Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
9/6/2010		 Time of Accident
06:49 PM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010052458
Literal Description
SB/WB INTERSTATE 0080 AND INTERSTATE 0035 TO NB I-35 RAMP/138MM 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452602.4
Y-Coordinate
4611409.
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1 		Driver's Name - Last
COLLINS		 First
KARI		 Middle
L		 Suffix
City
MILAN		 State
IL - Illinois, US		 Zip
61264
Driver's Age
20		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Female		 State
IL - Illinois, US		 Class
D - Chauffeur		 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
5 - Uninjured		 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:
 Transported by:
Insurance Co. Name
Year
2003		 Make
Chevrolet - CHEV		 Model
CAVALIER		 Style
4DR		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
4 - West		 Vehicle Action
08 - Leaving traffic lane		 Speed Limit
45		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 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
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
21 - Vehicle in traffic		 Second Event
 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?
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Y

D
A
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E
If Property other than vehicles damaged explain Object Damaged
LINEAR POST		 Estimate of Damage
500
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
STATE OF IOWA
City
 State
 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)
06 - Rain		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
20 - Off-ramp		 Workers Present?
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A
G
R
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M

0
NARRATIVE

UNIT 1 IS WESTBOUND ON I-80 APPROACHING THE 138MM. UNIT 1 THEN EXITS I-80 WB TO I-35 NB AT THE EAST MIX MASTER. UNIT 1 THEN LOOSES CONTROL ON THE RAMP AND ENTERS THE EAST DITCH. UNIT 1 COMES TO REST IN THE EAST DITCH FACING EASTBOUND.
Officer
EVERETT 		Badge No.
455		 Time Officer Notified of Accident
18:49		 Time Officer Arrived At Scene
18:57
Name of Agency
P01		 Date of Report
9/6/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011