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Driver's Name - Last LEWIS |
First RICHARD |
Middle WAYNE |
Suffix
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City ANITA |
State IA - Iowa, US |
Zip 500200000 |
Driver's Age 75 |
Citation Charge Code 1 321.288 |
Citation Charge 1 FAIL TO MAINTAIN CONTROL |
Gender Male |
State IA - Iowa, US |
Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat |
Endorsements
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Restrictions
B - Cor Lenses |
Citation Charge Code 2
|
Citation Charge 2
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Alcohol Test Given? 1 - None |
Drug Test Given? 1 - None |
Citation Charge Code 3
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Citation Charge 3
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Citation Charge Code 4
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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 5 - Not deployed |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
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Trapped 1 - Not trapped |
Transported to:
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Transported by:
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Insurance Co. Name
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Year 2006 |
Make Chevrolet - CHEV |
Model SLV |
Style PK |
Approximate Cost to Repair or Replace 12000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 07 - Left Side |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 02 |
Traffic Controls 01 - No controls present |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
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)
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SEQUENCE OF EVENTS |
First Event 12 - Jackknife |
Second Event 30 - Bridge/bridge rail/overpass |
Third Event
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Fourth Event
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Most Harmful Event (by vehicle) 30 - Bridge/bridge rail/overpass |
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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