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20052104 stoner-beres20052104 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3Z 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 01 Total Injured 00 Total Units 02 Time Notified 08:30 AM Date Notified 05/21/2020 Time Arrived 09:00 AM Date Arrived 05/21/2020 Crash Time 08:30 AM Crash Date 05/21/2020 Investigating Officer/Deputy DEPUTY NATHAN FREY Agency Crash Number 20052104 Primary Crash Document #Document Number Override 6VL0JB3P3ZAdditional InformationCMV INSPECTION, ECM/EDR DOWNLOAD, FATAL CRASH SUPPLEMENT, MEASUREMENTS, PHOTOS, RECONSTRUCTION, OTHER DOCUMENTS Photos ByDEPUTY FREY, WSP Reconstruction ByWISCONSIN STATE PATROL NWR/SPO Diagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS TRAVELING SOUTHBOUND ON CTH W PRIOR TO THE CRASH. UNIT 2 WAS TRAVELING EASTBOUND ON STH 70. DRIVER OF UNIT 1 FAILED TO YIELD THE RIGHT OF WAY TO UNIT 2. UNIT 2 STRUCK THE RIGHT FRONT CORNER OF UNIT 1. Crash Time 08:30 AM Crash Date 05/21/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 20052104 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3Z WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5082289.5 X Coordinate 188409.78125 Longitude -91.011404256 Latitude 45.823703527 ON STH70 EB 12 FT E OF CTHW SB IN THE VILLAGE OF WINTER 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 DAYLIGHT Manner of Collision 01 - ANGLE First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type FOUR-WAY INTERSECTION Junction Location INTERSECTION Within Interchange Area NO Time Scene Cleared 11:55 AM Date Scene Cleared 05/21/2020 Time All Lanes Open 11:50 AM Date All Lanes Open 05/21/2020 Time Initial Lane/Rd Closed 09:00 AM Date Initial Lane/Rd Closed 05/21/2020 Reasons for Closure LAW ENFORCEMENT, FIRE/EMS Closure Type FULL CLOSURE Truck Bus or HazMat NO Road Grade LEVEL Road Curvature STRAIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control STOP SIGN 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 SOUTHBOUND 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 UNITModel ENCORE CON Year 2015 Make BUICK Vehicle Identification Number 53330101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 08:30 AM Crash Date 05/21/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 20052104 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3Z WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address WINTER, WI 54896 , US Owner Name 0101Driver Actions FAILED TO YIELD RIGHT-OF-WAY Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed By ROAD RUNNER TOWING Towed Due To Damage TOWED DUE TO DISABLING DAMAGE Extent Of Damage DISABLING DAMAGE Vehicle Damage 01 - RIGHT FRONT CORNER, 02 - RIGHT SIDE FRONT, 03 - RIGHT SIDE MIDDLE, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER, 12 - FRONT Initial Contact Point 02 - RIGHT SIDE FRONT Bus UseBody Style LL - CARRYALL Color GRY - GRAY VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04IndividualInsurance Company PROGRESSIVE-ADVANCED-INSURANCE-CO Policy Holder UNITInjury EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated TRAPPED/EXTRICATED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-COMBINATION Injury Severity FATAL INJURY00101 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 01 - FRONT ROW Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address WINTER, WI 54896 , US Race WHITE Date of Birth 02/04/ Sex FEMALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 08:30 AM Crash Date 05/21/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 20052104 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3Z WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By Drug & Alcohol Individual Condition NOT OBSERVED 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 # Distracted By Action UNKNOWN Distracted By Source Time of Death 09:36 Date of Death 05/21/2020 Hospital UNITNon Motorist INDIVIDUALTruck Bus or HazMat TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR Road Grade SAG(BOTTOM) 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 45 Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 1 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 1 Operating As Endorsements H - HAZ. MATERIAL, N - TANKER Vehicle Type TRUCK TRACTOR (SEMI ATTACHED)02Unit Type TRUCK Vehicle Operating As Classification A CLASS Unit Status IN TRANSIT Unit Summary UNITBus UseBody Style TR - TRAILER Color YEL - YELLOW Model CASCADIA 1 Year 2020 Make FREIGHTLINER CORP Vehicle Identification Number 35550202 Country of Issuance UNITED STATES St WI Plate Type TOR - TRACTOR License Plate Number Vehicle Crash Time 08:30 AM Crash Date 05/21/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 20052104 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3Z WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address BARRON, WI 54812 , US Owner Name 02Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed By S&R TOWING Towed Due To Damage TOWED DUE TO DISABLING DAMAGE Extent Of Damage DISABLING DAMAGE Vehicle Damage 11 - LEFT FRONT CORNER, 12 - FRONT Initial Contact Point 11 - LEFT FRONT CORNER VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04Organization/CompanyInsurance Company AUSTIN-MUTUAL-INS--CO Policy Holder UNIT Trailer/Towed Vehicle Identification Number 0111 Address BARRON, WI 54812 , US Organization/CompanyUnit Type SEMI TRAILER TRAILER/Country of Issuance UNITED STATES State WI Make WSCO Plate Type STL - SEMI Trailer Plate #02UNITTint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 01 - FRONT ROW Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address WEYERHAEUSER, WI 54895 , US Race WHITE Date of Birth 07/16 Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 08:30 AM Crash Date 05/21/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 20052104 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3Z WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By Injury Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00202Drug 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) 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 INJURY00202 UNITNon Motorist INDIVIDUALMeasured 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 INTRASTATE CARRIER US DOT # 3333968 Cargo Body Type NO CARGO BODY - (BOBTAIL, LIGHT MOTO Vehicle Configuration TRUCK TRACTOR/SEMI-TRAILER GVWR MORE THAN 26,000 LB01 Address BARRON, WI 54812 , US Name 02Source VEHICLE-SIDEUse Vehicle Owner Same as Carrier Carrier CKBUSUNITTRUCrash Time 08:30 AM Crash Date 05/21/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.