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.