN ONE DIRECTION, THERE WERE TWO EMPLOYEES ON SITE ATTEMPTING TO DIRECT TRAFFIC, BUT IT APPEARED TO BE VERY DISORGANIZED AND CLUTTERED TO ME. DUE TO THAT REASON, I CHOSE NOT TO ISSUE A CITATION TO Crash Time 10:25 AM Crash Date 01/11/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 20011110 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5JW WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5106831.5 X Coordinate 175273.625 Longitude -91.19668344 Latitude 46.037949603 PRIVATE PROPERTY CTHA EB IN THE TOWN OF ROUND LAKE IN SAWYER COUNTY Location Special StudyAccess Control NO CONTROL Tribal Land Crash Classification - Jurisdiction OTHER Crash Classification - Location PUBLIC PROPERTY Relation To Trafficway NON TRAFFICWAY - PARKING LOT Animal Type Weather Condition(s) CLEAR Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DAYLIGHT Manner of Collision 05--SIDESWIPE/SAME DIRECTION First Harmful Event Location OFF ROADWAY, LOCATION UNKNOWN First Harmful Event MOTOR VEH IN TRANSPORT 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 UNKNOWN Surface Type SLAG, GRAVEL, OR STONE Traffic Control Inoperative/Missing NO Traffic Control TRAFFIC CONTROL PERSON Traffic Way PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With PARKED MOTOR VEHICLE Total Lanes 0 Speed LimitPre CrashTire Mark Direction Of Travel NOT ON ROADWAY 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 MINOR DAMAGE Vehicle Damage 11--LEFT FRONT CORNER Initial Contact Point 10--LEFT SIDE FRONT Bus Use NOT A BUS Body Style 4D - 4DR Color BLK - BLACK Model IMPALA Year 2008 Make CHEVROLET Vehicle Identification Number 00620101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle UNITVEHICLECrash Time 10:25 AM Crash Date 01/11/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 20011110 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5JW 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 PARK MANEUVER Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED VEHICLEUNIT Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event PARKED MOTOR VEHICLE02 Event 03Event 04Individual Insurance Company WADENA-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 RESTRAINT USE UNKNOWN On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 12/12/ Sex FEMALE Citations Issued 0 Driver UN Individual Safety EquipmentITIDUALINDIV Crash Time 10:25 AM Crash Date 01/11/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 20011110 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5JW 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 SLAG, GRAVEL, OR STONE Traffic Control Inoperative/Missing NO Traffic Control TRAFFIC CONTROL PERSON Traffic Way PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 0 Speed LimitPre CrashTire Mark Direction Of Travel NOT ON ROADWAY Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 0 Operating As EndorsementsVehicle Type PASSENGER CAR02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status LEGALLY PARKED Unit Summary UNITVehicle Removed By OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage MINOR DAMAGE Vehicle Damage 1--RIGHT FRONT CORNER, 2--RIGHT SIDE FRONT Initial Contact Point 2--RIGHT SIDE FRONT Bus Use NOT A BUS Body Style 4D - 4DR Color TAN - TAN Model LE SABRE Year 1997 Make BUICK Vehicle Identification Number 20180202 Country of Issuance UNITED STATES St MN Plate Type AUT - AUTOMOBILE License Plate Number Vehicle UNITVEHICLECrash Time 10:25 AM Crash Date 01/11/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 20011110 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5JW WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address ELY, MN 55731 , US Owner Name 0202Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing LEGALLY PARKED VEHICLEUNIT Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event PARKED MOTOR VEHICLE02 Event 03Event 04IndividualInsurance Company COUNTRY-MUTUAL-INSURANCE-CO Policy Holder UNITCrash Time 10:25 AM Crash Date 01/11/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.