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.