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Driver's Name - Last GONZALEZ |
First CARLOS |
Middle ARMANDO |
Suffix
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City OSCEOLA |
State IA - Iowa, US |
Zip 50213 |
Driver's Age 33 |
Citation Charge Code 1 321.174 |
Citation Charge 1 NO DL |
Gender Male |
State NO - None, US |
Class
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Endorsements None |
Restrictions
None |
Citation Charge Code 2 321.20B |
Citation Charge 2 NO INSUR |
Alcohol Test Given? 9 - Refused |
Drug Test Given? 1 - None |
Citation Charge Code 3 321.288 |
Citation Charge 3 FAILUE TO MAINTAIN |
Citation Charge Code 4 321.284 |
Citation Charge 4
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Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 4 - Possible |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 1 - Deployed front of person |
Airbag Switch Status 1 - Switch in ON position |
Ejection 1 - Not ejected |
Ejection Path
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Trapped 1 - Not trapped |
Transported to: MERCY DES MOINES |
Transported by: NORWALK |
Insurance Co. Name
|
Year 1998 |
Make Chevrolet - CHEV |
Model LUM |
Style 4D |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 1 - North |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 09 - Top |
Most Damaged Area 09 - Top |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 01 - Passenger car |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 6 - Under the influence of alcohol/drugs/medications |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
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SEQUENCE OF EVENTS |
First Event 03 - Ran off road, left |
Second Event 06 - Evasive action (swerve, panic braking, etc.) |
Third Event
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Fourth Event 11 - Overturn/rollover |
Most Harmful Event (by vehicle) 11 - Overturn/rollover |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name
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City
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State
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Zip
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Number of Axles
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Gross Vehicle Weight Rating
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Placard #
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Hazardous Materials Released?
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