You are on page 1of 366

NORTHERN DIVISION

MAIT

NF-007-14
CHP Willows Area
April 10, 2014
Interstate 5 north of State Route 32
Volume 1

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM COVER


CHP 558 (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

TEAM DIVISION
Northern Division

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

AREA/AGENCY
Willows CHP

NF-007-14
CASE NUMBER

NF-007-14

PRIMARY INVESTIGATING OFFICER


Officer T. Horwath, ID 17692

TEAM LEADER
Sergeant N. Parsons, ID 15894

ENGINEER(S)
Caltrans Engineer, K. Reed, P.E. C41063, Northern Division MAIT
Caltrans Engineer, S. Rogers, P.E. C49641, Northern Division MAIT

MOTOR CARRIER SPECIALIST(S)


MCS-I J. Cantrell, ID A11888, Northern Division MAIT

SUBPOENAS FOR MAIT PERSONNEL SHOULD BE DIRECTED TO:


California Highway Patrol
Northern Division MAIT
2485 Sonoma Street
Redding, California 96001
Attention: Sergeant C. Dalin, ID 14647

PAGE

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM COVER


CHP 558 (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

TEAM DIVISION
Northern Division

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

AREA/AGENCY
Willows CHP

NF-007-14
CASE NUMBER

NF-007-14

PRIMARY INVESTIGATING OFFICER


Officer T. Horwath, ID 17692

OTHER TEAM MEMBERS

NORTHERN DIVISION
Officer S. Hamann, ID 15055, Northern Division MAIT Investigator
Officer C. Dugger, ID 17054, Northern Division MAIT Investigator
Officer A. Horner, ID 18301, Northern Division MAIT Investigator
Officer B. Mitchell, ID 19260, Northern Division MAIT Investigator
Officer J. Bowen, ID 17539, Northern Division MAIT Associate Investigator

VALLEY DIVISION
Officer S. Ruppert, ID 14530, Valley Division MAIT Investigator

HEADQUARTERS
Sergeant J. Vialovos, ID 15519, Headquarters MAIT Investigator
Officer H. Scribner, ID 15254, Headquarters MAIT Investigator
Officer A. Newton, ID 16939, Headquarters MAIT Investigator
Officer J. Daubner, ID 19564, Headquarters MAIT Investigator
Officer R. Alexander, ID 15931, Headquarters MAIT Investigator

PAGE

ii

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-14

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

NF-007-14

TABLE OF CONTENTS
Volume 1
TITLE
FACTS
FACE PAGE INVOLVED PARTIES
TRAFFIC COLLISION CODING
INJURED/WITNESS/PASSENGERS LIST
INTRODUCTION
NOTIFICATION
MAIT CHRONOLOGICAL SUMMARY
CONTROLLED TESTING
ROADWAY ENVIRONMENT
COLLISION SCENE MEASUREMENTS
COLLISION ENVIRONMENT DIAGRAM
VEHICLE MEASUREMENTS
VOLVO (VEHICLE #1)
2006 WABASH (VEHICLE #1A)
HYUNDAI (VEHICLE #1B)
2013 WABASH (VEHICLE #1C)
NISSAN (VEHICLE #2)
SETRA (VEHICLE #3)
EXEMPLAR VOLVO AND TRAILERS
EXEMPLAR NISSAN
EXEMPLAR SETRA
INVOLVED PARTY INFORMATION
TIMOTHY PAUL EVANS (DRIVER #1)
BONNIE JEAN DURAN (DRIVER #2)
TALALELEI LEALAO-TAIAO (DRIVER #3)
INJURY ASSESSMENTS
INTRODUCTION
TIMOTHY PAUL EVANS (DRIVER #1)
TALALELEI LEALAO-TAIAO (DRIVER #3)

PAGE(S)

AUTHOR(S)

1
2
3 14
15 17
18 23
24 26
27 48
49 74
75 102
103

AH
AH
AH
NP
AH
AH
KR/NP
KR
JB/SH
JB

104
105
106
107
108
109
110

SH
SH
SH
SH
SH
SH
SH

111
112

SH
SH

113 121
122 124
125 130

BM
BM
BM

131 133
134 138
139 142

BM
BM
BM

PAGE

iii

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-14

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

NF-007-14

TABLE OF CONTENTS
Volume 1 (continued)
TITLE
FACTS (CONTINUED)
INJURY ASSESSMENTS (CONTINUED)
PASSENGER ARTHUR TURY ARZOLA JR.
PASSENGER
PASSENGER ADRIAN CASTRO
PASSENGER DENISE ERAINA GOMEZ
PASSENGER MATTISON LEATRICE HAYWOOD
PASSENGER ISMAEL JIMENEZ
PASSENGER MICHAEL LEE MYVETT JR.
PASSENGER
BONNIE JEAN DURAN (DRIVER #2)
PASSENGER JOE VIDAL DURAN
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER CECILIA CARABEZ
PASSENGER ELIJAH CARRANZA
PASSENGER ALONSO CASTILLO
PASSENGER STEVEN CLAVIJO
PASSENGER ANGELA CORRO
PASSENGER DAYION LATERECE CRUMBLE
PASSENGER
PASSENGER TANNEN DELGADO
PASSENGER REGINA DRAFFEN
PASSENGER
PASSENGER
PASSENGER

PAGE(S)

AUTHOR(S)

143 144
145 148
149 152
153 156
157 160
161 164
165 168
169 172
173
174
175
176
177
178
179
180
181

BM
BM
BM

182
183
184
185
186
187
188
189
190
191

BM
BM
BM
BM
BM
BM
BM
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH

PAGE

iv

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-14

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

NF-007-14

TABLE OF CONTENTS
Volume 1 (continued)
TITLE
FACTS (CONTINUED)
INJURY ASSESSMENTS (CONTINUED)
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER MELVIN HARRIS III
PASSENGER MILES HILL
PASSENGER SINEVA HOSEA
PASSENGER HARLEY HOYT
PASSENGER
PASSENGER
PASSENGER
PASSENGER JAYDA NICOLE KOSAR
PASSENGER
PASSENGER BENJAMIN LOPEZ
PASSENGER
PASSENGER ANGELINA REZENDEZ
PASSENGER
PHYSICAL EVIDENCE LEGEND
PHYSICAL EVIDENCE DIAGRAMS
MECHANICAL INSPECTIONS
VOLVO (VEHICLE #1)
2006 WABASH (VEHICLE #1A)
HYUNDAI (VEHICLE #1B)
2013 WABASH (VEHICLE #1C)

PAGE(S)

AUTHOR(S)

192
193
194
195
196
197
198 199
200
201
202
203
204
205 206
207
208
209
210

AH
AH
AH

211
212
213
214 227
228 229
230 246
247 251
252 256
257 261

AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
JB
JB
JC
JC
JC
JC

PAGE

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-14

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

NF-007-14

TABLE OF CONTENTS
Volume 1 (continued)
TITLE

PAGE(S)

AUTHOR(S)

262 268
269 280

JC
JC

281
282

JC
JC

283 293
294 299
300 303
304 308
309 318
319 335
336 337

AH
AH
AH
AH
AH
AH
NP

GLOBAL POSITIONING SYSTEM (GPS) DATA


VOLVO (VEHICLE #1)
SETRA (VEHICLE #3)
VIDEO LOG AND INVENTORY

338
338 339
340 343

SH
NP
BM

AUDIO LOG AND INVENTORY


PHOTOGRAPH LOG AND INVENTORY
EVIDENCE LOG AND INVENTORY

344 348
349 352
353 355

AH
AH
AH

FACTS (CONTINUED)
MECHANICAL INSPECTIONS (CONTINUED)
NISSAN (VEHICLE #2)
SETRA (VEHICLE #3)
MOTOR CARRIER INSPECTIONS
FEDEX FREIGHT INC.
SILVERADO STAGES, INC.
VEHICLE DAMAGE DESCRIPTIONS
VOLVO (VEHICLE #1)
2006 WABASH (VEHICLE #1A)
HYUNDAI (VEHICLE #1B)
2013 WABASH (VEHICLE #1C)
NISSAN (VEHICLE #2)
SETRA (VEHICLE #3)
AIRBAG CONTROL MODULE (ACM) IMAGING

