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Fatal Crash Report

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Crash #2004530242 Crash #2004530242
Fatalities 1
State WASHINGTON
County GRAYS HARBOR
City
Date July 3, 2004
Time 1:30 p.m.
Street Name 1 UPPER DONOVAN
Street Name 2 99999999999999999999
WeatherClear
Number of Vehicles 0
Number of Vehicles in Transport 2
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 6
Number of Persons in Motor Vehicles in Transport 0
Number of Persons in Parked Vehicles 6
Number of Nonmotorists 0
Route Signing Other
Rural / Urban Rural
Functional System Unknown
Road Owner Unknown
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 9
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not Reported
Relation to Road On Roadway
Work Zone None
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 14
EMS Notified Minute 25
EMS Arrived Hour 14
EMS Arrived Minute 48
Arrived At Hospital Hour 15
Arrived at Hospital Minute 30
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 18 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementYes (Drugs Involved)
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 17 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionSecond Seat, Left Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Month of DeathJuly
Day of Death3
Year of Death2004
Hour of Death18
Minute of Death3
Lag Hours4
Lag Minutes33
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race North American Indian or Alaska Native
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Person #3 in Vehicle #1 Person #3 in Vehicle #1
Age 17 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionFront Seat, Right Side
Restraint System UseUnknown/Reported as Unknown (Since 2018)
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 23 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #2 in Vehicle #2 Person #2 in Vehicle #2
Age 4 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionSecond Seat, Right Side
Restraint System UseChild Restraint - Type Unknown
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #3 in Vehicle #2 Person #3 in Vehicle #2
Age 2 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionSecond Seat, Left Side
Restraint System UseChild Restraint - Type Unknown
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 3
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type 3-Door/2-Door Hatchback
NCSA Model 33
Registration State Washington
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN JG1MR2127HK7
Model Year 1987
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 0.0
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 0
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point 3 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Washington
Driver Zip Code 98520
Non CDL License Type Full Driver License
Non CDL License Status Suspended
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle No Valid License for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 71
Driver Weight 140
Previous Recorded Crashes 1
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 1
Month of Oldest Violation December
Year of Oldest Violation 2002
Month of Newest Violation October
Year of Newest Violation 2003
Speeding Related Yes, Exceeded Speed Limit
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Curve - Unknown Direction
Roadway Grade Level
Roadway Surface Type Slag, Gravel, or Stone
Roadway Surface Condition Dry
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Unknown
Critical Precrash Event OTHER Unknown
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Unknown
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Driver Related Factor Improper Lane Usage
Driver Related Factor Driving too Fast for Conditions or in Excess of Posted Speed Limit (1982-2008)
Driver Related Factor Driving on Wrong Side of Two-way Trafficway (Intentionally or Unintentionally)
Driver Related Factor Non-Traffic Violation Charged (Manslaughter, Homicide, or Other Assault Offense Committed Without Malice, Since 1986)
Moving Violations Manslaughter or Homicide
Damaged Areas 3 O'Clock
Vehicle Event 1 Cross Median
Vehicle Event 2 Motor Vehicle In-Transport
Vehicle Event 3 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 4 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 5 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 6 Unknown/Reported as Unknown (Since 2018)
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 3
Hit and Run No Hit and Run
NCSA Make Isuzu
Body Type Compact Utility (ANSI D-16 Utility Vehicle Categories “Small” and “Midsize”)
NCSA Model 402
Registration State Washington
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 4S2CY58Z7M43
Model Year 1991
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 0.0
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 0
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Washington
Driver Zip Code 98520
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle Valid License for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 63
Driver Weight 135
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 1
Month of Oldest Violation January
Year of Oldest Violation 2003
Month of Newest Violation January
Year of Newest Violation 2004
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Curve - Unknown Direction
Roadway Grade Level
Roadway Surface Type Slag, Gravel, or Stone
Roadway Surface Condition Dry
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Unknown
Critical Precrash Event OTHER Unknown
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Unknown
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Damaged Areas 12 O'Clock
Vehicle Event 1 Motor Vehicle In-Transport
Vehicle Event 2 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 3 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 4 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 5 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 6 Unknown/Reported as Unknown (Since 2018)
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