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HomeMy WebLinkAbout20181007 carmicle.pdf18100802 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD73 WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type PRIVATE PROPERTY/PARKING LOTReportable 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 12:02 PM Date Notified 10/08/2018 Time Arrived 12:22 PM Date Arrived 10/08/2018 Crash Time 10:30 AM Crash Date 10/07/2018 Investigating Officer/Deputy DEPUTY SEAN ANDERSON Agency Crash Number 18100802 Primary Crash Document #Document Number Override 6V L 1 4 V W D 7 3 Additional InformationNONE Photos By Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS LEGALLY PARKED IN PARKING AREA. OWNER OF UNIT 1 PARKED UNIT 1 AT APPROXIMATELY 10:30 AM. OWNER OF UNIT 1 RETRIEVED VEHICLE AT APPROXIMATELY 6:30 PM. DURING THAT TIME A WHITE VEHICLE, POSSIBLY ANOTHER PICKUP TRUCK, BACKED OUT OF PARKING SPOT AND STRUCK UNIT 1 IN LEFT REAR PANEL. DENT ON UNIT 1 WAS FROM TOP OF BED TO BOTTOM OF FENDER. THERE WAS WHITE PAINT TRANSFER FROM UNIT 2 ON UNIT 1. Crash Time 10:30 AM Crash Date 10/07/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 18100802 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD73 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5086514.5 X Coordinate 148104.09375 Longitude -91.531836041 Latitude 45.84224613 PARKING LOT SAND LAKE RD LOT IN THE TOWN OF SAND 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 - PARKING LOT Animal Type Weather Condition(s) CLOUDY Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) WET Light Condition DAYLIGHT Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location IN PARKING LANE OR ZONE 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 DIRT 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 NOT ON ROADWAY Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 0 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status LEGALLY PARKED Unit Summary UN IT Extent Of Damage MINOR DAMAGE Vehicle Damage 7--LEFT REAR CORNER Initial Contact Point 9--LEFT SIDE MIDDLE Bus UseNOT A BUSBody Style PK - PICKUP Color BLK - BLACK Model SILVERADO Year 2009 Make CHEVROLET Vehicle Identification Number 64660101 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 10:30 AM Crash Date 10/07/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 18100802 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD73 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address STONE LAKE, WI 54876 , US Owner Name 01 Driver DistractionsNOT DISTRACTED 01 Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing LEGALLY PARKED Vehicle Removed By OWNER Towed Due To Damage NOT TOWED UN I T VE H I C L E Sequence Of Events EventMOTOR VEH IN TRANSPORT01 Event 02 Event 03 Event 04 IndividualInsurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UN I T Truck Bus or HazMat NO Road Grade UNKNOWN Road Curvature UNKNOWN Surface Type UNKNOWN Traffic Control Inoperative/Missing UNKNOWN Traffic Control UNKNOWN Traffic Way UNKNOWN Emergency Motor Vehicle Use UNKNOWN Special Function UNKNOWNMost Harmful Event: Collision With BRIDGE PARAPET END Total LanesSpeed LimitPre CrashTire Mark Direction Of Travel UNKNOWN Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK02 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status HIT AND RUN Unit Summary UN IT Country of IssuanceStPlate TypeLicense Plate Number Vehicle Crash Time 10:30 AM Crash Date 10/07/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 18100802 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD73 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address , , Owner Name 02 Driver DistractionsUNKNOWN IF DISTRACTED 02 Driver Actions UNKNOWN Driver Prior Action Other Vehicle Factors UNKNOWN What Driver Was Doing UNKNOWN Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage UNKNOWN Vehicle Damage UNKNOWN Initial Contact Point UNKNOWN Bus UseNOT A BUSBody StyleColor ModelYearMakeVehicle Identification Number 0202 VE H I C L E UN I T UN I T VE H I C L E Sequence Of Events EventPARKED MOTOR VEHICLE01 Event 02 Event 03 Event 04 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 UNKNOWN UNKNOWN IT Equipment Individual UN IN D I V ID U A L Crash Time 10:30 AM Crash Date 10/07/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 18100802 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14VWD73 WISCONSIN MOTOR VEHICLE CRASH REPORT Injury Drug & Alcohol Individual Condition NOT OBSERVED Drug Type 00 1 02 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 To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital 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 02 Tint ComplianceEye Protection UN I T Non Motorist IN D I V I D U A L Crash Time 10:30 AM Crash Date 10/07/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.