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20072619 gustafson-henk20072619 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P46 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 01 Total Units 02 Time Notified 02:07 PM Date Notified 07/26/2020 Time Arrived 02:26 PM Date Arrived 07/26/2020 Crash Time 02:06 PM Crash Date 07/26/2020 Investigating Officer/Deputy DEPUTY NATHAN FREY Agency Crash Number 20072619 Primary Crash Document #Document Number Override 6VL0JB3P46Additional InformationNONE, PHOTOS Photos By344 Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS TRAVELING EAST ON CEDAR AVENUE. UNIT 1 FAILED TO STOP FOR THE MARKED STOP SIGN AT COUNTY HIGHWAY F. UNIT 2 WAS NORTHBOUND AND WAS UNABLE TO STOP, STRIKING UNIT 1 IN BETWEEN THE PASSENGER SIDE DOORS. THE OPERATOR OF UNIT 1 WAS ENTRAPPED AND INJURED. THE OPERATOR AND PASSENGER OF UNIT 2 RECEIVED NO INJURIES. Crash Time 02:06 PM Crash Date 07/26/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 7 This report does not include any CJIS data. 20072619 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P46 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5065349.5 X Coordinate 147736.734375 Longitude -91.521162563 Latitude 45.652150784 ON CTHF NB 36 FT N OF STONY HILL RD 10 IN THE TOWN OF EDGEWATER IN SAWYER COUNTY Location Special StudyAccess Control PARTIAL 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 ClearedDate Scene Cleared 07/26/2020 Time All Lanes Open 04:07 PM Date All Lanes Open 07/26/2020 Time Initial Lane/Rd Closed 02:20 PM Date Initial Lane/Rd Closed 07/26/2020 Reasons for Closure LAW ENFORCEMENT, TOW TRUCK Closure Type CLOSURE-ONE DIRECTION 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 45 Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? NO Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 2 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITModel LUCERNE Year 2007 Make BUICK Vehicle Identification Number 10320101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 02:06 PM Crash Date 07/26/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 7 This report does not include any CJIS data. 20072619 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P46 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address BIRCHWOOD, WI 54817 , US Owner Name 0101Driver Actions FAILED TO YIELD RIGHT-OF-WAY Driver Prior Action Other FAILURE TO STOP AT STOP SIGN Vehicle Factors NOT APPLICABLE What Driver Was Doing OTHER Vehicle Removed ByTowed 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, 04 - RIGHT SIDE REAR, 05 - RIGHT REAR CORNER Initial Contact Point 03 - RIGHT SIDE MIDDLE Bus UseBody Style SD - SEDAN Color GRY - GRAY VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event MOTOR VEH TRAN OTHER RDWY02 Event 03Event 04Injury Time of DeathDate of DeathHospital LAKEVIEW MED CTR EMS Run # CFS2007583 EMS Agency Identifier 6000113 Medical Transport EMS GROUND Trapped/Extricated TRAPPED/EXTRICATED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-SIDE Injury Severity SUSPECTED MINOR 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 BIRCHWOOD, WI 54817 , US Race WHITE Date of Birth 10/30/ Sex FEMALE Citations Issued 2 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 02:06 PM Crash Date 07/26/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 7 This report does not include any CJIS data. 20072619 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P46 WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By 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 # Distracted By Action NOT DISTRACTED Distracted By Source NOT APPLICABLE (NOT DISTRACTED)UNITNon Motorist INDIVIDUAL Violations DescriptionOPERATE MOTOR VEHICLE W/O INSURANCEStatute Number344.62(1)Issue To? 001 UTC Number BE65126401 DescriptionFAILURE TO YIELD RIGHT OF WAYStatute Number346.06Issue To? 001 UTC Number BE65126502 Truck Bus or HazMat NO Road Grade UPHILL 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 NORTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 2 Operating As Endorsements F - FARM SERVICE CDL Vehicle Type TRUCK TRACTOR (SEMI ATTACHED)02Unit Type TRUCK Vehicle Operating As Classification A CLASS Unit Status IN TRANSIT Unit Summary UNITCountry of Issuance UNITED STATES St WI Plate Type TOR - TRACTOR License Plate Number Vehicle Crash Time 02:06 PM Crash Date 07/26/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 7 This report does not include any CJIS data. 20072619 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P46 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address BIRCHWOOD, WI 54817 , US Owner Name 0202Driver Actions NO CONTRIBUTING ACTION 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 Extent Of Damage MINOR DAMAGE Vehicle Damage 01 - RIGHT FRONT CORNER, 12 - FRONT Initial Contact Point 01 - RIGHT FRONT CORNER Bus UseBody Style TR - TRAILER Color SIL - SILVER (ALUMINUM) Model 700 Year 2004 Make MACK Vehicle Identification Number 84180202 VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event MOTOR VEH TRAN OTHER RDWY02 Event 03Event 04IndividualInsurance Company RURAL-MUTUAL-INS-CO-(ATTN:-CLAIMS-DEPT) Policy Holder UNITInjury 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 Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address BIRCHWOOD, WI 54817 , US Race WHITE Date of Birth 03/10/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 02:06 PM Crash Date 07/26/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 7 This report does not include any CJIS data. 20072619 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P46 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) Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED UNITNon Motorist INDIVIDUALInjury 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 INJURY00302 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 09 - RIGHT Row 01 - FRONT ROW 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 03/10/ Sex MALE Citations Issued 0 Passenger ITSafety Equipment Individual UNINDIVIDUALCrash Time 02:06 PM Crash Date 07/26/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 7 This report does not include any CJIS data. 20072619 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P46 WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00302Drug 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 Distracted By Source Time of DeathDate of DeathHospital UNITNon Motorist INDIVIDUALCrash Time 02:06 PM Crash Date 07/26/2020Wisconsin Motor Vehicle Crash Form DT4000 7 of 7 This report does not include any CJIS data.