PAGE

vi

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-14

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

NF-007-14

TABLE OF CONTENTS
Volume 2
TITLE
STATEMENTS
BONNIE JEAN DURAN (DRIVER #2)
PASSENGER JOE VIDAL DURAN
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER CECILIA CARABEZ
PASSENGER ELIJAH CARRANZA
PASSENGER ALONSO CASTILLO
PASSENGER STEVEN CLAVIJO
PASSENGER ANGELA CORRO
PASSENGER DAYION LATERECE CRUMBLE
PASSENGER
PASSENGER TANNEN DELGADO
PASSENGER REGINA DRAFFEN
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER
PASSENGER MELVIN HARRIS III
PASSENGER MILES HILL

PAGE(S)

AUTHOR(S)

356 359
360 361
362 364
365 367
368 369
370 371
372 373
374 375
376 378
379 380
381 382
383 385
386 387
388 389
390 391
392 393
394 395
396 397

NP
NP
AH
AH
AH
AH
AH
AH
AH
AH
AH
SR/KR
AH
AH
AH
AH
AH
AH

398 399
400 402
403 404
405 406
407 408
409 410
411 412
413 417
418 419
420 421

AH
AH
AH
AH
AH
AH
AH
AH
AH
AH

PAGE

vii

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-14

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

NF-007-14

TABLE OF CONTENTS
Volume 2 (continued)
TITLE
STATEMENTS (CONTINUED)
PASSENGER SINEVA HOSEA
PASSENGER HARLEY HOYT
PASSENGER
PASSENGER
PASSENGER
PASSENGER JAYDA NICOLE KOSAR
PASSENGER
PASSENGER BENJAMIN LOPEZ
PASSENGER
PASSENGER ANGELINA REZENDEZ
PASSENGER

PAGE(S)

AUTHOR(S)

422 423
424 425
426 427
428 430
431 432
433 435
436 437
438 439
440 441
442 443
444 446

AH
AH
AH
AH
AH
AH
AH
AH
AH
AH
AH

PAGE

viii

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-14

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

NF-007-14

TABLE OF CONTENTS
Volume 2 (continued)
TITLE

PAGE(S)

AUTHOR(S)

ANALYSIS AND OPINION


PASSENGER SEATING ANALYSIS
VEHICLE DAMAGE MATCH POINTS
VEHICLE DYNAMICS DIAGRAMS
PHYSICAL EVIDENCE DESCRIPTIONS
MODULE ANALYSIS
CALCULATIONS
AREAS OF IMPACT
COLLISION SEQUENCE

488 489
490 495
496 500
501 505
506 512
513
514 515
516 523

KR/AH
AH
JB/SH
JB/SH
SH
SH
SH
AH/NP

CONCLUSIONS
ENVIRONMENTAL FACTORS
VEHICLE FACTORS
HUMAN FACTORS
APPLICABLE STATUTES AND VIOLATIONS OF LAW

524 526
527 528
529 535
535 539

KR
JC/AH
BM/AH/SH
AH

540

AH

STATEMENTS (CONTINUED)

RECOMMENDATIONS

PAGE

ix

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-14

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

NUMBER

17692

MAIT CASE NUMBER

2014-04-05

NF-007-14

TABLE OF CONTENTS
Volume 2 (continued)
TITLE

PAGE(S)

ANNEXES
A ACRONYMS
B EATON TRANSMISSION INSPECTION REPORT
C AIRBAG CONTROL MODULE (ACM) CRASH DATA
RETRIEVAL (CDR) REPORTS
D TRW AUTOMOTIVE STEERING GEAR REPORT
E ENGINE CONTROL MODULE (ECM) REPORT
F DRIVER EVANS (DRIVER #1) LOG BOOKS
G DRIVER LEALAO-TAIAO (DRIVER #3) LOG BOOKS

TABLE OF CONTENTS LEGEND


INITIALS
AH
BM
CD
JB
JC
KR
NP
SH
SR

AUTHOR
Investigator A. Horner
Investigator B. Mitchell
Investigator C. Dugger
Investigator J. Bowen
Investigator J. Cantrell
Engineer K. Reed
Sergeant N. Parsons
Investigator S. Hamann
Investigator S. Ruppert

AUTHOR(S)

PAGE

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

TRAFFIC COLLISION REPORT


CHP 555 Page 1 (Rev. 4-11) OPI 060

Page

NUMBER
INJURED

SPECIAL CONDITIONS

Fatal

HIT & RUN


FELONY

CITY

39

Unincorporated

NUMBER KILLED

HIT & RUN


MISDEMEANOR

10

REPORTING DISTRICT

Glenn

LOCATION

Interstate 5 Northbound

DAY

YEAR

DAY OF WEEK

006

Thursday
S M
T W T F S

OF

Postmile 26.00

1740

39.75756

LATITUDE

LONGITUDE

9160

___
FEET/MILES

OF

State Route 32 (Newville Road)

STATE

CLASS

AIR BAG

YES

SAFETY EQUIP.

VEH. YEAR

17692
NONE

NO

MAKE/MODEL/COLOR

LICENSE NUMBER

STATE

2007

Volvo/VNL42T/White

2027487

IN

2006

Wabash/Trailer/White

T840158

TN

DRIVER NAME (FIRST, MIDDLE, LAST)

Timothy Paul Evans

NO

See Photograph Log and


Inventory

-122.20523

AT INTERSECTION WITH

YES

OFFICER I.D.

PHOTOGRAPHS BY:

STATE HWY REL

DRIVER'S LICENSE NUMBER

540

TOW AWAY

NCIC #

GPS COORDINATES

____

0.54

BEAT

TIME (2400)

04-10-2014

MILEPOST INFORMATION

OR:

PARTY

MO.

FEET/MILES

of

2014-04-05

Glenn

COUNTY

COLLISION OCCURRED ON

415

JUDICIAL DISTRICT LOCAL REPORT NUMBER

OWNER'S NAME

SAME AS DRIVER

See Mechanical Inspection in narrative for details

PEDES- STREET ADDRESS


TRIAN

OWNER'S ADDRESS

SAME AS DRIVER

PARKED CITY/STATE/ZIP
VEHICLE
DISPOSITION OF VEHICLE ON ORDERS OF:
BICYCLIST

SEX

HAIR

EYES

HEIGHT

WEIGHT

BIRTHDATE
M

BLN

BLU

5-09

OTHER HOME PHONE

ar

180

BUSINESS PHONE

PRIOR MECHANICAL DEFECTS:

ON STREET OR HIGHWAY

S
PARTY

SPEED LIMIT

Interstate 5

CA

55

DRIVER'S LICENSE NUMBER

STATE

CLASS

AIR BAG

31

NONE

MINOR

MOD.

MAJOR

ROLL-OVER

DOT

239039

TCP/PSC

VEH. YEAR

MC/MX

121805

MAKE/MODEL/COLOR

2013

REFER TO NARRATIVE

4V4N19TG37N486336/1JJV281W96L955332

UNK.

198403

CAL-T

SAFETY EQUIP.

OTHER

DESCRIBE VEHICLE DAMAGE

POLICY NUMBER

25
DIR OF
TRAVEL

DRIVER

NONE APPARENT

VEHICLE IDENTIFICATION NUMBER:


VEHICLE TYPE

INSURANCE CARRIER

OFFICER

Bambauer Towing (530) 865-5183

RACE

LICENSE NUMBER

Nissan/Altima/White

STATE

AMF7461

WA

DRIVER NAME (FIRST, MIDDLE, LAST)

Bonnie Jean Duran

OWNER'S NAME

SAME AS DRIVER

Hertz Vehicles LLC

PEDES- STREET ADDRESS


TRIAN

OWNER'S ADDRESS

SAME AS DRIVER

18625 Des Moines Memorial Drive, SeaTac, Washington 98148

PARKED CITY/STATE/ZIP
VEHICLE

DISPOSITION OF VEHICLE ON ORDERS OF:


BICYCLIST

SEX

HAIR

EYES

HEIGHT

WEIGHT

BIRTHDATE
M

BLN

GRN

5-06

OTHER HOME PHONE

ar

130

BUSINESS PHONE

PRIOR MECHANICAL DEFECTS:

POLICY NUMBER

ON STREET OR HIGHWAY

N
PARTY

SPEED LIMIT

Interstate 5
STATE

CLASS

AIR BAG

1N4AL3AP7DC257191
NONE

MINOR

MOD.

