Crash Information

L O C A T I O N	Date of Accident 1/18/2011	Time of Accident 02:40 AM	County Warren - 91	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011003813
	Literal Description KUM AND GO PARKING LOT/NEW VIRGINIA				Legal Intervention? No	Private Property? Yes
					X-Coordinate: 434478.6
					Y-Coordinate 4558665.

U N I T 1	Driver's Name - Last			First			Middle		Suffix
	City			State				Zip
	Driver's Age					Citation Charge Code 1		Citation Charge 1
	Gender	State	Class	Endorsements None	Restrictions None	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given?			Drug Test Given?		Citation Charge Code 3		Citation Charge 3
						Citation Charge Code 4		Citation Charge 4
	Seating Position	Injury Status	Occupant Protection		Airbag Deployment	Airbag Switch Status		Ejection	Ejection Path	Trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2007		Make		Model DSCON		Style TT		Approximate Cost to Repair or Replace 0
	Initial Travel Direction 9 - Unknown	Vehicle Action 12 - Legally Parked	Speed Limit	Point of Initial Impact 06 - Left Rear	Most Damaged Area 06 - Left Rear	Extent of Damage 1 - None	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 01 - No controls present	Vehicle Config. 09 - Tractor/semi-trailer	Cargo Body Type 11 - Large utility (2+ axles)	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 23 - Parked motor vehicle	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 23 - Parked motor vehicle
	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 THOMSON			First DAVID			Middle K		Suffix
	City ODESSA			State MO - Missouri, US				Zip 64076
	Driver's Age 46					Citation Charge Code 1		Citation Charge 1
	Gender Male	State MO - Missouri, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements H - Hazmat	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 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: N/A					Transported by:
	Insurance Co. Name
	Year 1999		Make International - INTL		Model TR		Style TT		Approximate Cost to Repair or Replace 4000
	Initial Travel Direction 1 - North	Vehicle Action 02 - Turning left	Speed Limit	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 2 - Minor damage	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 01 - No controls present	Vehicle Config. 09 - Tractor/semi-trailer	Cargo Body Type 11 - Large utility (2+ axles)	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 06 - Evasive action (swerve, panic braking, etc.)	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 06 - Evasive action (swerve, panic braking, etc.)
	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 6 - Outside Trafficway	Weather Conditions (up to two) 01 - Clear	Environment 2 - Weather condition	Location	First Harmful Event of Crash (use codes 11-42 only) 23 - Parked motor vehicle
Manner of Crash/Collision 3 - Rear-end	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 4 - Dark, roadway lighted	Surface Conditions 3	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

UNIT #1 WAS PARKED IN THE KUM & GO PARKING LOT IN NEW VIRGINIA ON THE NORTH SIDE OF THE BUILDING. UNIT #2 WAS DRIVING AROUND THE NORTH SIDE OF THE BUILDING AND DROVE ONTO ICY SURFACE AND SLID INTO THE REAR OF UNIT #1. UNIT #1 SUSTAINED NO DAMAGE AND UNIT #2 SUSTAINED ONLY MINOR DAMAGE AS A RESULT OF THE COLLISION.

Officer KNEDLER	Badge No. 443	Time Officer Notified of Accident 02:45	Time Officer Arrived At Scene 03:00
Name of Agency P02	Date of Report 1/18/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653