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Driver's Name - Last VILLALPANDO |
First JULIO |
Middle C |
Suffix
|
City DAVENPORT |
State IA - Iowa, US |
Zip 528020000 |
Driver's Age 43 |
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 None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given? 1 - None |
Drug Test Given? 3 - Urine |
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 BLACK HORSE CARRIERS INS |
Year 2011 |
Make International - INTL |
Model TT |
Style DAY CAB |
Approximate Cost to Repair or Replace 500 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 09 - Tractor/semi-trailer |
Cargo Body Type 02 - Van/enclosed box |
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 20 - Non-motorist (see non-motorist type) |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 20 - Non-motorist (see non-motorist type) |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name BLACK HORSE CARRIERS INS |
City CAROL STREAM |
State IL - Illinois, US |
Zip 601881860 |
Number of Axles 5 |
Gross Vehicle Weight Rating 52000 |
Placard #
|
Hazardous Materials Released? 2 - No |