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200208 pietras-hinkfuss20020833 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0DT5JN2 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 03 Total Units 02 Time Notified 07:13 PM Date Notified 02/08/2020 Time Arrived 07:25 PM Date Arrived 02/08/2020 Crash Time 07:13 PM Crash Date 02/08/2020 Investigating Officer/Deputy DEPUTY IAN HALL Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0DT5JN2Additional InformationNONE, PHOTOS, RECONSTRUCTION Photos BySGT IAN HALL Reconstruction BySAWYER COUNTY SHERIFFDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. SEMI LOGGING TRUCK WAS TRAVELING WESTBOUND ON STATE HWY 48 AT A VERY SLOW SPEED DUE TO HAVING JUST PULLED OUT INTO THE ROADWAY. COMPACT CAR WAS TRAVELING WESTBOUND AND STRUCK THE REAR OF THE LOG TRAILER. VEHICLE BECAME STUCK UNDER TRAILER. SKID MARKS FROM COMPACT CAR FROM START TO STOP WERE 29' Crash Time 07:13 PM Crash Date 02/08/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. 20020833 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0DT5JN2 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5068225 X Coordinate 153212.78125 Longitude -91.453145052 Latitude 45.680711819 ON STH48 WB 0.38 MI E OF WOODALE RD 6 IN THE TOWN OF EDGEWATER 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 02--FRONT TO REAR 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 NO Truck Bus or HazMat NO Road Grade DOWNHILL 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? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 4 Train/Bus # RecordedTotal Occs 3 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage DISABLING DAMAGE Vehicle Damage 12--FRONT Initial Contact Point 12--FRONT Bus Use NOT A BUS Body Style 4D - 4DR Color GRN - GREEN Model NEON Year 1998 Make PLYMOUTH Vehicle Identification Number 02940101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle UNITVEHICLECrash Time 07:13 PM Crash Date 02/08/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. 20020833 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0DT5JN2 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address 820 ORCHARD AVE BIRCHWOOD, WI 54817 , US Owner Name ROSS M ORLIKOWSKI PIETRAS 0101Driver Actions OPERATED MOTOR VEHICLE IN INATTENTIVE, CARELESS OR ERRATIC MANNER Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed ByTowed Due To Damage TOWED DUE TO DISABLING DAMAGE VEHICLEUNIT Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04Injury Distracted By LocationStriking Unit # Distracted By Action UNKNOWN Distracted By Source UNKNOWN Time of DeathDate of DeathHospital LAKEVIEW MEDICAL CENTER EMS Run # 0 EMS Agency IdentifierMedical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-FRONT Injury Severity SUSPECTED SERIOUS INJUR00101 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 Number STATE: WISCONSIN COUNTRY: UNITED STATES Address BIRCHWOOD, WI 54817 , US Race WHITE Date of Birth 11/07/ Sex MALE Citations Issued 4 Driver UN Individual Non Motorist Safety EquipmentITIDUALINDIV Crash Time 07:13 PM Crash Date 02/08/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. 20020833 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0DT5JN2 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL Drug Type 00101Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test Results PENDING Alcohol Test Type BLOOD Alcohol Test Given TEST GIVEN Suspected Drug Use NO Suspected Alcohol Use YES To/From SchoolAction Other Action Prior Action UNITINDIVIDUALInjury Distracted By LocationStriking Unit # Distracted By Action Distracted By Source Time of DeathDate of DeathHospital LAKEVIEW MEDICAL CENTER EMS Run # 1 EMS Agency Identifier 6000113 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-FRONT Injury Severity SUSPECTED MINOR INJURY00201 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address BIRCHWOOD, WI 54817 , US Race WHITE Date of Birth 08/13/ Sex FEMALE Citations Issued 0 Passenger UN Individual Non Motorist Safety EquipmentITIDUALINDIV Crash Time 07:13 PM Crash Date 02/08/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. 20020833 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0DT5JN2 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL Drug Type 00201Drug 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 UNITINDIVIDUALInjury Distracted By Prior Action LocationStriking Unit # Distracted By Action Distracted By Source Time of DeathDate of DeathHospital LAKEVIEW MEDICAL CENTER EMS Run # 1 EMS Agency Identifier 6000113 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity SUSPECTED SERIOUS INJUR00301 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 6--SECOND SEAT-RIGHT SIDE Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License NumberAddress BIRCHWOOD, WI 54817 , US RaceDate of Birth 05/13/ Sex MALE Citations Issued 0 Passenger UN Individual Non Motorist Safety EquipmentITIDUALINDIV Crash Time 07:13 PM Crash Date 02/08/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. 20020833 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0DT5JN2 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00301Drug 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 UNITINDIVIDUAL Violations DescriptionOWI CAUSE INJURY (PASSENGER < 16 YRS) (2+)Statute Number346.63(2)(a)1Issue To? 001 UTC Number BE65022001 DescriptionKNOWINGLY OPERATE WHILE REVOKED (CAUSE GREAT BODILY HARM)Statute Number343.44(1)(b)Issue To? 001 UTC Number BE65022102 DescriptionPOSSESS OPEN INTOXICANTS IN MV-PASSENGERStatute Number346.935(2)Issue To? 001 UTC Number BE65022203 DescriptionINATTENTIVE DRIVINGStatute Number346.89(1)Issue To? 001 UTC Number BE65022304 Truck Bus or HazMat TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR Road Grade DOWNHILL 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 AGCMV (AG COMMERCIAL MOTOR VEHICLE)02Unit Type TRUCK Vehicle Operating As Classification C CLASS Unit Status IN TRANSIT Unit Summary UNITBus Use NOT A BUS Body Style LG - LOG Color PLE - PURPLE Model TRACTOR Year 2000 Make KENWORTH MOTOR TRU Vehicle Identification Number 8900202 Country of Issuance UNITED STATES St WI Plate Type STL - SEMI TRAILER License Plate Number Vehicle Crash Time 07:13 PM Crash Date 02/08/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. 20020833 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0DT5JN2 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address STONE LAKE, WI 54876 , US Owner Name 0202Driver 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 Extent Of Damage MINOR DAMAGE Vehicle Damage 6--REAR Initial Contact Point 1--RIGHT FRONT CORNER VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04Organization/CompanyInsurance Company SECURA-INS-A-MUTUAL-CO Policy Holder UNITInjury 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 INJURY00402 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 04/20/ Sex MALE Citations Issued 0 Driver UN Individual Safety EquipmentITIDUALINDIV Crash Time 07:13 PM Crash Date 02/08/2020Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. 20020833 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0DT5JN2 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Distracted By Individual Condition APPEARED NORMAL Drug Type 00402Drug 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 # Distracted By Action NOT DISTRACTED Distracted By Source NOT APPLICABLE (NOT DISTRACTED) Non Motorist UNITINDIVIDUALMeasured WeightMeasured WidthMeasured LengthMeasured Height Escort Vehicle PresentEscort Vehicle Required By Permit Permitted Vehicle On Permitted Route WI Permit NumberOS/OW Load Permitted Load NOT APPLICABLE Carrier Type NOT IN COMMERCE/OTHER TRUCK US DOT # 2462013 Cargo Body Type LOG TRUCK Vehicle Configuration TRUCK TRACTOR/SEMI-TRAILER GVWR MORE THAN 26,000 LB01 Address STONE LAKE, WI 54876 , US Name 02Source DRIVERUse Vehicle Owner Same as Carrier Carrier CKBUSUNITTRUCrash Time 07:13 PM Crash Date 02/08/2020Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.