20161223 Bunker AchtorGZH0DMV 51Wisconsin Motor Vehicle
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79 - E M S Number103
Measurements Taken
102
Witness Statements
101
Supplemental Reports
9
Names Exchanged
9
Construction Zone
9
Load Spillage
9
Truck, Bus, or Hazardous Materials
9
Trailer or Towed
9
Photos Taken
9
Fire
9
Government Property
9
Hit and Run
118 - Weather
Cloudy
116 - Road Surface Condition
Snow/Slush
114 - Light Condition
Daylight
117 - Relation To Roadway
On-Roadway
115 - Traffic Way
Not-Physically-Divided-(2-Way Traffic)
Surface Type
Blacktop, Bituminous, or Asphalt - 2
113 - Road Terrain
Level/Flat
113 - Road Curvature
Curve
112 - Access Control
No Control
93 - Manner of Collision
Sideswipe. Opposite Direction
80 - First Harmful Event
Motor Vehicle In Transport
13 - Longitude-91.4098011136912 - Latitude
46.015641502229
17 - Structure Number17 - Structure Type
16 - Business/Frontage/Ramp16 - From/At Street Name16 - Fr/At Hwy No.
077
15 - Hwy. Dir15 - Est. Distance14 - Bus/Frnt/Rmp14 - On Street Name
PENINSULA RD
14 - On Hwy No.
11 - Accident LocationIntersection3 - Municipality
HAYWARD - 06, Town
2 - County
SAWYER - 57
8 - Total Killed
00
7 - Total Injured
00
6 - Total Units
02
5 - Time of Accident (Military Time)
1606
4 - Accident Date
12/23/2016
16
1
2
2
3
0
6
16122306
16
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2
2
3
0
6
16122306
Document Override NumberDOT Document Number
GZH0DMVAmendedOn EmergencyReportable Accident
GE
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F
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Police Number
PO
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AC
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#
Agency Accident Number
01
91 - Drugs Reported
91 - Drug Test
Test Not Given
90 - Alcohol Content90 - Alcohol TestTest Not Given
89 - Substance Presence
Neither-Alcohol-Nor-Drugs-Present88 - Driver or Pedestrian CondAppeared Normal
122 - Driver Factors
Speed-Too-Fast-for-Conditions
64 - 5th Statute No.64 - 4th Statute No.64 - 3rd Statute No.64 - 2nd Statute No.343.05(3)(A)64 - 1st Statute No.344.62(1)
62 - No. of Citations Issued2120 - Traffic Control
No-Control
119 - What Driver Was Doing
RIGHT TURN
92 - Pedestrian Action92 - Pedestrian Location43 - Trapped/ExtricatedNot-Trapped
Medical Transport
4442 - Ejected
Not-Ejected
41 - Airbag
Non-Deployed
38 - Injury Severity
N - No Apparent Injury
40 - Safety EquipmentShoulder-Belt-And-Lap-Belt-Used39 - Seat PositionFront-Seat-Left-Side-(MC/Bike Driver, Train Conductor)
28 - Telephone Number
.
27 - Zip Code
54843
27 - State
WI
27 - City
HAYWARD
26 - PO Box26 - Address Street & Number
33 - Sex
Female
32 - Date Of Birth
09/08/
25 - Suffix25 - Middle InitialJAN25 - First NameJESSICA25 - Operator/Pedestrian Last NameBUNKER
34 - On Duty Accident31 - Expiration Year
2015
30 - State
WI
29 - Driver's License Number
Operating Commercial Motor Vehicle3537 - Endorsements36 - Operating as ClassifiedD CLASS
24 - Speed Limit55
23 - Dir Of Travel
EAST
81 - Most Harmful Event: Collision With
Motor Vehicle In Transport
Unit Status
OP
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P
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N
Operator/Pedestrian
GZH0DMV 52Wisconsin Motor Vehicle
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School District Contracted With
Seating CapacityBody MakeSchool NameBus Travelling to/from
To From
BU
S
01
01
01
01
61 - Policy Holder Company
61 - Policy Holder First Name61 - Policy Holder Last Name
60
Policy Holder Same As Owner
63 - Liability Insurance Company
NONE
49 - Telephone Number48 - Zip Code
5484348 - StateWI
48 - City
HAYWARD
47 - PO Box47- Address Street & Number
46 - Company Name
Date Of Birth
07/25/
46 - Suffix46 - Middle Initial
L
46 - First Name
JENNIFER
46 - Vehicle Owner Last Name
CADOTTE
Vehicle Owner Same As Operator
45
123 - Vehicle Factors
Not-Applicable
97 - Vehicle Removed By
OWNER
96
Vehicle Towed Due To Damage
95 - Extent Of Damage
Severe
94 - Vehicle Damage
Front, Front Driver Side
100 - Skidmarks to Impact (Ft)54 - Color
BLU
53 - Body Style
UT - SPORT UTILITY
52 - Model
LIBERTY
51 - Make
JEEP
50 - Year
2003
55 - Vehicle Identification Number4074759 - Exp Year201758 - StateWI57 - Plate TypeAUT56 - License Plate Number297ZEG
22 - Total Occupants
1
Vehicle Type
Passenger-Car
21 - Unit Type
Automobile
124 - Highway Factors
Snow,-Ice,-or-Wet
IN
S
School Bus
Insurance
Vehicle Owner
Vehicle
VE
H
O
W
N
E
R
VE
H
I
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L
E
02
28 - Telephone Number
.
