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Driver's Name - Last ORTIZ |
First CANDICE |
Middle MARIE |
Suffix
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City GRAND JUNCTION |
State IA - Iowa, US |
Zip 50107 |
Driver's Age 23 |
Citation Charge Code 1 321.288 |
Citation Charge 1 FAIL TO MAINTAIN CONTROL |
Gender Female |
State IA - Iowa, US |
Class 0 - ID |
Endorsements N - Tank |
Restrictions
None |
Citation Charge Code 2 321.174 |
Citation Charge 2 FAIL TO HAVE VALID LICENSE PERMIT |
Alcohol Test Given? 1 - None |
Drug Test Given? 1 - None |
Citation Charge Code 3
|
Citation Charge 3
|
Citation Charge Code 4
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Citation Charge 4
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Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 3 - Non-incapacitating |
Occupant Protection 1 - None used |
Airbag Deployment 6 - Not applicable |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 2 - Partially ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: MERCY HOSPITAL IN DES MOINES |
Transported by: BOONE CO AMBULANCE |
Insurance Co. Name
|
Year 1997 |
Make Oldsmobile - OLDS |
Model CUT |
Style 4D |
Approximate Cost to Repair or Replace 1100 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 04 - Right Rear |
Most Damaged Area 09 - Top |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 01 |
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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 01 - Ran off road, right |
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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