Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
10/20/2010		 Time of Accident
03:56 PM 		County
Jefferson - 51		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010060293
Literal Description
V063 / PACKWOOD RD and NB/EB US 0034 / US 34 measuring 107 Meters West from US 0034 / US 34 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
576622.9
Y-Coordinate
4540219.
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1 		Driver's Name - Last
NGWA		 First
SIRRI		 Middle
ODILIA		 Suffix
City
OTTUMWA		 State
IA - Iowa, US		 Zip
525010000
Driver's Age
27		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE 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

2 - Non-Com Inst Permit (Veh less than 16001 GVWR)		 Citation Charge Code 2
321.20B-A		 Citation Charge 2
NO INSURANCE
Alcohol Test Given?
1 - None		 Drug Test Given?
1 - None		 Citation Charge Code 3
321.174		 Citation Charge 3
NO DRIVER'S LICENSE
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
1 - Deployed front of person		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
3 - Extricated by mechanical means
Transported to:
UNIVERSITY OF IOWA		 Transported by:
AIRCARE
Insurance Co. Name
Year
1998		 Make
Toyota - TOYT		 Model
CAMRY		 Style
4-DOOR		 Approximate Cost to Repair or Replace
6000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 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
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
26 - Other non-fixed object (explain in narrative)		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
26 - Other non-fixed object (explain in narrative)
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
HOUSE		 Estimate of Damage
20000
Owner's Name - Last
STONE		 First
MARILYN		 Middle
JANE		 Suffix
Owner Company Name
City
BATAVIA		 State
IA - Iowa, US		 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
2 - Shoulder		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
26 - Other non-fixed object (explain in narrative)
Manner of Crash/Collision
1 - Non-collision		 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 HEADING EAST ON HIGHWAY 34. THE DRIVER OF VEHICLE #1 LOST CONTROL ENTERED SOUTH DITCH OF HIGHWAY 34 AND STRUCK THE HOUSE ON THE WEST SIDE.
Officer
STEIGLEDER 		Badge No.
433		 Time Officer Notified of Accident
15:59		 Time Officer Arrived At Scene
16:06
Name of Agency
P13		 Date of Report
10/20/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743