Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
9/16/2010		 Time of Accident
12:17 AM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010054163
Literal Description
Interstate 0035 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
451626.9
Y-Coordinate
4611184.
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1 		Driver's Name - Last
POGYO-OCHOA		 First
WALTHER		 Middle
VINICIO		 Suffix
City
DES MOINES		 State
IA - Iowa, US		 Zip
503150000
Driver's Age
28		 Citation Charge Code 1
321.20		 Citation Charge 1
NO PROOF OF INSURANCE (ACCIDENT RELATED)
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

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
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
AMBULANCE
Insurance Co. Name
Year
2003		 Make
Chevrolet - CHEV		 Model
TRK		 Style
SW		 Approximate Cost to Repair or Replace
4000
Initial Travel Direction
2 - East		 Vehicle Action
08 - Leaving traffic lane		 Speed Limit
65		 Point of Initial Impact
09 - Top		 Most Damaged Area
04 - Right Rear		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
2		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 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
01 - Ran off road, right		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
01 - Ran off road, right
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)
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
5 - Dark, roadway not lighted		 Surface Conditions
2		 Type of Roadway Junction/Feature
20 - Off-ramp		 Workers Present?
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NARRATIVE

DRIVER OF VEHICLE #1 STATED THAT HE SWERVED TO AVOID ANOTHER VEHICLE, LOST CONTROL AND THEN CRASHED INTO THE WEST DITC AREA.
Officer
SONNENFELT 		Badge No.
295		 Time Officer Notified of Accident
00:17		 Time Officer Arrived At Scene
00:19
Name of Agency
P01		 Date of Report
9/16/2010		 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