HomeMy WebLinkAboutAGENDA REPORT 1996 1016 CC REG ITEM 10CAGENDA REPORT �� ��
C = TY O F MOORPARK
TO: The Honorable City Council
FROM: Kenneth C. Gilbert, Director of Public Works
DATE: September 12, 1996 (Council Meeting 9- 18 -96)
SUBJECT: Consider Left Turn Phasing for the Traffic Signal
at the Intersection of Moorpark Road and Tierra
Rejada Road
The City recently installed a
intersection. The design for
for a permissive /restrictive
south left turners. As you ma
for a restricted left turn phaE
by permissive left turns on
traffic allow.
traffic signal at the subject
that traffic signal provides
left turn phase for west -to-
know, such a design provides
e (left green arrow), followed
t GREEN light as gaps in the
As a part of the City Council action to accept these
improvements and record the Notice of Completion, the City
Council requested that the function of this traffic signal
and the movement of traffic through this intersection be
brought back before the City Council for reevaluation in a
few months. This report is in response to that request.
Attached for your information is a copy of a Memo from the
Police Department summarizing traffic accidents which have
occurred in or near the subject intersection within the past
few months.
In the event it is the view of the City Council that the
design of the subject intersection may require modification,
it is recommended that, prior to directing any such change,
that the City Council direct the City Traffic Engineer to
perform a traffic study to evaluate the function of both the
present design as well as any proposed change.
Direct staff as deemed appropriate.
mpktr2
City of Moorpark
Police Department
MEMORANDUM
TO: Capt. M. Rouse
FROM: Sr. Deputy J. Ilill
DATE: 9 -10 -96
SUBJECT: Accidents at Tierra Rejada and Moorpark Rd.
SEP 1 1 1996
CIT`r OF MOC:i?PARK
799 MOORPARK AVENUE
r`1 00r -PARK, CA 9.3021
As per your request, I researched the area of Tierra Rejada road and Moorpark road, for all
accidents that have occurred in that area since April of this year. My findings are as follows:
Month
Number of Accidents
Primary Collision Factor
App
1
21801a VC
May
0
June
0
July
0
August
3
22350, 22100a,21801a VC
Two of the collisions involved minor injuries, one had moderate injuries (motorcyclist), and one
was a non -injury collision. Two of the collisions were due to drivers making an unsafe left turn, in
front of other traffic, a violation of 21801 a VC. If you need any further information regarding
these collisions, fell free to contact me.
cc: Ken Gilbert
000158
OFFICE OF THE CITY CLERK
TO: The Honorable City Council
FROM: Lillian E. Hare, City Clerk f,
CC: Steven Kueny, City Manager
DATE: September 13, 1996
SUBJECT: Transmittal of Traffic Collision Report
Attached is the Traffic Collision Report for the motorcycle accident that occurred on August
18, 1996 at the intersection of Tierra Rejada Road and Moorpark Road. This item is being
provided relative to Item 10.E. of the September 18, 1996 City Council meeting agenda.
000159
SPATE OF CALIFGRNIA
TRAFFIC COLLISION REPORT PAGE
GP 9
SPE CIAL CONDITIONS NO [NJ H &R FEL C[TY JUDICIAL DISTRICT NUMBER
1 (] MOORPARK VENTURA
NO KILL H &R MISD COUNTY DIST BEAT 96-68112
0 f I VENTURA 5110 2A01
N pq AT INTERSECTION WITH:
OR: MOORPARK ROAD
PARTY DRIVER'S LICENSE NUMBER STATE CLASS
1 N8532750 CA M
DRIVER NAME(FIRST, MIDDLE,LAST)
KI JOHN DAVID N. MACDONALD JR
PEDES- STREET ADDRESS
T'ff 3289 AMARILLO AVENUE
PARKED HfL CFFY /STATE/LIP
lj, SIMI VALLEY
I CA 93065
BICY- SEX jBR R EYES HEIGHT WEIGHT BERTgpATE
cL�s� M BR 5-11 220 06 01 62
OTHHER HOME PHONE BUSINESS PHONE
fl (805) 583 -2432 (3 10) 394 -9650
INSURANCE CARRIER POLICY NUMBER
FARMERS
DIR TRV ON STREET OR HIGHWAY SPD
W TIERRA REJADA ROAD 45
PARTY DRIVER'S LICENSE NUMBER
2 N0277500
DRIVER NAME(FIRST,MIDDLE,LAST)
KJ DONACIANO MIRA MONTEZ
PEDES- SI REEi'ADDRESS
TRjA]N
tt 1198 SOUTH J STREET
PARKED CITY /STATE.2IP
IfL
Lr OXNARD
l CA 93033
BICY- SIX VII R [B7R HEIGHT WEIG}iT B[RTHDATE
clfl M 5 -06 175 09118143
OTHER HOME PHONE BUSINESS PHONE
[) (805) 487 -4179 (805) 487 -7111
INSURANCE CARRIER POLICY NUMBER
ALLSTATE 699623726
DIR TRV ON STREET OR HIGHWAY SPD LMT PCF
E TIERRA REJADA ROAD 45
'ARTY DRIVER'S LICENSE NUMBER STATE
STATE HWY REL R I VERA
YES M NO NONE
SAFETY VE}I YR MAKE/MODEVCOLOR jiL:JiCE-NSE W 4 HONDA MC 1000 BL \WTE 7
OWNER'S NAME n SAME AS DRIVER
OWNER'S ADDRESS f] SAME AS DRIVER
RACY DISPO OF VEHICLE ON ORDERS OF: M OFT -TCER [ ] DRIVER [ ]OTHER
W DAVES TOW (805) 526 -4221
PRIOR MECHANICAL DEFECTS: NONE APPARENT f] REFER TO NARRATIVE [ ]
CHP USE ONLY DESCRIBE VE141CLE DAMAGE SHADE IN DAMAGED AREA
VL-T{ICLE TYPE
[ JUNK []NONE [ ]MINOR
[ ] MOD. [ ] MAJOR n TOTAL
LMT PCF ........._ ................
21801 a
!cffVFi YR MAKFIMODEL /COLOR LICENSE NUMBER STATE
C G 75 ICHEVY VAN BLUE 31ORKJ CA
OWNER'S NAME R SAME AS DRIVER
OWNER'S ADDRESS K] SAME AS DRIVER
RACE DISPO OF VEHICLE ON ORDERS OR [ OFFICER R DRIVER [ ] OTHER
H DAVES TOW (805) 526 -4221
PRIOR MECHANICAL DEFECTS: NONE APPARENT f ] MEER TO NARRATIVE [
CLIP USE ONLY DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA
VEHICLE TYPE
[ J UNK [ ]NONE [ ]MINOR
f] MOD. [ MAJOR [ ] TOTAL
CLASS SArC 1 r vEH YR
3 MAKE/MODEL/COLOR LICENSE NUMBER STATE
DRIVER NAM E(FIRST,MIDDLE,LAST) . . . ' ' . . ' ' ' ' ' . ' ' ' ' . . • • • • • • • . . . . . . . .
