Crash Information

L O C A T I O N	Date of Accident 8/22/2010	Time of Accident 05:26 AM	County Butler - 12	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010049318
	Literal Description Iowa 0003 / IOWA 3				Legal Intervention? No	Private Property? No
					X-Coordinate: 529419.4
					Y-Coordinate 4732530.

U N I T 1	Driver's Name - Last BOUSKA			First TRAVIS			Middle FRANCIS		Suffix
	City CLARKSVILLE			State IA - Iowa, US				Zip 50619
	Driver's Age 26					Citation Charge Code 1 321.297		Citation Charge 1 FAILURE TO YIELD ONE HALF STREET/HIGHWAY
	Gender Male	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 B - Cor Lenses	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 2 - Incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 3 - Extricated by mechanical means
	Transported to: WAVERLY HOSPITAL					Transported by: CLARKSVILLE AMBULANCE
	Insurance Co. Name
	Year 2003		Make Pontiac - PONT		Model GRAND PRIX GT		Style 4 DR		Approximate Cost to Repair or Replace 6000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 08 - Left Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 01	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 13 - Fog/smoke/dust	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 04 - Crossed centerline/median	Second Event 21 - Vehicle in traffic	Third Event	Fourth Event	Most Harmful Event (by vehicle) 21 - Vehicle in traffic
	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?

U N I T 2	Driver's Name - Last GONZALEZ			First ANTHONY			Middle RAYMOND		Suffix
	City DUMONT			State IA - Iowa, US				Zip 50625
	Driver's Age 59					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IA - Iowa, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements X - Hazmat & Tank	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 2 - Incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 3 - Extricated by mechanical means
	Transported to: WAVERLY HOSPITAL					Transported by: WAVERLY AMBULANCE
	Insurance Co. Name
	Year 2002		Make Volkswagon - VOLK		Model BUG NEW BEETLE		Style 2DR		Approximate Cost to Repair or Replace 5400
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 08 - Left Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 01	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 13 - Fog/smoke/dust	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 06 - Evasive action (swerve, panic braking, etc.)	Second Event 21 - Vehicle in traffic	Third Event	Fourth Event	Most Harmful Event (by vehicle) 21 - Vehicle in traffic
	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?

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) 04 - Fog, smoke	Environment 2 - Weather condition	Location	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 2 - Head-on	Weather Conditions (up to two) 04 - Fog, smoke	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

VEHICLE #1 WAS WESTBOUND ON HIGHWAY 3. AT THE TIME THERE WAS HEAVY FOG IN THE AREA AND ACCORDING TO DEPUTIES ON THE SCENE VISIBILITY WAS LESS THAN 100 FEET AT THE TIME OF THE COLLISION. DRIVER OF #1 CROSSED OVER THE CENTER LINE AND CONTINUED WESTBOUND IN THE EASTBOUND LANE OF HIGHWAY 3. VEHICLE #2 WAS EASTBOUND AND WAS UNABLE TO AVOID COLLIDING HEAD ON WITH #1. AFTER THE IMPACT #1 EVENTUALLY ROLLED ONTO ITS TOP AND CAME TO A REST FACING WEST. VEHICLE #2 ENTERED THE SOUTH (EASTBOUND) DITCH AND CAME TO A REST FACING SOUTHWEST. ACCIDENT LOCATION IS 1040 FEET EAST OF 29516 HIGHWAY 3 IN BUTLER COUNTY

Officer DICKINSON	Badge No. 145	Time Officer Notified of Accident 05:47	Time Officer Arrived At Scene 06:18
Name of Agency P09	Date of Report 8/22/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 09 Office
1510 W 1st St
Cedar Falls,IA 50613-1799
Phone: (319) 266-2677
Fax: (319) 266-2228