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Home My WebLink About20180707 POMEROY - ZOWIN.pdfSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVZ Wisconsin Motor Vehicle Crash Report Secondary CrashAmendedCrash Type Private Property/Parking LotReportable 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 05:42 PM Date Notified 07/07/2018 Time Arrived 05:50 PM Date Arrived 07/09/2018 Crash Time 03:00 PM Crash Date 07/07/2018 Investigating Officer/Deputy DEPUTY CASEY CULHANE Agency Crash Number 18070705 Primary Crash Document #Document Number Override 6V L 1 2 W M L V Z Additional InformationNone, Photos, Reconstruction Photos ByDEPUTY CULHANE Reconstruction BySAWYER COUNTY SHERIFFDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS NEGOTIATING A LEFT TURN. UNIT 1 WAS PULLING A BOAT TRAILER. UNIT 1 TRAILER MADE CONTACT WITH UNIT 2 WHICH WAS LEGALLY PARKED IN A PARKING LOT. Structure Type No Structure Y Coordinate 5104621.5 X Coordinate 164828.46875 Longitude -91.329737784 Latitude 46.01308355 ON PENINSULA RD 642 FT W OF E PENINSULA RD IN THE TOWN OF HAYWARD IN SAWYER COUNTY Location Crash Time 03:00 PM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVZ Wisconsin Motor Vehicle Crash Report Special StudyAccess Control No Control Tribal Land Crash Classification - Jurisdiction No Special Jurisdiction Crash Classification - Location Public Property Relation To Trafficway Trafficway - Not On Road Animal Type Weather Condition(s) Clear Environment Factor(s) None Roadway Factor(s) Not Applicable Road Surface Condition(s) Gravel Light Condition Daylight Manner of Collision 08--Front To Side First Harmful Event Location Off Roadway, Location Unknown First Harmful Event Parked Motor Vehicle Crash Scene Intersection Type Not an Intersection Junction Location Unknown Within Interchange Area NO Reporting Threshold No Truck Bus or HazMat No Road Grade Level Road Curvature Unknown Surface Type Slag, Gravel, or Stone Traffic Control Inoperative/Missing UNKNOWN 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 00 Speed Limit N/APre CrashTire Mark Direction Of Travel Not On Roadway Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 00 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 Driver Actions Driver Prior Action Other Vehicle Factors Other What Driver Was Doing Left Turn Vehicle Removed ByTowed Due To Damage Not Towed01 Extent Of Damage No Damage Vehicle Damage No Damage Initial Contact Point Cargo Loss Bus UseNot A BusBody Style 4D - 4DR Color BLU - Blue Model EXPLORER Year 2006 Make FORD Vehicle Identification Number 1FMEU74846U Country of Issuance UNITED STATES St MN Plate Type AUT - Automobile License Plate Number VE H I C L E UN I T 01 Vehicle Crash Time 03:00 PM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVZ Wisconsin Motor Vehicle Crash Report Driver DistractionsUnknown If Distracted No Contributing Action VE H I C L E UN I T Address WINONA, MN 55987 , 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 IndividualInsurance Company GEICO-GENERAL-INS-CO Policy Holder UN I T Crash Time 03:00 PM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVZ 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 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 Restraint Use Unknown On Duty Crash 01 ber State: Minnesota Country: UNITED STATES Address WINONA, MN 55987 , US RaceWHITEDate of Birth 07/27 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 Crash Time 03:00 PM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVZ Wisconsin Motor Vehicle Crash Report Reporting Threshold No Truck Bus or HazMat No Road Grade Level Road Curvature Unknown Surface Type Slag, Gravel, or Stone Traffic Control Inoperative/Missing UNKNOWN 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 LanesSpeed Limit N/APre CrashTire Mark Direction Of Travel Not On Roadway Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 00 Train/Bus # InjuredTotal Occs 00 Operating As EndorsementsVehicle Type (Sport) Utility Vehicle Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status Legally Parked UN I T 02 Unit Summary Driver DistractionsNot Distracted Driver ActionsNo Contributing Action Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Legally Parked Vehicle Removed ByTowed Due To Damage Not Towed VE H I C L E UN I T 02 Extent Of Damage Minor Damage Vehicle Damage 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style 4D - 4DR Color GRY - Gray Model DENALI Year 2013 Make GENERAL MOTORS COR Vehicle Identification Number 1GKS2MEF8DR Country of Issuance UNITED STATES St WI Plate Type LTK - Light Truck License Plate Number VE H I C L E UN I T 02 Vehicle Address WAUPACA, WI 54981 , US Individual 02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventParked Motor Vehicle01 Crash Time 03:00 PM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVZ Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 IndividualInsurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UN I T Crash Time 03:00 PM Crash Date 07/07/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.