Crash Information

L O C A T I O N	Date of Accident 10/15/2010	Time of Accident 04:20 PM	County Story - 85	Accident occurred within corporate limits of (city) Ames - 0155	Law Enforcement Case Number: 2010059379
	Literal Description SB/WB INTERSTATE 0035 MM 111				Legal Intervention? No	Private Property? No
					X-Coordinate: 452706.1
					Y-Coordinate 4650095.

U N I T 1	Driver's Name - Last OULMAN			First NATHAN			Middle MAYO		Suffix
	City OSAGE			State IA - Iowa, US				Zip 504610000
	Driver's Age 38					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	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 2008		Make Chevrolet - CHEV		Model SLV		Style PK		Approximate Cost to Repair or Replace 10000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 65	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 3	Traffic Controls 01 - No controls present	Vehicle Config. 02 - Four-tire light truck (pick-up, panel)	Cargo Body Type 01 - Not applicable	Vehicle Defect 05 - Other tire defect (explain in narrative)	Driver Condition 1 - Apparently normal	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 13 - Other non-collision	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?

U N I T 2	Driver's Name - Last BRISTOR			First SUSAN			Middle KAY		Suffix
	City MINNEAPOLIS			State MN - Minnesota, US				Zip 55417
	Driver's Age 47					Citation Charge Code 1		Citation Charge 1
	Gender Female	State MN - Minnesota, 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 2008		Make Chrysler - CHRY		Model TOWN COUNTRY		Style VAN		Approximate Cost to Repair or Replace 4000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 65	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 2 - Minor damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 03 - Van or mini-van	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 13 - Other non-collision	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 13 - Other non-collision
	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?

P R O P E R T Y D A M A G E	If Property other than vehicles damaged explain	Object Damaged RECREATIONAL TRAILER		Estimate of Damage 2000
	Owner's Name - Last DEVRIES	First EDWARD	Middle JOHN	Suffix
	Owner Company Name
	City ROBERTS	State MT - Montana, 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) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 13 - Other non-collision
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

VEHICLE #1 WAS A PICKUP PULLING AN ENCLOSED BOX TRAILER GOING SOUTH ON INTERSTATE 35 WHEN THE DRIVER'S SIDE REAR TIRE CAME OFF OF THE PICKUP AND STRUCK VEHICLE #2. THE TIRE THEN STRUCK A RECREATIONAL TRAILER BEING PULLED BY VEHICLE #3. AFTER THE TIRE CAME OFF, VEHICLE #1 LOST CONTROL AND ENTERED THE EAST DITCH WHERE IT SUSTAINED DAMAGE TO THE PICKUP.

Officer TJEPKES	Badge No. 074	Time Officer Notified of Accident 16:20	Time Officer Arrived At Scene 16:43
Name of Agency P01	Date of Report 10/15/2010	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