U
N
I
T
2
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Driver's Name - Last SALCIDO |
First EDGAR |
Middle
|
Suffix
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City DILLER |
State NE - Nebraska, US |
Zip 683420000 |
Driver's Age 22 |
Citation Charge Code 1 321.20B-B |
Citation Charge 1 VIOLATION - FINANCIAL LIABILITY - ACCIDENT |
Gender Male |
State NO - None, US |
Class
|
Endorsements None |
Restrictions
None |
Citation Charge Code 2 321.174 |
Citation Charge 2 FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR |
Alcohol Test Given? 1 - None |
Drug Test Given? 1 - None |
Citation Charge Code 3 321.288 |
Citation Charge 3 FAIL TO MAINTAIN CONTROL |
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 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 1991 |
Make Honda - HOND |
Model CIVIC |
Style 2DR |
Approximate Cost to Repair or Replace 0 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 99 - Unknown |
Most Damaged Area
|
Extent of Damage 1 - None |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 11 - Workzone signs |
Vehicle Config. 01 - Passenger car |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 9 - Unknown |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
|
| SEQUENCE OF EVENTS |
First Event 03 - Ran off road, left |
Second Event 26 - Other non-fixed object (explain in narrative) |
Third Event
|
Fourth Event 21 - Vehicle in traffic |
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name
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City
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State
|
Zip
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Number of Axles
|
Gross Vehicle Weight Rating
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Placard #
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Hazardous Materials Released?
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