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20102924 hamilton-bishop20102924 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHKL 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 09:50 PM Date Notified 10/29/2020 Time Arrived 10:00 PM Date Arrived 10/29/2020 Crash Time 09:49 PM Crash Date 10/29/2020 Investigating Officer/Deputy SERGEANT NICK ALMOGHRABI Agency Crash Number 20102924 Primary Crash Document #Document Number Override 6VL0J3XHKLAdditional InformationPHOTOS Photos BySGT ALMOGHRABI Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. R/O WAS DISPATCHED TO A TWO VEHICLE PROPERTY DAMAGE CRASH WITH NO ROAD BLOCKAGE ON 11/29/20 LOCATED ON STH 27/70 EAST OF RIVER ROAD IN THE TOWNSHIP OF COUDERAY. UPON ARRIVAL, R/O MET WITH BOTH DRIVER'S AND ONE PASSENGER AND ASSURED NO ONE WAS INJURED. R/O LEARNED THAT THE OPERATOR OF THE CHEVY PICKUP TRAVELING SOUTH WAS SLOWING AND PREPARING TO TURN LEFT ONTO A TRAIL/PATH. THE OPERATOR ADVISED HE DID HAVE HIS TURN SIGNAL ON. THE CHEVY SUSTAINED DAMAGE TO THE FRONT DRIVER'S CORNER AND WAS REMOVED BY THE OPERATOR. THE OPERATOR OF A SOUTHBOUND TOYOTA COROLLA ADVISED SHE SAW THE SLOW MOVING PICKUP WITH LIGHTS SHINING OUT BOTH THE DRIVER AND PASSENGER WINDOWS AS THEY WERE SHINING FOR DEER. THE TOYOTA OPERATOR STATED SHE SAW BRAKE LIGHTS BUT THAT THERE WAS NOT A TURN SIGNAL ACTIVATED. THE TOYOTA OPERATOR BEGAN TO PASS, IN A PASSING ZONE, ON THE LEFT WHEN THE PICKUP BEGAN TO MAKE IT'S LEFT TURN AT WHICH POINT THE VEHICLES COLLIDED. THE PICKUP WAS ABLE TO PULL OFF ONTO THE TRAIL WHILE THE TOYOTA ENTERED THE EAST DITCH COMING TO A REST. R/O OBSERVED THE DRIVER'S AIRBAG ON THE TOYOTA HAD DEPLOYED AND THE VEHICLE SUSTAINED DISABLING DAMAGE TO THE FRONT PASSENGER SIDE AND WAS REMOVED BY A TOW COMPANY. Crash Time 09:49 PM Crash Date 10/29/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 7 This report does not include any CJIS data. 20102924 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHKL WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5081103 X Coordinate 159527.65625 Longitude -91.381343527 Latitude 45.799415352 ON STH27 SB 1064 FT E OF RIVER RD IN THE TOWN OF COUDERAY 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 07 - SIDESWIPE/SAME DIRECTION 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 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 SOUTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 2 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 11 - LEFT FRONT CORNER Initial Contact Point 11 - LEFT FRONT CORNER Bus UseBody Style T - DIRT Color GRN - GREEN Model Z71 Year 1993 Make CHEVROLET Vehicle Identification Number 20770101 Country of Issuance UNITED STATES St WI Plate Type LCO - LAC COURTE OREI License Plate Number VEHICLEUNIT Vehicle Crash Time 09:49 PM Crash Date 10/29/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 7 This report does not include any CJIS data. 20102924 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHKL WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address STONE LAKE, WI 54876 , US Owner Name 0101Driver Actions OTHER CONTRIBUTING ACTION 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 02Event 03Event 04Individual Insurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UNITDistracted By Injury 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 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 STONE LAKE, WI 54876 , US Race INDIAN Date of Birth 12/27/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 09:49 PM Crash Date 10/29/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 7 This report does not include any CJIS data. 20102924 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHKL 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 INDIVIDUALDistracted By Injury LocationStriking Unit # Distracted By Action Distracted By Source 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 NOT APPLICABLE Injury Severity NO APPARENT INJURY00201 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 STONE LAKE, WI 54876 , US Race INDIAN Date of Birth 01/31/ Sex MALE Citations Issued 0 Passenger ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 09:49 PM Crash Date 10/29/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 7 This report does not include any CJIS data. 20102924 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHKL WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00201Drug 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 UNITINDIVIDUALTruck 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 55 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 PASSENGER CAR02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITWhat Driver Was Doing OVERTAKE LEFT Vehicle Removed By ROADRUNNER 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 Initial Contact Point 01 - RIGHT FRONT CORNER Bus UseBody Style 4D - 4DR Color GRY - GRAY Model COROLLA CE Year 2007 Make TOYOTA Vehicle Identification Number 1 5130202 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number VEHICLEUNIT Vehicle Crash Time 09:49 PM Crash Date 10/29/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 7 This report does not include any CJIS data. 20102924 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHKL WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address WINTER, WI 54896 , US Owner Name 0202Driver Actions IMPROPER OVERTAKING / PASSING LEFT Driver Prior Action Other Vehicle Factors NOT APPLICABLE UNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04Individual Insurance Company GEICO-CASUALTY-CO Policy Holder UNITDistracted By Injury 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 DEPLOYED-FRONT Injury Severity NO APPARENT INJURY00302 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 WINTER, WI 54896 , US Race WHITE Date of Birth 02/08/ Sex FEMALE Citations Issued 0 Driver ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 09:49 PM Crash Date 10/29/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 7 This report does not include any CJIS data. 20102924 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHKL WISCONSIN MOTOR VEHICLE CRASH REPORT 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 UNITINDIVIDUALCrash Time 09:49 PM Crash Date 10/29/2020Wisconsin Motor Vehicle Crash Form DT4000 7 of 7 This report does not include any CJIS data.