Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
6/1/2011		 Time of Accident
10:00 PM 		County
Franklin - 35		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011031925
Literal Description
SB/WB Interstate 0035 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
464061.6
Y-Coordinate
4727417.
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1 		Driver's Name - Last
DOAN		 First
TINA		 Middle
L		 Suffix
City
EAU CLAIRE		 State
WI - Wisconsin, US		 Zip
547032441
Driver's Age
52		 Citation Charge Code 1
 Citation Charge 1
Gender
Female		 State
WI - Wisconsin, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 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
 Injury Status
 Occupant Protection
 Airbag Deployment
 Airbag Switch Status
 Ejection
 Ejection Path
 Trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2007		 Make
Volvo - VOLV		 Model
 Style
SEMI		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
 Vehicle Action
 Speed Limit
 Point of Initial Impact
 Most Damaged Area
 Extent of Damage
 Underride/Override
Total Occupants
 Traffic Controls
 Vehicle Config.
 Cargo Body Type
 Vehicle Defect
 Driver Condition
 Vision Obscured
 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
Emergency Vehicle Type
 Emergency Status
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
 Weather Conditions (up to two)
 Environment
 Location
 First Harmful Event of Crash (use codes 11-42 only)
25 - Animal
Manner of Crash/Collision
 Roadway
 Type
Light Conditions
 Surface Conditions
 Type of Roadway Junction/Feature
 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT ONE WAS TRAVELING SOUTHBOUND AT OR ABOUT THE 162 MILE MARKER ON INTERSTATE 35 WHEN IT CAME IN CONTACT WITH A DEER CAUSING FRONT END DAMAGE AND BREAKING THE PASSENGER SIDE HEADLIGHT.
Officer
BURNS 		Badge No.
028		 Time Officer Notified of Accident
22:52		 Time Officer Arrived At Scene
23:15
Name of Agency
P07		 Date of Report
6/1/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218