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20171229 Demain Schultz-Yoder.pdf17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 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 02 Total Units 02 Time Notified 05:10 PM Date Notified 12/28/2017 Time Arrived 05:14 PM Date Arrived 12/29/2017 Crash Time 05:10 PM Crash Date 12/28/2017 Investigating Officer/Deputy DEPUTY DARIN JENSEN Agency Crash Number 17122803 Primary Crash Document #Document Number Override 6V L 1 3 K D 6 N 3 Additional InformationPhotos Photos ByNICOLE RIPCZINKSI Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS TRAVELING SOUTHBOUND AND SLIDE THROUGH THE STOP SIGN INTO THE INTERSECTION. UNIT 2 WAS TRAVELING WESTBOUND WITH THE RIGHT OF WAY WHEN UNIT 2 STRUCK UNIT 1 DUE TO UNIT 1 FAILING TO STOP AT THE STOP SIGN. Structure Type Y CoordinateX Coordinate LongitudeLatitudeON CTHE SB 0 FT N OF STH70 SB IN THE TOWN OF SAND LAKE IN SAWYER COUNTY Location Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 Wisconsin Motor Vehicle Crash Report 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) Weather Conditions Roadway Factor(s) Road Surface Condition (Wet, Icy, Snow, Slush, Etc) Road Surface Condition(s) Snow Light Condition Dark/Unlit Manner of Collision 08--Front To Side First Harmful Event Location On Roadway First Harmful Event Motor Veh In Transport Crash Scene Intersection Type Four-Way Intersection Junction Location Intersection Within Interchange Area NO Time Roadway RepairedDate Roadway RepairedTime All Lanes Open 08:08 PM Date All Lanes Open 12/28/2017 Time Initial Lane/Road Closed 07:10 PM Date Initial Lane/Road Closed 12/28/2017 Reasons for Closure Law Enforcement, Fire/EMS Closure Type Lane 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 Stop Sign 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 Southbound Insurance? NO Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 6 Train/Bus # InjuredTotal Occs 2 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 Vehicle Removed ByTowed Due To Damage Extent Of Damage Disabling Damage Vehicle Damage 7--Left Rear Corner, 8--Left Side Rear, 9--Left Side Middle, 10--Left Side Front, 11--Left Front Corner Initial Contact Point 9--Left Side Middle Bus UseNot A BusBody Style HB - HATCHBACK Color BLK - Black Model ECLIPSE Year 2000 Make MITSUBISHI Vehicle Identification Number 7036 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number AAG3582 VE H I C L E UN I T 01 Vehicle Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 Wisconsin Motor Vehicle Crash Report Driver DistractionsSmoking Related Driver Actions Speed Too Fast/Cond, Failed To Yield Right-Of-Way, Failure To Control Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Going Straight Towed Due To Disabling Damage VE H I C L E UN I T 01 Address SARONA, WI 54870 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 EventMotor Veh In Transport02 Event 03 Event 04 Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 Wisconsin Motor Vehicle Crash Report Individual Condition Under The Influence Of Medications/Drugs/ Alcohol 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 ST MARYS MEDICAL CENTER EMS Run #EMS Agency Identifier 6001346 Medical Transport EMS Air Trapped/Extricated Not Trapped Ejection Path Not Ejected/Not Applicable Ejected Not Ejected Airbag Deployed-Front Injury Severity Suspected Serious 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 None Used - Vehicle Occupant On Duty Crash 01 Driver License NumberAddress HAYWARD, WI 54843 , US RaceDate of Birth 07/08 Sex Male Citations Issued 6 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 Wisconsin Motor Vehicle Crash Report Individual Condition Under The Influence Of Medications/Drugs/ Alcohol 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 ST MARYS MEDICAL CENTER EMS Run #EMS Agency Identifier 6001349 Medical Transport EMS Air Trapped/Extricated Not Trapped Ejection Path Not Ejected/Not Applicable Ejected Not Ejected Airbag Deployed-Front Injury Severity Suspected Serious 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 ber State: Wisconsin Country: UNITED STATES Address SARONA, WI 54870 , US RaceDate of Birth 12/06/ Sex Female Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionCAUSE INJURY/OPERATE RESTRICTED CONTROL SUBSSeq Num008Statute Number346.63(2)(a)3Issue To? 001 UTC Number AE01455301 DescriptionKNOWINGLY OWL / CAUSE GREAT BODILY HARMSeq Num012Statute Number343.05(3)(a)Issue To? 001 UTC Number AE01455402 DescriptionDRIVING TOO FAST FOR CONDITIONSSeq Num001Statute Number346.57(3)Issue To? 001 UTC Number AE01455503 Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 Wisconsin Motor Vehicle Crash Report DescriptionOPERATE MOTOR VEHICLE W/O INSURANCESeq Num001Statute Number344.62(1)Issue To? 001 UTC Number AE01455604 DescriptionFAIL/STOP AT STOP SIGNSeq Num001Statute Number346.46(1)Issue To? 001 UTC Number AE01455705 DescriptionRECKLESS DRIVING-ENDANGER SAFETYSeq Num002Statute Number346.62(2)Issue To? 001 UTC Number AE01455806 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 Motor Veh In Transport Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel Westbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 4 Operating As EndorsementsVehicle Type (Sport) Utility Vehicle Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 02 Unit Summary Driver DistractionsNot Distracted Driver Actions No Contributing Action Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Going Straight Vehicle Removed ByTowed Due To Damage Towed Due To Disabling Damage VE H I C L E UN I T 02 Extent Of Damage Disabling Damage Vehicle Damage 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style UT - SPORT UTILITY VEHICLE Color SIL - Silver (Aluminum) Model MOUNTAINEE Year 2006 Make MERCURY Vehicle Identification Number 2133 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 269YLW VE H I C L E UN I T 02 Vehicle Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 Wisconsin Motor Vehicle Crash Report Address STONE LAKE, WI 54876 , US Individual (02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Event 02 Event 03 Event 04 IndividualInsurance Company ALLSTATE-INS-CO Policy Holder UN I T Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 7 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 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 3 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 3 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address STONE LAKE, WI 54876 , US RaceWHITEDate of Birth 02/23/ Sex Female Citations Issued 0 Driver ( IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 8 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 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 4 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 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 4 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 Driver License NumberAddress STONE LAKE, WI 54876 , US RaceDate of Birth 04/27/ Sex Female Citations Issued 0 Passenger ( IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 9 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 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 5 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 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 4--Second Seat-Left Side(Motorcycle/Bicycle Pa 00 5 Safety Equipment Child Restraint System - Forward Facing On Duty Crash 02 Driver License NumberAddress STONE LAKE, WI 54876 , US RaceDate of Birth 06/05/ Sex Male Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 10 of 11 This report does not include any CJIS data. 17122803 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13KD6N3 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 6 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 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 6--Second Seat-Right Side 00 6 Safety Equipment Booster Seat On Duty Crash 02 Driver License NumberAddress STONE LAKE, WI 54876 , US RaceDate of Birth 09/15/ Sex Female Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:10 PM Crash Date 12/28/2017Wisconsin Motor Vehicle Crash Form DT4000 11 of 11 This report does not include any CJIS data.