Crash Information

L O C A T I O N	Date of Accident 4/9/2011	Time of Accident 06:18 AM	County Jasper - 50	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011021767
	Literal Description 159MM I80 WB				Legal Intervention? No	Private Property? No
					X-Coordinate: 486228.2
					Y-Coordinate 4614896.

U N I T 1	Driver's Name - Last GRANT			First BLAKE			Middle WILLIAM		Suffix
	City PLEASANT HILL			State IA - Iowa, US				Zip 50327
	Driver's Age 19					Citation Charge Code 1 321.34		Citation Charge 1 DISPLAY OF STICKER ON PLATE
	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 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 1 - None 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:					Transported by:
	Insurance Co. Name
	Year 1994		Make Chevrolet - CHEV		Model CAMARO		Style 2DR		Approximate Cost to Repair or Replace 8000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 08 - Left Front	Most Damaged Area 08 - Left Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 05	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 52 - Hit and run	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			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? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3		Citation Charge 3
						Citation Charge Code 4		Citation Charge 4
	Seating Position 99 - Unknown	Injury Status 9 - Unknown	Occupant Protection 9 - Unknown		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		Make		Model		Style		Approximate Cost to Repair or Replace
	Initial Travel Direction	Vehicle Action	Speed Limit	Point of Initial Impact 03 - Right Side	Most Damaged Area 03 - Right Side	Extent of Damage 9 - Unknown	Underride/Override 1 - None
	Total Occupants	Traffic Controls 01 - No controls present	Vehicle Config. 07 - Truck/trailer	Cargo Body Type 99 - Unknown	Vehicle Defect 99 - Unknown	Driver Condition 9 - Unknown	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 21 - Vehicle in traffic	Second Event 52 - Hit and run	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) 04 - Fog, smoke	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 5 - Broadside	Weather Conditions (up to two) 04 - Fog, smoke	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

VEHICLE #1 IS WESTBOUND ON I80 AT THE 159MM DRIVING IN THE OUTSIDE LANE OF TRAVEL. AN UNKNOWN VEHICLE IS IN THE INSIDE LANE OF TRAVEL AND CHANGES INTO THE OUTSIDE LANE OF TRAVEL OCCUPIED BY VEHICLE #1. CONTACT OCCURS IN THE OUTSIDE LANE OF TRAVEL TO THE FRONT OF VEHICLE #1 TO THE RIGHT SIDE TRAILER OF THE UNKNOWN SEMI/TRAILER. AFTER IMPACT VEHICLE #1 COMES TO REST FACING WEST IN THE NORTH DITCH AREA.

Officer CLYDE	Badge No. 254	Time Officer Notified of Accident 06:18	Time Officer Arrived At Scene 06:29
Name of Agency P16	Date of Report 4/9/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 16 Office
Lucas State Office Bldg
Des Moines,IA 50319-
Phone: (515) 281-3879
Fax: (515) 281-6478