I
PEDES- STREET ADDRESS [ ]
TRry OWNER'S NAME SAME AS DRIVER
PARKED CITY /STATE/L[P
IIfLI OWNER'S ADDRESS [ ] SAME AS DRIVER
BICY- SIX HAIR EYES HEIGHT WEIGHT BIRTHDATE RACE DISPO OF VI-71ICLE ON ORDERS OF: [ ] OFFICER [ ] DRIVER [ ]OTHER
CL�ST
OTHER
]
COLLISION OCCURRED
BUSINESS PHONE
PRIOR MECHANICAL DEFECTS: NONE APPARENT [ ]
REFER TO NARRATIVE [ ]
C *Staarm: 012GGSII
DESCRIBE VEHICLE DAMAGE
SHADE IN DAMAGED AREA
L
TIERRA REJADA ROAD
MO DAY YEAR
TIME(2400)
NC[C k
OFFICER I.D.
c
08118196
1100
5600
001.384
►
A
MILEPOST INFORMATION:
r RER'3 NAM L'
RRIEN W
T
REVIL• ER'S AME
�
DAY OF WEEK
TOW AWAY
PHOTOGRAPHS BY:
��'
o
i1• `
[.
SUNDAY
M YES [ ] No
DEPUTY
000
N pq AT INTERSECTION WITH:
OR: MOORPARK ROAD
PARTY DRIVER'S LICENSE NUMBER STATE CLASS
1 N8532750 CA M
DRIVER NAME(FIRST, MIDDLE,LAST)
KI JOHN DAVID N. MACDONALD JR
PEDES- STREET ADDRESS
T'ff 3289 AMARILLO AVENUE
PARKED HfL CFFY /STATE/LIP
lj, SIMI VALLEY
I CA 93065
BICY- SEX jBR R EYES HEIGHT WEIGHT BERTgpATE
cL�s� M BR 5-11 220 06 01 62
OTHHER HOME PHONE BUSINESS PHONE
fl (805) 583 -2432 (3 10) 394 -9650
INSURANCE CARRIER POLICY NUMBER
FARMERS
DIR TRV ON STREET OR HIGHWAY SPD
W TIERRA REJADA ROAD 45
PARTY DRIVER'S LICENSE NUMBER
2 N0277500
DRIVER NAME(FIRST,MIDDLE,LAST)
KJ DONACIANO MIRA MONTEZ
PEDES- SI REEi'ADDRESS
TRjA]N
tt 1198 SOUTH J STREET
PARKED CITY /STATE.2IP
IfL
Lr OXNARD
l CA 93033
BICY- SIX VII R [B7R HEIGHT WEIG}iT B[RTHDATE
clfl M 5 -06 175 09118143
OTHER HOME PHONE BUSINESS PHONE
[) (805) 487 -4179 (805) 487 -7111
INSURANCE CARRIER POLICY NUMBER
ALLSTATE 699623726
DIR TRV ON STREET OR HIGHWAY SPD LMT PCF
E TIERRA REJADA ROAD 45
'ARTY DRIVER'S LICENSE NUMBER STATE
STATE HWY REL R I VERA
YES M NO NONE
SAFETY VE}I YR MAKE/MODEVCOLOR jiL:JiCE-NSE W 4 HONDA MC 1000 BL \WTE 7
OWNER'S NAME n SAME AS DRIVER
OWNER'S ADDRESS f] SAME AS DRIVER
RACY DISPO OF VEHICLE ON ORDERS OF: M OFT -TCER [ ] DRIVER [ ]OTHER
W DAVES TOW (805) 526 -4221
PRIOR MECHANICAL DEFECTS: NONE APPARENT f] REFER TO NARRATIVE [ ]
CHP USE ONLY DESCRIBE VE141CLE DAMAGE SHADE IN DAMAGED AREA
VL-T{ICLE TYPE
[ JUNK []NONE [ ]MINOR
[ ] MOD. [ ] MAJOR n TOTAL
LMT PCF ........._ ................
21801 a
!cffVFi YR MAKFIMODEL /COLOR LICENSE NUMBER STATE
C G 75 ICHEVY VAN BLUE 31ORKJ CA
OWNER'S NAME R SAME AS DRIVER
OWNER'S ADDRESS K] SAME AS DRIVER
RACE DISPO OF VEHICLE ON ORDERS OR [ OFFICER R DRIVER [ ] OTHER
H DAVES TOW (805) 526 -4221
PRIOR MECHANICAL DEFECTS: NONE APPARENT f ] MEER TO NARRATIVE [
CLIP USE ONLY DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA
VEHICLE TYPE
[ J UNK [ ]NONE [ ]MINOR
f] MOD. [ MAJOR [ ] TOTAL
CLASS SArC 1 r vEH YR
3 MAKE/MODEL/COLOR LICENSE NUMBER STATE
DRIVER NAM E(FIRST,MIDDLE,LAST) . . . ' ' . . ' ' ' ' ' . ' ' ' ' . . • • • • • • • . . . . . . . .
I
PEDES- STREET ADDRESS [ ]
TRry OWNER'S NAME SAME AS DRIVER
PARKED CITY /STATE/L[P
IIfLI OWNER'S ADDRESS [ ] SAME AS DRIVER
BICY- SIX HAIR EYES HEIGHT WEIGHT BIRTHDATE RACE DISPO OF VI-71ICLE ON ORDERS OF: [ ] OFFICER [ ] DRIVER [ ]OTHER
CL�ST
OTHER
]
HOME PHONE
BUSINESS PHONE
PRIOR MECHANICAL DEFECTS: NONE APPARENT [ ]
REFER TO NARRATIVE [ ]
CHP USE ONLY
VEHICLE TYPE
DESCRIBE VEHICLE DAMAGE
SHADE IN DAMAGED AREA
INSURANCE CARRIER POLICY NUMBER
[ ]LINK [ ]NONE [ ]MINOR
DIR l'RV ON STREET OR I {IGIiWAY
SPD LMT PCP
[ ] MOD. [ ] MAJOR [ ] TOTAL
►
r RER'3 NAM L'
RRIEN W
DISPATCH NOTIFIED
001384 Yrs No
REVIL• ER'S AME
�
DAT'ERrvIEwFD
NIA
��'
ro J�'�
i1• `
[.
000
S I A IT OF CALIFORNIA
TRAFFIC COLLISION CODING
PA( - 1
INCIDENT
18 - 96
TIME(2400)
1100
NCIC NLtMBER
5600
OFFICER I.D.
001384
NUMBER
196-68112
i P2 411 il"
OWNERS NAMFJADDRESS
NOTIFIED
DAMAGE
DESCRIPTION OF DAMAGE
SEATING POSITION
I - DRIVER
2 to 6 - PASSENGERS
7 - STA. WGN. REAR
1 2 3 8 - RR. OCC. TRK. OR VAN
9 - POSITION UNKNOWN
4 S 6 0 - OTHER
7
OCCUPANTS M/C BICYCLE - HELMET SAFETY EQUIPMENT
A - NONE IN VEHICLE L - AIR BAG DEPLOYED
B - UNKNOWN M - AIR BAG NOT DEPLOYED DRIVER
C - LAP BELT USED N - OTHER V - NO
D - LAP BELT NOT USED P - NOT REQUIRED W - YES
E - SHOULDER HARNESS USED
F - SHOULDER HARNESS NOT USED CHILD RESTRAINT PASSENGER
G - [AP /SHOULDER HARNESS USED Q - IN VEHICLE USED X - NO
H - LAP /SHOULDER HARNESS NOT USED R - IN VEHICLE NOT USED Y - YES
1 - PASSIVE RFSTRAINT USED S - IN VEHICLE USE UNKNOWN
K - PASSIVE RESTRAINT NOT USED T - IN VEHICLE IMPROPER USE
U - NONE IN VEHICLE
EJECTED FROM VEH
0 - NOT EJECTED
I - FULLY EJECTED
2 - PARTIALLY EJECTED
3-UNKNOWN
ITEMS MARKED BELOW WHICH ARE FOLLOWED BY AN ASTERISK ( -) SHOULD BE EXPLAINED IN THE NARRATIVE
PRIMARY COLLISION FACTOR
LIST NUMBER (7/) OF PARTY AT FAULT
TRAFFIC CONTROL DEVICES
F,7273
TYPE OF VEHICLE 1;1
I
2
3
MOVEMENT PRECEDING
COLLISION
1
A VC SECTION VIOLATED: CITED
21801 ( a) NO
X
A CONTROLS FUNCTIONING
X
I
A PASSENGER CAR/STN. WGN.