27 - Zip Code
54843
27 - State
WI
27 - City
HAYWARD
26 - PO Box26 - Address Street & Number
33 - Sex
Female
32 - Date Of Birth
12/02/
25 - Suffix25 - Middle InitialLYNN25 - First NameREBECCA25 - Operator/Pedestrian Last NameACHTOR
34 - On Duty Accident31 - Expiration Year
2024
30 - State
WI
29 - Driver's License Number
Operating Commercial Motor Vehicle3537 - Endorsements36 - Operating as ClassifiedD CLASS
24 - Speed LimitN/A
23 - Dir Of Travel
NORTH
81 - Most Harmful Event: Collision With
Motor Vehicle In Transport
Unit Status
Operator/Pedestrian
GZH0DMV 53Wisconsin Motor Vehicle
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02
02
02
61 - Policy Holder Company
61 - Policy Holder First Name61 - Policy Holder Last Name
60 Policy Holder Same As Owner63 - Liability Insurance CompanyBITCO-GENERAL-INSURANCE-CORP
49 - Telephone Number.48 - Zip Code5484348 - StateWI48 - CityHAYWARD
47 - PO Box47- Address Street & Number
46 - Company NameJOHNSON TIMBER CORP
Date Of Birth46 - Suffix46 - Middle Initial46 - First Name46 - Vehicle Owner Last Name
Vehicle Owner Same As Operator
45
123 - Vehicle Factors
Not-Applicable
97 - Vehicle Removed By
OPERATOR
96
Vehicle Towed Due To Damage
95 - Extent Of Damage
Severe
94 - Vehicle Damage
Middle Driver Side, Rear Driver Side
100 - Skidmarks to Impact (Ft)54 - Color
WHI
53 - Body Style
UT - SPORT UTILITY
52 - Model
SUBURBAN
51 - Make
CHEV
50 - Year
2015
55 - Vehicle Identification Number
115330
59 - Exp Year
2017
58 - State
WI57 - Plate TypeAUT
56 - License Plate Number
JTC2
22 - Total Occupants
2
Vehicle Type
Passenger-Car
21 - Unit Type
Automobile
124 - Highway Factors
Not-Applicable
91 - Drugs Reported
91 - Drug TestTest Not Given90 - Alcohol Content90 - Alcohol TestTest Not Given
89 - Substance Presence
Neither-Alcohol-Nor-Drugs-Present88 - Driver or Pedestrian CondAppeared Normal
122 - Driver Factors
Not-Applicable
64 - 5th Statute No.64 - 4th Statute No.64 - 3rd Statute No.64 - 2nd Statute No.64 - 1st Statute No.