MAJOR

ROLL-OVER

DOT

CAL-T

SAFETY EQUIP.

REFER TO NARRATIVE

UNK.

CA

70

DRIVER'S LICENSE NUMBER

OTHER

DESCRIBE VEHICLE DAMAGE

01
DIR OF
TRAVEL

DRIVER

NONE APPARENT

VEHICLE IDENTIFICATION NUMBER:


VEHICLE TYPE

INSURANCE CARRIER

OFFICER

Bambauer Towing (530) 865-5183

RACE

TCP/PSC

VEH. YEAR

MC/MX

MAKE/MODEL/COLOR

2014

LICENSE NUMBER

Setra/S 417 TC/White

STATE

CP93340

CA

DRIVER NAME (FIRST, MIDDLE, LAST)

Talalelei Lealao-Taiao

OWNER'S NAME

SAME AS DRIVER

Silverado Stages, Inc.

PEDES- STREET ADDRESS


TRIAN

OWNER'S ADDRESS

SAME AS DRIVER

241-B Prado Road, San Luis Obispo, California 93401

PARKED CITY/STATE/ZIP
VEHICLE

DISPOSITION OF VEHICLE ON ORDERS OF:


BICYCLIST

SEX

HAIR

EYES

HEIGHT

WEIGHT

BIRTHDATE
M

BRN

BLK

OTHER HOME PHONE

5-05

ar

200

BUSINESS PHONE

PRIOR MECHANICAL DEFECTS:

POLICY NUMBER

11
DIR OF
TRAVEL

ON STREET OR HIGHWAY

SPEED LIMIT

Interstate 5

PREPARER'S NAME

Northern Division MAIT

CA

70
NO

67782

CAL-T

DISPATCH NOTIFIED

YES

DRIVER

NONE APPARENT

VEHICLE IDENTIFICATION NUMBER:


VEHICLE TYPE

INSURANCE CARRIER

OFFICER

OTHER

Bambauer Towing (530) 865-5183

RACE

REVIEWER'S NAME

REFER TO NARRATIVE

WKKA57XH1E3010190

DESCRIBE VEHICLE DAMAGE

UNK.

NONE

MINOR

MOD.

MAJOR

ROLL-OVER

388417
TCP/PSC 9069
MC/MX 230881
DOT

DATE REVIEWED

N/A

An Internationally Accredited Agency

Chp555_0411.pdf

STATE OF CALIFORNIA

TRAFFIC COLLISION CODING


CHP 555 Page 2 (Rev. 7-03) OPI 061
DATE OF COLLISION (MO. DAY YEAR)

Page

TIME (2400)

04-10-2014

NCIC #

1740

OFFICER I.D.

9160

OWNERS NAME

PROPERTY
DAMAGE

17692

2014-04-05

OWNERS ADDRESS

NOTIFIED

939 N. Humboldt Avenue Willows, California 95988

California Department of Transportation

2 of 540

NUMBER

YES

NO

DESCRIPTION OF DAMAGE

Approximately 21 feet of damage to metal fence


SAFETY EQUIPMENT

SEATING POSITION

1 DRIVER
2 TO 6 PASSENGERS
7 STATION WAGON REAR
8 REAR OCC. TRK. OR VAN
9 POSITION UNKNOWN
0 - OTHER

OCCUPANTS
A NONE IN VEHICLE
B UNKNOWN
C LAP BELT USED
D LAP BELT NOT USED
E SHOULDER HARNESS USED
F SHOULDER HARNESS NOT USED
G LAP/SHOULDER HARNESS USED
H LAP/SHOULDER HARNESS NOT USED
J PASSIVE RESTRAINT USED
K PASSIVE RESTRAINT NOT USED

INATTENTION CODES

L AIR BAG DEPLOYED


M AIR BAG NOT DEPLOYED
N OTHER
P NOT REQUIRED

M / C BICYCLE HELMET
DRIVER
PASSENGER
V NO
X NO
W - YES
Y - YES

CHILD RESTRAINT
Q IN VEHICLE USED
R IN VEHICLE NOT USED
S IN VEHICLE USE UNKNOWN
T IN VEHICLE IMPROPER USE
U NONE IN VEHICLE

EJECTED FROM VEHICLE


0 NOT EJECTED
1 FULLY EJECTED
2 PARTIALLY EJECTED
3 - UNKNOWN

A CELLPHONE HANDHELD
B CELLPHONE HANDSFREE
C ELECTRONIC EQUIPMENT
D RADIO / CD
E SMOKING
F EATING
G CHILDREN
H ANIMALS
I PERSONAL HYGIENE
J READING
K - OTHER

ITEMS MARKED BELOW FOLLOWED BY AN ASTERIK (*) SHOULD BE EXPLAINED IN THE NARRATIVE.
PRIMARY COLLISION FACTOR
LIST NUMBER (#) OF PARTY AT FAULT

VC SECTION VIOLATED:

CITED

YES
NO

B OTHER IMPROPER DRIVING*:


C OTHER THAN DRIVER*
D UNKNOWN*

WEATHER (MARK 1 TO 2 ITEMS)

A
B
C
D
E
F
G

CLEAR
CLOUDY
RAINING
SNOWING
FOG / VISIBILITY

TRAFFIC CONTROL DEVICES

A
B
C
D
A
B
C
D
E
F
G
H

TYPE OF COLLISION
HEAD ON
SIDE SWIPE
REAR END
BROADSIDE
HIT OBJECT
OVERTURNED
VEHICLE / PEDESTRIAN
OTHER*:

LIGHTING
DAYLIGHT
DUSK DAWN
DARK STREET LIGHTS
DARK NO STREET LIGHTS
E DARK STREET LIGHTS NOT
FUCTIONING*

A
B
C
D
E
F
G

MOTOR VEHICLE INVOLVED WITH


NON COLLISION
OTHER MOTOR VEHICLE
MOTOR VEHICLE ON OTHER ROADWAY
PARKED MOTOR VEHICLE
TRAIN
BICYCLE

H ANIMAL:

A
B
C
D
E
F
G
H

HOLES, DEEP RUT*


LOOSE MATERIAL ON ROADWAY*
OBSTRUCTION ON ROADWAY*
CONSTRUCTION REPAIR ZONE
REDUCED ROADWAY WIDTH
FLOODED*
OTHER*:
NO UNUSUAL CONDITIONS

SCHOOL BUS RELATED


75 FT MOTORTRUCK COMBO
32 FT TRAILER COMBO

OTHER ASSOCIATED FACTOR(S)


(MARK 1 TO 2 ITEMS)

1 2 3
A

VC SECTION VIOLATED:

CITED

VC SECTION VIOLATED:

CITED

B
C

VC SECTION VIOLATED:

CITED

J OTHER OBJECT:

PEDESTRIANS ACTIONS

A NO PEDESTRIANS INVOLVED
B CROSSING IN CROSSWALK
AT INTERSECTION

CROSSING NOT IN CROSSWALK


IN ROAD INCLUDES SHOULDER
NOT IN ROAD
APPROACHING / LEAVING SCHOOL BUS

PASSING OTHER VEHICLE


CHANGING LANES
PARKING MANEUVER
ENTERING TRAFFIC
OTHER UNSAFE TURNING
XING INTO OPPOSING LANE
PARKED
MERGING
TRAVELING WRONG WAY
OTHER*:

