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STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL TRAFFIC COLLISION REPORT cHP 555 Pase 1 (Rev,4-11) OPI 060 / TE }HF neconns I s3$71 'ase 1 0f 6 SPECIAL CONDITlONS NUI,IBER INJURED I HIT G RUN FEI.ONY n CIIY JUOICIALOI3TRICT Sacramonto Sacramsnlo LOCAL REPORT NUMBER NUMBER KIILEO 0 HII A RUN MISD. tr :OUNIY REPORTINO OIgIRICT SEAT SACRAMENTO 3 38 )AY OF WEEK Tuesdav TOWAljvAY n L o c T I o N COLLISION OCCURRED ON JST MO- OAY YEAR 10t1812022 Tt,,tE (2aoo) 1 059 NCtC t 3404 )FFICER I,O, 0300 [IIL¤POSI INFORI,!ATION I ops coonotmres 1,.^r,ruo. FEET OF LONOIIUOE ,HOTOGRAPHS BY I xorr ! etrHrensecrtonwrn Xon 151 FEET EAST ot: 24TH ST STATE IMT REL n PARTY 1 ORIVER'S LICENSE NUMBER S'AIE CA iuss c \IR BAG M SAFETY EQUIP. G VEH, YEAR 2014 MAKE / MOOEL' COLOR SUBARU FORESTER GRAY .ICENSE NUMEER CA x NAr\l8 {FtRST, MtDoLE, t^sn ov\atE8,s NAME g SAME AS DRTVER PEDES TRIAN il ADORE6S oylitER'sADDREss ffi seue ns ontvrn 0rr/ SIATE /ztP S ' ' il orsposrroN oF vEHrcLE oN oRDERS oF: LIOFF|CER X OntWn Ll Of Xen CLIST I F IEYES BRo I o*rl HT 503 I,'EIGHT 122 BIRTH DATE efloRltEcHANtcALoEFEcTsr EIruorueeppeReltr I ngrrRroNARRAT|VI 3THER n HOtllE PHONE ) r'ExlcLEtoEillFtc,lTtoNNrJr.l8En VEHICI. 07 TYPE OESCRIEE VEHICLE DAMAGE E ulx. E r{oHe A C MoD. [f MAJoR I SHAOE IN DAfulAGE AREA INSURANCECARRIER POLICYNUMEER STATE FARM INSURANCE IINOR OLL.OVER DIR OF EAST CN STREET OR HIG}IWAY JST 25 CA CAL.I 00r :PIPSC LlCi!,lX ,ARTY 2 ORIVER'S LICETISE IJU[!tsER SIAIE {IR BAC Y EAUIE v /¤H Y¤AR MAKE/MOOEL/COLOR tr NA,JE (FIRST, MIOOLE LASD O!!NER'S MME X SAME As DRIVER IRIAN n STREgT AOORESS O',IIIER'SADORE X SAMEAS DRIVER vEHtct, n clry/sTAtE/ztP ENTO A'058 uoFFrcER xOnrven nornen CLIST D( M BLK BRO 602 220 BIRII] OATE 1 979 B PRIORMECHATTCALOEFECTSi EHOruENPPENENT D REFERTONARRATIVE OIHER n PHONE ) r'ET]ICLE IDENTIFICATION NUi'O¤R VEHICL 04 I TYPE DESCRIBE VEHICLE DAMAOE E uHx. E ruoHr E M tr uoo. tr na;on fl Rr SHAOE IN DAIIAGEAREA POLICY NUI,IBER INOR )LL.OVER TRAVEL EAST ON STREET OR HIGHWAY JST SPEEO TIMIT 25 CA cAr,t tc 007 rPlP8C lrlcntx PARTY 3 DRIVER'S LICENSE NUI,,IBER S]ATE CLASS \IR BAG SAFETY EQUIq ./E11. YEAR Nlrlt{E t MOD¤t. / COI.OR LICENSE NUMSER STATE n NAME (F|RST, MTOOLE, t"ASr) CWNER.SNAME :I SAMEAS DRIVER TRIAN n roDREss ,ir.i r.6 Jmcx.n&uxb ] SaUe AS OntVen fl CIIY / STATE/ZIP rt0- VEHICLE oN oRDERS oF, fl OpflCeR I OntWn n OirER CLI9T n SEX HAIR EYES HEI6HT BIRTH DATE RACE ,RloRMEcHANrcAlDEFEcrs: [ruoruenppeneNT [f REFEnTONARRATIVE CTHER