Crash Information

L O C A T I O N	Date of Accident 10/10/2011	Time of Accident 10:40 AM	County Cedar - 16	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011057680
	Literal Description I-80 WB 263 MM				Legal Intervention? No	Private Property? No
					X-Coordinate: 651414.4
					Y-Coordinate 4612710.

U N I T 1	Driver's Name - Last SHEA			First MICHAEL			Middle JOHN		Suffix
	City CLARENCE			State IA - Iowa, US				Zip 52216
	Driver's Age 51					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 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 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name PENSKE TRUCK LEASING CO
	Year 2009		Make International - INTL		Model PROSTAR		Style TT		Approximate Cost to Repair or Replace 0
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 05 - Rear	Most Damaged Area	Extent of Damage 1 - None	Underride/Override 1 - None
	Total Occupants 1	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 21 - Vehicle in traffic	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 21 - Vehicle in traffic
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name PENSKE TRUCK LEASING CO			City EAST CHICAGO		State IN - Indiana, US			Zip 463122926
	Number of Axles 5			Gross Vehicle Weight Rating 52350		Placard #			Hazardous Materials Released? 3 - Not applicable

U N I T 2	Driver's Name - Last GLINN			First DANTE			Middle J		Suffix
	City PEORIA			State IL - Illinois, US				Zip 61605
	Driver's Age 18					Citation Charge Code 1 321.262		Citation Charge 1 LEAVING SCENE OF ACCIDENT - DAMAGE TO VEHICLE ONLY - FA
	Gender Male	State IL - Illinois, US	Class	Endorsements None	Restrictions None	Citation Charge Code 2 321.174(1)		Citation Charge 2 FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR
	Alcohol Test Given? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3 321.20B-A		Citation Charge 3 VIOLATION - FINANCIAL LIABILITY COVERAGE
						Citation Charge Code 4		Citation Charge 4
	Seating Position 01 - Front: Left Side / Motorcycle Driver	Injury Status 5 - Uninjured	Occupant Protection 9 - Unknown		Airbag Deployment 1 - Deployed front of person	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
	Year 1998		Make Oldsmobile - OLDS		Model REGENCY		Style 4D		Approximate Cost to Repair or Replace 10000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	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 21 - Vehicle in traffic	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 21 - Vehicle in traffic
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name			City		State			Zip
	Number of Axles			Gross Vehicle Weight Rating		Placard #			Hazardous Materials Released?

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 1 - On Roadway	Weather Conditions (up to two) 02 - Partly cloudy	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 3 - Rear-end	Weather Conditions (up to two) 02 - Partly cloudy	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

UNIT 1 WAS WESTBOUND ON INTERSTATE 80 IN THE LEFT LANE. UNIT 2 DROVE INTO THE BACK OF UNIT 1.

Officer PEDERSEN	Badge No. 173	Time Officer Notified of Accident 10:40	Time Officer Arrived At Scene 10:50
Name of Agency P12	Date of Report 10/10/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504