UNSAFE TURN
ON FREEWAY

SOBRIETY DRUG
PHYSICAL
(MARK 1 TO 2 ITEMS)

1 2 3

STOP & GO TRAFFIC


ENTERING / LEAVING RAMP
PREVIOUS COLLISION
UNFAMILIAR WITH ROAD
DEFECTIVE VEH. EQUIP.: CITED
YES

AT INTERSECTION

D
E
F
G

YES

VISION OBSCUREMENT:
INATTENTION*:

C CROSSING IN CROSSWALK NOT

MAKING LEFT TURN


MAKING U TURN
BACKING
SLOWING / STOPPING

YES

NO

D
E
F
G
H
I
J
K

MOVEMENT PRECEDING
COLLISION
STOPPED
PROCEEDING STRAIGHT
RAN OFF ROAD
MAKING RIGHT TURN

YES
NO

NO

I FIXED OBJECT:

ROADWAY CONDITION(S)
(MARK 1 TO 2 ITEMS)

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R

HAZARDOUS MATERIAL
CELL PHONE HANDHELD IN USE
CELL PHONE HANDSFREE IN USE
CELL PHONE NOT IN USE

PEDESTRIAN

ROADWAY SURFACE
DRY
WET
SNOWY ICY
SLIPPERY (MUDDY, OILY, ETC.)

1 2 3

SPECIAL INFORMATION

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O

CONTROLS FUNCTIONING
CONTROLS NOT FUNCTIONING*
CONTROLS OBSCURED
NO CONTROLS PRESENT / FACTOR*

FT.

OTHER*:
WIND

A
B
C
D

A
B
C
D

1 2 3

A
B
C
D
E
F
G
H
I

HAD NOT BEEN DRINKING


HBD UNDER THE INFLUENCE
HBD NOT UNDER INFLUENCE*
HBD IMPAIRMENT UNKNOWN*
UNDER DRUG INFLUENCE*
IMPAIRMENT PHYSICAL*
IMPAIRMENT NOT KNOWN
NOT APPLICABLE
SLEEPY / FATIGUED*

NO

L
M
N
O

UNINVOLVED VEHICLE
OTHER*:
NONE APPARENT
RUNAWAY VEHICLE

SKETCH

MISCELLANEOUS

See Vehicle Dynamic Diagrams


Pages 496 - 500
INDICATE NORTH

Vehicle #1B:
2010 Hyundai Dolly
VIN: 3H3J061S6AT088213
Registered Owner:
See Mechanical Inspection in narrative
for details
Vehicle #1C:
2013 Wabash/Trailer/White P337596 (IN)
VIN: 1JJV281D7DL771311
Registered Owner:
See Mechanical Inspection in narrative
for details

OSP 03 79147

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

NCIC #

1740

OFFICER I.D.

9160

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

of

NUMBER

17692

EXTENT OF INJURY (X ONE)


AGE

Page

TIME (2400)

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

OTHER

NAME / D.O.B. / ADDRESS

Timothy Paul Evans /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son

F.D. Sweet & Son, Willows, California

DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy Z.
Lopeteguy, ID 1981, at the scene. Glenn County Coroner case #14-3850-36. See Injury Assessment section in
narrative for details.
VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Talalelei Lealao-Taiao /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son, Orland, California

F.D. Sweet & Son


DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy
Lopeteguy at the scene. Glenn County Coroner case #14-3855-41. See Injury Assessment section in narrative for
details.
VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Arthur Tury Arzola Jr. /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

University of California Davis Medical Center, Sacramento, California

Enloe FlightCare, N922RJ


DESCRIBE INJURIES:

Fatal injuries, pronounced at the University of California Davis Medical Center, in Sacramento, California, on April
10, 2014, at 2229 hours by Pirko Maguina, M.D. Sacramento County Case #14-01936. See Injury Assessment section
in narrative for details.
VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son

F.D. Sweet & Son, Willows, California

DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy
Lopeteguy at the scene. Glenn County Coroner case #14-3849-35. See Injury Assessment section in narrative for
details.
VICTIM OF VIOLENT CRIME NOTIFIED

Adrian Castro /

NAME / D.O.B. / ADDRES

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son

F.D. Sweet & Son, Willows, California

DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy
Lopeteguy at the scene. Glenn County Coroner case #14-3852-38. See Injury Assessment section in narrative for
details.
VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Denise Eraina Gomez /

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son, Willows, California

F.D. Sweet & Son


DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy
Lopeteguy at the scene. Glenn County Coroner case #14-3853-39. See Injury Assessment section in narrative for
details.
VICTIM OF VIOLENT CRIME NOTIFIED
PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

NCIC #

1740

OFFICER I.D.

9160

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

of

NUMBER

17692

EXTENT OF INJURY (X ONE)


AGE

Page

TIME (2400)

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

OTHER

NAME / D.O.B. / ADDRESS

Mattison Leatrice Haywood /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son

F.D. Sweet & Son, Orland, California

DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy
Lopeteguy at the scene. Glenn County Coroner case #14-3856-42. See Injury Assessment section in narrative for
details.
VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Ismael Jimenez /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son, Willows, California

F.D. Sweet & Son


DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy
Lopeteguy at the scene. Glenn County Coroner case #14-3854-40. See Injury Assessment section in narrative for
details.
VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Michael Lee Myvett Jr. /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son, Willows, California

F.D. Sweet & Son


DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy
Lopeteguy at the scene. Glenn County Coroner case #14-3851-37. See Injury Assessment section in narrative for
details.
VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

F.D. Sweet & Son

F.D. Sweet & Son, Orland, California

DESCRIBE INJURIES:

Fatal injuries, pronounced on April 10, 2014, at 1748 hours, by Glenn County Sheriff Coroners Office, Deputy
Lopeteguy at the scene. Glenn County Coroner case #14-3857-43. See Injury Assessment section in narrative for
details.
VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Bonnie Jean Duran /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/Westside Ambulance Association, WS-3

Orland Memorial Hall/Oroville Hospital, Oroville, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Joe Vidal Duran /

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall/Oroville Hospital, Oroville, California

School Bus/Westside Ambulance Association, WS-3


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

NCIC #

1740

OFFICER I.D.

9160

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

OTHER

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

of

NUMBER

17692

EXTENT OF INJURY (X ONE)


AGE

Page

TIME (2400)

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall/Enloe Medical Center, Chico, California

School Bus/St. Elizabeth Ground Ambulance, Corning-2


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
RES

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall, Orland, California

School Bus
DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall/Glenn Medical Center, Willows, California

School Bus/Westside Ambulance Association, WS-2


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
SS

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/Butte County Emergency Medical Services, LLC, #36-12

Orland Memorial Hall/St. Elizabeth Community Hospital, Red Bluff, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

/
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/Butte County Emergency Medical Services, LLC, #36-12

Orland Memorial Hall/St. Elizabeth Community Hospital, Red Bluff, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Cecilia Carabez /

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall, Orland, California

School Bus
DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

NCIC #

1740

OFFICER I.D.

9160

AGE

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

of

NUMBER

17692

EXTENT OF INJURY (X ONE)

PASSENGER
ONLY

Page

TIME (2400)

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

OTHER

NAME / D.O.B. / ADDRESS

Elijah Carranza /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus

Orland Memorial Hall, Orland, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Alonso Castillo /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Enloe Medical Center, Chico, California

Butte County Emergency Medical Services, LLC, #35-13


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Steven Clavijo /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall, Orland, California

School Bus
DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRES

Angela Corro /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Butte County Emergency Medical Services, LLC, #36-13

St. Elizabeth Community Hospital, Red Bluff, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Dayion Laterece Crumble /


(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/Butte County Emergency Medical Services, LLC, #36-12

Orland Memorial Hall/St. Elizabeth Community Hospital, Red Bluff, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Mercy Medical Center, Redding, California

Butte County Emergency Medical Services, LLC, #36-13


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

NCIC #

1740

OFFICER I.D.

