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STATE OF CALIFORNIA <br />DEPARTMENT OF CALIFORNIA HIGHWAY PATROL <br />TRAFFIC COLLISION CODING PAGE 2 0F13 <br />DATE OF COLLISION (MO. DAY YEAR) <br />07/31/2018 <br />TIME(2400) <br />1328 <br />NCIC it <br />9265 <br />OFFICER La <br />018767 <br />NUMBER <br />9265-2018-02430 <br />PROPERTY <br />DAMAGE <br />OWNERS NAME OWNER ADDRESS NOTIFIED <br />li YES ii NO <br />DESCRIPTION OF DAMAGE <br />SEATING <br />- <br />1 A <br />POSITION SAFETY EQUIPMENT <br />OCCUPANTS CHILD RESTRAINT <br />AIR BAG <br />B - UNKNOWN <br />L - AIR BAG DEPLOYED <br />M - AIR BAG NOT DEPLOYED <br />N - OTHER <br />P - NOT REQUIRED <br />INATTENTION CODES <br />A - CELL PHONE HANDHELD <br />B - CELL PHONE HANDSFREE <br />C - ELECTRONIC EQUIPMENT <br />D - RADIO / CD <br />E - SMOKING <br />- EATING <br />G - CHILDREN <br />H - ANIMALS <br />1 - PERSONAL HYGIENE <br />J - READING <br />K - OTHER <br />A - NONE IN VEHICLE 0 - IN VEHICLE USED <br />B - UNKNOWN R - IN VEHICLE NOT USED <br />C - LAP BELT USED S - IN VEHICLE USE UNKNOWN <br />D - LAP BELT NOT USED T - IN VEHICLE IMPROPER USE <br />E - SHOULDER HARNESS USED U - NONE IN VEHICLE <br />F - SHOULDER HARNESS NOT USED <br />G - LAP/SHOULDER HARNESS USED MI C BICYCLE HELMET <br />2 TOE - PASSENGERS F 1 2 3 <br />4 5 6 <br />7 / <br />i - DRIVER <br />7 - STATION WAGON REAR <br />B - REAR. OCC TRK. OR VAN <br />9 - POSITION UNKNOWN <br />0 - OTHER <br />EJECTED FROM VEHICLE <br />0- NOT EJECTED <br />1 - FULLY EJECTED <br />2 - PARTIALLY EJECTED <br />3 - UNKNOWN <br />H - LAP/SHOULDER HARNESS NOT USED DRIVER PASSENGER <br />J - PASSIVE RESTRAINT USED V - NO X - NO <br />K - PASSIVE RESTRAINT NOT USED W - YES Y - YES <br />P - NOT REQUIRED <br />ITEMS MARKED BELOW FOLLOWED BY AN ASTERISK (') SHOULD BE EXPLAINED IN THE NARRATIVE. <br />PRIMARY COLLISION FACTOR <br />LIST NUMBER (#10F PARTY AT FAULT TRAFFIC CONTROL DEVICES 1 2 3 SPECIAL INFORMATION 1 2 3 MOVEMENT PRECEDING <br />COLLISION <br />l <br />VC SECTICEI VIOLATED GNU El's A ^ 21804(A) El rio <br />A CONTROLS FUNCTIONING A HAZARDOUS MATERIAL A STOPPED <br />g CONTROLS NOT FUNCTIONING B CELL PHONE HANDHELD IN USE Y g PROCEEDING STRAIGHT <br />B OTHER IMPROPER DRMNG' C CONTROLS OBSCURED C CELL PHONE HANDSFREE IN USE C RAN OFF ROAD <br />xx D NO CONTROLS PRESENT) FACTOR' X D CELL PHONE NOT IN USE D MAKING RIGHT TURN <br />C OTHER THAN DRIVER' TYPE OF COLLISION E SCHOOL BUS RELATED E MAKING LEFT TURN <br />D UNKNOWN' A HEAD - ON F 76 FT MOTORTRUCK COMBO F MAKING U TURN <br />B SIDE SWIPE G 32 FT TRAILER COMBO G BACKING <br />x C REAR END H H SLOWING/STOPPING <br />WEATHER (MARK) TO 2 ITEMS) D BROADSIDE I I PASSING OTHER VEHICLE <br />X A CLEAR E HIT OBJECT J j CHANGING LANES <br />B CLOUDY F OVERTURNED K K PARKING MANEUVER <br />C RAINING G VEHICLE / PEDESTRIAN L X L ENTERING TRAFFIC <br />D SNOWING H OTHER'. M m OTHER UNSAFE TURNING <br />E FOG (VISIBILITY FT. N N XING INTO OPPOSING LANE <br />F OTHER:' MOTOR VEHICLE INVOLVED WITH 0 0 PARKED <br />G WIND A NON - COLLISION p MERGING <br />LIGHTING g PEDESTRIAN Q TRAVELING WRONG WAY <br />X A DAYLIGHT x C OTHER MOTOR VEHICLE 1 2 3 OTHER ASSOCIATED FACTORS <br />(MARK 1 TO 2 ITEMS) <br />R OTHER': <br />B DUSK - DAWN D MOTOR VEHICLE ON OTHER ROADWAY <br />C DARK - STREET LIGHTS E PARKED MOTOR VEHICLE A .AECT1011 VIOLATED CUED YES <br />110 <br />D DARK - NO STREET LIGHTS F TRAIN <br />E DARK -STREET LIGHTS NOT <br />FUNCTIONING' <br />G BICYCLE a VC SECTIS.1 VIOLATED CIED yrs <br />no <br />1 2 3 <br />SOBRIETY - DRUG <br />PHYSICAL <br />(MARK 1 TO 2 ITEMS) <br />H ANIMAL: <br />ROADWAY SURFACE c VC SECTION VIOLATED' CITED. 0 YES 0 NO <br />x A DRY I FIXED OBJECT: <br />DI x x A HAD NOT BEEN DRINKING B WET <br />C SNOWY - ICY J OTHER OBJECT: E VISION OBSCUREMENT: g HBD - UNDER INFLUENCE <br />F INATTENTION'. C HBO - NOT UNDER INFLUENCE' D SLIPPERY (MUDDY, OILY, ETC.) <br />ROADWAY CONDITION(S) <br />(MARK 1 TO 2 ITEMS) <br />G STOP 8, GO TRAFFIC ID HBD - IMPAIRMENT UNKNOWN' <br />PEDESTRIAN'S ACTIONS H ENTERING / LEAVING RAMP 5 UNDER DRUG INFLUENCE' <br />A HOLES, DEEP RUT' x A NO PEDESTRIANS INVOLVED I PREVIOUS COLLISION F IMPAIRMENT - PI-EYSICAL' <br />B LOOSE MATERIAL ON ROADWAY' B CROSSING IN CROSSWALK - <br />AT INTERSECTION <br />J UNFAMILIAR WITH ROAD G IMPAIRMENT NOT KNOWN <br />K DEFECTIVE VEH. EQUIP.: Crr. u <br />D CO <br />H NOT APPLICABLE C OBSTRUCTION ON ROADWAY' I SLEEPY / FATIGUED' 13 CONSTRUCTION - REPAIR ZONE C CROSSING IN CROSSWALK - NOT <br />AT INTERSECTION E REDUCED ROADWAY WIDTH <br />F FLOODED' D CROSSING - NOT IN CROSSWALK L UNINVOLVED VEHICLE <br />G OTHER': E IN ROAD - INCLUDES SHOULDER m OTHER" <br />X H NO UNUSUAL CONDITIONS F NOT IN ROAD X X N NONE APPARENT <br />G APPROACHING / LEAVING SCHOOL BUS 0 RUNAWAY VEHICLE <br />SKETCH FOR SKETCH DIAGRAM, SEE PAGE 4 <br />( <br />.---„\ <br />) <br />INDICATE NORTH <br />MISCELLANEOUS <br />AN INTERNATIONALLY ACCREDITED AGENCY