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HomeMy WebLinkAbout20180113 Eiffler.pdf18011304 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55K3 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 09:09 AM Date Notified 01/13/2018 Time Arrived 09:21 AM Date Arrived 01/13/2018 Crash Time 09:08 AM Crash Date 01/13/2018 Investigating Officer/Deputy DEPUTY AMANDA REED Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 3 J 5 5 K 3 Additional InformationPhotos Photos ByDEPUTY AMANDA REED Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. I DEPUTY REED RESPONDED TO A HIT AND RUN COMPLAINT AT 5TH STREET IN EXELAND. THERE WERE TIRE TRACKS RUNNING OFF THE ROADWAY AND UP TO THE STRUCK PARKED CAR IN THE DRIVEWAY. EXTENSIVE DAMAGE TO THE RIGHT SIDE OF THE CAR. PHOTOS WERE TAKEN OF THE ENTIRE SCENE. NO SUSPECT VEHICLE OR SUSPECT. Crash Time 09:08 AM Crash Date 01/13/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 18011304 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55K3 Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5066275.5 X Coordinate 169189.890625 Longitude -91.247236777 Latitude 45.67101984 ON 5TH ST 70 FT E OF STH48 WB IN THE VILLAGE OF EXELAND 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) Snow, Ice, Unknown Light Condition Unknown Manner of Collision 08--Front To Side 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 Unknown Road Curvature Unknown Surface Type Other 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 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 Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status Legally Parked UN I T 01 Unit Summary Extent Of Damage Functional Damage Vehicle Damage 3--Right Side Middle, 4--Right Side Rear Initial Contact Point Unknown Bus UseNot A BusBody Style 2D - 2DR Color GRN - Green Model MONTECARLO Year 2000 Make CHEVROLET Vehicle Identification Number 2523 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number ABY3227 VE H I C L E UN I T 01 Vehicle Crash Time 09:08 AM Crash Date 01/13/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 18011304 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55K3 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 Legally Parked Vehicle Removed By OPERATOR Towed Due To Damage Not Towed VE H I C L E UN I T 01 Address BRUCE, WI 54819 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventParked Motor Vehicle01 Event 02 Event 03 Event 04 Reporting Threshold No Truck Bus or HazMat No Road Grade Level Road Curvature Unknown Surface Type Dirt Traffic Control Inoperative/Missing NO Traffic Control No Control Traffic Way Parking Lot or Private Property Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Parked Motor Vehicle Total Lanes 2 Speed LimitPre CrashTire Mark Direction Of Travel Unknown Insurance? UNKNOWN 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 Hit and Run UN I T 02 Unit Summary ModelYearMakeVehicle Identification Number Country of IssuanceStPlate TypeLicense Plate Number 02 Vehicle Crash Time 09:08 AM Crash Date 01/13/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 18011304 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55K3 Wisconsin Motor Vehicle Crash Report Driver DistractionsUnknown If Distracted Driver ActionsUnknown Driver Prior Action Other Vehicle Factors Unknown What Driver Was Doing Unknown Vehicle Removed By OPERATOR Towed Due To Damage Not Towed VE H I C L E UN I T 02 Extent Of Damage Unknown Vehicle Damage Unknown Initial Contact Point Unknown Bus UseNot A BusBody StyleColor VE H I C L E UN I T Address , , IndividualUNKNOWN UNKNOWN02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 EventParked Motor Vehicle02 Event 03 Event 04 Crash Time 09:08 AM Crash Date 01/13/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 18011304 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55K3 Wisconsin Motor Vehicle Crash Report Individual Condition Not Observed 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 02 Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport Not Transported Trapped/Extricated Not Applicable Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Not Applicable 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 Restraint Use Unknown On Duty Crash 02 Driver License NumberAddress , , RaceDate of Birth SexCitations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment BRUCE, WI 54819 , US PR O P OW N E R 01 Property Owner Fixed Objects Struck Crash Time 09:08 AM Crash Date 01/13/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 18011304 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55K3 Wisconsin Motor Vehicle Crash Report Damage Tag NumberStruck Object Other Object - Not Fixed Striking Unit 0201 Crash Time 09:08 AM Crash Date 01/13/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.