n HOME pHOr'lE F (.J CP BUSINESS PHONE /EHICLE IDENTIFICATION NUMBER vEstcLt TYPE OESCRIEE VEHICLE DAMAGE E ut'tt<. E t'rorue D ur E trtoo. E rr,relon E nc SBADE ITI DAIIIAGEAREA rNsuRANcE CARR|EfF.! H F6IEY NUMBER' a FI NOR )LL.OVER OIR OF TRAVEL )N STREET OR HIGHWAY SPEEO LIMIT CA :AL.r fc P/P5C oor MC/HX PREPARER'S NA'JE Mabunga, DIgPATCH NOTIFIED f]vor [No n*o R6VIE'/VER'S NAME OATE REVIEWEO 10t19t2022 T( LICENSE NUMBER iTATE rr'btgti I
STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGH\AAY PATROL TRAFFIC COLLISION CODING Page 2 of 6 cHP 555 oPt 1 . DRIVER 2TO6-PASSENGERS 7. STANON T^AGON REA s.REAROCC.TRK OR 9. POSITION UNKNOWN O. OTHER SAFETY EQUIPMENT ffffffiHlF'rr*"r= ffi{FfiEffiSJ'o B. UNXNOV\,N R - tN VEHICLE NOT C. I.AP BELT USED S - IN VEHICLE USE U O. LAP BELT NOT USED T . IN VEHICLE IMPRC E. .SH9UL9EB HARNESS USED U . NONE IN VEHICLE F. SHOUDER HARNESS NOT USE I : HE/SHSULBEE ffifiE88 H8F,'= 8ifrSdilwB*$EffilEl J. PASSIVE RESTMINT USED V. NO X. NO r-P 9SlqE_EES_lrAAtNrNoyusE w-yEs y-yEs P. NOT REQUIRED AIR EAG B- UNKNOWT.I L -AIR BAG DEPLOYED M.AIR BAO NOT OEPLOYEO N. OTHER P. NOT REOUIREO EJECTED FROM VEHICL O. NOT EJECTEO 1 . FULLY EJECTEO 2. PARTIA,I.LY EJECTED 3. UNKNOW{ INATTENTION CODES A. CELTPHONE HANDHETO 8.CEI-LPHONE HANDSFREE C. ELECTRONIC EOUIPMENT D.RAD|O/CO E. SMOKING F. EATING G. CHILOREN H.AITIIMALS I. PERSOML HYGIENE J. READING K.OTHER ITEMS iIARKEO BELOW FOLLOWED BYAN SHOULD BE EXPI.AINEO IN THE DEFECTIT/EI'SI, EOUP K OIED tr 'SeeAthched Skehh, 'See Attaohod lactual dhgram. ar E 9r wu-tvN lMg. v^t. IEil, nnum22 t059 {ctc I l.l{r4 OhFIGEI{ I,D. 0300 NUilEEK OWNERSMI6E O!/INERSADORESS NOTIFIED Eves Eno TruMAKT 9VLLISII,N TAg lUK I IST NIIMBFP '{T .lE EAPW A? EAIII TNAFRC CONTROL DEVICES 1 2 n SPECIAL INFORMANON 1 2 3 ilUYEMEN I TXE(;EUIN(i ^6r r aar^rt I EffiElE \ zztoz r I coMrRolsFUNcIoNINc A HAZARDOTJSI'ATERIIL B CEIT H{ONE HANOHELD IN USE I A SIoPPED 3 CONTROLS NOT FIJNCTIONING' B PROCEEDING S'RAGHT I oIHERilIPROPERDRMNGT ; CONTROLSOBSCURED C CEI PIIONE MNOSFREE IN USE C RANOFFROAO txtx u SE u I TYPEOFCOLLTSTON E ScHooLSUsREurEo F ?5FrMoroRnuct(couBo E T'AXING LEF'TURN ) uNxNorr\il. la xEAD-oir F lB slDEswrPE I(iS/ Ig REARENO ^ lu sRoADstoE CI.EAR IE H'TOB,ECT I J CHANOING |INES , cLoUDY - OVERTURNED JVER , RAINING L ENTERINGTMFFIC J SNOWNG IH OIHER': a FocrvtslEtuTY .FT - OTHER': MOTOR VEHICLE INVOLVED WTTH - r/uND { NON-COLUSION LIGHTING , PEDESTRIAN X I DAYUGHT i 2 ! oIHER ASSOCIATED FACTOR(S) IMARKITO2TEMSI , IXJSI(-O{ tl O MOTOR VEHICLE ON OIHER