Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
4/16/2011		 Time of Accident
03:35 AM 		County
Story - 85		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011022965
Literal Description
SB/WB Interstate 0035 (Milepost 108) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452781.7
Y-Coordinate
4644759.
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1 		Driver's Name - Last
VIZCARRA		 First
JOSE		 Middle
ANTONIO		 Suffix
City
WEST DES MOINES		 State
IA - Iowa, US		 Zip
50266
Driver's Age
19		 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

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
9 - Unknown		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
1997		 Make
Mercedes - MERZ		 Model
E32		 Style
4DR		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
02 - Right Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
3		 Traffic Controls
01 - No controls present		 Vehicle Config.
01 - Passenger car		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
05 - Other tire defect (explain in narrative)		 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
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
33 - Ditch/embankment		 Most Harmful Event (by vehicle)
33 - Ditch/embankment
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
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT #1 WAS TRAVELING SOUTHBOUND ON I35 NEAR THE 108 MILE MARKER. UNIT #1 LOST CONTROL ON WET PAVEMENT, PARTIALLY DUE TO EXTREMELY BALD TIRES. UNIT #1 CAME TO A REST IN THE WEST DITCH.
Officer
BOGDANSKI 		Badge No.
061		 Time Officer Notified of Accident
09:25		 Time Officer Arrived At Scene
09:39
Name of Agency
P16		 Date of Report
4/16/2011		 Investigation made at scene?
Yes		 T.I. #


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