A STOPPED
B CONTROLS NOT FUNCTIONING'
B PASSENGER CAR W / TRAILER
X
B PROCEEDING STRAIG14T
B OTHER IMPROPER DRIVING-
C CONTROLS OBSCURED
X
C MOTORCYCLE/SCOOTER
C RAN OFF ROAD
C OTHER THAN DRIVER-
D NO CONTROLS PRESENT/FACTOR
D PICKUP OR PANEL TRUCK
E PICKUP/PANEL TRK" W'/ TLR.
F TRACK OR TRUCK TRACTOR
X
D MAKING RIGHT TURN
E MAKING LEFT TURN
F MAKING U TURN
D UNKNOWN-
TYPE OF COLLISION
E FILL ASLEEP-
A HEAD -ON
WEATHER (MARK 1 TO 2 ITEMS)
B SIDESWIPE
G TRK. /TRK. TRACTOR W /SLR.
G BACKING
X
A CLEAR
C REAR END
H SCHOOL BUS
H SLOWING / STOPPING
B CLOUDY
D BROADSLDE
I OTHER BUS
f PASSING OTHER VEHICLE
C RAINING
E HIT OBJECT
1 EMERGENCY VEHICLE
1 CHANGING LANES
D SNOWING
F OVERTURNI3)
K HWY. CONST. EQUIPMENT
K PARKING MANEUVER
E FOG / VISIBILITY:
G VEHICLE / PEDESTRIAN
L BICYCLE
L ENTERING TRAFFIC
E OTHER-.
X
H OTHER-: APPROACH TURN
M OTHER VEHICLE?
N PEDESTRIAN
M OTHER UNSAFE TURNING
N XING INTO OPPOSING LANE
G WIND
MOTOR VEHICLE INVOLVED WITH
LIGHTING
A NON- COLLISION
B PEDESTRIAN
0 MOPED
0 PARKED
X
A DAYLIGHT
1
2
3
OT- EEMARK II TO 2ITEMS OR
P MERGING
B DUSK- DAWN
X
C OTHER MOTOR VEHICLE
Q TRAVELING WRONG WAY
R 0 IER•:
C DARK - STREET LIGHTS
D MOTOR VEH ON OTHER ROADWAY
A VC SECTION VIOLATION: CITE
D DARK - NO STREET LIGHTS
E PARKED MOTOR VEHICLE
E DARK - STREET LIGHTS NOT FUNCTION
F TRAIN
G BICYCLE
11 ANIMAL:
B
C
VC SECTION VLOLATION: CITE
VC SECTION VIOLATION: CITE
ROADWAY SURFACE
1
2
3
SOBRIETY - DRUG
PHYSICAL
(MARK 1 TO 2 ITEMS)
X
A DRY
B WET
X
X
A HAD NOT BEEN DRINKING
C SNOWY - ICY
l FIXED OBJECT:
E
VLS. OBSCURED:
B HBD - UNDER INFLUENCE
D SLIPPERY (MUDDY,OQ,Y,ECC.)
F
INATTENTION-
C HBD - NOT UNDER INFLUENCE-
ROADWAY CONDITIONS
MARK 1 TO 2 STEMS
1 OTHER OBJECT:
H
G STOP & GO TRAFFIC
ENTERING I LEAVING RAMP
D HBD -IMPAIRMENT UNK.'
E UNDER DRUG INFLUENCE•
PEDESTRIAN'S ACTIONS
A HOLES, DEEP RUTS-
X
A NO PEDESTRIAN INVOLVED
I
PREVIOUS COLLISION
F IMPAIRMENT - PHYSICAL -
B LOOSE MATERIAL ON RDWY*
B CROSSING IN XWALKIINTERSECITON
I
UNFAMILIAR WITH ROAD
G IMPAIRMENT NOT KNOWN
C OBSTRUCTION ON ROADWAY-
C CROSSING IN XWALK NOT AT
INTERSECTION
K
DEFECTIVE VIE. EQUIP.: CITE
H NOT APPLICABLE
D CONSTRUCTION - REPAIR ZONE
I SLEEPY/ FATIGUED
E REDUCED ROADWAY WIDTH
D CROSSING NOT IN CROSSWALK
L
UNINVOLVED VEHICLE
SPECIAL INFORMATION
F FLOODED-
E IN ROAD - INCLUDES SHOULDER
M OTHER -:
A HAZARDOUS MATERIAL
G OTHER--
F NOT IN ROAD
X
X I
IN
NONE APPARENT
B SEAT -BELT FAILURE
X
It NO UNUSUAL CONDITIONS
i 1
G APPROACHING /LEAVING SCHOOL BUS
0
RUNAWAY VEHICLE
SKFI "CI I
MISCELLANEOUS
.M..�A4
/
STATE 01: CALIFORNIA
INJURED /WITNESSF .q/PA CCFNrFUc
Fr-1
DATE OF COI .I.ISIW\
TIMD2400)
PAGE - OF
NCIC NUMBER
OFFICER I. D.
NUMBER
08 - id - 96
1100
5600
001384
96 -68112
WITNESS
PASSENGER
AG E
SIX
EXTENT OF INJURY ('X' ONE)
INJURED WAS ('X' ONE)
FATAL
INJURY
SEVERE
INJURY
OTHER VISIBLE
INJURY
COMPLAINT
OF PAW
DRIVER
PASS.
PED.
BIKE
OTHER
ONLY
ONI 1
PARTY
NUMBER
SEAT
POS.
SAFETY
EQUIP
EJE
CT'FD
34
M
X
X
1
1
W
1
NAM E/D.O. B. /ADDRESS
TELEPHONE
JOHN DAVID N. MACDONALD JR 06 -01 -62
H -3289 AMARILLO AVENUE, SIMI VALLEY, CA, 93065 (805) 583 -2432
(310) 394 -9650
(WIURID ONLY) TRANSPORTED BY: TAKEN T0:
MED TRANS 405
DESCRIBE INJURIES: SIMI VALLEY ADVENTIST
LACERATION RIGHT KNEE, BROKEN LEG, SCRAPES TO STOMACH
VICTIM OF VIOLENT CRIME NOTIFIED
1
20
M
N AM E/D.O.B./ADDRESS
LYNN COSTA 09 -30 -75 TELEPHONE
H -1602 BARNES, SIMI VALLEY, CA, 93065 (805) 526 -1731
(818) 222 -2311
(INJURED ONLY) TRANSPORTED BY TAKEN TO:
DESCRIBE INJURIES:
VICTIM OF VIOLENT CRIME NOTIFIED
2
20
M
T-F-7-
NAM E/D.O. B. /ADDRESS
CARL SHIDO 09 -30 -75 TELEPHONE
H -2522 E. WOODROW, SIMI VALLEY, CA, 93065 (805) 520 -4954
(INJURED ONLY) TRANSPORTED BY: TAKEN TO:
DESCRIBE INJURIES:
M OF VIOLENT CRIME NOTIFIEED D
EE
...
