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20170109 Langham17010901 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14MH5JQ Wisconsin Motor Vehicle Crash Report 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 02:27 PM Date Notified 01/09/2017 Time Arrived 02:27 PM Date Arrived 01/09/2017 Crash Time 02:27 PM Crash Date 01/09/2017 Investigating Officer/Deputy DEP/DEPU MATTHEW JEFSON Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 4 M H 5 J Q Structure TypeTribal Land Override On Roadway Link Offset 4531 On Roadway Link ID# 5178345 Y Coordinate 5079523 X Coordinate 151678.9062 Access ControlLat/LongSource TLT/ILT Longitude -91.4808974 Latitude 45.78132445 ON SISSABAGAMA RD 0.85 MI E OF CTHF WB IN THE TOWN OF SAND LAKE 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) Clear Roadway Factor(s) None Environment Factor(s) None Road Surface Condition(s) Snow, Ice Light Condition Daylight Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location Shoulder Left First Harmful Event Tree Crash Scene Intersection Type Not an Intersection Junction Location Non-Junction Within Interchange Area NO Reporting Threshold No Truck Bus or HazMat No Road Grade Downhill Road Curvature Curve Right 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 Tree Total Lanes 2 Speed Limit 35Pre CrashTire Mark Direction Of Travel Westbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 01 Unit Summary Individual Type IndividualUse Driver Address Citations Issued 0 RoleDriver Crash Time 02:27 PM Crash Date 01/09/20174Of1Wisconsin Motor Vehicle Crash Form DT4000 17010901 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14MH5JQ Wisconsin Motor Vehicle Crash Report 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 IN D I V I D U A L UN I T Individual Condition Appeared Normal Action Other ActionPrior Action To/FromSchoolLocationStriking Unit # 01 Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedicalTransport 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/Bicy Safety Equipment Shoulder & Lap Belt On Duty Accident 01 DL Expire Year2024License Status Valid License License Type Non-CDL Driver's License Country of Issuance UNITED STATES License Jursidiction State State WI Driver's License Number Phone Number . Weight250Height 600 EyesHAZELHairBLONDRaceWSex M DOB 04/16 Country of Residence UNITED STATES Zip Code 54876 State WI City STONE LAKE PO BoxStreet Address 2Street Address SuffixMiddle Initial J First Name ROBERT Last Name LANGHAM IN D I V I D U A L 01 UN I T 01 Injury Drug & Alcoh Non Motorist Equipment Vehicle DamageInitial Contact Point Color BRZ - Bronze Body Style 4D - 4DR Model TAURUS SEL Make FORD Year 2015 Vehicle Identification Number 7048 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 324UMP01 01 Crash Time 02:27 PM Crash Date 01/09/20174Of2Wisconsin Motor Vehicle Crash Form DT4000 17010901 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14MH5JQ Wisconsin Motor Vehicle Crash Report Driver DistractionsNot DistractedDriver ActionsFailure To Control Bus UseNot A BusDriver Prior Action OtherWhat Driver Was Doing Negotiating Curve Vehicle Removed By A-1 TOWING Vehicle Factors Not Applicable Towed Due To Damage Towed But Not Due To Disabling Damage Extent Of Damage Functional Damage 8--Left Side Rear, 9--Left Side Middle, 10--Left Side Front, 11--Left Front Corner 9--Left Side MiddleVE H I C L E UN I T EventTree01 Event 02 Event 03 Event 04 Telephone Number Country of Residence UNITED STATES Zip Code 54876 St WI City STONE LAKE PO BoxStreet Address2Street Address Date of Birth 04/16/ SuffixMiddle Initial J First Name ROBERT Last Name LANGHAM Company NameOrganization Type Individual Use Operator AddressVehicle Owner Same As Operator VE H I C L E O W N E R 01 UN I T 01 Policy Holder CompanyFirst Name ROBERT Last Name LANGHAM Organization Type Individual Policy Holder Same As DriverPolicy Holder Same As Owner Insurance Company PEKIN-INS-CO HO L DE R 01 UN I T Additional Information Photos ByMATT JEFSON Reconstruction ByDiagram Description Crash Time 02:27 PM Crash Date 01/09/20174Of3Wisconsin Motor Vehicle Crash Form DT4000 17010901 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14MH5JQ Wisconsin Motor Vehicle Crash Report Photos Narrative I WAS DISPATCHED TO A ONE VEHICLE ACCIDENT ON SISSABAGAMA RD. JUST WEST OF THE GRAVEL PIT. I ARRIVED ON SCENE AND NOTICE THE DRIVER WAS SITTING IN A VEHICLE THAT HAD STOPPED TO CHECK WELFARE. DISPATCH ADVISED THAT A-1 TOWING WAS EN ROUTE TO REMOVE THE VEHICLE. I SPOKE WITH THE DRIVER THAT STATED HE WAS TRAVELING SLOW BUT WHEN HE WENT TO TURN FOR THE CORNER THE VEHICLE KEPT GOING STRAIGHT AND THEN SLIDE OFF THE SIDE OF THE HILL AND HIT A TREE. THE DRIVER STATED THAT HE WAS WEARING HIS SEATBELT AND DIDNT HAVE ANY INJURIES. A-1 TOWING ARRIVED AND REMOVED THE VEHICLE AND WE ALL CLEARED THE SCENE. Crash Time 02:27 PM Crash Date 01/09/20174Of4Wisconsin Motor Vehicle Crash Form DT4000