HomeMy WebLinkAbout20181012 LINDSTROM - HANSEN.pdf18101205
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
PRIVATE PROPERTY/PARKING LOTReportable
TagsSchool Bus Related
NOActive School ZoneGovernment
Property
Reporting
ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
00
Total Units
02
Time Notified
09:00 PM
Date Notified
10/12/2018
Time Arrived
09:15 PM
Date Arrived
10/12/2018
Crash Time
09:00 PM
Crash Date
10/12/2018
Investigating Officer/Deputy
SERGEANT JEFF JOHNSON
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
Q
B
C
3
Z
Additional InformationNONE, PHOTOS,
RECONSTRUCTION
Photos BySGT. J. JOHNSON
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
UNIT 2 WAS LEGALLY PARKED, FACING SOUTH IN THE PARKING LOT. UNIT 1 BACKED INTO UNIT 2, THEN DROVE AWAY. I LATER LEARNED THAT
UNIT 1 HAD BEEN TAKEN BY THE SUSPECT W/OUT THE OWNER'S PERMISSION. UNIT 1 (STOLEN VEHICLE) WAS LATER RECOVERED IN POLK
COUNTY AND THE SUSPECT, WHO STOLE THE VEHICLE, THEN PERFORMED THE HIT AND RUN, WAS ARRESTED IN POLK COUNTY
Crash Time 09:00 PM
Crash Date 10/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
18101205
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5116754
X Coordinate
163026.234375
Longitude
-91.361534413
Latitude
46.12108076
ON TOWN HALL RD
78 FT W
OF CTHOO WB
IN THE TOWN OF LENROOT
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
Crash Classification - Jurisdiction
PRIVATE PROPERTY
Crash Classification - Location
PRIVATE PROPERTY
Relation To Trafficway
NON TRAFFICWAY - PARKING LOT
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DARK/LIGHTED
Manner of Collision
04--REAR TO REAR
First Harmful Event Location
IN PARKING LANE OR ZONE
First Harmful Event
PARKED MOTOR VEHICLE
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
UNKNOWN
Road Curvature
UNKNOWN
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
UNKNOWN
Traffic Control
UNKNOWN
Traffic Way
UNKNOWN
Emergency Motor Vehicle Use
UNKNOWN
Special Function
UNKNOWNMost Harmful Event: Collision With
PARKED MOTOR VEHICLE
Total Lanes
1
Speed LimitPre CrashTire
Mark
Direction Of Travel
UNKNOWN
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
1
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK01
Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
HIT AND RUN
Unit Summary
UN
IT
Extent Of Damage
UNKNOWN
Vehicle Damage
6--REAR
Initial Contact Point
6--REAR
Bus UseNOT A BUSBody Style
PK - PICKUP
Color
BLK - BLACK
ModelYear
2014
Make
DODGE
Vehicle Identification Number
07480101
Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VE
H
I
C
L
E
UN
I
T
Vehicle
Crash Time 09:00 PM
Crash Date 10/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
18101205
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
AMERY, WI 54001 , US
Owner Name
01
Driver DistractionsUNKNOWN IF DISTRACTED
01
Driver Actions
UNSAFE BACKING, UNKNOWN
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
BACKING
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
UN
I
T
VE
H
I
C
L
E
Sequence Of Events
EventPARKED MOTOR VEHICLE01
Event
02
Event
03
Event
04
Injury
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT APPLICABLE
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT APPLICABLE
Airbag
NOT APPLICABLE
Injury Severity
NO APPARENT INJURY00
1
01
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
RESTRAINT USE UNKNOWN
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
AMERY, WI 54001 , US
Race
WHITEDate of Birth
10/12/
Sex
MALE
Citations Issued
1
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 09:00 PM
Crash Date 10/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
18101205
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
NOT OBSERVED
Drug Type
00
1
01
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
Action
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Violations
DescriptionHIT AND RUN-UNATTENDED VEHICLESeq Num001Statute Number346.68Issue To?
001
UTC Number
AE01471501
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
UNKNOWN
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
PARKING LOT OR PRIVATE PROPERTY
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTIONMost Harmful Event: Collision With
MOTOR VEH IN TRANSPORT
Total Lanes
1
Speed LimitPre CrashTire
Mark
Direction Of Travel
NOT ON ROADWAY
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
0
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK02
Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
LEGALLY PARKED
Unit Summary
UN
IT
Initial Contact Point
6--REAR
Bus UseNOT A BUSBody Style
PK - PICKUP
Color
BLK - BLACK
Model
RAM
Year
2018
Make
DODGE
Vehicle Identification Number
06300202
Country of Issuance
UNITED STATES
St
MI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
C
Vehicle
Crash Time 09:00 PM
Crash Date 10/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
18101205
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
NEGAUNEE, MI 49866 9620, US
Owner Name
02
Driver DistractionsNOT DISTRACTED
02
Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
LEGALLY PARKED
Vehicle Removed By
OWNER
Towed Due To Damage
NOT TOWED
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
6--REAR
VE
H
I
C
L
E
UN
I
T
UN
I
T
VE
H
I
C
L
E
Sequence Of Events
EventPARKED MOTOR VEHICLE01
Event
02
Event
03
Event
04
Crash Time 09:00 PM
Crash Date 10/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.