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200405 ewert20040501 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F1BQ6W 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 03:01 AM Date Notified 04/05/2020 Time Arrived 03:25 AM Date Arrived 04/05/2020 Crash Time 03:01 AM Crash Date 04/05/2020 Investigating Officer/Deputy DEPUTY CALEB JORSTAD Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0F1BQ6WAdditional InformationPHOTOS Photos ByDEPUTY JORSTAD Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON APRIL 5TH, 2020 AT APPROXIMATELY 0301, I DEPUTY JORSTAD WITH THE SAWYER COUNTY SHERIFF'S OFFICE WAS DISPATCHED TO THE AREA OF 3662N CLARK STREET FOR A VEHICLE THAT HAD BEEN HIT BY AN INTOXICATED DRIVER. ONCE ON SCENE I WAS ADVISED THAT THE INTOXICATED SUBJECT HAD LEFT THE SCENE, SHORTLY AFTER, THE VEHICLE THAT WAS DAMAGED WAS PARKED ON THE SIDE OF THE ROAD. THE VEHICLE HAD NOT BEEN OCCUPIED WHEN IT HAD BEEN STRUCK. THE SUSPECT ARRIVED BACK ON SCENE SHORTLY AFTER, AND WAS IN THE PASSENGER SEAT OF A DIFFERENT VEHICLE. STATED HE HAD BEEN DRIVING HIS TRUCK (IDENTIFIED AS UNIT 2) NORTHBOUND ON HIGHWAY 40 AND HAD TAKEN HIS EYES OFF OF THE ROAD AND HAD STRUCK THE PARKED VEHICLE (UNIT 1). THEN SAID HE PARKED HIS VEHICLE AND GOT A RIDE, BUT RETURNED TO THE SCENE TO FACE HIS CONSEQUENCES. STATED HE HAD CONSUMED 5 OR 6 CANS OF BEER APPROXIMATELY 1 HOUR BEFORE THE CRASH. I THEN RAN THROUGH STANDARD FIELD SOBRIETY TEST. DID NOT PASS THE SOBRIETY TESTS AND WAS PLACED UNDER ARREST FOR SUSPICION OF OPERATING WHILE INTOXICATED 4TH OFFENSE AS KEVIN HAS THREE PREVIOUS OWI CONVICTIONS. I THEN TRANSPORTED TO THE SAWYER COUNTY JAIL, WHERE REFUSED TO GIVE ME A SAMPLE OF HIS BLOOD AFTER I HAD READ THE INFORMING THE ACCUSED PAPER TO I THEN APPLIED FOR A WARRANT FOR A BLOOD DRAW ON ONCE THE WARRANT WAS GRANTED, I TRANSPORTED TO THE HAYWARD AREA MEMORIAL HOSPITAL WHERE A SAMPLE OF BLOOD WAS COLLECTED BY HOSPITAL STAFF. I THEN TRANSPORTED BACK TO THE JAIL, WHERE I INFORMED OF Crash Time 03:01 AM Crash Date 04/05/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 20040501 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F1BQ6W WISCONSIN MOTOR VEHICLE CRASH REPORT THE INTENT TO REVOKE. DID NOT WANT TO ANSWER ANY QUESTIONS. THIS IS ALL OF THE INFORMATION I HAVE AT THIS TIME, END OF REPORT. Structure Type NO STRUCTURE Y Coordinate 5076872.5 X Coordinate 171781.46875 Longitude -91.221224739 Latitude 45.767373467 ON STH40 NB 147 FT N OF CHURCH ST IN THE VILLAGE OF RADISSON 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 03 - FRONT TO REAR First Harmful Event Location ON ROADWAY 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 MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 25 Pre CrashTire Mark Direction Of Travel NOT ON ROADWAY Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 0 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status LEGALLY PARKED Unit Summary UNITExtent Of Damage DISABLING DAMAGE Vehicle Damage 04 - RIGHT SIDE REAR, 07 - LEFT REAR CORNER, 08 - LEFT SIDE REAR, 09 - LEFT SIDE MIDDLE, 10 - LEFT SIDE FRONT, 14 - UNDERCARRIAGE Initial Contact Point 07 - LEFT REAR CORNER Bus UseBody Style 4D - 4DR Color SIL - SILVER (ALUMINUM) Model GRAND PRIX Year 2007 Make PONTIAC Vehicle Identification Number 68670101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number VEHICLEUNIT Vehicle Crash Time 03:01 AM Crash Date 04/05/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 20040501 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F1BQ6W 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 LEGALLY PARKED Vehicle Removed ByTowed Due To Damage NOT TOWED UNITVEHICLE Sequence Of Events Event PARKED MOTOR VEHICLE01 Event 02Event 03Event 04Truck 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 25 Pre CrashTire Mark Direction Of Travel NORTHBOUND Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK02 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITWhat Driver Was Doing GOING STRAIGHT Vehicle Removed ByTowed Due To Damage NOT TOWED Extent Of Damage MINOR DAMAGE Vehicle Damage 01 - RIGHT FRONT CORNER, 02 - RIGHT SIDE FRONT Initial Contact Point 01 - RIGHT FRONT CORNER Bus UseBody Style TK - TRUCK Color SIL - SILVER (ALUMINUM) Model SILVERADO Year 2001 Make CHEVROLET Vehicle Identification Number 08700202 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number VEHICLEUNIT Vehicle Crash Time 03:01 AM Crash Date 04/05/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 20040501 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F1BQ6W WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address OJIBWA, WI 54862 , US Owner Name 0202Driver Actions OTHER CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE UNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event PARKED MOTOR VEHICLE02 Event 03Event 04Distracted By Injury Prior Action LocationStriking Unit # Distracted By Action OTHER ACTION (LOOKING AWAY FROM TASK ETC) Distracted By Source UNKNOWN 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 UNKNOWN Injury Severity NO APPARENT INJURY00102 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 01 - FRONT ROW Safety Equipment RESTRAINT USE UNKNOWN On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address OJIBWA, WI 54862 , US Race WHITE Date of Birth 12/14/ Sex MALE Citations Issued 1 Driver ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 03:01 AM Crash Date 04/05/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 20040501 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F1BQ6W WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL Drug Type 00102Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST REFUSED Suspected Drug Use NO Suspected Alcohol Use YES To/From SchoolAction Other Action UNITINDIVIDUAL Violations DescriptionOWI (4th)Statute Number346.63(1)(a)Issue To? 001 UTC Number BE60921201 Crash Time 03:01 AM Crash Date 04/05/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.