E7-
J-17
NAME/D.0.B. /A
PATRICIA MAY 06 -24 -55 TELEPHONE
H -11038 HIDRETH, CAMARILLO, CA, 93012 (805) 491 -0379
(INJURED ONLY) TRANSPORTED BY: TAKEN TO:
DESCRIBE INJURIES:
VICTIM OF VIOLENT CRIME NOTIFIED
4
33
F
N AM E/D.0. B. /ADD R
LINDA MORAN 04 -19 -63 'TELEPHONE
H -4445 SUMMERGLEN, MOORPARK, CA, 93021 (805) 531 -0286
(INJURED ONLY) TRANSPORTED BY: TAKEN TO:
DESCRIBE INJURIES:
VICTIM OF VIOLENT CRIME NOTIFIED
PREPARER'S NAME
THERRIEN W
I.D NUMBER
MO. DAY YR.
REVIEWER'S NAME .�
MO. DAY YR.
001384
08 -18 -96
,?
Ile }E
OUol,.GZ
STA'17: OP CALIFORNIA
INJURED /WITNESSES /PASSENGERS
4
DATE OF COLLISION
TIMR2400)
NCIC NUMBER
OFFICER I.D.
PACE 1 OF
NUMBER
08 - 18 - 96
1100
1 5600
001384
1 96 -68112
WITNESS
PASSENGER
AGE
SEA(
EXTENT
OF INJURY ('X ONE)
INJURED WAS ('X'
ONE)
ONLY
ONLY
PARTY SEAT SAFETY EIECI'ED
NUMBER POS. EQUIP.
FATAL
INJURY
SEVERE
INJURY
OTHER VISIBLE
INJURY
COMPLAINT
OF PAIN
DRIVER PASS. Pm.
BIKE OTHER
5
31
M
NAME/D.O.B. /ADDRESS
DAVID MONTANTE
02 -27 -65
TELEPHONE
H -21033 LANARK STREET, CANOGA PARK, CA, 91303
(818) 341 -8875
(818) 994 -5656
(INJURED ONLY) TRANSPORTED BY:
TAKEN T0:
DESCRIBE INJURIES:
VICTIM OF V10I_ENT CRIME NOTIFIED
6 31 M
NAM E/D.O. B. /ADDRESS
DONALD BROWN
TELEPHONE
H -2918 GARDNER STREET,
SIMI VALLEY, CA, 93065
(805)
527 -9064
(805) 583 -8911
(INJURED ONLY) TRANSPORTED BY:
T AKEN TO
DESCRIBE INJURIES:
V[C77M OF VIOLENT CRIME NOTIF[FD
7 55 M
NAME/D.O.B./ ADDRESS
RONALD ARSLAN
TELEPHONE
H -12470 CHERRYGROVE, MOORPARK, CA, 93020
(805) 529 -7293
(805) 391 -1784
(INJURED ONLY) TRANSPORTED BS':
TAKEN T'O:
DESCRIBE INJURIES:
[ I VICTIM OF VIOLENT CRIME NOTIFIED
= =7 1--71
NAMED. O. B. /ADDRESS
TELEPHONE
(INJURED ONLY) TRANSPORTED BY:
TAKEN TO:
DESCRIBE INJURIES:
VICTIM OF VIOLENT CRIME NOTIFIED
F7=1�=
NAME/D.O. B./ADD RESS
TELEPHONE
(INJURED ONLY) TRANSPORTED BY
TAKEN TO:
DESCRIBE INJURIES:
VICTIM OF VIOLENT CRIME NOTIFIED
PREPARER'S NAME
THERRIEN W
LD NUMBER M0. UAY YR. �Vl R'S AMT:
YR.
Mn
001384 08 -18 -96 �.% �% A
TRAFFIC COLLISION REPORT
NARRATIVE/SUPPLEMENTAL CONT. VENTURA COUNTY SHERIFF'S DEPARTMENT CA 05600 PAGE 5 OF
DATE OF ORIGINAL INCIDENT TIME (2400) NCIC NUMBER OFFICER I.D. NUMBER
Mo. Day Yr.
°o ti$ 9(o I 1 no 5600
NOTIFICATION
I received a call of an injury traffic accident at the intersection of Tierra Rejada Road and Moorpark
Road in the City of Moorpark. Senior Deputy Gruen also responded to the scene and arrived prior to
my arrival. Upon my arrival at the scene I was briefed by Senior Deputy Gruen on the progress of the
investigation.
All times, speeds and measurements in this report are approximates. All measurements were taken with
a Rolatape and were rounded off to the nearest half foot unless otherwise noted. Deputy Rivera
photographed the entire scene.
SCENE
This traffic accident occurred in the intersection of Tierra Rejada Road and Moorpark Road. This
intersection is a "T" type. This area of Moorpark City is rural in nature. In this area, Tierra Rejada
Road is an east and west four lane asphalt roadway, two lanes in each direction. The roadway is
separated by a raised center median. The intersection is controlled by a traffic signal device in all
directions. Vehicles traveling westbound on Tierra Rejada Road as Party One was traveling, there is a
protective / permissive left turn lane for Moorpark Road, southbound. There was no foreign debris at
the scene. All roadway markings and signs were in good working order. There was no vision
obscurement noted which would be a factor in this traffic accident. The posted speed limit for this
area of Tierra Rejada Road is 45 miles per hour.
This area of Moorpark Road intersects Tierra Rejada Road from the south. There are two lanes for
vehicles to travel onto Tierra Rejada Road, east and westbound only, from Moorpark Road. Vehicular
traffic is controlled by a traffic signal device.
11111"Ln J ;V AML
T#4 C{28.I
000164
I.D. NUMBER I MAO} DAY )'R. RE VIF WE R'S N/yME MO DAY 'R
TRAFFIC COLLISION REPORT
NARRATIVE/SUPPLEMENTALCONT. VENTURA COUNTY SHERI FF'S DEPARTMENT CA05600 :-
OF
DATE OF ORIGINAL INCIDENT TIME (2400) NCIC NUMBER OFFICER I.D. NUMBER
Y Yr.
Ofd � 143 �l(0 1100 561 1504- 1(, z
• (vim r i
AREA OF IMPACT
The area of impact was determined by the debris and physical evidence located on the roadway to be
17 feet north of the south roadway edge of Tierra Rejada Road and 28 feet west of the east roadway
edge, prolongation, of Moorpark Road.
PHYSICAL EVIDENCE
Located at the scene was 48 feet of locked wheel skid from Vehicle Two's left front tire. Using a
coefficient of friction ranging from .7 to .8 percent the speed Vehicle Two was traveling was calculated
as 30 to 35 miles per hour to produce that length of a skid.
STATEMENTS
Party One John MacDonald was interviewed at Simi Valley Adventist Hospital. MacDonald said he
was traveling westbound on Tierra Rejada Road and was intending to make a left turn, southbound,
onto Moorpark Road. MacDonald said the traffic signal was green for his direction and he started his
left turn. MacDonald said he never saw the van (V2) that hit him. I asked MacDonald where he was
going. MacDonald said he was intending to drive out to the Rock Store taking Las Posas Road to
Mulholland Highway. I asked MacDonald how familiar he was with the motorcycle. MacDonald said
he has been riding awhile and was very familiar with his bike.
Party Two Donaciano Mira Montez was interviewed at the scene. Mira Montez said he was traveling
eastbound on Tierra Rejada Road in the number two lane approaching the intersection. Mira Montez
said the traffic signal was green and he was traveling the speed limit, 45 miles per hour. Mira Montez
said there was a green van in the number one lane also traveling eastbound on Tierra Rejada Road just
IiEPARER'S NAME M'
0001 65
I.O. NUMBER IMO. DAY YR. REVIEWER'S NAMS R10. DAY YR.
