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20070704 keeley-anderson20070704 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5K5 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 09:16 AM Date Notified 07/07/2020 Time Arrived 09:16 AM Date Arrived 07/07/2020 Crash Time 09:16 AM Crash Date 07/07/2020 Investigating Officer/Deputy DEPUTY AMANDA REED Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0GMH5K5Additional 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. ON JULY 7TH, 2020, I, DEPUTY REED WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S OFFICE. AT ABOUT 0916, I WAS AT THE TRAFFIC LIGHTS ON RAILROAD ST AT STH 27 WHEN I OBSERVED WISCONSIN STATE TROOPER MICHAEL ANDERSON TRAVELING S/B ON STH 27 PAST THE ENTRANCE TO KWIK TRIP PARKING LOT. I OBSERVED A RED VAN PULL OUT OF THE PARKING LOT, FAILING TO YIELD THE RIGHT OF WAY TO TROOPER ANDERSON AND SIDE SWIPING THE BACK PASSENGER SIDE PANEL OF TROOPER ANDERSON'S SQUAD CAR. WE FOLLOWED THE VAN AND MADE A TRAFFIC STOP ON IT. I IDENTIFIED THE DRIVER AS . MR. ADMITTED THAT HE HAD BEEN DISTRACTED LOOKING THE OPPOSITE DIRECTION. MR. HAD MINOR DAMAGE TO THE FRONT BUMPER OF HIS VAN AND TROOPER ANDERSON HAD DAMAGE TO HIS REAR SIDE PANEL AS WELL AS SOMETHING WRONG WITH THE AXLE OF HIS SQUAD CAR. MR. WAS CITED FOR INATTENTIVE DRIVING. NO FURTHER INFORMATION. Crash Time 09:16 AM Crash Date 07/07/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 20070704 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5K5 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5105238.5 X Coordinate 152865.90625 Longitude -91.484247239 Latitude 46.01266717 ON STH27 SB 135 FT N OF RAILROAD ST IN THE TOWN OF HAYWARD 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 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 DIVIDED HWY W/O TRAFFIC BARRIER Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 4 Speed Limit 25 Pre CrashTire Mark Direction Of Travel NORTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type PASSENGER VAN01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage MINOR DAMAGE Vehicle Damage 12 - FRONT Initial Contact Point 12 - FRONT Bus UseBody Style 4D - 4DR Color RED - RED Model TRANSIT Year 2018 Make FORD Vehicle Identification Number 56530101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number VEHICLEUNIT Vehicle Crash Time 09:16 AM Crash Date 07/07/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 20070704 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5K5 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address SCHOFIELD, WI 54476 , US Owner Name 0101Driver Actions FAILED TO YIELD RIGHT-OF-WAY Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing LEFT TURN Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED UNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event MOTOR VEH IN TRANSPORT02 Event 03Event 04Organization/Company WALT'S PETROLEUM SERVICE INC Insurance Company ACUITY,-A-MUTUAL-INSURANCE-CO Policy Holder UNITDistracted By Injury Distracted By Action OTHER ACTION (LOOKING AWAY FROM TASK ETC) 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 07 - LEFT Row 01 - FRONT ROW Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address MENOMONIE, WI 54751 , US Race WHITE Date of Birth 02/18/ Sex MALE Citations Issued 1 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 09:16 AM Crash Date 07/07/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 20070704 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5K5 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 #UNITNon Motorist INDIVIDUAL Violations DescriptionINATTENTIVE DRIVINGStatute Number346.89(1)Issue To? 001 UTC Number BE64944201 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 DIVIDED HWY W/O TRAFFIC BARRIER Emergency Motor Vehicle Use NON-EMERGENCY, NON-TRANSPORT Special Function POLICE 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 VEHICLE02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITInitial Contact Point 04 - RIGHT SIDE REAR Bus UseBody Style 4D - 4DR Color BLU - BLUE Model EXPLORER Year 2018 Make FORD Vehicle Identification Number 28240202 Country of Issuance UNITED STATES St WI Plate Type WSP - STATE PATROL License Plate Number Vehicle Crash Time 09:16 AM Crash Date 07/07/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 20070704 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5K5 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address SPOONER, WI 54801 , 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 FUNCTIONAL DAMAGE Vehicle Damage 04 - RIGHT SIDE REAR, 14 - UNDERCARRIAGE VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event MOTOR VEH IN TRANSPORT02 Event 03Event 04Government WISCONSIN STATE PATROL Insurance Company SELF-INSURED 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 INJURY00202 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 01 - FRONT ROW Safety Equipment SHOULDER & LAP BELT On Duty Crash POLICE Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address SPOONER, WI 54801 , US Race WHITE Date of Birth 05/07/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 09:16 AM Crash Date 07/07/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 20070704 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0GMH5K5 WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By 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)UNITNon Motorist INDIVIDUALSPOONER, WI 54801 , US OPOWNER01Fixed Objects Struck Property Owner Damage Tag Number 1 Structure NumberStruck Object OTHER OBJECT - NOT FIXED Striking Unit 0101 Crash Time 09:16 AM Crash Date 07/07/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.