Iowa State Patrol: Department of Public Safety
Minimal Crash Report:

 Case Number:  2017019304  Type:  Personal Injury  County:  86
 Crash Date:  20170705  Time:  0657
 Location:  HIGHWAY 30 WESTBOUND & F AVENUE
 
 Vehicle 1 Year:  2011  Make:  CHEV  Type:  CRZ
 Towed By:  Z-LINE TOWING
 Driver Name:  BLACKCLOUD,DALE ALLEN  Age:  58
 City & State of Residence:  TAMA,IA
 
 Vehicle 2 Year:  2004  Make:  SUBA  Type:  LEG
 Towed By:  Z-LINE TOWING
 Driver Name:  SANMARTIN,ROSA MARIA  Age:  46
 City & State of Residence:  MUSCATINE,IA
 
 Vehicle 3 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Injury 1 Type:  Injured
 Name:  BLACKCLOUD,DALE ALLEN  Age:  58
 City & State of Residence:  TAMA,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:   
 Transported To:  MARSHALLTOWN HOSPIT  Transported By:  TOLEDO AMBULANCE
 
 Injury 2 Type:  Injured
 Name:  SANMARTIN,ROSA MARIA  Age:  46
 City & State of Residence:  MUSCATINE,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  MARSHALLTOWN HOSPIT  Transported By:  TOLEDO AMBULANCE
 
 Injury 3 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 4 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 5 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 6 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Motor Carrier Info (IF Large truck is involved)
 Name of Carrier:   
 DOT or MCC #:   
 City & State of Carrier:     Hazmat Involved?:   
 
 Summary:  
    UNIT 1 WAS ATTEMPTING TO CROSS HIGHWAY 30 WHEN IT PULLED INTO THE PATH OF
UNIT 2, WHICH WAS TRAVELING WESTBOUND ON HIGHWAY 30 THE ACCIDENT REMAINS
UNDER INVESTIGATION
OFFICER NAME: ISP383 WILTFANG . POST: 11
ASSISTED BY: ISP200, ISP198, TAMA COUNTY SHERIFF
 
 Officer Name:  ISP383 WILTFANG  Post:  11
 Assisted By:  ISP200, ISP198, TAMA


Any questions about this report may be directed to the following address:
Iowa State Patrol District 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327