. -:: _ �;
TRAFFIC COLLISION REPORT
NARRATIVE /SUPPLEMENTAL CUNT. VENTURA COUNT, r,IENT cAOSSOo
TE OF ORIGINAL INCIDENT TIME 124001 NCIC NU,'9 = — D. NUMBER
Mo. Day Yr.
1100 5600 ice- q(o•(o�it�
PAGE 7 OF I
slightly ahead of his vehicle. Mira Montez said he saw the motorcycle make his left turn in front of the
green van and his vehicle. Mira Montez said he tried to avoid hitting the motorcyclist by applying the
vehicle's brakes. Mira Montez said the green van almost collided into the side of the motorcycle. Mira
Montez said he could not avoid the collision.
Witness One Lynn Costa and Witness Two Carl Shido were interviewed at the scene. Costa and Shido
were in the same vehicle and were stopped on Moorpark Road waiting to make a right turn, eastbound,
onto Tierra Rejada Road. Costa and Shido said the traffic signal for their direction was red and the
traffic signal for the east and westbound traffic was green. Costa and Shido saw the motorcycle
traveling westbound on Tierra Rejada Road in the left turn lane. The motorcycle driver slowed his
vehicle and then made his a left turn into the path of both vehicles traveling eastbound on Tierra Rejada
Road. Costa and Shido said the motorcycle almost made it through the intersection before the blue van
(V2) collided into the side of the motorcycle. I asked both Costa and Shido how fast was the van
traveling. Both said the speed limit, 45 miles per hour.
Witness Three Patricia May was interviewed at the scene. May said she was traveling westbound on
Tierra Rejada Road approaching the intersection of Moorpark Road. May said she saw the motorcycle
in the left turn lane of Tierra Rejada Road intending to make a left turn onto Moorpark Road. May said
there were vehicles traveling eastbound on Tierra Rejada Road. May said the traffic signal was green
for their direction but she could not see the eastbound traffic signal but assumed it was green because
of the traffic flow. May said there were two vans, one in the number one lane and the other in the
number two lane. Both vans were traveling eastbound on Tierra Rejada Road. May said the van in the
number one lane just missed colliding into the motorcycle, but the van in the number two lane could
not avoid colliding into the side of the motorcycle. May said the vans were traveling the speed limit,
40 to 45 miles per hour.
Witness Four Linda Moran was interviewed at the scene. Moran said she was traveling eastbound on
�i L.FAH. R"
I D. NUMBER I MU. DAY Vit. ?FVIVWFR'S NArOE
0103 C) U
VC) DAY 'Y 'R
TRAFFIC COLLISION REPORT q
NARRATIVE /SUPPLEM.E.NTAL CONT. VENTURA COUNTY SHERIFF'S DEPARTMENT CA05600 PAGE 8 OF 1
DATE OF ORIGINAL c •, - TIME (2400)
Mo. Yr.
NCI, NUMBER OFFICER I.D. NUMBER
CeV
5600 t-3
qC�- (offal 1'Z
Tierra Rejada Road in the number one lane approaching the intersection of Moorpark Road. Moran
said the traffic signal was green for the eastbound traffic. Moran said she saw the motorcycle in the
left turn lane, westbound, of Tierra Rejada Road. Moran said she thought the motorcycle was going to
stop but it continued into the intersection directly in front of her vehicle. Moran said she applied the
vehicle's brakes and just barely missed the motorcycle. Moran said there was a van in the number two
lane who collided into the side of the motorcycle. Moran said the driver of the blue van (V2) could not
avoid the traffic accident.
Witness Five David Montante was interviewed at the scene. Montante said he was traveling eastbound
on Tierra Rejada Road in the number one lane approximately one hundred feet behind both vans.
Montante said he saw the motorcycle (V 1) traveling westbound on Tierra Rejada Road in the left turn
lane. Montante said the motorcycle was intending to make a left turn onto Moorpark Road. Both vans
attempted to avoid colliding into the side of the motorcycle. The van in the number one lane missed the
motorcycle but the van (V2) in the number two lane collided into the side of the motorcycle. Montante
said the drive of the van (V2) could not avoid the traffic accident.
SUMMARY
Party One was traveling westbound on Tierra Rejada Road in the left turn lane intending to make a left
turn onto Moorpark Road. Party Two was traveling eastbound on Tierra Rejada Road in the number
two traffic lane approaching the intersection of Moorpark Road. Party Two's vehicle collided into the
side of Party One's vehicle.
CAUSE
Party One MacDonald caused the traffic in that he violated California Vehicle Code section 21801 (a)
which states:
,it. rA,it H "5 NAME
1:4�1 al e7�
I.D_ NUMBER I MO_ DAY ' fi. RF_ 'IEWER'S NAME
000167
TRAFFIC COLLISION REPORT
NARRATIVE/SUPPLEMENTAL CONT. VENTURA COUNTY SHERIFF'S DEPARTMENT CA 05600 PAGE OF
DATE OF ORIGINAL INCIDENT TIME (2400) NCIC NUMBER OFFICER I.D. NUMBER
Mo. Day Yr.
°S l q w 1100 5600 qfr ci <, -
"The driver of a vehicle intending to turn to the left or to complete a U -turn upon a
highway, or to turn left into public or private property, or an alley, shall yield the
right -of -way to all vehicles approaching form the opposite direction which are
close enough to constitute a hazard at any time during the turning movement and
shall continue to yield the right -of -way to the approaching vehicles until the left or
U -turn can be made with reasonable safety."
RECOMMENDATIONS
No action to be taken.
0001 s
REPARER'S NAME I {. D2_ N�jU,(M BER MO. DAY Y11 REV L*FR'S N(1ME
MO. DAY YR
St:ATE OI-- CALU'O RN IA
1CArr1C COLLISION REPORT
SPECIAL CONDITIONS NO INJ H &R FEL CITY
0 [] MOORPARK
NO KILL If &R MISD COUNTY
_ 0 VENTURA
COLLISION OCCURRED ON:
L TIERRA REJADA ROAD
c
A MILEPOST INFORMATION:
7'
1
G
J
j. f.
JUDICIAL DISTRICT NUMBER
VENTURA
DIST BEAT 96 -28951
5110 2A CtStaaza: O1IR6491
MO DAY YEAR TTME(2400) NCICB OFFICER I.D.
04109196 0630 5600 1001971
DAY OF WEIR TOW AWAY PHOTOGRAPHS BY:
TUESDAY [X] YES [ ] No NONE
N
P9 AT INTERSECTION WITH:
1IRKED
[I OR: MOORPARK ROAD
[ ] SAME AS DRIVER
STATE HWY REL
CITY /STATE/ZIP
V(�ITL
PAR! Y
OWNER'S ADDRESS [ ] SAME AS DRIVER
DISPO OF VEHICLE ON ORDERS OF: [ ]OFFICER [ ]DRIVER [ ]OTHER
PRIOR MECHANICAL DEFECTS: NONE APPARENT [ J REFER TO NARRATIVE ( ]
BICY-
CLES
SIX
YES N NO
EYES
NONE
LICENSE NUMBER
WEIGHT
DRIVER'S LICENSE NUMBER
STATE
CLASS
SAFI:'Il-
VEH YR
MAKE/MODEUCOLOR
1
N5623880
CA
C
G
90
TOYOTA COROLLA BLU
STATE
2TAC740
DRIVER
NAME( FDL L ST,MIDDLE, AST)
-
. . • . • . . . • . . . . . . .
