HomeMy WebLinkAbout20150608 HarringtonAgency Accident Number
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Reportable Accident On Emergency Amended GZDT72W
DOT Document Number Document Override Number
15060807404
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15060803
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06/08/2015
4 - Accident Date
0655
5 - Time of Accident (Military Time)
01
6 - Total Units
00
7 - Total Injured 8 - Total Killed
SAWYER - 572 - County BASS LAKE - 01, TOWN3 - Municipality INTERSECTION11 - Accident Location
027
14 - On Hwy No.
NB
14 - On Street Name 14 - Bus/Frnt/Rmp 15 - Est. Distance 15 - Hwy. Dir
16 - Fr/At Hwy No.WILLIAMS RD16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
45.954282
12 - Latitude -91.49466813 - Longitude
DITCH80 - First Harmful Event NO COLLISION WITH MOTOR VEHICLE IN TRANSPORT93 - Manner of Collision
NO CONTROL
112 - Access Control
STRAIGHT
113 - Road Curvature
LEVEL/FLAT
113 - Road Terrain
BLACKTOP, BITUMINOUS, OR ASPHALT - 2
Surface Type
NOT-PHYSICALLY-DIVIDED-(2-WAY TRAFFIC)115 - Traffic Way
OUTSIDE-SHOULDER-RIGHT
117 - Relation To Roadway
DAYLIGHT114 - Light Condition DRY116 - Road Surface Condition CLEAR118 - Weather
Hit and Run
9
Government Property
9
Fire
9
Photos Taken
9
Trailer or Towed
9
Truck, Bus, or Hazardous Materials
9
Load Spillage
9
Construction Zone
9
Names Exchanged
9
Supplemental Reports
101
Witness Statements
102
Measurements Taken
103 79 - E M S Number
Operator/Pedestrian
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Unit Status
DITCH
81 - Most Harmful Event: Collision With
NORTH
23 - Dir Of Travel
5524 - Speed Limit
D CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number
WI
30 - State
2018
31 - Expiration Year 34 - On Duty Accident
HARRINGTON
25 - Operator/Pedestrian Last Name
ANGELICA
25 - First Name
L
25 - Middle Initial 25 - Suffix
12/02/
32 - Date Of Birth
FEMALE
33 - Sex
26 - Address Street & Number 26 - PO Box
HAYWARD
27 - City
WI
27 - State
54843
27 - Zip Code 28 - Telephone Number
FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR)
39 - Seat Position
RESTRAINT-USE-UNKNOWN
40 - Safety Equipment
N - NO APPARENT INJURY
38 - Injury Severity
NON-DEPLOYED
41 - Airbag
NOT-EJECTED
42 - Ejected 44
Medical Transport
NOT-TRAPPED
43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action
MAKING-RIGHT-TURN
119 - What Driver Was Doing
NO-CONTROL
120 - Traffic Control 262 - No. of Citations Issued
343.44(1)(A)
64 - 1st Statute No.
346.70(1)
64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
EXCEEDING-SPEED-LIMIT, INATTENTIVE-DRIVING
122 - Driver Factors
NOT OBSERVED88 - Driver or Pedestrian Cond UNKNOWN
89 - Substance Presence
TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test
01
Accident Report
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MV4000e 01/2005
Page
PK2012
Wisconsin Motor Vehicle GZDT72W 1 4
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Vehicle
Vehicle Owner
Insurance
School Bus
IN
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91 - Drugs Reported
NOT-APPLICABLE
124 - Highway Factors
AUTOMOBILE
21 - Unit Type
PASSENGER-CAR
Vehicle Type
2
22 - Total Occupants
WD7663
56 - License Plate Number
AUT57 - Plate Type MN
58 - State
2016
59 - Exp Year
