Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
9/24/2010		 Time of Accident
06:30 PM 		County
Mitchell - 66		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010055688
Literal Description
450TH ST/.65 MI WEST OF ADDISON 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
535162.1
Y-Coordinate
4806946.
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1 		Driver's Name - Last
HULL		 First
CALVIN		 Middle
LEROY		 Suffix
City
CHARLES CITY		 State
IA - Iowa, US		 Zip
506160000
Driver's Age
52		 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
 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
2 - Shoulder and lap belt used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
FARMERS FEED & GRAIN COMPANY INC
Year
2003		 Make
International - INTL		 Model
 Style
TT		 Approximate Cost to Repair or Replace
35000
Initial Travel Direction
3 - South		 Vehicle Action
03 - Turning right		 Speed Limit
55		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
06 - Left Rear		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
07 - Truck/trailer		 Cargo Body Type
03 - Dump truck (grain, gravel)		 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
03 - Ran off road, left		 Second Event
13 - Other non-collision		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
13 - Other non-collision
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
FARMERS FEED & GRAIN COMPANY INC		 City
RICEVILLE		 State
IA - Iowa, US		 Zip
50466
Number of Axles
5		 Gross Vehicle Weight Rating
80000		 Placard #
 Hazardous Materials Released?
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
4 - Roadside		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
09 - Shoulders (none, low, soft, high)		 Type
Light Conditions
1 - Daylight		 Surface Conditions
6		 Type of Roadway Junction/Feature
05 - Farm/residential drive		 Workers Present?
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NARRATIVE

VEH 1 WAS EXITING A FARM DRIVE ON THE NORTH SIDE OF THE ROAD AND TURNING WEST. THE SOUTH SHOULDER GAVE WAY AND VEH 1 WENT INTO THE SOUTH DITCH. THERE WERE NO INJURIES/
Officer
PALAS 		Badge No.
265		 Time Officer Notified of Accident
19:01		 Time Officer Arrived At Scene
19:15
Name of Agency
P08		 Date of Report
9/24/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381