CA
. • • • • • • . . . .
j]
PATRICIA ANNE KAMINSKI
DIR TRV ON STRELT OR IIIGHWAY
SPD LMT PCF
PFDES
STREET ADDS
JULLIARD AVE
L001
OWNER'S NAME �] SAME AS DRIVER
PARKED
VTTL
CITY /ST"TCfLIP
MOORPARK
7
OWNER'S ADDRESS �C] SAME AS DRIVER
PRGPARER'S NAME
CA 93021
REVI • N
B1CY-
�I
SIX
F
HAIR
BLN
EYES
HEIGHT
WEIGHT'
BIRTETDATE
RACE
DISPO OF VEHICLE ON ORDERS OF: [ ] OFFICER] DRIVER [ ] pTEIER
BRN
5 -04
150
07 27 50
W
SWINK'S TOWING (805) 522 -2262
OTHER
[]
HOME PHONE BUSINESS PI {ONE
(8 0 5) 529-6885 (8 0 5) 389
PRIOR MECHANICAL DEFECTS: NONE APPARENT j]
REFER TO NARRATIVE [ ]
- 6 4 0 4
Clip USE EONLY
TYPE
DESCRIBE VEHICLE DAMAGE
SHADE IN DAMAGED AREA
INSURANCE CARRIER
POLICY NUMBER
(] UNK [ ] NONE ( ] MINOR
AAA G5466247
DHt TRV ON STREET OR HIGHWAY SPD LMT PCF
MOD. [ ] MAJOR ( ]TOTAL
-
►
S
TIERRA REJADA
45
21801A
PARTY
2
DRIVER'S LICENSE NUMBER
N6061692
STATE
CDAS.S
SAFETY
VIII YR
MAKEJMODEUCOLOR
LICENSE NUMBER STATE
CA
C
G
89
VOLVO 740 TAN
. • •
2NVU548 CA
DRIVER
NAME(FIRST,MIDDLE,LAST)
• _ . . . . . . . . . . . . . .
• • . • . • • . . . .
P]
TRINH THI HUYEN TRAN
PEDCS-
ll`Aj�
STREET ADDRESS 13305 WINTERGREEN
OWNER'S NAME
ICJ SAME AS DRIVER,
PARKED
`TT
CITY/STATEIZIP
MOORPARK
OWNER'S ADDRESS ] SAME AS DRIVER
CA 93021
BICY-
C"l
SIX
F
HAIR
BLK
EYES
HEIGHT
WEIGHT
BIRTHRATE
RACE
DLSPO OF VEHICLE ON ORDERS OF: [ ]OFFICER [C] DRIVER [ ]OTHER
f
BRN
5 -03
110
05130156
DRIVEN
OTHER
[]
HOME PHONE BUSINESS PHONE
(805) 529 -8566 ( 818) 2 2 6
PRIOR MECHANICAL DEFECTS: NONE APPARENT � E��'DN"w`''�[1
- 2 6 6 4
CHP USE ONLY
VEHICLE TYPE
DESCRIBE_ VEHICLE DAMAGE
SHADE IN DAMAGED AREA
INSURANCE CARRIER
POLICY NUMBER
[ ] UNK [ ]NONE C] MINOR
ALLSTATE 0 67 572059
DIR TRV ON STREET' OR HIGHWAY SPD LMT PCF
I
[] MOD. [] MAJOR (] TOTAL
►
E
TIERRA REJADA
45
PARTY
DRIVER'S
LICENSE NUMBER
3
!T�7VL7{
YR
MAKEtMODELiCOLOR
LICENSE NUMBER STATE
DRIVER
NAME[ BtS T.MmDT E LAST)
. . • • . . . • . .
. . • . . . .
PEDES
STREET ADDRESS
1IRKED
OWNER'S NAME
[ ] SAME AS DRIVER
PAIL
CITY /STATE/ZIP
V(�ITL
OWNER'S ADDRESS [ ] SAME AS DRIVER
DISPO OF VEHICLE ON ORDERS OF: [ ]OFFICER [ ]DRIVER [ ]OTHER
PRIOR MECHANICAL DEFECTS: NONE APPARENT [ J REFER TO NARRATIVE ( ]
BICY-
CLES
SIX
HAIR
EYES
HEIGHT
WEIGHT
BIRTHRATE
RACE
OTHER
(]
HOME PHONE
BUSINESS PHONE
CEIP USE ONLY
VEHICLE TYPE
DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA
INSURANCE CARRIER
POLICY NUMBER
111UNK
[ ]NONE [ ]MINOR
[ ] MOD. [ ]MAJOR [ IT OTAL
DIR TRV ON STRELT OR IIIGHWAY
SPD LMT PCF
L001
7
r�-t]4
PRGPARER'S NAME
DISPATCIi NOTIFIED
REVI • N
HILL
J
0 0 19 71
Ya Na N/A
_ _ ...y-'l
]
DATE
(� �/�
STATE Or- CA--IFORNIA
TRAFFIC COLLISION CODING
PACE -,;/
DATE OF ORIGINAL INCIDENT
TIME(2400)
NCIC NUMBER
OFFICER I.D.
NUMBER -
04 - 09 - 96
0630
5600
1 001971
196-28951
OWNERS NAME/ADDRESS
NOTIFIED
PROPERTY
DESCRIPTION OF DAMAGE
DAMAGE
SEATING POSITION
SAFETY EQUIPMENT
EJECTED FROM VEH
OCCUPANTS M/C BICYCLE HGLM61-
-
I - DRIVER
A - NONF IN VEHICLE L. - AIR BAG DEPLOYED
0 - NOT EJEC'T'ED
2 to 6 - PASSENGERS
B - UNKNOWN M - AIR BAG NOT DEPLOYED DRIVER
: � FULLY EJECTED
7 - STA. WGN. REAR
C - LAP BELT USED N - OTHER V - NO
2 - PARTIALLY EJECTED
12 3 8 - RR. OCC. IRK. OR VAN
D - LAP BELT NOT USED P - NOT REQUIRED W - YES
3 UNKNOWN
9 - POSITION UNKNOWN
E - SHOUIDER HARNESS USED
4 5 6 0 - OTHER
F - SHOULDER HARNESS NOT USED CHILD RESTRAINT PASSENGER
G - LAWSHOUIDER HARNESS USED Q - IN VEHICLE USED X - NO
7
H - LAP /SHOULDER HARNESS NOT USED R - IN VEHICLE NOT USED Y - YTS
I - PASSIVE RESTRAINT USED S - IN VEHICLE USE UNKNOWN
K - PASSIVE RESTRAINT NOT USED T - IN VEHICLE IMPROPER USE
U - NONE IN VEHICLE
ITEMS MARKED BELOW WHICH ARE TiOLLOWED BY AN ASTERISK
I -) SHOULD
BE EXPLAINED IN THE NARRATIVE
PRIMARY COLLISION FACTOR
MOVEMENTPRECEDINC
N NUMBER
LIST NUMBER (AI OF PARTY AT FAULT
FA
TRAFFIC CONTROL DEVICES
�I
Il
7
COLLISION
TYPE OF VEHICLE 11112
�
112
.J
3
A PASSENGER CMUSIN. WGN. A STOPPED
A VC SECTION VIOLATED: CITED
X
A CONTROLS FUNCTIONING
X
X
1
218 0 lA NO
B CONTROLS NOT FUNCTIONING.
B PASSENGER CAR W / TRAILER
X
B PROCEEDING STRAIGHT .
B OTHER IMPROPER DRIVING-
C CONTROLS OBSCURED
C MOTORCYCLE/ SCOOTER
C RAN OFF ROAD
C OTHER Tl {AN DRIVER0
D NO CONTROLS PRESENT/FACTOR
D PICKUP OR PANEL TRUCK
D MAKING RIGHT TURN
D UNKNOWN-
TYPE OF COLLISION
E PICKUP/PANELTRK. W /TIIR.
