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HomeMy WebLinkAbout20180808 EARLE.pdf18080912 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15G5WRV WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type DT4000 (STANDARD CRASH)Reportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 02 Time Notified 09:55 PM Date Notified 08/09/2018 Time Arrived 10:13 PM Date Arrived 08/09/2018 Crash Time 11:40 PM Crash Date 08/08/2018 Investigating Officer/Deputy SERGEANT NICK ALMOGHRABI Agency Crash Number 18080912 Primary Crash Document #Document Number Override 6V L 1 5 G 5 W R V Additional InformationPHOTOS, VIDEO(S), OTHER DOCUMENTS Photos BySGT ALMOGHRABI Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. I, SGT. AL-MOGHRABI, WAS NOTIFIED OF A HIT AND RUN PROPERTY DAMAGE CRASH THAT OCCURRED ON THE NIGHT OF 08/08/18 IN THE PARKING LOT OF THE TWIN LAKES TAP. UPON MEETING WITH THE VICTIM, , I OBSERVED HEAVY DAMAGE AND RED PAINT TRANSFER TO THE REAR DRIVER'S SIDE DOOR OF A 2014 IMPALA THAT SHE HAD PARKED IN FRONT OF THE BUILDING. ADVISED SHE HAD BEEN INSIDE AN APARTMENT NEXT DOOR AND CAME OUT TO FIND THE DAMAGE TO HER VEHICLE. UPON CHECKING WITH STAFF AT THE TWIN LAKE TAP, VIDEO SURVEILLANCE SHOWED A MALE LEAVING AROUND 2340 INTO A LARGE TRUCK, BACKING UP AND MOVING FORWARD THREE TIMES NEAR HER VEHICLE BEFORE LEAVING THE PARKING LOT. CODY WAS ABLE TO FIND OUT THE MALE WAS AND MADE CONTACT WITH HIM ON 08/09/18 SHOWING HIM THE VIDEO. EARLE TOLD CODY HE WASN'T DRUNK AT THE TIME BUT DIDN'T REMEMBER DOING IT AND PROVIDED HER HIS INSURANCE INFORMATION. I MADE PHONE CONTACT WITH WHO ADMITTED TO HAVING TWO DRINKS AT THE TWIN LAKE TAP. I GATHERED HIS INFORMATION AND ADVISED HIM A CITATION WOULD BE IN THE MAIL AND CRASH REPORT COMPLETED. I PHOTOGRAPHED THE DAMAGE TO CODY'S VEHICLE AND CAPTURED THE VIDEO SHE HAD OF THE INCIDENT. Crash Time 11:40 PM Crash Date 08/08/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 18080912 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15G5WRV WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type HOUSE/BUILDING Y Coordinate 5107741 X Coordinate 165127.84375 Longitude -91.328070151 Latitude 46.041225208 ON 12701 STH77 EB 300 FT W OF TWIN LAKE RD 6 (HOUSE/BUILDING 12701) IN THE TOWN OF HAYWARD IN SAWYER COUNTY Location Special StudyAccess Control NO CONTROL Tribal Land Crash Classification - Jurisdiction PRIVATE PROPERTY Crash Classification - Location PRIVATE PROPERTY Relation To Trafficway NON TRAFFICWAY - PARKING LOT Animal Type Weather Condition(s) CLEAR Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DARK-UNKNOWN LIGHTING Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location OFF ROADWAY, LOCATION UNKNOWN First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade LEVEL Road Curvature STRAIGHT Surface Type SLAG, GRAVEL, OR STONE Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With PARKED MOTOR VEHICLE Total Lanes 0 Speed Limit N/APre CrashTire Mark Direction Of Travel NOT ON ROADWAY Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status HIT AND RUN Unit Summary UN IT Extent Of Damage NO DAMAGE Vehicle Damage NO DAMAGE Initial Contact Point UNKNOWN Bus UseNOT A BUSBody Style TK - TRUCK Color RED - RED Model F350 Year 2002 Make FORD Vehicle Identification Number 546690101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number VE H I C L E UN I T Vehicle Crash Time 11:40 PM Crash Date 08/08/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 18080912 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15G5WRV WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 01 Driver DistractionsUNKNOWN IF DISTRACTED 01 Driver Actions UNSAFE BACKING Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing BACKING Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED UN I T VE H I C L E Sequence Of Events EventPARKED MOTOR VEHICLE01 Event 02 Event 03 Event 04 Injury EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT APPLICABLE Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT APPLICABLE Airbag NOT APPLICABLE Injury Severity NO APPARENT INJURY00 1 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITEDate of Birth 12/01/ Sex MALE Citations Issued 1 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 11:40 PM Crash Date 08/08/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 18080912 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15G5WRV WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition NOT OBSERVED Drug Type 00 1 01 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 Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital UN I T Non Motorist IN D I V I D U A L Violations DescriptionHIT AND RUN-UNATTENDED VEHICLESeq Num001Statute Number346.68Issue To? 001 UTC Number AE539050101 Truck Bus or HazMat NO Road Grade LEVEL Road Curvature STRAIGHT Surface Type SLAG, GRAVEL, OR STONE Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 0 Speed Limit N/APre CrashTire Mark Direction Of Travel UNKNOWN Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 0 Operating As EndorsementsVehicle Type PASSENGER CAR02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status LEGALLY PARKED Unit Summary UN IT Initial Contact Point 8--LEFT SIDE REAR Bus UseNOT A BUSBody Style 4D - 4DR Color GRY - GRAY Model IMPALA Year 2014 Make CHEVROLET Vehicle Identification Number 095530202 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 11:40 PM Crash Date 08/08/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 18080912 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15G5WRV WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address COUDERAY, WI 54828 , US Owner Name 02 Driver DistractionsNOT DISTRACTED 02 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 Extent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 7--LEFT REAR CORNER, 8--LEFT SIDE REAR, 9--LEFT SIDE MIDDLE VE H I C L E UN I T UN I T VE H I C L E Sequence Of Events EventMOTOR VEH IN TRANSPORT01 Event 02 Event 03 Event 04 IndividualInsurance Company PROGRESSIVE-CASUALTY-INS-CO Policy Holder UN I T Crash Time 11:40 PM Crash Date 08/08/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.