Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/2/2011		 Time of Accident
11:29 AM 		County
Pottawattamie - 78		 Accident occurred within corporate limits of (city)
Council Bluffs - 1642		 Law Enforcement Case Number:
2011014639
Literal Description
1312 CANNING ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
263242.9
Y-Coordinate
4572971.
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1 		Driver's Name - Last
MUDRA		 First
MARK		 Middle
A		 Suffix
City
COUNCIL BLUFFS		 State
IA - Iowa, US		 Zip
51503
Driver's Age
17		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IA - Iowa, US		 Class
0 - ID		 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
4 - Breath		 Drug Test Given?
3 - Urine		 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
9 - Unknown		 Airbag Deployment
9 - Unknown		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
REFUSED		 Transported by:
REFUSED
Insurance Co. Name
Year
2000		 Make
Chevrolet - CHEV		 Model
BLAZER		 Style
SUV		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
45		 Point of Initial Impact
10 - Under Carriage		 Most Damaged Area
01 - Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
4		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 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)
SEQUENCE OF EVENTS First Event
01 - Ran off road, right		 Second Event
42 - Other fixed object (explain in narrative)		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
42 - Other 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?
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)
42 - Other 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

UNIT 1 WAS BEING PURSUED BY A STATE TROOPER WHEN UNIT 1 LEFT THE ROAD AND HIT A CONCRETE RETAINING WALL, LAUNCHED ONTO CANNING ST AND CAME TO REST IN THE FRONT YARD OF 1312 CANNING ST.
Officer
HITCHCOCK 		Badge No.
423		 Time Officer Notified of Accident
11:10		 Time Officer Arrived At Scene
11:10
Name of Agency
P03		 Date of Report
3/2/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504