X
E MAKING LEFT TURN
E FELL ASLEEP-
A HEAD -ON
F TRUCK OR TRUCK TRACTOR
F MAKING U TURN
WEATHER (MARK I TO 2 ITEMS)
B SIDESWIPE
G TRKCn RK. TRACTOR W /ELR.
G BACKING
A CLEAR
C REAR END
H SCHOOL BUS
H SLOWING / STOPPING
X
IB CLOUDY
X
D BROADSIDE
I
OTHER BUS
1 PASSING OTHER VEKicL.E
C RAINING
E HIT OBJECT
1
EMERGENCY VEHICLE
1 CHANGING LANES
D SNOWING
F OVERTURNED
K HWY. CONST. EQUIPMENT
K PARKING MANEUVER
E FOG / VISIBILITY:
G VEHICLE/ PEDESTRIAN
L BICYCLE
L ENTERING TRAFFIC
F OTHER -:
If OTHER -:
M OTHER VEHICLE
M OTHER UNSAFE TURNING
G WIND — _
MOTOR VEHICLE INVOLVED WLT H
N PEDESTRIAN
N XING INTO OPPOSING LANE
LIGHTING
A NON- COLLISEON
B PEDESTRIAN
0 MOPED
0 PARKED
X
A DAYLIGHT
1
2
3 1
OTHER ASSOCIATED FACTOR
MARK 1 TO 21TEMS
P MERGING
B DUSK- DAWN
X
C OTHER MOTOR VEHICLE
Q TRAVELING -WRONG WAY
R OTHER-:
C DARK - STREET LIGHTS
D MOTOR VEH ON OTHER ROADWAY
A VC SECTION VIOLATION: CITE
D DARK - NO STREET- LIGHTS
E PARKED MOTOR VEHICLE
E DARK - STREET LIGHTS NOT FUNCTION
F TRAIN
B VC SECTION VIOIATION: CITE
1112
3
SOBRIETY -DRUG
1 ARIC",yTO HEMS)
ROADWAY SURFACE
G BICYCLE
H ANIMAL:
C VC SECTION VIOLATION: CITE
X
A DRY
B WET
X
X
I A HAD NOT BEEN DRINKING
C SNOWY -ICY
I FIXED OBIECT:
E VIS. OBSCURED:
B HBD -UNDER INFLUENCE
D SLIPPERY (MUDDY,OILY,ETC.)
F INATTENTION'
C HBD - NOT UNDER INFLUENCE
NS ROADWAY CONDI'C[
1 OTHER OBJECT:
G STOP do GO TRAFFIC
D HBD - IMPAIRMENT (INK..
PEDESTRIAN'S ACTIONS
MARK 1 TO 2 ITEMS
H ENTERING / LEAVING RAMP
E UNDER DRUG INFLUENCE'
A HOLES, DEEP RUTS-
X
A NO PEDESTRIAN INVOLVED
1
PREVIOUS COLLISION
F IMPAIRMENT - PHYSICAL'
B LOOSE MATERIAL ON RDWY•
B CROSSING IN XWALIUWTERSECEION
1
UNFAMILIAR WITH ROAD
G IMPAIMFNT NOT KNOWN
C OBSTRUCTION ON ROADWAY-
C CROSSING IN XWALK NOT AT
INTERSECTION
K DEFECTIVE VEH. EQUIP.: CITE
H NOT APPLICABLE
D CONSTRUCTION - REPAIR ZONE
I SLEEPY / FATIGUED
E REDUCED ROADWAY WIDTH
D CROSSING NOT IN CROSSWALK
L UNINVOLVED VEHICLE
SPECIAL INFORMATION
F FLOODED-
E IN ROAD - INCLUDES SHOULDER
M OTHER -:
A HAZARDOUS MATERIAL
G OTIIER -:
F NOT IN ROAD
X
X
N NONE APPARENT
B SEA TBELT FAILURE
X
H NO UNUSUAL CONDITIONS
G APPROACHING /LEAVING SCHOOL BUS
O RUNAWAY VEHICLE
SKETC11
MISCELLANEOUS
®
-
V0017(l,
ti('ATF 01; CALIFORNIA
INJURED/WITNESSES/PASSENGERS
DATE OF COLLISION
TIMEa400)
NCIC NUMBER
OFFICER I. D.
rncc --� Of•
NUMBER
04 - 09 - 96
0630
5600
001971
96 -28951
WITNESS
EXTENT
EXTENT OF INJURY
('X' ONE)
INJURED WAS ('X' ONE)
ONLY
PASSENGER
ONLY
AGE
so(
NUMBER
SEAT
SA
���
FATAL
SEVERE
071IER VISIBLE
COMPLAINT
INJURY
INJURY
INJURY
OF PAIN
DRIVER
PASS.
Pm.
BIKE
OTHER
POs.
EQUIP
1
F
NAME/D.O. B. /ADD RL'SS
NORA KASPAR TELEPHONE
H -21211 NORDHOFF, CHATSWORTH, CA, (805)
484 -0851
(818) 709 -3418
(INJURE) ONLY) TRANSPORTED 8Y: TAKEN TO:
DESCRIBE INJURIES.
•
VICTIM OF VIOLENT CRIME NOTIRED
NAME/D.O. B. /ADDRESS
TELEPHONE
(INJURED ONLY) TRANSPORTED BY: TAKEN TO:
DESCRIBE INJURIES:
VICTIM OF VIOLENT CRIME NOT FI D
NAME/D.O.B./ADDRESS
TELEPHONE
(INJURED ONLY) TRANSPORTED BY: TAKEN TO:
DESCRIBE INJURIES:
VICTB�E OF VIOLENT CREME NOTIFIED
F-1
1
NAME/D.O.B. /ADDRESS -1
TELEPHONE
(INJURED ONLY) TRANSPORTED BY: TAKEN TO.
DESCRIBE INJURIES:
VICTIM OF VIOLENT CRIME NOTIFIED
NAM M- .O.B. /ADDRESS
TELEPHONE
(INJURED ONLY) TRANSPORTED BY: TAKEN TO:
DESCRIBE INJURIES:
`` i
00 V 1.71
OF VIOLENT CRIME N071FIED
PREPARER'S NAME
�.nm
LD NUMBER MO. DAY YR. REVIB'tVEI� N
HILL J MO. DAY YR.
001971 04 -09 -96 ,
STATE OF CALIFORNIA
NARRATIVEISUPPLEMENTAL
DATE OF ORIGINAL INCIDENT TIME (2400) NCIC NUMBER OFFICER I.D. NUMBER
04/09/96 0630 5600 001971 96 -28951
SUMMARY
V -1 WAS W/B ON TIERRA REJADA ROAD, IN THE LEFT TURN LANE, AT THE
INTERSECTION OF MOORPARK ROAD. V -2 WAS EB ON TIERRA REJADA ROAD, IN
THE #2 LANE, APPROACHING THE INTERSECTION OF MOORPARK ROAD. P -1
TURNED LEFT IN FRONT OF R -2, CAUSING THE R/F OF V -2 TO COLLIDE INTO THE
R/R OF V -1.
CAUSE
P- I (KAMINSKI) CAUSED THIS COLLISION BY FAILING TO YIELD TO ON- COMING
TRAFFIC THAT WAS CLOSE ENOUGH TO CONSTITUTE AN IMMEDIATE HAZARD,
PRIOR TO MAKING A LEFT TURN. THIS IS A VIOLATION OF 21801a CVC.