KLAVA69291B320005
55 - Vehicle Identification Number
2001
50 - Year
DAEW
51 - Make
4DLCS
52 - Model
4D - 4DR
53 - Body Style
SIL
54 - Color 100 - Skidmarks to Impact (Ft)
FRONT DRIVER SIDE, FRONT, FRONT PASSENGER SIDE
94 - Vehicle Damage
MODERATE
95 - Extent Of Damage
Vehicle Towed Due To Damage
96 97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
GUTIERREZ
46 - Vehicle Owner Last Name
CARLOS
46 - First Name
G
46 - Middle Initial 46 - Suffix
05/29/1
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
PLYMOUTH48 - City MN48 - State 5544748 - Zip Code 49 - Telephone Number
UKNOWN63 - Liability Insurance Company Policy Holder Same As Owner60
UKNOWN
61 - Policy Holder Last Name 61 - Policy Holder First Name
61 - Policy Holder Company
01
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Bus Travelling to/from School Name Body Make Seating Capacity
School District Contracted With
Occupant
Address Same As Operator
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01
65 - Unit No
PRICE
66 - Occupant Last Name
GINA
66 - First Name
M
66 - Middle Initial 66 - Suffix
68 - Address Street & Number 68 - PO Box
STONE LAKE
68 - City
WI
68 - State
54876
68 - Zip Code
01/67 - Date of Birth F69 - Sex
FRONT-SEAT-RIGHT-SIDE-(TRAIN ENGINEER)
71 - Seat Position
RESTRAINT-USE-UNKNOWN
72 - Safety Equipment
Accident Report
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MV4000e 01/2005
Page
PK2012
Wisconsin Motor Vehicle
Accident Report
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MV4000e 01/2005
Page
PK2012
Wisconsin Motor Vehicle GZDT72W 2 424
N - NO APPARENT INJURY
70 - Injury Severity
NON-DEPLOYED
73 - Airbag
NOT-EJECTED
75 - Ejected
Medical Transport
77
NOT-TRAPPED
76 - Trapped/Extricated 78 - Agency Space
Trailer
01
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L
106 - Power Unit Number License Plate Number Plate Type State Expiration Year
Trailer Make Unit Type Vehicle Identification Number
Fixed Objects Struck
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Property
UNKNOWN
Organization Type 84 - Property Owner Last Name 84 - First Name 84 - Middle Initial 84 - Suffix
01
84 - Company Name Government Property Type
85 - Address Street & Number 85 - PO Box
86 - City 86 - State 86 - Zip Code 87 - Telephone Number
83 - Government Damage Tag Number
01
82 - Striking Unit
DITCH
82 - Object Struck 82 - Striking Unit 82 - Object Struck
82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck
82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck
105 - Photos By
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Diagram and Narrative
DEPUTY A. AL-MOGHRABI
ON JUNE 8, 2015 AT APPROXIMATELY 6:56 AM I WAS ADVISED BY DISPATCH OF A ONE VEHICLE ACCIDENT ON HWY 27 AND
WILLIAMS ROAD. UPON ARRIVAL AT 6:59, I MET WITH DEPUTY DEPEW WHO STATED THERE WERE TWO FEMALES IN THE VEHICLE
THAT FLED ON FOOT THROUGH THE WOODS. I TOOK PICTURES OF THE VEHICLE IN THE DITCH AND CALLED FOR A TOW TRUCK AS DEPUTY DEPEW WENT TO LOOK FOR THE FEMALES. ONE OF THE NEIGHBORS IN THE
ON JUNE 8, 2015 AT APPROXIMATELY 6:56 AM I WAS ADVISED BY DISPATCH OF A ONE VEHICLE ACCIDENT ON HWY 27 AND
WILLIAMS ROAD. UPON ARRIVAL AT 6:59, I MET WITH DEPUTY DEPEW WHO STATED THERE WERE TWO FEMALES IN THE VEHICLE