62 - No. of Citations Issued0120 - Traffic Control
Stop-Sign
119 - What Driver Was Doing
SLOW/STOPPING
92 - Pedestrian Action92 - Pedestrian Location43 - Trapped/Extricated
Not-Trapped
Medical Transport
4442 - Ejected
Not-Ejected
41 - Airbag
Non-Deployed
38 - Injury Severity
N - No Apparent Injury
40 - Safety Equipment
Shoulder-Belt-And-Lap-Belt-Used
39 - Seat Position
Front-Seat-Left-Side-(MC/Bike Driver, Train Conductor)
OP
E
R
A
T
O
R
/
P
E
D
E
S
T
R
I
A
N
Insurance
Vehicle Owner
Vehicle
VE
H
O
W
N
E
R
VE
H
I
C
L
E
GZH0DMV 54Wisconsin Motor Vehicle
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Accident Report
School District Contracted With
Seating CapacityBody MakeSchool NameBus Travelling to/from
To From
BU
S
02
JOHNSON TIMBER CORP
IN
S
School Bus
78 - Agency Space76 - Trapped/Extricated
Not-Trapped
77
Medical Transport
75 - Ejected
Not-Ejected
73 - Airbag
Non-Deployed
70 - Injury Severity
N - No Apparent Injury
72 - Safety Equipment
Child-Safety-Seat-Used
71 - Seat Position
Second-Seat-Right
69 - Sex
M
67 - Date of Birth
04/20
68 - Zip Code
54843
68 - State
WI
68 - City
HAYWARD
68 - PO Box68 - Address Street & Number
01
66 - Suffix66 - Middle Initial
W
66 - First Name
BRADDEN
66 - Occupant Last Name
ACHTOR
65 - Unit No
02
OC
C
U
P
A
N
T
Address Same As Operator
Occupant
Vehicle Identification NumberUnit TypeTrailer Make
Expiration YearStatePlate TypeLicense Plate Number106 - Power Unit Number
TR
L
01
Trailer
GZH0DMV 55Wisconsin Motor Vehicle
PK2012
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Accident Report
SGT NICK ALMOGHRABI
Diagram and Narrative
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105 - Photos By
I, SGT. AL-MOGHRABI, WAS DISPATCHED TO A TWO VEHICLE PROPERTY DAMAGE CRASH AT THE INTERSECTION OF PENINSULA ROAD AND STH 77 ON 12/23/16 AT 16:08. THE ROAD CONDITIONS AT THE TIME OF THE CRASH WERE SNOW COVERED AND
SLIPPERY. UPON ARRIVAL, I OBSERVED A CHEVY SUBURBAN PARKED FACING STH 77 AT THE INTERSECTION WITH SEVERE
DRIVER'S SIDE DAMAGE. I FURTHER OBSERVED A JEEP LIBERTY PARKED BEHIND IT FACING SOUTH WITH SEVERE FRONT
DRIVER'S SIDE DAMAGE. THE OPERATOR OF THE JEEP, JESSICA BUNKER, STATED SHE WAS PULLING ONTO PENINSULA RD FROM
STH 77 WHEN SHE CONTINUED TO SLIDE THROUGH THE INTERSECTION STRIKING THE CHEVY OPERATED BY REBECCA ACTOR.
ACHTOR STATED SHE WAS PARKED AT THE INTERSECTION WAITING TO TURN WHEN SHE OBSERVED THE JEEP SLIDING TOWARDS HER. ACHTOR TRIED TO PULL FORWARD AND TO THE RIGHT TO AVOID BEING STRUCK BUT THE JEEP STRUCK HER IN
THE REAR DRIVER'S SIDE DOOR. BOTH VEHICLES WERE ABLE TO BE DRIVEN AWAY FROM THE SCENE. BUNKER WILL BE
RECEIVING CITATIONS VIA MAIL FOR OPERATING A MOTOR VEHICLE WITHOUT INSURANCE AND OPERATING A MOTOR VEHICLE
WITHOUT A VALID DRIVER'S LICENSE.
18 - Agency Space
19 - Special Study1612230616122306
135 - Date Of Report
12/23/2016
134 - Time Arrived (Military Time)1618133 - Time Notified (Military Time)1608132 - Date Notified
12/23/2016
128 - Telephone Number(715) 634-4858 Ext.127 - Zip Code54843127 - StateWI127 - CityHAYWARD
126 - Law Enforcement Agency Address Street & Number
15880 EAST FIFTH STREET
130 - Law Enforcement Agency NameSAWYER COUNTY SHERIFFS DEPT129 - Law Enforcement Agency No.
131 - Officer ID
392NICK
125 - Officer Last Name
ALMOGHRABI
Officer Information
125 - Middle Initial125 - First Name
OF
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