20161229 GaydosGZH0DMW 41Wisconsin 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
Clear
116 - Road Surface Condition
Snow/Slush
114 - Light Condition
Dark-Not-Lighted
117 - Relation To Roadway
Outside-Shoulder-Left
115 - Traffic Way
Not-Physically-Divided-(2-Way Traffic)
Surface Type
Blacktop, Bituminous, or Asphalt - 2
113 - Road Terrain
Hill
113 - Road Curvature
Straight
112 - Access Control
No Control
93 - Manner of Collision
No Collision with Motor Vehicle in Transport
80 - First Harmful Event
Other Post
13 - Longitude-91.4437363646712 - Latitude
46.077300399011
17 - Structure Number17 - Structure Type
16 - Business/Frontage/Ramp16 - From/At Street Name
SHORT RD
16 - Fr/At Hwy No.
15 - Hwy. DirWEST15 - Est. Distance662 Ft
14 - Bus/Frnt/Rmp14 - On Street Name
NELSON LAKE RD
14 - On Hwy No.
11 - Accident LocationNon-Intersection3 - Municipality
LENROOT - 08, Town
2 - County
SAWYER - 57
8 - Total Killed
00
7 - Total Injured
00
6 - Total Units
01
5 - Time of Accident (Military Time)
2159
4 - Accident Date
12/29/2016
16
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16122906
16
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16122906
Document Override NumberDOT Document Number
GZH0DMWAmendedOn EmergencyReportable Accident
GE
N
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N
F
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N
Police Number
PO
L
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#
AC
C
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N
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#
Agency Accident Number
01
91 - Drugs Reported
91 - Drug Test
Test Not Given
90 - Alcohol Content
26
90 - Alcohol TestTest Given
89 - Substance Presence
Alcohol-Present88 - Driver or Pedestrian CondAbility Impaired
122 - Driver Factors
Driver-Condition
64 - 5th Statute No.64 - 4th Statute No.64 - 3rd Statute No.64 - 2nd Statute No.346.63(1)(B)64 - 1st Statute No.346.63(1)(A)
62 - No. of Citations Issued2120 - Traffic Control
No-Control
119 - What Driver Was Doing
GOING STRAIGHT
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 EquipmentRestraint-Use-Unknown39 - Seat PositionFront-Seat-Left-Side-(MC/Bike Driver, Train Conductor)
28 - Telephone Number27 - Zip Code
54843
27 - State
WI
27 - City
HAYWARD
26 - PO Box26 - Address Street & Number
33 - Sex
Male
32 - Date Of Birth
05/22/
25 - Suffix25 - Middle InitialJ25 - First NameANDREW25 - Operator/Pedestrian Last NameGAYDOS
34 - On Duty Accident31 - Expiration Year
2019
30 - State
WI
29 - Driver's License Number
Operating Commercial Motor Vehicle3537 - Endorsements36 - Operating as ClassifiedD CLASS
24 - Speed Limit45
23 - Dir Of Travel
WEST
81 - Most Harmful Event: Collision With
Other Post
Unit Status
OP
E
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P
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T
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N
Operator/Pedestrian
GZH0DMW 42Wisconsin 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
UNKNOWN
49 - Telephone Number48 - Zip Code
5484348 - StateWI
48 - City
HAYWARD
47 - PO Box47- Address Street & Number
46 - Company Name
Date Of Birth
05/22/1
46 - Suffix46 - Middle Initial
J
46 - First Name
ANDREW
46 - Vehicle Owner Last Name
GAYDOS
Vehicle Owner Same As Operator
45
123 - Vehicle Factors
Not-Applicable
97 - Vehicle Removed By96
Vehicle Towed Due To Damage
95 - Extent Of Damage
Minor
94 - Vehicle Damage
Middle Passenger Side
