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Home My WebLink About20180905 SACTAJARA.pdfSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRZ 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 01 Total Units 01 Time Notified 07:30 PM Date Notified 09/05/2018 Time Arrived 07:31 PM Date Arrived 09/05/2018 Crash Time 07:29 PM Crash Date 09/05/2018 Investigating Officer/Deputy DEPUTY NATHAN FREY Agency Crash Number 18090505 Primary Crash Document #Document Number Override 6V L 1 3 Z Q K R Z Additional InformationCRIMINAL INCIDENT, ECM/EDR DOWNLOAD, MEASUREMENTS, PHOTOS, RECONSTRUCTION, WITNESS STATEMENTS, OTHER DOCUMENTS Photos BySGT AL-MOGHRABI Reconstruction ByWISCONSIN STATE PATROL NWR/SPO Diagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. OBSERVED SUSPECT VEHICLE FAIL TO MAKE A PROPER STOP AT THE INTERSECTION OF WILLIAMS ROAD, ON COUNTY E. VEHICLE TURNED WEST ON WILLIAMS ROAD AND FAILED TO STOP FOR EMERGENCY LIGHTS AND SIREN. VEHICLE LOST CONTROL AND CRASHED APPROXIMATELY 0.8 MILES NORTH OF COUNTY E AND DRIVER FLED SCENE ON FOOT. INJURED PASSENGER WAS TAKEN BY AMBULANCE TO HAYWARD AREA MEMORIAL HOSPITAL AND LATER TAKEN BY HELICOPTER TO ST MARYS IN DULUTH MINNESOTA. Crash Time 07:29 PM Crash Date 09/05/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRZ WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5098626.5 X Coordinate 156229.8125 Longitude -91.436174256 Latitude 45.955028767 ON WILLIAMS RD 593 FT S OF YOPP'S RD IN THE TOWN OF BASS LAKE 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 - OTHER Animal Type Weather Condition(s) CLEAR Environment Factor(s) OTHER Roadway Factor(s) OTHER Road Surface Condition(s) DRY Light Condition DUSK Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location SHOULDER LEFT First Harmful Event DITCH Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade DOWNHILL Road Curvature CURVE RIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With DITCH Total Lanes 2 Speed Limit 35Pre CrashTire Mark Direction Of Travel WESTBOUND Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status HIT AND RUN Unit Summary UN IT Extent Of Damage DISABLING DAMAGE Vehicle Damage 1--RIGHT FRONT CORNER, 2--RIGHT SIDE FRONT, 3--RIGHT SIDE MIDDLE, 4-- RIGHT SIDE REAR, 5--RIGHT REAR CORNER, 6--REAR, 7--LEFT REAR CORNER Initial Contact Point TOP Bus UseNOT A BUSBody Style 4D - 4DR Color BLK - BLACK Model IMPALA SUP Year 2007 Make CHEVROLET Vehicle Identification Number 16370101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number VE H I C L E UN I T Vehicle Crash Time 07:29 PM Crash Date 09/05/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRZ WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address , , Owner Name 01 Driver DistractionsUNKNOWN IF DISTRACTED 01 Driver Actions OTHER CONTRIBUTING ACTION Driver Prior Action Other FAILING TO STOP FOR TRAFFIC STOP/ PURSU Vehicle Factors NOT APPLICABLE What Driver Was Doing OTHER Vehicle Removed By OPERATOR Towed Due To Damage TOWED DUE TO DISABLING DAMAGE UN I T VE H I C L E Sequence Of Events EventRUN OFF ROADWAY RIGHT01 EventCROSS CENTERLINE02 EventRUN OFF ROADWAY LEFT03 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 NumberAddress , , RaceDate of Birth SexCitations Issued 0 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 07:29 PM Crash Date 09/05/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRZ 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 Injury To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital ST MARYS HOSP EMS Run #EMS Agency Identifier 6001349 Medical Transport EMS AIR Trapped/Extricated NOT APPLICABLE Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT APPLICABLE Airbag NOT APPLICABLE Injury Severity SUSPECTED SERIOUS INJUR00 2 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License Number STATE: MINNESOTA COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race INDIANDate of Birth 06/08/ Sex FEMALE Citations Issued 0 Passenger IT Equipment Non Motorist Individual UN IN D I V ID U A L Crash Time 07:29 PM Crash Date 09/05/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRZ WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition NOT OBSERVED Drug Type 00 2 01 Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug UseSuspected Alcohol Use Action Other Action UN I T IN D I V I D U A L Crash Time 07:29 PM Crash Date 09/05/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.