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20171030 Quaderer17103003 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3L Wisconsin Motor Vehicle Crash Report Secondary CrashAmendedCrash Type DT4000 (Standard Crash)Reportable TagsSchool Bus Related NoActive School ZoneGovernment Property Trailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 01 Time Notified 09:58 PM Date Notified 10/30/2017 Time Arrived 09:58 PM Date Arrived 10/30/2017 Crash Time 09:58 PM Crash Date 10/30/2017 Investigating Officer/Deputy SERGEANT JEFF JOHNSON Agency Crash Number 17103003 Primary Crash Document #Document Number Override 6V L 1 3 Q B C 3 L Additional InformationNone, Photos, Reconstruction Photos BySGT. J. JOHNSON Reconstruction BySAWYER COUNTY SHERIFFDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON 10/30/17, I, SGT. JEFF JOHNSON WAS TRAVELING WESTBOUND ON CTH B NEAR THE SAWYER CO HWY SHOP IN HAYWARD TWSP AFTER JUST CLEARING FROM A VEHICLE IN THE DITCH TO THE EAST OF THAT LOCATION. I OBSERVED AN EASTBOUND VEHICLE THAT I HAD ON RADAR TRAVELING AT 36 MPH IN THE POSTED 55 MPH ZONE. DUE TO THE SNOW AND SLUSH COVERED ICE ON THE HWY, I WAS ALSO TRAVELING AT A MUCH SLOWER SPEED THAN THE POSTED LIMIT. I OBSERVED THE ONCOMING VEHICLE BEGAN SLIDING COUNTERCLOCKWISE, THEN CLOCKWISE AS IT BEGAN SLIDING INTO THE DITCH ON THE SOUTH SIDE OF CTH B. AS THE VEHICLE LEFT THE ROADWAY, I OBSERVED IT ROLL OVER NEARLY 2 TIMES. I LEARNED THAT THE DRIVER AND PASSENGER OF THE VEHICLE WERE NOT INJURED. NO CITATIONS WERE ISSUED DUE TO THE TERRIBLE ROAD CONDITIONS. Crash Time 09:58 PM Crash Date 10/30/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 17103003 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3L Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5103236.5 X Coordinate 157367.65625 Longitude -91.424835298 Latitude 45.996964581 ON CTHB 0.39 MI E OF BENDER RD 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 - Not On Road Animal Type Weather Condition(s) Snow, Sleet/Hail, Freezing Rain or Freezing Drizzle Environment Factor(s) Weather Conditions Roadway Factor(s) Road Surface Condition (Wet, Icy, Snow, Slush, Etc) Road Surface Condition(s) Snow, Ice Light Condition Dark/Unlit Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location Roadside First Harmful Event Ditch Crash Scene Intersection Type Not an Intersection Junction Location Non-Junction Within Interchange Area NO Time Roadway Repaired 11:20 PM Date Roadway Repaired 10/30/2017 Time All Lanes Open 11:20 PM Date All Lanes Open 10/30/2017 Time Initial Lane/Road Closed 10:15 PM Date Initial Lane/Road Closed 10/30/2017 Reasons for Closure Law Enforcement, Tow truck Closure Type Full closure Reporting Threshold 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 UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Ditch Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel Eastbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type (Sport) Utility Vehicle Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 Unit Summary Model TAHOE Year 2001 Make CHEVROLET Vehicle Identification Number 3181 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 530YVP01 Vehicle Crash Time 09:58 PM Crash Date 10/30/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 17103003 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3L Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Driver ActionsNo Contributing Action Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Going Straight Vehicle Removed ByTowed Due To Damage Towed But Not Due To Disabling Damage VE H I C L E UN I T 01 Extent Of Damage Functional Damage Vehicle Damage 6--Rear, 7--Left Rear Corner, 8--Left Side Rear, Top Initial Contact Point Top Bus UseNot A BusBody Style 4T - HARDTOP 4 DOOR Color MAR - Maroon (Burgundy) VE H I C L E UN I T Address HAYWARD, WI 54843 , US IndividualADRIEN L QUADERER01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventDitch01 EventTree02 Event 03 Event 04 Individual HEATHER MARTINSON Insurance Company STATE-AUTO-INSURANCE-CO-OF-WISCONSIN Policy Holder UN I T Crash Time 09:58 PM Crash Date 10/30/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 17103003 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3L Wisconsin Motor Vehicle Crash Report Individual Condition Appeared Normal Drug Type Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given Test Not Given Suspected Drug UseSuspected Alcohol Use Action Other IN D I V I D U A L UN I T Action To/From SchoolLocationPrior ActionStriking Unit # 00 1 01 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 Injury IN D I V I D U A L UN I T Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl 00 1 Safety Equipment Shoulder & Lap Belt On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceINDIANDate of Birth 04/09/1 Sex Female Citations Issued 0 DriverHEATHER R MARTINSON IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 09:58 PM Crash Date 10/30/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 17103003 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3L Wisconsin Motor Vehicle Crash Report Individual Condition Appeared Normal Drug Type Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given Test Not Given Suspected Drug UseSuspected Alcohol Use Action Other IN D I V I D U A L UN I T Action To/From SchoolLocationPrior ActionStriking Unit # 00 2 01 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 Injury IN D I V I D U A L UN I T Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--Front Seat-Right Side (Train Engineers/Right 00 2 Safety Equipment Shoulder & Lap Belt On Duty Crash 01 Driver License NumberT5361129970609 State: Wisconsin Country: UNITED STATES Address12741 W DAYCARE DR HAYWARD, WI 54843 , US RaceINDIANDate of Birth 06/06 9 Sex Female Citations Issued 0 PassengerCODY L TAINTER IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 09:58 PM Crash Date 10/30/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.