9160

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

of

NUMBER

17692

EXTENT OF INJURY (X ONE)


AGE

Page

TIME (2400)

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

OTHER

NAME / D.O.B. / ADDRESS

Tannen Delgado /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

California Shock Trauma Air Rescue (CALSTAR), #8

Mercy Medical Center, Redding, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Regina Draffen /

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall, Orland, California

School Bus
DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
RES

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Enloe Medical Center, Chico, California

Butte County Emergency Medical Services, LLC, #35-13


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
S

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/St. Elizabeth Ground Ambulance, Corning-2

Orland Memorial Hall/Enloe Medical Center, Chico, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
SS

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/Butte County Emergency Medical Services, LLC, #35-12

Orland Memorial Hall/Enloe Medical Center, Chico, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/Butte County Emergency Medical Services, LLC, #36-12

Orland Memorial Hall/St. Elizabeth Community Hospital, Red Bluff, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

NCIC #

1740

OFFICER I.D.

9160

AGE

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

OTHER

#
N

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

of

NUMBER

17692

EXTENT OF INJURY (X ONE)

PASSENGER
ONLY

Page

TIME (2400)

3
SS

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Enloe Medical Center, Chico, California

St. Elizabeth Ground Ambulance, Corning-2


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
ESS

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Glenn Medical Center, Willows, California

Enloe Ambulance Services, #50-99


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
ESS

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Mercy Medical Center, Redding, California

REACH Air Medical Services, #5


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

/
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/St. Elizabeth Ground Ambulance, Corning-2

Orland Memorial Hall/Enloe Medical Center, Chico, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
S

/
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Butte County Emergency Medical Services, LLC, #36-13

St. Elizabeth Community Hospital, Red Bluff, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

TELEPHONE

/
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Mercy Medical Center, Redding, California

Butte County Emergency Medical Services, LLC, #34-13


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

NCIC #

1740

OFFICER I.D.

9160

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

of

NUMBER

17692

EXTENT OF INJURY (X ONE)


AGE

Page

TIME (2400)

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

OTHER

NAME / D.O.B. / ADDRESS

Melvin Harris III /


(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

CHP Northern Division Air Operations Unit, H-16

Mercy Medical Center, Redding, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADD

Miles Hill /
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Enloe Medical Center, Chico, California

REACH Air Medical Services, #7


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRES

Sineva Hosea /
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall, Orland, California

School Bus
DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRE

Harley Hoyt /
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/Enloe Ambulance Services, #50-99

Orland Memorial Hall/Glenn Medical Center, Willows, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
D

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/Butte County Emergency Medical Services, LLC, #35-12

Orland Memorial Hall/Enloe Medical Center, Chico, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

TELEPHONE

/
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Shasta Regional Medical Center, Redding, California

REACH Air Medical Services, #6


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

NCIC #

1740

OFFICER I.D.

9160

AGE

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

of

NUMBER

17692

EXTENT OF INJURY (X ONE)

PASSENGER
ONLY

10

Page

TIME (2400)

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

OTHER

/
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Enloe Ambulance Services, #50-99

Glenn Medical Center, Willows, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Jayda Nicole Kosar /


(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Shasta Regional Medical Center, Redding, California

CHP Northern Division Air Operations Unit, H-14


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

#
N

3
S

/
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall, Orland, California

School Bus
DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

Benjamin Lopez /
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

School Bus/St. Elizabeth Ground Ambulance, Corning-2

Orland Memorial Hall/Enloe Medical Center, Chico, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

St. Elizabeth Ground Ambulance, Corning-2

Enloe Medical Center, Chico, California

DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

TELEPHONE

Angelina Rezendez /
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Orland Memorial Hall/Glenn Medical Center, Willows, California

School Bus/Enloe Ambulance Services, #50-99


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

Page

TIME (2400)

NCIC #

1740

OFFICER I.D.

9160

17692

EXTENT OF INJURY (X ONE)


AGE

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

PED.

BICYCLIST

#
ES

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

EJECTED

/
(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

Oroville Hospital, Oroville, California

Westside Ambulance Assocation, WS-3


DESCRIBE INJURIES:

See Injury Assessment section in narrative for details.

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

NAME / D.O.B. / ADDRESS

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

540

OTHER

of

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

11

NUMBER

REVIEWERS NAME

MO. DAY YEAR

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

Page

TIME (2400)

NCIC #

1740

OFFICER I.D.

9160

17692

EXTENT OF INJURY (X ONE)


AGE

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

OTHER

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

10

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

11

NAME / D.O.B. / ADDRESS

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

of

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

12

NUMBER

REVIEWERS NAME

MO. DAY YEAR

EJECTED

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

Page

TIME (2400)

NCIC #

1740

OFFICER I.D.

9160

17692

EXTENT OF INJURY (X ONE)


AGE

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

OTHER

12

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

13

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

14

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

15

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

16

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

17

NAME / D.O.B. / ADDRESS

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

of

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

13

NUMBER

REVIEWERS NAME

MO. DAY YEAR

EJECTED

STATE OF CALIFORNIA

INJURED / WITNESS / PASSENGERS


CHP 555 Page 3 (Rev. 1-03) OPI 061
DATE OF COLLISION (MO.

DAY

YEAR)

04-10-2014
WITNESS
ONLY

PASSENGER
ONLY

Page

TIME (2400)

NCIC #

1740

OFFICER I.D.

9160

17692

EXTENT OF INJURY (X ONE)


AGE

SEVERE
INJURY

OTHER VISIBLE
INJURY

COMPLAINT
OF PAIN

DRIVER

PASS.

PED.

BICYCLIST

PARTY
NUMBER

SEAT
POS.

AIR
BAG

SAFETY
EQUIP.

OTHER

18

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

19

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

20

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

21

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

22

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED

23

NAME / D.O.B. / ADDRESS

TELEPHONE

(INJURED ONLY) TRANSPORTED BY:

TAKEN TO:

DESCRIBE INJURIES:

VICTIM OF VIOLENT CRIME NOTIFIED


PREPARERS NAME

Northern Division MAIT

I.D. NUMBER

18301

MO. DAY YEAR

04-16-2014

of

540

2014-04-05

INJURED WAS (X ONE)

SEX
FATAL
INJURY

14

NUMBER

REVIEWERS NAME

MO. DAY YEAR

EJECTED

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

PAGE

NF-007-14

Facts
Introduction
This collision occurred on Thursday, April 10, 2014, at approximately 1740 hours, on Interstate
5 northbound, north of State Route 32 (Newville Road) in an unincorporated area of Glenn
County, California, near postmile marker 26.00. Interstate 5 was a full access controlled freeway
with two lanes in the northbound and southbound directions. The northbound and southbound
lanes were separated by a median that was approximately 58.5 feet in width near the collision
scene. There was a row of oleanders, of varying widths and heights, at the approximate center of
the median. The posted speed limit at this location was 70 miles per hour for unregulated
vehicles and 55 miles per hour for regulated vehicles. The weather conditions were mild, clear,
dry, and it was daylight.
Timothy Paul Evans (Driver #1), a -year old male, was driving a 2007 Volvo, model VNL42T
(Vehicle #1), in combination with two Wabash trailers and a Hyundai converter dolly, 1 south on
Interstate 5, in the #2 lane. The Volvo was owned and operated by FedEx Freight Inc. Driver
Evans had departed from a transition location in Weed, California, in the late afternoon, where
he had exchanged trailers with another FedEx Freight Inc. driver from Bend, Oregon. Driver
Evans was driving to the FedEx Freight Inc. Service Center, in West Sacramento, California.
Bonnie Jean Duran (Driver #2), a -year old female, was driving a 2013 Nissan Altima
(Vehicle #2) north on Interstate 5, in the #1 lane. Seated in the right-front passenger seating
position of the Nissan was her husband, Passenger J. Duran. The Durans were returning to
Washington from their multi-state vacation.
Talalelei Lealao-Taiao (Driver #3), a -year old female, was driving a 2014 Setra, model S 417
TC (Vehicle #3) 56-passenger motorcoach, north on Interstate 5, in the #2 lane. The Setra was
owned and operated by Silverado Stages, Inc. The Setra had been in-service since February 3,
2014. Driver Lealao-Taiao was transporting 45 passengers in the Setra. The passengers, high
school students along with three chaperones, were picked up at Los Angeles Union Station, in
Los Angeles, California, earlier in the day. The passengers were being transported to Humboldt
State University, in Arcata, California, to participate in a college introductory program called,
Spring Preview Plus.
Driver Lealao-Taiao was the second driver of the Setra on this day. Driver Lealao-Taiao became
the driver of the Setra at a driver swap area, in Sacramento, California, near the Del Paso Road
exit from Interstate 5. Driver Lealao-Taiao left the Sacramento area traveling north on Interstate
5.

