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Driver's Name - Last RODRIQUEZ |
First JOSEPH |
Middle PACO JAMES |
Suffix
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City COUNCIL BLUFFS |
State IA - Iowa, US |
Zip 515030000 |
Driver's Age 21 |
Citation Charge Code 1 321.285-E |
Citation Charge 1 SPEEDING 55 OR < (20 MPH OVER + $5.00 EA. MILE) F/A, M/ |
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 N - Tank |
Restrictions
None |
Citation Charge Code 2 321J.2(2)(a) |
Citation Charge 2 OPER VEH WH INT (OWI) / 1ST OFF |
Alcohol Test Given? 4 - Breath |
Drug Test Given? 1 - None |
Citation Charge Code 3 321.306 |
Citation Charge 3 IMPROPER USE OF LANES |
Citation Charge Code 4 321.20B-A |
Citation Charge 4
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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
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Trapped 1 - Not trapped |
Transported to: N/A |
Transported by: N/A |
Insurance Co. Name
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Year 1998 |
Make
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Model HOMBRA |
Style PICKUP |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 01 - Front |
Most Damaged Area 07 - Left Side |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 6 - Under the influence of alcohol/drugs/medications |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
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| SEQUENCE OF EVENTS |
First Event 11 - Overturn/rollover |
Second Event
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Third Event
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Fourth Event
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Most Harmful Event (by vehicle) 11 - Overturn/rollover |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name
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City
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State
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Zip
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Number of Axles
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Gross Vehicle Weight Rating
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Placard #
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Hazardous Materials Released?
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