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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 1- _ a ',, 86 86:i 16 2- 3. ,00000q dY 0 a ...... ,rice. I... •AQK !Fit. I .1 -.. 6. 71-4f \% 7. 8. /01 0�'Il 9. 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