ROAI'I,VAY ; T'ARX-SIREETUGHTS E PARKED IT ,l AE.csmrErH OARX - l,lo SIREET UGHTS F IMIN To : Mf0(.SIREEfUGHTSNOT ' FIJilCTTONINO' 5 BICYCLE BrcEmEm cmo tr t I AntMA! I 2 SOBRIEW. DRUG PHYSICAL ROADWAYSURFACE c CIIED I ORY FXED OBJECT : o , YIET 7 ; sNow-tcY J oTHEROEJECI E VISIONOBSCUREUENT II{ATTENIION': fi SIOP&GOTRAFFIC PEDESTRIANSACNONS II ENIERINA' LEAVINO RAIIP I HOIES.OEEPRUTS t-rms¤lrrerERttEFi ( lA NO PEDESTRANS N\IOLVED B cRosstNctNcRoSSWAl( AT INTERSEC?ION ) CONSTRUCTIONSEPAIRZONE . CROSSINO lN CROSSV\iAIJ(.NOT - ATttfiERsEcnoN I FL@DED' cRosstNc . NoT tN CROSS{VArX x , OIHER. I M OTHER'I I NOUNUSUALCONOMONS r NOTINROAD I N NONEAPPAITENT Miscellaneous
DEPARTMENT OF CALIFORNIA HIGHI^'AY PATROL INJURED / WITNESS / PASSENG CHP555 Paseg (Rev.4-11) OPl060 DATE oFcorustoN (Mo. DAY. YEAR) 10118t2022 IIME (2400) 1059 NC|C t 3rO4 cFFtcER r.o. 0t00 NUMBER NEXOEs flLY AGE sEx EXTENT OF INJURY ('X" ONE) INJUREDWAS ('X" ONE) l.J@ SEAT POti. AR BAO wfr FATAL tr EJECIED IAIIUFY SEVERE INJURY OIXER M ffSiY c<uToI ffi DRTVER PASS PED. OTHER tr tr t[3 M g tr tr E tr EI tr a tr 2 I v I NAME ' D.O.E. /ADDRESS I fl979 , -----------TAophon-;- (II{JURED ONLY) TRANSPORTED gY :MS RUN NUMBER IAEN IO SUITER MEOICAL CENTER SACRAITENTO COMPI.AINT OF PAIN TO SHOULDERANDABRASION RIGHTANKLE tr D tr tr tr tr tr tr tr tr tr ITIAME ' O.O.E. tt 'ADDRESS T6lsphona (i{A,RED ONLY) TRANSPORIED BY :frs RUN NUMBER rA(Eil TO DESCRIBE INJJRIES C tr L_i U f trT tr tr tr tr tr tr tr NffiE ' U.U.I'. tl 'AI,'UTIEUS --------T6Tono- (IMJTJRED OT&N TMNSPORIEO BY i!,lS RIJN NUMBER IA(EN TO DESCREE ll,LlJRlES tr n tr tr tr D tr tr tr tr tr l,l,AME'O.O,B. tt 'ADDRESS Tol¤phono 0I,I.AJRED ONLU IRANSPORIEO BY :ItrS RUN NUMBeR rA(ENTO OESCRIBE IN..[.'RIES trl tr tr tr tr tr D tr D tr tr , AUUXEljli Tolophono I (lMiRED ONLU TnAiISPORIEO BY iM6 RUN NUMEER rN(EN TO DESCRtsE IT'I.TJRIES tr tr tr - tr tr tr tr tr tr tr TAME ' D.O.B. tl 'ADDRESS Tolophone (N,UREO ONLN IRANSPORIED BY trlS RUN NUMEER TAGNTO PREPAREO 8Y Mabunga, 0300 Mg UAY YEAR 10t18t2022 XEVIEWETIS NAUE MO OAY YEAR 10t1gl20?,j2 Pago 3 of 6
STATE OF CATIFORNIA OEPARTMENT OF CALIFORNIA HIGFTWAY PATROL Pago 4 of 6 ALL MEASUREMENTS ARE APPROXIIVIAIE AND NOT TO SCALE UNLESS STAIEo 555 4 (Rev.+11) OPI 060 DATEOFCOLUSTON (ito, OAY. YEAR) 10t18t2022 TIME (2400) 1059 NCIC I 3fi4 OFFICER I.D. 0300 NUTUEER PREPARED BY Mabunga, Robe( 0300 ID NUMBER 0300 MO DAYYEAR 10118t202:2 REI,IEVGRS MIIE Deleon, D8n 0535 MO OAYYEAR 101,t9t2022

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