100 - Skidmarks to Impact (Ft)54 - Color
SIL
53 - Body Style
TK - TRUCK
52 - Model
RAM 1500
51 - Make
DODG
50 - Year
2003
55 - Vehicle Identification Number70059 - Exp Year201758 - StateWI57 - Plate TypeLTK56 - License Plate Number459040
22 - Total Occupants
1
Vehicle Type
Pickup/Utility-Truck
21 - Unit Type
Truck
124 - Highway Factors
Not-Applicable
IN
S
School Bus
Insurance
Vehicle Owner
Vehicle
VE
H
O
W
N
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VE
H
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Vehicle Identification NumberUnit TypeTrailer Make
Expiration YearStatePlate TypeLicense Plate Number106 - Power Unit Number
TR
L
01
Trailer
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82 - Object Struck82 - Striking Unit82 - Object Struck82 - Striking Unit
82 - Object Struck82 - Striking Unit82 - Object Struck82 - Striking Unit
82 - Object Struck82 - Striking Unit82 - Object Struck
Mailbox
82 - Striking Unit
01
83 - Government Damage Tag Number
87 - Telephone Number86 - Zip Code86 - State86 - City
85 - PO Box85 - Address Street & Number
Government Property Type84 - Company Name01
84 - Suffix84 - Middle Initial84 - First Name84 - Property Owner Last Name
UNKNOWN
Organization Type
Individual
Property
PR
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N
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Fixed Objects Struck
Diagram and Narrative
DI
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A
N
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105 - Photos By
R/O WAS DISPATCHED TO A REPORT OF A POSSIBLE INTOXICATED DRIVER WHO WENT IN THE DITCH ON NELSON LAKE ROAD
OFF USH 63 IN LENROOT TOWNSHIP STRIKING MAILBOXES. WHILE RESPONDING, R/O WAS ADVISED THE DRIVER MADE IT OUT OF
THE DITCH HOWEVER WENT INTO THE DITCH FURTHER DOWN NELSON LK RD. UPON ARRIVAL IN THE AREA, R/O OBSERVED A CONCRETE BLOCK IN THE ROADWAY THAT HAD BEEN HOLDING UP ONE OF SEVERAL DOWNED MAIL BOXES. R/O CONTINUED
FURTHER WEST AND LOCATED A SILVER DODGE TRUCK IN THE NORTH DITCH WITH THE OPERATOR TRYING TO DRIVE OUT
HOWEVER WAS UNABLE TO. UPON ACTIVATING EMERGENCY LIGHTS AND EXITING, R/O SHINED THE DRIVER WITH A FLASHLIGHT
HOWEVER THE OPERATOR KEPT TRYING TO DRIVE OUT. AS HIS WINDOW WAS DOWN, R/O HAD THE DRIVER EXIT AND
RECOGNIZED HIM AS ANDREW "SKIP" GAYDOS. GAYDOS EXITED AND UPON MEETING WITH HIM R/O DETECTED A VERY STRONG
ODOR OF INTOXICANTS COMING FROM HIS PERSON. GAYDOS, WHEN ASKED, STATED HE HAD TWO DRINKS AND REFUSED FIELD SOBRIETY TESTS RESULTING IN R/O PLACING HIM IN PHYSICAL CUSTODY. A REVIEW OF GAYDOS' DRIVING RECORD SHOWED
TWO PRIOR CONVICTIONS FOR OWI. UPON CONSENTING TO A CHEMICAL TEST OF HIS BREATH, THE RESULT WAS .26 G/210L.
IT IS UNKNOWN HOW THE VEHICLE ENTERED THE SOUTH DITCH STRIKING THE MAILBOXES OTHER THEN THE DAMAGE
OBSERVED TO THE PASSENGER DOOR OF THE TRUCK.
CASE NUMBER 16122906
GZH0DMW 44Wisconsin Motor Vehicle
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18 - Agency Space
19 - Special Study1612290616122906
135 - Date Of Report
12/30/2016
134 - Time Arrived (Military Time)2207133 - Time Notified (Military Time)2159132 - Date Notified
12/30/2016
128 - Telephone Number
(715) 634-4858 Ext.
127 - Zip Code
54843
127 - State
WI
127 - City
HAYWARD
126 - Law Enforcement Agency Address Street & Number
15880 EAST FIFTH STREET
130 - Law Enforcement Agency Name
SAWYER COUNTY SHERIFFS DEPT
129 - 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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