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Home My WebLink About20180707 MARTIN - RAUTMAN.pdf18070702 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W8 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 09:56 AM Date Notified 07/07/2018 Time Arrived 10:26 AM Date Arrived 07/07/2018 Crash Time 09:30 AM Crash Date 07/07/2018 Investigating Officer/Deputy DEPUTY MICHAEL SIMPSON Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 3 M V 8 W 8 Additional InformationNone Photos By Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS TRAVELING EAST ON RAY'S RD. AFTER CRESTING A HILL UNIT 1 NOTICED A TRUCK CROSS RAY'S RD RD GOING SOUTH FROM THE NORTH SIDE DRIVEWAY TO THE SOUTH SIDE DRIVEWAY. UNIT SAID THAT SHE HAD NO TIME TO BREAK. UNIT 1'S FRONT PASSENGER SIDE IMPACTED UNIT 2'S REAR PASSENGER SIDE. UNIT 2 WAS NOT ON SCENE AT THE TIME OF MY ARRIVAL. Crash Time 09:30 AM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. 18070702 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W8 Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5092859.5 X Coordinate 150254.140625 Longitude -91.508844481 Latitude 45.900269917 ON RAYS RD 0.38 MI W OF STH27 SB IN THE TOWN OF BASS LAKE 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 Daylight 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 Hillcrest 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 Motor Veh In Transport Total Lanes 2 Speed Limit 45Pre CrashTire Mark Direction Of Travel Eastbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 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 Minor Damage Vehicle Damage 1--Right Front Corner, 12--Front Initial Contact Point 1--Right Front Corner Bus UseNot A BusBody Style 4H - HATCHBACK 4 DOOR Color BLU - Blue Model ESCAPE XLT Year 2001 Make FORD Vehicle Identification Number 1FMYU04131K Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number VE H I C L E UN I T 01 Vehicle Crash Time 09:30 AM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. 18070702 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W8 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 Going Straight Vehicle Removed By OPERATOR Towed Due To Damage Not Towed VE H I C L E UN I T 01 Address16113W COUNTY HILL RD HAYWARD, WI 54843 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Event 02 Event 03 Event 04 IndividualInsurance Company GEICO-ADVANTAGE-INSURANCE-CO Policy Holder UN I T Crash Time 09:30 AM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. 18070702 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W8 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 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceWHITEDate of Birth 05/26 Sex Female Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 09:30 AM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. 18070702 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W8 Wisconsin Motor Vehicle Crash Report 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 Motor Veh In Transport Total Lanes 2 Speed Limit 45Pre CrashTire Mark Direction Of Travel Southbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type Utility Truck/Pickup Truck Unit Type Truck Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 02 Unit Summary Driver DistractionsUnknown If Distracted Driver ActionsFailed To Yield Right-Of-Way Driver Prior Action Other CROSSING ROADWAY Vehicle Factors Not Applicable What Driver Was Doing Other 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 5--Right Rear Corner, 6--Rear Initial Contact Point 5--Right Rear Corner Bus UseNot A BusBody Style 4D - 4DR Color SIL - Silver (Aluminum) Model SILVERADO Year 2017 Make CHEVROLET Vehicle Identification Number 3GCUKSEC9HG Country of Issuance UNITED STATES St MN Plate Type LTK - Light Truck License Plate Number VE H I C L E UN I T 02 Vehicle Address LINO LAKES, MN 55110 , US Individual 02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Crash Time 09:30 AM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. 18070702 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W8 Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 UnknownInsurance Company FARMERS-AUTOMOBILE-INS-ASSOC,-THE Policy Holder UN I T Crash Time 09:30 AM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. 18070702 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W8 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 2 02 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 Unknown 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 2 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 mber State: Minnesota Country: UNITED STATES Address LINO LAKES, MN 55110 , US RaceWHITEDate of Birth 10/18 Sex Male Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Address , , Unknown PR O P OW N E R 01 Property Owner Fixed Objects Struck Crash Time 09:30 AM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. 18070702 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W8 Wisconsin Motor Vehicle Crash Report Damage Tag Number 23 Struck Object Other Object - Not Fixed Striking Unit 0101 Crash Time 09:30 AM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.