Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
8/2/2010		 Time of Accident
09:30 AM 		County
Hardin - 42		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010045331
Literal Description
SB/WB US 0020 / US 20 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
466858.3
Y-Coordinate
4699612.
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1 		Driver's Name - Last
REYNAGA-AMEZQUITA		 First
GABRIELA		 Middle
L		 Suffix
City
SIOUX CITY		 State
IA - Iowa, US		 Zip
511050000
Driver's Age
27		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Female		 State
IA - Iowa, US		 Class
C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat		 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
1 - None		 Drug Test Given?
1 - None		 Citation Charge Code 3
 Citation Charge 3
Citation Charge Code 4
 Citation Charge 4
Seating Position
01 - Front: Left Side / Motorcycle Driver		 Injury Status
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
IOWA FALLS HOSPITAL		 Transported by:
AMBULANCE
Insurance Co. Name
Year
1996		 Make
Ford - FORD		 Model
MUSTANG GT		 Style
2DR		 Approximate Cost to Repair or Replace
4000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
4		 Traffic Controls
01 - No controls present		 Vehicle Config.
01 - Passenger car		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
5 - Asleep, fainted, fatigued, etc		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
01 - Ran off road, right		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
11 - Overturn/rollover
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
 City
 State
 Zip
Number of Axles
 Gross Vehicle Weight Rating
 Placard #
 Hazardous Materials Released?
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If Property other than vehicles damaged explain Object Damaged
FENCE LINE		 Estimate of Damage
2000
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
STATE OF IOWA DOT
City
WILLIAMS		 State
IA - Iowa, US		 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
1 - On Roadway		 Weather Conditions (up to two)
03 - Cloudy		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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D 		Name- Last
BARTOLON SEBASTIAN		 First
DIEGO		 Middle
 Suffix
City
 State
 Zip Code
Age
22		 Sex
Male		 Unit No.
01		 Seating Position
07 - Rear: Left Side		 Injury Status
5 - Uninjured		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
IOWA FALLS HOSPITAL		 Transported by:
AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
VARGAS CASTANEDA		 First
ALJANDRA		 Middle
YANET		 Suffix
City
 State
 Zip Code
Age
21		 Sex
Female		 Unit No.
01		 Seating Position
03 - Front: Right Side		 Injury Status
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
IOWA FALLS HOSPITAL		 Transported by:
AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
BRISENO PEREZ		 First
MICHAEL		 Middle
 Suffix
City
 State
 Zip Code
Age
24		 Sex
Male		 Unit No.
1		 Seating Position
09 - Rear: Right Side		 Injury Status
4 - Possible		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
IOWA FALLS HOSPITAL		 Transported by:
AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

VEHICLE ONE TRAVELING WEST BOUND LOST CONTROL GOING INTO THE NORTH DITCH ROLLING THE VEHICLE
Officer
SALDIVAR 		Badge No.
281		 Time Officer Notified of Accident
09:32		 Time Officer Arrived At Scene
09:32
Name of Agency
P07		 Date of Report
8/2/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218