"'- I.O. NUMBER DATE NAME DATE
J HILL 001971 04/09/96 �/ ,
CHP 556 C'STARS
000174
TRAFFIC COLLISION REPORT- Property Damage Only t L ' � ` l
:PECIAL CONgTOHS
NTi RUN CITY
....,w., Gw)jr K) 10 ftrv6wPy(Yn ,,)
- JUDICIAL diTWCT
NUMBER
U610N
COIN-QYr�(�� REPOR11N0 ptST/VCT
' U
BEAT p0
�_�4
OCCURRED ON
AT M[RSEL'TK)N TH _
Y YEAR TWE 1400
'
OR: FEETI MILES - F
DAY OF WEEK
-
SMTW S
TOW AWAY STAY[ MOlMlAY R TEO
�Yn
DYES
PARTY OMVER'S LICENSE UMBER NO'
L �7�/ -3 o2,5;11 STATE CLASS SAF [OUP. SHAD[
G ONMOEO
D ER NAME (pR3T, WD LE. LAST)
•
PHONE y AREA - --
/J^
PED. STREET
_ !STATE / /
M01tTN
PK VEN SEX SIRTNDATE
INSU r GARNER POLICY NUMBER �i O
J[ xl
BICYCLE dR. [L ON STREET OR ILaHWAY -
RPEEO - r ^
O[
OTHER E Y MAKE /MODEL! COLOR LICENSE NUMBER VEK TYPE ARTY
,� 1 F -S3�YD 2>
,
PARTY DIVVER'S UCitlSENU E �
2
�� i
LAS6 SAFETY EQU►. SHADE
�^
O VE NAME (Fl , MIDDLE LAST)
G DAJAAGED
/ E NUMB AREA
N/
►E- STRE ORES
CTfIST TE/Z1
z'Y7,79 736
PK VEH / BI7 TE
INSURANCE C BRIER POLICY BER
CYCLE q AV L ON STREET 011 lSp!ANAY
/J
K
6P EED U(T.
\
OTHER E YR MAKE O[O[ !COLD
` LICENSE NUMBER STATE VEK TYPE pp2
I�/L
L-0� if
cA^/T1�
a. 1�[O O iEX NAME
(/�l^R'
�/� ApDRE
a
[�J� �y / PHONE NUMBER
/� /LAN C /�0Z PARTY NO.
❑ AOE SEX NAM
ADDRESS
►NONE NUMBER PARTY NO.
PROP. AAIE
OWNER
ADDRESS
DAMAOEDPROPERTY
PRIMARY COLLISION FACTOR
LIST NUMBER (B) OF PARTY AT FAULT
TRAFFIC CONTROL DEVICES
1
2
TYPE OF VEHICLE
2
MOVEMENT PRECEDING
B A VC SECTION VIOLATED -
J�
ACONTROLS FUNCTIONING
A PASSENGER CAR /STATIaRWAGON
COLLISION .
A STOPPED
BCONTROLS NOT FUNC71ONING
PASSENGER CAR W /TRAILER
B PROCEEDING STRAIGHT
Os2 ✓G
r BOTHER IMPROPER DRIVING•
CCONTROLSOBSCURED
CMOTORCYCLE /SCOOTER
CRANOFFROAD
D NO CONTROLS PRESENT / FACTOR •
PICKUP OR PANEL TRUCK
MAKING RIGHT TURN
C OTHER THAN DRIVER
TYPE OF COLLISION
PICKUP / PANEL TRUCK W / TRAILER
E MAKING LEFT TURN
DUNKNOWN •
A HEAD - ON
F TRUCK OR TRUCK TRACTOR
F MAKING U TURN
E FELL ASLEEP •
B SIDESWIPE
G TRUCK I TRUCK TRACTOR W / TRLR.
G BACKING
REAR END
SCHOOL BUS
SLOWING / STOPPING
WEATHER ( MARK 1 TO21TEMS)
DBROADSIDE
OTHER BUS
I PASSING OTHER VEHICLE
ACLEAR
E MAT OBJECT
•J EMERGENCY VEHICLE
CHANGING LANES
BCLOUDY
F OVERTURNED
)( HIGHWAY CONST. EQUIPMENT
•J
)( PARKING MANEUVER
C RAINING
G VEHICLE / PEDESTRIAN
BICYCLE
D SNOWING
H OTHER •
ENTERING TRAFRC
:
OTHER VEHICLE
OTHER UNSAFE TURNING
FOG / WSIBILrfY
FT.
MOTOR VEHICLE INVOLVED WITH
N PEDESTRIAN
N RING INTO OPPOSING LANE
F OTHER :
A NON. COLLISION
MOPED
Q PARKED
G WIND
B PEDESTRIAN
P MERGING
LIGHTING
COTHER MOTOR VEHICLE
2
OTHER ASSOCIATED FACTOR(S)
( MARK 1 TO 2 ITEMS)
0TRAVELING WRONG WAY
A DAYLIGHT
D MOTOR VEHICLE ON OTHER HIGHWAY
R OTHER
B DUSK • DAWN
E PARKED MOTOR VEHICLE
A VC SECTION VIOLATION
C DARK - STREET LIGHTS
F TRAIN
DARK • NO STREET LIGHTS
GBICYCLE
B VC SECTION VIOLATION
E DARK - STREET LIGHTS NOT
ANIMAL
�
2
SOBRIETY - DRUG
PHYSICAL
( MARK T TO 2ITEMS )
AHAI) NOT BEEN DRINKING
FUNCTIONING
ROADWAY SURFACE
A DRY
I FIXED OBJECT :
B WET
CSNOWY -ICY
j OTHER OBJECT:
E VISIONOBSCUREMENT:
BHOD -UNDER INFLUENCE
D SLIPPERY ( MUDDY, OILY, ETC.)
F INATTENTION .
C HOD - NOT UNDER INFLUENCE
ROADWAY CONDITI M(S)
PEDESTRIANS ACTION
G STOP i GO TRAFFIC
HBD - IMPAIRMENT UNKNOWN •
DRU CE•
( MARK I TO 21TEMS)
XNO PEDESTRIAN INVOLVED
H ENTERING / LEAVING RAMP
INFLUE
F MPAIR
I PREVIOUS COLLISION
A HOLES, DEEP RUTS •
B CROSSING IN CROSSWALK
AT INTERSECTION
B LOOSE MATERIAL ON ROADWAY •
J UNFAMILIAR WITH ROAD
G IMPAIRMENT NOT KNOWN
C OBSTRUCTION ON ROADWAY •
CCROSSING IN CROSSWALK - NOT
AT INTERSECTION
K DEFECTIVE VEK EQUIP.:
H NOT APPLICABLE
DCONSTRUCTION - REPAIR ZONE
I SLEEPY / FATIGUED
SPECIAL INFORMATION
A HAZARDOUS MATERIAL
E REDUCED ROADWAY WIDTH
DCROSSING - NOT IN CROSSWALK
L UNINVOLVED VEHICLE
F FLOODED •
E IN ROAD - INCLUDES SHOULDER
M OTHER • :
G OTHER • :
F NOT IN ROAD
NONE APPARENT
NO UNUSUAL CONDITIONS
G APPROACHI NG / LEAVING SCHOOL BUS
0 RUNAWAY VEHICLE
--
CHP
55S-0J (REV 11.801 OPI Oil
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2-
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a
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6. 71-4f
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7.
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9.
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12.
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13.
14.
15.
16.
17. 4 dVe
18.
20.
21
22.
23.
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27.
26.