20170716 Mitchell Rhea17071609558
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL133SSFF 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
02
Time Notified
01:18 PM
Date Notified
07/16/2017
Time Arrived
01:45 PM
Date Arrived
07/16/2017
Crash Time
01:18 PM
Crash Date
07/16/2017
Investigating Officer/Deputy
DEPUTY ROB HOUSE
Agency Crash Number
17071603
Primary Crash Document #Document Number Override
6V
L
1
3
3
S
S
F
F
Additional InformationPhotos, Reconstruction
Photos ByOWNERS
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
UNIT 1 WAS TRAVELLING WESTBOUND ON HIGHWAYS 27/70.UNIT 1 THEN APPROACHED THE G-2 GAS STATION AND WAS PROCEEDING TO TURN LEFT INTO STATION. UNIT 2 WAS ALSO TRAVELLING WESTBOUND ON 27/70. UNIT 2 STRUCK THE REAREND OF UNIT 1 CAUSING MAJOR DAMAGE TO
VEHICLE . NO INJURIES REPORTED. UNIT 2 DRIVER WAS AT FAULT FOR INATTENTIVE DRIVING. UNIT 1 WAS TOWED DUE TO DAMAGE.
Crash Time 01:18 PM
Crash Date 07/16/2017Wisconsin Motor Vehicle Crash
Form DT4000 1 of 7
This report does not include any CJIS data.
17071609558
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL133SSFF Wisconsin Motor Vehicle
Crash Report
Structure Type
Y Coordinate
5088748
X Coordinate
150533.15625
Longitude
-91.502271769
Latitude
45.863521879
ON STH27 NB
161 FT N
OF STH70 EB
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 - On Road
Animal Type
Weather Condition(s)
Clear
Environment Factor(s)
None
Roadway Factor(s)
None
Road Surface Condition(s)
Dry
Light Condition
Daylight
Manner of Collision
02--Front To Rear
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
Reporting Threshold
No
Truck Bus or HazMat
No
Road Grade
Level
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
Motor Veh In Transport
Total Lanes
2
Speed Limit
45Pre 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
Unit Summary
Extent Of Damage
Disabling Damage
Vehicle Damage
6--Rear
Initial Contact Point
6--Rear
Bus UseNot A BusBody Style
4D - 4DR
Color
WHI - White
Model
CROWN VIC
Year
1999
Make
FORD
Vehicle Identification Number
1081
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
553XTY
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 01:18 PM
Crash Date 07/16/2017Wisconsin Motor Vehicle Crash
Form DT4000 2 of 7
This report does not include any CJIS data.
17071609558
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL133SSFF Wisconsin Motor Vehicle
Crash Report
Driver DistractionsNot Distracted
Driver Actions
No Contributing Action
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Left Turn
Vehicle Removed By
OWNER
Towed Due To Damage
Towed Due To Disabling Damage
VE
H
I
C
L
E
UN
I
T
01
Address
STONE LAKE, WI 54876 , US
IndividualTERESA M MITCHELL01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventLeft Turn01
EventMotor Veh In Transport02
Event
03
Event
04
Individual
TERESA MITCHELL
Insurance Company
FARMERS-INS-CO-INC
Policy Holder
UN
I
T
Crash Time 01:18 PM
Crash Date 07/16/2017Wisconsin Motor Vehicle Crash
Form DT4000 3 of 7
This report does not include any CJIS data.
17071609558
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL133SSFF 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
STONE LAKE, WI 54876 , US
RaceWHITEDate of Birth
06/27/1
Sex
Female
Citations Issued
0
DriverTERESA M MITCHELL
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 01:18 PM
Crash Date 07/16/2017Wisconsin Motor Vehicle Crash
Form DT4000 4 of 7
This report does not include any CJIS data.
17071609558
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL133SSFF Wisconsin Motor Vehicle
Crash Report
Reporting Threshold
No
Truck Bus or HazMat
No
Road Grade
Level
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
Motor Veh In Transport
Total Lanes
2
Speed Limit
45Pre 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
Straight Truck (Insert Truck)
Unit Type
Truck
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
02
Unit Summary
Driver DistractionsInattention Details Unknown
Driver ActionsOperated Motor Vehicle In Inattentive, Careless or Erratic Manner
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Going Straight
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
02
Extent Of Damage
Minor Damage
Vehicle Damage
12--Front
Initial Contact Point
12--Front
Bus UseNot A BusBody Style
PK - PICKUP
Color
WHI - White
Model
RANGER
Year
2004
Make
FORD
Vehicle Identification Number
4070
Country of Issuance
UNITED STATES
St
WI
Plate Type
HTK - Heavy Truck
License Plate Number
ML7739
VE
H
I
C
L
E
UN
I
T
02
Vehicle
Address E
STONE LAKE, WI 54876 , US
IndividualHUNTER A RHEA02
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventRun Off Roadway Right01
Crash Time 01:18 PM
Crash Date 07/16/2017Wisconsin Motor Vehicle Crash
Form DT4000 5 of 7
This report does not include any CJIS data.
17071609558
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL133SSFF Wisconsin Motor Vehicle
Crash Report
Event
02
Event
03
Event
04
Individual
ANDREW RHEA
Insurance Company
PROGRESSIVE-CASUALTY-INS-CO
Policy Holder
UN
I
T
Crash Time 01:18 PM
Crash Date 07/16/2017Wisconsin Motor Vehicle Crash
Form DT4000 6 of 7
This report does not include any CJIS data.
17071609558
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL133SSFF 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
02
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 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
2
Safety Equipment
Shoulder & Lap Belt
On Duty Crash
02
c ber
State: Wisconsin Country: UNITED STATES
Address
STONE LAKE, WI 54876 , US
RaceWHITEDate of Birth
07/28/
Sex
Male
Citations Issued
0
DriverHUNTER A RHEA
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 01:18 PM
Crash Date 07/16/2017Wisconsin Motor Vehicle Crash
Form DT4000 7 of 7
This report does not include any CJIS data.