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HomeMy WebLinkAbout20180703 ROSADO.pdf18070301 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3V 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 01 Time Notified 03:35 AM Date Notified 07/03/2018 Time Arrived 03:38 AM Date Arrived 07/03/2018 Crash Time 03:33 AM Crash Date 07/03/2018 Investigating Officer/Deputy SERGEANT JEFF JOHNSON Agency Crash Number 18070301 Primary Crash Document #Document Number Override 6V L 1 3 Q B C 3 V Additional InformationNone, Photos, Reconstruction Photos BySGT. J. JOHNSON Reconstruction BySAWYER COUNTY SHERIFFDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON 7/3/18, AT APPROXIMATELY 0333 HRS, VEH 1 WAS TRAVELING NORTHBOUND ON USH 63. THE DRIVER SLOWED TO TURN INTO 15221 W USH 63; HOWEVER DID NOT SLOW DOWN ENOUGH, CAUSING THE VEHICLE TO TIP ONTO THE DRIVER SIDE AND COME TO REST IN THE ENTRANCE TO 15221 W USH 63. THERE WERE NO OTHER PASSENGERS AND NO INJURIES. THE VEHICLE WAS REMOVED BY A TOW TRUCK DUE TO THE DRIVER HAVING TO WATCH HIS INFANT SINCE HIS FATHER HAD TO LEAVE FOR WORK. Crash Time 03:33 AM Crash Date 07/03/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 18070301 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3V Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5107235 X Coordinate 155324.140625 Longitude -91.454031003 Latitude 46.031824151 ON USH63 NB 92 FT E OF ELZA SQ 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 Trafficway - On Road Animal Type Weather Condition(s) Clear Environment Factor(s) None Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Dark/Unlit Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location On Roadway First Harmful Event Overturn/Rollover Crash Scene Intersection Type T-Intersection Junction Location Intersection Within Interchange Area NO 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 Overturn/Rollover Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel Northbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 01 Operating As EndorsementsVehicle Type (Sport) Utility Vehicle Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 Unit Summary Extent Of Damage Functional 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 11--Left Front Corner Bus UseNot A BusBody Style 4H - HATCHBACK 4 DOOR Color GRN - Green Model GRAND CHER Year 2005 Make JEEP Vehicle Identification Number 1J4GR48K45C707359 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number ACN6216 VE H I C L E UN I T 01 Vehicle Crash Time 03:33 AM Crash Date 07/03/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 18070301 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3V Wisconsin Motor Vehicle Crash Report Driver DistractionsUnknown If Distracted Driver Actions Speed Too Fast/Cond Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Right Turn Vehicle Removed ByTowed Due To Damage Towed But Not Due To Disabling Damage VE H I C L E UN I T 01 Address15221 W USH 63 #41 HAYWARD, WI 54843 , US IndividualISMAEL ROSADO01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventOverturn/Rollover01 Event 02 Event 03 Event 04 Individual ISMAEL ROSADO Insurance Company PROGRESSIVE-CLASSIC-INS-CO Policy Holder UN I T Crash Time 03:33 AM Crash Date 07/03/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 18070301 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3V 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 1 01 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 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl 00 1 Safety Equipment Shoulder & Lap Belt On Duty Crash 01 Driver License NumberR2305508121904 State: Wisconsin Country: UNITED STATES Address15221 W USH 63 #41 HAYWARD, WI 54843 , US RaceINDIANDate of Birth 06/18/1981 Sex Male Citations Issued 0 DriverMATTHEW J ROSADO IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Address15221 W USH 63 #41 HAYWARD, WI 54843 , US GovernmentSAWYER CO PR O P OW N E R 01 Property Owner Fixed Objects Struck Crash Time 03:33 AM Crash Date 07/03/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 18070301 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13QBC3V Wisconsin Motor Vehicle Crash Report Damage Tag Number 1 Struck Object Curb Striking Unit 0101 Crash Time 03:33 AM Crash Date 07/03/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.