Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
2/21/2011		 Time of Accident
03:19 PM 		County
Clinton - 23		 Accident occurred within corporate limits of (city)
Clinton - 1415		 Law Enforcement Case Number:
2011012846
Literal Description
SOUTH 4TH ST AND 8TH AVE S. 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
733050.2
Y-Coordinate
4635541.
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1 		Driver's Name - Last
URESTI		 First
FRANCISCO		 Middle
GILBERTO		 Suffix
City
SAN JUAN		 State
TX - Texas, US		 Zip
785890000
Driver's Age
25		 Citation Charge Code 1
321.306		 Citation Charge 1
IMPROPER USE OF LANES
Gender
Male		 State
TX - Texas, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
N - Tank		 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
2007		 Make
Volvo - VOLV		 Model
 Style
SEMI		 Approximate Cost to Repair or Replace
1000
Initial Travel Direction
3 - South		 Vehicle Action
02 - Turning left		 Speed Limit
20		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
02 - Right Front		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
02 - Traffic signals		 Vehicle Config.
07 - Truck/trailer		 Cargo Body Type
02 - Van/enclosed box		 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?
U
N
I
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2 		Driver's Name - Last
BESWICK		 First
TERRANCE		 Middle
JOSEPH		 Suffix
City
BLUE GRASS		 State
IA - Iowa, US		 Zip
527260000
Driver's Age
48		 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

B - Cor Lenses		 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
1999		 Make
Cadillac - CADI		 Model
DEV		 Style
4D		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
3 - South		 Vehicle Action
02 - Turning left		 Speed Limit
20		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
3 - Functional damage		 Underride/Override
9 - Unknown
Total Occupants
1		 Traffic Controls
02 - Traffic signals		 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?
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
4 - Angle, oncoming left turn		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT ONE AND UNIT TWO WERE STOPPED AT S. 4TH ST AND 8TH AVE S. WAITING TO TURN LEFT. BOTH UNIT ONE AND UNIT TWO ENTERED S. 4TH ST. UNIT ONE DIDN'T STAY IN HIS LANE AND ENTERED UNIT 2'S LANE. UNIT ONE STRUCK UNIT 2.
Officer
ERWIN 		Badge No.
334		 Time Officer Notified of Accident
15:20		 Time Officer Arrived At Scene
15:30
Name of Agency
P12		 Date of Report
2/21/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504