1. Further references to the Volvo will include the combination of the truck-tractor and trailers, unless otherwise noted.

15

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Introduction (continued)


As Driver Evans drove south in the #2 lane, he allowed the Volvo to drift to the left into the #1
lane. For unknown reasons, Driver Evans allowed the Volvo to continue in a southeasterly
direction, into the median, travel over the oleanders, and enter the northbound lanes.
Driver Duran passed the Setra. Driver Duran observed the Volvo approaching her. She steered
to the right and applied the brakes. The Nissan traveled into the #2 lane. The Volvo entered the
northbound lanes of Interstate 5 where the left front of the Volvo collided with the left side of the
Nissan. The Nissan was redirected in a northeasterly direction as it rotated in a counterclockwise
direction about its vertical axis.
Driver Lealao-Taiao rapidly applied the brakes of the Setra and steered to the right. After impact
with the Nissan, the Volvo continued in a southeasterly direction. The right front of the Volvo
struck the right front of the Setra. The Setra was redirected to the northeast and rotated in a
clockwise direction about its vertical axis. The Volvo and combination continued to the
southeast. A fire erupted upon impact between the Volvo and Setra. The Volvo separated from
the trailers and came to rest, upright, to the southeast of the front of the Setra. The Setra came to
rest facing in an easterly direction with the front of the Setra on the vegetation-covered area east
of Interstate 5, and the rear of the Setra partially blocking the #2 lane. The Setra, Volvo, and
trailers came to rest in close proximity of each other. The Volvo, trailers, and Setra were
engulfed by fire. All the surviving passengers exited the Setra from windows. The passengers
retreated from the area and gathered on the vegetation-covered area west of Interstate 5, on the
southbound side.
Emergency and rescue personnel responded to the collision scene. A triage location was
established for medical aid on the vegetation-covered area west of southbound Interstate 5. In
addition to California Highway Patrol (CHP) personnel, emergency personnel from 4 other law
enforcement agencies, 12 fire departments, 4 ground ambulance organizations, and 3 air
ambulance organizations, not including CHP helicopters, responded to the collision scene to
provide rescue and medical treatment. The driver of the Volvo, the driver of the Setra, and seven
of the passengers from the Setra, were pronounced deceased at the scene. One of the passengers,
who exited the front of the Setra, later succumbed to extensive burn injuries at the hospital.
CHP Willows Area Commander, Lieutenant B. Carpenter, ID 10683, responded to the scene and
assumed incident command responsibilities at approximately 1755 hours. Lieutenant Carpenter
notified CHP Northern Division Assistant Chief R. Kramer, ID 11837, who notified CHP
Northern Division Commander, Chief R. Leal, ID 11329. CHP Assistant Commissioner W.
Stanley, ID 10377, was also notified of the incident. CHP Northern Division Multidisciplinary
Accident Investigation Team (MAIT) response was requested.
Personnel from CHP Northern Division MAIT responded to the collision scene to conduct the
investigation and began to arrive at approximately 1951 hours. CHP Headquarters MAIT
personnel were requested to respond and assist with the on-scene investigation and obtaining
statements from some of the surviving passengers.

16

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Introduction (continued)


Personnel from the National Transportation Safety Board (NTSB) responded to conduct a
parallel investigation relating to the safety of commercial vehicles. NTSB personnel began
arriving at the collision scene on April 11, 2014. The NTSB report number was identified as
HWY14MH009.

PAGE

17

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

PAGE

NF-007-14

Facts (continued)
Notification
On Thursday, April 10, 2014, at approximately 1740 hours, the CHP Chico Communications
Center (CHCC) received a call of an injury traffic collision in which a truck-tractor combination
vehicle and a motorcoach with students on-board had collided and were fully engulfed in fire.
The following table lists the approximate arrival times of other personnel from the CHP Willows
Area, according to the CHP CHCC dispatch log:
NAME

ID

ARRIVAL TIME

Officer T. Horwath

17692

1750

Officer R. Tomilla

17549

1755

Lieutenant B. Carpenter

10683

1755

Sergeant D. Guy

12050

1756

Officer J. Lynch

18540

1813

The following table lists the approximate arrival times of personnel from the CHP Red Bluff
Area, according to the CHP CHCC log:
NAME

ID

ARRIVAL TIME

Sergeant C. Burson

12193

1822

Officer J. Rawlins

17277

1943

Officer K. Baldwin

15667

1944

Officer J. McPeek

15829

2010

The following table lists the approximate arrival times of personnel from CHP Northern Division
according to the CHP CHCC dispatch log:
NAME

ID

ARRIVAL TIME

Chief R. Leal

11329

1936

Assistant Chief R. Kramer

11837

2020

Officer L. Heitman

19701

2119

Adjoining CHP areas sent officers to hospitals to collect basic contact information from
passengers in the Setra who were transported from the collision scene.

18

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Notification (continued)


Responding Agencies
During the duration of this incident, the following agencies responded to the collision scene
and/or assisted with other duties associated with this collision investigation:
CHP Willows Area
464 North Humboldt Avenue
Willows, California 95988
(530) 934-5424
CHP Red Bluff Area
2550 Main Street
Red Bluff, California 96080
(530) 527-2034
CHP Northern Division
2485 Sonoma Street
Redding, California 96001
(530) 242-4300
United States Forest Service (USFS)
825 North Humboldt Avenue
Willows, California 95988
(530) 934-3316
Glenn County Sheriff/Coroners Department
543 West Oak Street
Willows, California 95988
(530) 934-6441
Orland Police Department
817 Fourth Street
Orland, California 95963
(530) 865-1616

PAGE

19

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

NCIC

1740

9160

OFFICER I.D.

17692

Facts Notification (continued)


Responding Agencies (continued)
Willows Police Department
201 North Lassen Street
Willows, California 95988
(530) 934-4964
California Department of Transportation (Caltrans)
939 North Humboldt Avenue
Willows, California 95988
(530) 934-5149
Orland Fire Department
810 5th Street
Orland, California 95963
(530) 865-1625
Bayliss Volunteer Fire Department
445 South Butte Street
Willows, California 95988
(530) 934-3321
Hamilton City Fire Department
420 1st Street
Hamilton City, California 95951
(530) 826-3355
Capay Fire Protection District
50 4th Avenue
Orland, California 95963
(530) 865-1363
Artois Fire Department
740 Main Street
Artois, California 95913
(530) 934-5351

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

20

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

Facts Notification (continued)


Responding Agencies (continued)
Willows Rural Fire Protection District
445 South Butte Street
Willows, California 95988
(530) 934-5969
Corning City Fire Department
814 Second Street
Corning, California 96021
(530) 824-7044
Glenn County Search and Rescue
P.O. Box 1291
Willows, California 95988
(530) 934-6431
Kanawha Fire Protection District
1709 County Road D
Willows, California 95988
(530) 934-2672
Glenn-Codora Fire Protection District
1516 State Route 45
Glenn, California 95943
(530) 934-7357
Tehama County Fire Department
604 Antelope Boulevard
Red Bluff, California 96080
(530) 528-5199
Red Bluff Fire Department
555 Washington Street
Red Bluff, California 96080
(530) 527-1126

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

21

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

Facts Notification (continued)


