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HomeMy WebLinkAbout20181216 ELLIS.pdf18121602 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13C713Z 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 10:17 AM Date Notified 12/16/2018 Time Arrived 10:21 AM Date Arrived 12/16/2018 Crash Time 10:17 AM Crash Date 12/16/2018 Investigating Officer/Deputy DEPUTY RYAN SCHICK Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 3 C 7 1 3 Z Additional InformationNONE, PHOTOS Photos ByOFFICER MARUCHA Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON DECEMBER 16, 2018, I, DEPUTY RYAN SCHICK OF THE SAWYER COUNTY SHERIFF'S DEPT WAS ON PATROL. I RECEIVED A REPORT OF A VEHICLE STRIKING ANOTHER VEHICLE AT THE EDELWEISS MOTEL. I ARRIVED ON SCENE AND STOPPED THE SUSPECT VEHICLE ON PARK RD. THE ACCIDENT OCCURRED IN THE PARKING LOT OF EDELWEISS MOTEL, HOWEVER. I MADE CONTACT WITH THE SUSPECT, . APPEARED TO BE INTOXICATED. REFUSED FIELD SOBRIETY BUT WAS PLACED IN CUSTODY FOR OWI AS SHE HAD MULTIPLE INDICATORS OF IMPAIRMENT SUCH AS SLURRED SPEECH, STRONG ODOR, BLOODSHOT AND GLOSSY EYES, AND SWAYED WHILE STANDING. THE VICTIM AND OWNER OF EDELWEISS, SHOWED ME HIS VEHICLE THAT GOT STRUCK AND PUSHED COMPLETELY OUT OF ITS PARKING STALL IN FRONT OF THE MOTEL. HE STATED THERE WAS A LOT OF DAMAGE UNDERNEATH THE TRUCK AND POSSIBLE AN AXEL THAT BROKE AS WELL. OFFICER MARUCHA PHOTOGRAPHED THE SCENE FOR ME WHILE I TRANSPORTED TO THE SAWYER COUNTY JAIL. PLEASE SEE SWSO CASE #: 18121602 FOR MORE DETAILS. Crash Time 10:17 AM Crash Date 12/16/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 18121602 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13C713Z WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5102826.5 X Coordinate 151670.578125 Longitude -91.497882842 Latitude 45.990420576 ON PARK RD 140 FT E OF STH27 NB 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 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 DAYLIGHT Manner of Collision 08--FRONT TO SIDE 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 LEVEL Road Curvature STRAIGHT 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 0 Speed Limit 15Pre CrashTire Mark Direction Of Travel NOT ON ROADWAY Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 0 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status LEGALLY PARKED Unit Summary UN IT Extent Of Damage DISABLING DAMAGE Vehicle Damage 4--RIGHT SIDE REAR, 5--RIGHT REAR CORNER, 6--REAR Initial Contact Point 5--RIGHT REAR CORNER Bus UseNOT A BUSBody Style PK - PICKUP Color BLK - BLACK Model SILVERADO Year 2001 Make CHEVROLET Vehicle Identification Number 74790101 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 10:17 AM Crash Date 12/16/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 18121602 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13C713Z WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 01 Driver DistractionsNOT DISTRACTED 01 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 UN I T VE H I C L E Sequence Of Events EventPARKED MOTOR VEHICLE01 EventMOTOR VEH IN TRANSPORT02 Event 03 Event 04 IndividualInsurance Company PROGRESSIVE-ADVANCED-INSURANCE-CO Policy Holder UN I T 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 PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With PARKED MOTOR VEHICLE Total Lanes 0 Speed Limit 15Pre CrashTire Mark Direction Of Travel NOT ON ROADWAY Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type PASSENGER CAR02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UN IT Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 10:17 AM Crash Date 12/16/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 18121602 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13C713Z WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 02 Driver DistractionsOTHER DISTRACTION 02 Driver Actions OTHER CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed ByTowed Due To Damage NOT TOWED Extent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 1--RIGHT FRONT CORNER, 12--FRONT Initial Contact Point 12--FRONT Bus UseNOT A BUSBody Style 4H - HATCHBACK 4 DOOR Color WHI - WHITE Model SANTA FE Year 2013 Make HYUNDAI Vehicle Identification Number 47600202 VE H I C L E UN I T UN I T VE H I C L E Sequence Of Events EventMOTOR VEH IN TRANSPORT01 EventPARKED MOTOR VEHICLE02 Event 03 Event 04 Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITEDate of Birth 03/18/ Sex FEMALE Citations Issued 01 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 10:17 AM Crash Date 12/16/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 18121602 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13C713Z WISCONSIN MOTOR VEHICLE CRASH REPORT Injury Drug & Alcohol Individual Condition UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL Drug Type 00 1 02 Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test Results PENDING Alcohol Test Type BLOOD Alcohol Test Given TEST GIVEN Suspected Drug Use NO Suspected Alcohol Use YES Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00 1 02 Tint ComplianceEye Protection UN I T Non Motorist IN D I V I D U A L Violations DescriptionOPERATING WHILE UNDER THE INFLUENCE(3RD)Seq Num003Statute Number346.63(1)(A)Issue To? 001 UTC Number AE53858201 Crash Time 10:17 AM Crash Date 12/16/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.