Crash Information

L O C A T I O N	Date of Accident 3/16/2011	Time of Accident 12:13 PM	County Franklin - 35	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011017434
	Literal Description US 65 AT THE ENTRANCE TO BRENT'S AG (1683 HWY 65) NB				Legal Intervention? No	Private Property? No
					X-Coordinate: 483458.3
					Y-Coordinate 4737202.

U N I T 1	Driver's Name - Last DEYOUNGE			First LEVI			Middle CHRISTIAN		Suffix
	City HAMPTON			State IA - Iowa, US				Zip 504410000
	Driver's Age 21					Citation Charge Code 1		Citation Charge 1
	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 None	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 9 - Unknown	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2001		Make Oldsmobile - OLDS		Model AUR		Style 4D		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 1 - North	Vehicle Action 03 - Turning right	Speed Limit 55	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 01 - No controls present	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 01 - Ran off road, right	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 T 2	Driver's Name - Last GARLOCK			First AARON			Middle JOHN		Suffix
	City HAMPTON			State IA - Iowa, US				Zip 504410000
	Driver's Age 27					Citation Charge Code 1 321.20B-B		Citation Charge 1 FAILURE TO HAVE PROOF OF INSURANCE - ACCIDENT
	Gender Male	State IA - Iowa, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements None	Restrictions S - SR Required	Citation Charge Code 2 321.288		Citation Charge 2 FAILURE TO MAINTAIN CONTROL
	Alcohol Test Given?			Drug Test Given?		Citation Charge Code 3		Citation Charge 3
						Citation Charge Code 4		Citation Charge 4
	Seating Position 01 - Front: Left Side / Motorcycle Driver	Injury Status 3 - Non-incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 1 - Switch in ON position		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: FRANKLIN GENERAL HOSPITAL					Transported by: FRANKLIN GENERAL
	Insurance Co. Name
	Year 2002		Make Chevrolet - CHEV		Model MAL		Style 4D		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 4 - Disabling damage	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 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 02 - Ran off road, straight	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) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 3 - Rear-end	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 04 - Business drive	Workers Present?

P
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S
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N

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J
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Name- Last
CHANTRILL

First
JAMES

Middle
D

Suffix

City

State

Zip Code

Age

Sex
Male

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
3 - Non-incapacitating

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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
FRANKLIN GENERAL HOSPITAL

Transported by:
FRANKLIN GENERAL

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE #1 WAS TURNING INTO BRENT'S AG AND AUTO REPAIR SHOP OFF OF HWY 65 NORTHBOUND WITH TURN SIGNAL AND BRAKES VISIBLE. VEHICLE #2 WAS TRAVELING NORTHBOUND ON HWY 65 FOLLOWING VEHICLE #1 AND REAR ENDED VEHICLE NUMBER #1. VEHICLE #1 CAME TO REST IN THE NORTHBOUND DITCH FACING SOUTH AND VEHICLE #2 CAME TO REST ON NORTHBOUND SHOULDER.

Officer SOUHRADA	Badge No. 280	Time Officer Notified of Accident 12:21	Time Officer Arrived At Scene 12:34
Name of Agency P09	Date of Report 3/16/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 09 Office
1510 W 1st St
Cedar Falls,IA 50613-1799
Phone: (319) 266-2677
Fax: (319) 266-2228