THAT FLED ON FOOT THROUGH THE WOODS. I TOOK PICTURES OF THE VEHICLE IN THE DITCH AND CALLED FOR A TOW TRUCK AS DEPUTY DEPEW WENT TO LOOK FOR THE FEMALES. ONE OF THE NEIGHBORS IN THE
Accident Report
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MV4000e 01/2005
Page
PK2012
Wisconsin Motor Vehicle GZDT72W 3 4
AREA INFORMED US THAT THE FEMALES CAME TO HIS HOUSE AND ASKED IF THEY COULD COME IN AND USE THE BATHROOM. HE TOLD THEM NO AND THEN THEY RAN OFF. WHILE WAITING FOR THE TOW TRUCK ANOTHER FEMALE IN A CAR STOPPED BY AND
ASKED IF SHE COULD HAVE THE CAR SEAT OUT OF THE CAR. I ASKED IF SHE KNEW WHOSE CAR THIS WAS AND SHE STATED IT
WAS ANGELICA HARRINGTON'S CAR AND THAT GINA PRICE WAS WITH HER. I ASKED IF SHE KNEW WHERE THEY WERE. SHE
STATED THEY SHOULD BE IN THE CAR. I INFORMED HER THAT THE GIRLS RAN OFF AND IF SHE GETS ANY INFORMATION ABOUT
THEIR WHEREABOUTS TO LET US KNOW. I ASKED WHY SHE NEEDED THE CAR SEAT OUT OF THE VEHICLE AND SHE STATED SHE
WAS GOING TO BE WATCHING ANGELICA'S CHILD TODAY. SHE STATED THAT ANGELICA HAD JUST BOUGHT THE VEHICLE AND PROBABLY DID NOT REGISTER IT IN HER NAME YET. THE HOOD APPEARED TO BE BENT AND THE FRONT BUMPER WAS FALLING
OFF. THE LEFT HEADLIGHT ALSO FELL OFF THE VEHICLE. ROADRUNNER REMOVED THE VEHICLE AND I CLEARED THE SCENE IN
ATTEMPT TO HELP LOCATE THE FEMALES. AFTER NOT BEING ABLE TO LOCATE WE CLEARED THE CALL AT 8:13. I ENTERED THE
PICTURES INTO EVIDENCE AS ITEM NUMBER 1500401.
AREA INFORMED US THAT THE FEMALES CAME TO HIS HOUSE AND ASKED IF THEY COULD COME IN AND USE THE BATHROOM. HE TOLD THEM NO AND THEN THEY RAN OFF. WHILE WAITING FOR THE TOW TRUCK ANOTHER FEMALE IN A CAR STOPPED BY AND
ASKED IF SHE COULD HAVE THE CAR SEAT OUT OF THE CAR. I ASKED IF SHE KNEW WHOSE CAR THIS WAS AND SHE STATED IT
WAS ANGELICA HARRINGTON'S CAR AND THAT GINA PRICE WAS WITH HER. I ASKED IF SHE KNEW WHERE THEY WERE. SHE
STATED THEY SHOULD BE IN THE CAR. I INFORMED HER THAT THE GIRLS RAN OFF AND IF SHE GETS ANY INFORMATION ABOUT
THEIR WHEREABOUTS TO LET US KNOW. I ASKED WHY SHE NEEDED THE CAR SEAT OUT OF THE VEHICLE AND SHE STATED SHE
WAS GOING TO BE WATCHING ANGELICA'S CHILD TODAY. SHE STATED THAT ANGELICA HAD JUST BOUGHT THE VEHICLE AND PROBABLY DID NOT REGISTER IT IN HER NAME YET. THE HOOD APPEARED TO BE BENT AND THE FRONT BUMPER WAS FALLING
OFF. THE LEFT HEADLIGHT ALSO FELL OFF THE VEHICLE. ROADRUNNER REMOVED THE VEHICLE AND I CLEARED THE SCENE IN
ATTEMPT TO HELP LOCATE THE FEMALES. AFTER NOT BEING ABLE TO LOCATE WE CLEARED THE CALL AT 8:13. I ENTERED THE
PICTURES INTO EVIDENCE AS ITEM NUMBER 1500401.
OF
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125 - First Name 125 - Middle Initial
Officer Information
ALMOGHRABI
125 - Officer Last Name
AMBER 340
131 - Officer ID
129 - Law Enforcement Agency No.
SAWYER COUNTY SHERIFFS DEPT
130 - Law Enforcement Agency Name
15880 EAST FIFTH STREET
126 - Law Enforcement Agency Address Street & Number
HAYWARD
127 - City
WI
127 - State
54843
127 - Zip Code
(715) 634-4858 EXT.
128 - Telephone Number
06/08/2015
132 - Date Notified 0656133 - Time Notified (Military Time)0659134 - Time Arrived (Military Time)
06/08/2015
135 - Date Of Report
15060807404 15060803 19 - Special Study
18 - Agency Space
Accident Report
of
MV4000e 01/2005
Page
PK2012
Wisconsin Motor Vehicle GZDT72W 4 4