SceneInvestigated:

Road,Street,HWay:
Officer:
Hrs.
Direction2:
MilepostNumber:
Badge#:
OfficerArrived:
Hrs.
AtIntersectionwith:
NameofAgency:
AccDirFromCity:
DivHWayTrvlDir:
INFORMATIONFROMTHEINVESTIGATINGOFFICERSREPORTOFMOTORVEHICLEACCIDENT
DateofAcc:
OfficerNotified:
ReportDate:
Direction1:
DefinableLocation:
Distance1:
Distance2:
2014-4281 Case Number: NO Legal Intervention: "N/A"
04/28/14 NO Private Property: "N/A"
08:05 Hrs. Time of Acc: SAC - 81 County: "N/A"
SAC COUNTY SHERIFF'S
OFFICE
Acc Loc City: "N/A"
"N/A" "N/A"
MCCLURE KEN "N/A" Closest City: "N/A"
81-1 "N/A" Miles From City: 00315360 X-Coordinate:
04/28/2014 "N/A" 04701317 Y-Coordinate:
08:05 "N/A"
M043/FOX AVE MEASURING 529
FEET SOUTH FROM M043/FOX
AVE AND 240TH ST
Location Literal
Description: 08:15 "N/A"
YES
Towing:
Age:
Unit
CitationCharge2:
CitChrgCode3:
CitationCharge1:
CitChrgCode2:
CitationCharge3:
CitChrgCode1:
LicenseEndorsmnt:
LicenseClass:
LicenseState:
Gender:
Zip:
State:
City:
Suffix:
CarrierAddress:
Middle:
First:
DriverName-Last:
SeatingPosition:
MostHarmful
Event:
FourthEvent:
ThirdEvent:
SecondEvent:
FirstEvent:
HazMatReleased?:
Placard#:
CargoBodyType:
GVWR:
NumberofAxles:
CarrierName:
CarrierZip:
CarrierState:
CarrierCity:
EmergencyVeh:
CitChrgCode4:
EmergencyStatus:
Rpr/RplcCost:
ExtofDamage:
Cont.Circum.,Drvr:
InitialTrvlDir:
MostDamaged
Area:
TrafficControls:
SpeedLimit:
Undrrid/Ovrid:
DriverCondition:
TotalOccupants:
VisionObscured:
CitationCharge4:
VehicleConfig:
VehicleDefect:
PointofInit
Impact:
VehicleAction:
001
BIEBER YES 4 - POSSIBLE Injury Status:
KRISTAN 1 - NORTH LORING HOSPITAL Transported to:
DEBRA
01 - NOT OBSCURED
SAC COUNTY AMBULANCE Transported by:
106 WEST 6TH ST. APT#1 Address: 1 - NOT APPLICABLE
ODEBOLT 01 - NO CONTROLS PRESENT
3 - NOT APPLICABLE
IA
27 - OTHER IMPROPER ACTION
51458
01 - FRONT
Female
01 - FRONT
49
IA 1 - NONE
C $2,000.00
NONE 5 - SEVERE, VEHICLE TOTALED
01 - NOT APPLICABLE
NONE License Restrictions:
01 - RAN OFF ROAD, RIGHT
55
01 - FRONT: LEFT SIDE /
MOTORCYCLE DRIVER
6
YES Alcohol Test Given:
YES Drug Test Given:
01
13 - OTHER NON-COLLISION
1998 Vehicle Year:
BUICK - BUIC Vehicle Make:
1 - SWITCH IN ON POSITION Abg Switch Stat:
LES Vehicle Model:
1 - DEPLOYED FRONT OF PERSON Abg Deploy:
4DR Vehicle Style:
1 - NOT TRAPPED Trapped:
01 - PASSENGER CAR
1 - NOT EJECTED Ejection:
1 - NOT EJECTED/NOT
APPLICABLE
Ejection Path:
01 - NONE
2 - SHOULDER AND LAP BELT
USED
Occpnt Protect:
01 - MOVEMENT ESSENTIALLY
STRAIGHT
Middle:
State:
ZipCode:
City: Owner'sName-Last:
StreetorRFD:
ObjectDamaged:
First:
CompanyOwnerName:
PropertyDamage
Suffix:
EstimateofDamage:
FENCE RICHARD HANSEN TRUST
$100.00
SCHALLER
IA
51053
SurfaceConditions:
LightConditions:
Type:
Environment: MannerofCrash/Collision:
FirstHarmfulEventLoc:
AccidentEnvironment
WorkersPresent:
WorkzoneRelated:
RoadwayCharacteristics
WeatherConditions:
Roadway:
Location:
FirstHarmfulEvtofCrash:
TypeofRoadJunc/Feat:
4 - ROADSIDE
1 - NON-COLLISION 1 - NONE APPARENT
1 - DAYLIGHT 01 - NONE APPARENT
05 - MIST, 04 - FOG, SMOKE 01 - NO SPECIAL FEATURE
2 - WET NO
33 - DITCH/EMBANKMENT
Narrative
UNIT# 1 NORTH BOUND ON M-43. UNIT #1 STATED THAT THINGS WENT BLURRY AND SHE ENTERED THE WEST DITCH WENT THROUGH THE FENCE AND
TRAVELED 517.4 FEET THROUGH A PLOWED FIELD BEFORE SHE STRUCK THE DITCH EMBANKMENT. AIRBAGS DEPLOYED. DRIVER DID NOT HAVE ANY
OUTWARD VISIBLE SIGNS OF INJURY. DRIVER WAS FOUND IN A PASSERBY CAR. SHE WAS MOVED TO MY CAR. HER EYES WERE BLOODSHOT WITH
LARGE PUPILS. SHE WAS UNSTEADY IN BALANCE. SHE ADMITTED TO TAKING PAIN MEDICATION THIS MORNING. SHE WAS TRANSPORTED TO LORING
HOSPITAL BY AMBULANCE. SHE SUBMITTED TO A P.B.T. WITH THE RESULT BEING 0.00. SHE THEN CONSENTED TO A URINE TEST. THIS ACCIDENT
REMAINS UNDER INVESTIGATION PENDING THE URINE TEST RESULTS.
Narrative
UNIT# 1 NORTH BOUND ON M-43. UNIT #1 STATED THAT THINGS WENT BLURRY AND SHE ENTERED THE WEST DITCH WENT THROUGH THE FENCE AND
TRAVELED 517.4 FEET THROUGH A PLOWED FIELD BEFORE SHE STRUCK THE DITCH EMBANKMENT. AIRBAGS DEPLOYED. DRIVER DID NOT HAVE ANY
OUTWARD VISIBLE SIGNS OF INJURY. DRIVER WAS FOUND IN A PASSERBY CAR. SHE WAS MOVED TO MY CAR. HER EYES WERE BLOODSHOT WITH
LARGE PUPILS. SHE WAS UNSTEADY IN BALANCE. SHE ADMITTED TO TAKING PAIN MEDICATION THIS MORNING. SHE WAS TRANSPORTED TO LORING
HOSPITAL BY AMBULANCE. SHE SUBMITTED TO A P.B.T. WITH THE RESULT BEING 0.00. SHE THEN CONSENTED TO A URINE TEST. THIS ACCIDENT
REMAINS UNDER INVESTIGATION PENDING THE URINE TEST RESULTS.
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Diagram
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