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Driver's Name - Last PITCOX |
First JODY |
Middle LEE |
Suffix
|
City WEBSTER CITY |
State IA - Iowa, US |
Zip 505950000 |
Driver's Age 41 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State IA - Iowa, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements N - Tank |
Restrictions
B - Cor Lenses |
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 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 RYDER TRUCK RENTAL LT |
Year 2008 |
Make
|
Model CSC |
Style DS |
Approximate Cost to Repair or Replace 3000 |
Initial Travel Direction 4 - West |
Vehicle Action 06 - Changing lanes |
Speed Limit 65 |
Point of Initial Impact 01 - Front |
Most Damaged Area 10 - Under Carriage |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 07 - Truck/trailer |
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 26 - Other non-fixed object (explain in narrative) |
Second Event
|
Third Event
|
Fourth Event 26 - Other non-fixed object (explain in narrative) |
Most Harmful Event (by vehicle) 26 - Other non-fixed object (explain in narrative) |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name RYDER TRUCK RENTAL LT |
City WEBSTER CITY |
State IA - Iowa, US |
Zip 50595 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard #
|
Hazardous Materials Released? 2 - No |