Responding Agencies (continued)
Enloe Ambulance Services/Enloe FlightCare
1531 Esplanade
Chico, California 95926
(530) 332-7300
Westside Ambulance Association
604 4th Street
Orland, California 95963
(530) 865-3998
Butte County Emergency Medical Services, LLC
333 Huss Drive
Chico, California 95928
(530) 332-5555
St. Elizabeth Ground Ambulance
2550 Sister Mary Columba Drive
Red Bluff, California 96080
(530) 529-8318
California Shock Trauma Air Rescue (CALSTAR)
4933 Bailey Loop
McClellan, California 95652
(916) 921-4000
REACH Air Medical Services
1524 East Street
Redding, California 96001
(530) 215-8067
American Red Cross
2025 East Street, Northwest
Washington, District of Columbia 20006
(800) 733-2767

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

22

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Notification (continued)


Responding Companies
Bambauer Towing
4295 Highway 99W
Orland, California 95963
(530) 865-5183
Bens Truck and Equipment, Inc.
P.O. Box 732
Red Bluff, California 96080
(530) 527-9170
C.O.T. Transportation Inc.
4125 Winters Street
Sacramento, California 95838
(916) 648-2580
Bambauer Towing transported the Nissan to the Caltrans Willows Maintenance Station, in
Willows, California. Bambauer Towing was assisted by Bens Truck and Equipment, Inc. and
C.O.T. Transportation Inc. Bens Truck and Equipment, Inc. transported the Volvo to the
Caltrans Willows Maintenance Station. C.O.T. Transportation Inc. transported the Setra to the
Caltrans Willows Maintenance Station.
F.D. Sweet & Son
114 North Shasta Street
Willows, California 95988
(530) 934-5524

Federal Agencies
National Transportation Safety Board
Office of Highway Safety
490 LEnfant Plaza Southwest
Washington, District of Columbia 20594

PAGE

23

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts (continued)
MAIT Chronological Summary
On Thursday, April 10, 2014, beginning at approximately 1951 hours and concluding on April
11, 2014, at approximately 1300 hours, Sergeant Parsons, Investigators Dugger, Bowen,
Cantrell, Hamann, and Engineer Reed examined and measured the collision scene.
Approximately three hours after the beginning of the investigation, Sergeant Vialovos, and
Investigators Alexander, Daubner, Scribner, and Newton arrived on scene and assisted with the
collision scene measurements. Beginning at approximately 2020 hours, Investigator Cantrell and
CHP Northern Division Commercial Enforcement Unit (CEU), Mobile Road Enforcement
Officer D. Alamo, ID 12267, conducted preliminary inspections of the involved vehicles at the
collision scene.

24

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts MAIT Chronological Summary (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

25

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts MAIT Chronological Summary (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

26

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014
Facts (continued)
Controlled Testing

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

27

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

28

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

29

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

30

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

31

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

32

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

33

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

34

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Controlled Testing (continued)


Drag Factor Setra (Vehicle #3) (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

35

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

36

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

37

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

38

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

39

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

40

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

41

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

42

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

43

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

44

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

45

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

46

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

47

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Controlled Testing (continued)

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

48

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts (continued)
Roadway Environment
Scene Identification
The collision scene was located on Interstate 5, in an unincorporated area of Glenn County,
California. The collision scene was located at latitude 39.75756 degrees and longitude
-122.20523 degrees, at an approximate elevation of 67 feet above sea level. The collision scene
was at postmile 26.00, approximately 2,470 feet north of the State Route 32 overcrossing.
The following map illustrates the collision location:

49

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Roadway Description
Interstate 5 ran from the Mexican Border near San Ysidro, California, to the south, to the
Canadian Border near Blaine, Washington, to the north. Along its route, Interstate 5 traversed
mostly rural areas, but was in suburban and urban areas when passing through communities and
cities. In the area of the collision, Interstate 5 was in a suburban area.
In the area of the collision, Interstate 5 was a four-lane divided freeway with full access control.
There were two northbound lanes and two southbound lanes, separated by a median.
There was a row of oleanders at the approximate center of the median. Due to natural growth,
the height and breadth of the oleanders varied throughout the area where the collision occurred.
The oleanders, in the area where the Volvo drove through the median, were between
approximately three and five feet in height. Approximately 400 feet north of the collision scene,
the oleanders were approximately 7 feet in height. Approximately 1,300 feet south of the
collision scene, the oleanders were approximately 7 feet in height. Approximately 3,600 feet
south of the collision scene, the oleanders were approximately 10 feet in height.
There was a shoulder to the left of the northbound and southbound #1 lane. There was a
shoulder to the right of the northbound and southbound #2 lanes. At the collision scene, there
were rolled-in rumble strips in the shoulders. The terrain adjacent to the northbound and
southbound lanes was generally a gentle sloping and vegetation-covered surface. At the north
end of the collision scene, to the east of the northbound lanes, there was a vegetation-covered
depressed area for drainage. There were various types of fencing on both sides of Interstate 5, at
the right-of-way.

Interstate 5, Northbound Looking North Toward the Collision Scene

50

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Roadway Description (continued)
In the area of the collision, Interstate 5 was maintained by the Caltrans Willows Maintenance
Station, located approximately 15.7 miles south of the collision scene, in Willows, California.

Roadway Geometrics
The horizontal and vertical alignment of Interstate 5, in the area of the collision, was created
when the roadway was constructed in 1964 by project 03-055414.
The as-built plans for the 1964 construction project indicated the roadway was in a
17,871.34 foot-long tangent section at the collision scene. The tangent section ended
approximately 1,200 feet north of the collision scene.
The profile grade of Interstate 5, in the area of the collision, was measured from the collision
scene measurement data. The grade measurements were taken on the lanelines between the #1
and #2 lanes.
The grade of the northbound lanes varied between approximately -0.3% and +0.7%, measured in
the northbound direction. The profile grade of the southbound lanes varied between
approximately
-0.3% and 0.0%, measured in the southbound direction.
The lane and shoulder widths of Interstate 5, in the area of the collision, were measured from the
collision scene measurement data.
The widths of the left shoulders were measured from the approximate center of the left edgeline
to the left edge of pavement. The width of the #1 lane was measured from the approximate
center of the left edgeline to the approximate center of the laneline. The width of the #2 lanes
was measured from the approximate center of the laneline to the approximate center of the right
edgeline. The width of the right shoulders was measured from the approximate center of the
right edgeline to the right edge of pavement.
The northbound left shoulder varied in width between approximately 3.4 and 4.2 feet. The
northbound #1 and #2 lanes varied in width between approximately 11.5 and 12.2 feet
throughout the collision scene. The northbound right shoulder varied in width between
approximately 11.6 and 12.6 feet.
The southbound left shoulder varied in width between approximately 4.0 and 5.9 feet. The
southbound #1 and #2 lanes varied in width between approximately 11.3 and 12.4 feet
throughout the collision scene. The southbound right shoulder varied in width between
approximately 11.1 and 12.6 feet.

51

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Roadway Geometrics (continued)
Median width is expressed as a dimension between inside edges of travelled way, including the
inside (left) shoulder. From collision scene measurement data, the distance between the left
edgelines of the northbound and southbound lanes varied in width between approximately 57.3
and 58.1 feet. Adjusting this measurement to account for the Caltrans Standard Plan 4 inch offset
from the edge to travelled way and the center of the left edgelines, the median varied in width
between approximately 58.0 and 58.8 feet. The as-built plans for the 1964 construction project
indicated the median width was 60 feet.

Cross Slopes
Collision scene measurement data was used to derive the cross slopes of the northbound and
southbound lanes, shoulders, and the median, in the area of the collision. The cross slopes of the
left shoulders were measured from the approximate center of the left edgeline to the left edge of
pavement. The cross slopes of the northbound and southbound #1 lanes were measured from the
approximate center of the left edgeline to the approximate center of the laneline. The cross
slopes of the northbound and southbound #2 lanes were measured from the approximate center
of the laneline to the approximate center of the right edgeline. The cross slopes of the right
shoulders were measured from the approximate center of the right edgelines to the right edges of
pavement. The cross slope of the median was measured from the left edge of pavement of the
northbound and southbound left shoulders to the approximate drip line of the oleanders, near the
center of the median. Positive cross slopes shown below slope downward to the right of the
direction of travel and negative slope downward toward the median.
The cross slope of the northbound left shoulder varied between approximately -9.7% and
-4.8%, and averaged -7.0%. The cross slope of the northbound #1 lane varied between +0.1%
and +0.6%, and averaged +0.4%. The cross slope of the northbound #2 lane varied between
approximately +2.2% and +1.2%, and averaged +1.7%. The cross slope of the northbound right
shoulder varied between approximately +6.6% and +4.1%, and averaged +5.5%.
The cross slope of the southbound left shoulder varied between approximately -6.3% and -0.8%,
and averaged -5.3%. The cross slope of the southbound #1 lane varied between +1.2% and
+0.5%, and averaged +0.9%. The cross slope of the southbound #2 lane varied between
approximately +2.0% and +1.0%, and averaged +1.4%. The cross slope of the southbound right
shoulder varied between approximately +5.5% and +5.0%, and averaged +5.3%.
The cross slope of the median varied between approximately -9.0% and -5.5%, and averaged
-6.4%.

52

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Roadway Environment (continued)


Pavement Condition
The pavement of the northbound and southbound lanes, in the area of the collision, had a
0.1 foot overlay placed on it in June 2009. The pavement was unremarkable. There were
rolled-in rumble strips in the shoulder pavement, adjacent to the traffic lanes in the area of the
collision. The 0.1 foot in height overlay covered a portion of the rumble strips.

Southbound Left Shoulder Rumble Strip Looking North

PAGE

53

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Pavement Delineation
In the area of the collision, laneline stripes and pavement markers that separated the #1 lane from
the #2 lane consisted of single white dashed stripes. The laneline stripes were approximately 12
feet long with a gap of approximately 36 feet between them. There were retroreflective
pavement markers in the approximate center of the 36 feet gaps, between the laneline stripes.
There were four non-reflective pavement markers on the laneline stripes, spaced approximately
four feet apart.
The lanelines were clear and distinct.

Laneline Stripes and Pavement Markers

54

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Roadway Environment (continued)


Pavement Delineation (continued)
There were right edgelines that separated the #2 lanes from the right shoulders. The right
edgelines were single solid white stripes.
The right edgelines were clear and distinct.

Right Edgeline (Typical)

PAGE

55

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Pavement Delineation (continued)
There were left edgelines that separated the #1 lanes from the left shoulders. The left edgelines
were single solid yellow stripes. There were yellow retroreflective pavement markers placed on
the traffic side of the left edgelines, spaced approximately 48 feet apart.
The left edgelines were clear and distinct.

Left Edgeline and Pavement Marker (Typical)

56

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Signs
There was a sign facing southbound traffic in the area of the collision. The sign indicated that
there was fuel available at the next exit. The sign was mounted on two wood posts. The sign
was located right of the southbound edge of pavement. The sign was located approximately
1,450 feet north of the collision scene. The location of the sign is not indicated on the Collision
Environment Diagram.

Fuel Sign

57

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Signs (continued)
There was a sign facing southbound traffic in the area of the collision scene. The sign indicated
that there was camping available at the next exit. The sign was located right of the southbound
edge of pavement. The sign was mounted on two steel posts. The location of the sign is
indicated on the Collision Environment Diagram.

Camping Sign

58

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Signs (continued)
There were two guide signs facing southbound traffic in the area of the collision scene. The
upper sign indicated that traffic traveling to Orland or Chico on State Route 32 should be in the
right lane. The lower sign indicated the State Route 32 was a designated truck route. The signs
were located right of the southbound edge of pavement. The upper sign was mounted on two
wood posts. The lower sign was mounted on the left post. The location of the sign is indicated
on the Collision Environment Diagram.

Guide Signs

59

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Signs (continued)
There was a sign facing southbound traffic in the area of the collision scene. The sign indicated
that Orland was accessible from the next two exits. The sign was located right of the southbound
edge of pavement. The sign was mounted on two wood posts. The location of the sign is
indicated on the Collision Environment Diagram.

Guide Sign

60

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Signs (continued)
There was a regulatory sign facing northbound traffic in the area of the collision scene. The sign
indicated that speed was enforced by aircraft. The sign was located right of the northbound edge
of pavement. The sign was mounted on a wood post. The sign was located approximately 850
feet north of the collision scene. The location of the sign is not indicated on the Collision
Environment Diagram.

Regulatory Sign

61

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Signs (continued)
There were two regulatory signs facing northbound traffic in the area of the collision scene. The
upper sign indicated the speed limit was 70 miles per hour. The lower sign indicated the speed
was radar enforced. The signs were located right of the northbound edge of pavement. The
signs were mounted on a steel post. The location of the sign is indicated on the Collision
Environment Diagram.

Regulatory Signs

62

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Signs (continued)
There was a regulatory sign facing northbound traffic in the area of the collision scene. The sign
indicated that speed limit was 55 miles per hour for trucks with three axles or more. The sign
was located right of the northbound edge of pavement. The sign was mounted on a steel post.
The sign was located approximately 1,100 feet north of the collision scene. The location of the
sign is not indicated on the Collision Environment Diagram.

Regulatory Sign

63

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Markers
There was a postmile marker facing southbound traffic in the area of the collision scene. The
postmile marker indicated it was placed at postmile 26.00 on Interstate 5, in Glenn County. The
postmile marker was located right of the southbound edge of pavement. The postmile marker
was mounted on a steel post. The location of the postmile marker is indicated on the Collision
Environment Diagram.

Postmile Marker

64

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Markers (continued)
There was an object marker facing southbound traffic in the area of the collision scene. The
object marker indicated it was placed at postmile 26.02. The object marker was located right of
the southbound edge of pavement. The object marker was mounted on a steel post. The location
of the object marker is indicated on the Collision Environment Diagram.

Object Marker

65

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Markers (continued)
There was a postmile marker facing northbound traffic in the area of the collision scene. The
postmile marker indicated it was placed at postmile 26.00 on Interstate 5, in Glenn County. The
postmile marker was located right of the northbound edge of pavement. The postmile marker
was mounted on a steel post. The location of the sign is indicated on the Collision Environment
Diagram.

Postmile Marker

66

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Roadway Environment (continued)


Delineators
There were plastic delineators facing southbound traffic, north of the collision scene. The
delineators were located right of the southbound edge of pavement. There was a retroreflective
surface at the top of the plastic delineators. The location of a plastic delineator is indicated on
the Collision Environment Diagram.

Plastic Delineator with Retroreflective Surface

PAGE

67

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Roadway Environment (continued)


Lighting
The collision occurred during daylight. The Sun and Moon conditions for the collision scene
were queried via the United States Naval Observatory internet website. 3 The following Sun and
Moon data was reported for April 10, 2014:
Begin Civil Twilight:
Sunrise:
Sunset:
End Civil Twilight:
Moonrise:
Moonset:

0611 hours
0639 hours
1942 hours
2010 hours
1532 hours
0435 hours on April 11, 2014

The Moon was in the waxing gibbous phase with 80% of its visible disk illuminated, and was
visible at the time of the collision. The sun was 22.5 degrees above the horizon, 98.7 degrees
counterclockwise from the southbound alignment of Interstate 5, and 261.3 degrees clockwise
from the northbound alignment of Interstate 5.

Speed Limit
The maximum speed limit in the area of the collision was 55 miles per hour for regulated
vehicles designated by section 22406 of the California Vehicle Code, and 70 miles per hour for
all other vehicles.

Traffic Volumes

3. http://aa.usno.navy.mil

68

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

PAGE

NF-007-14

Facts Roadway Environment (continued)


Weather
The weather conditions were queried from the Weather Underground internet website. Weather
station KCACAPAY2 was located approximately 5.7 miles east-northeast of the collision scene.
The following weather data was reported for 1743 hours on April 10, 2014:
Temperature:
Dew Point
Humidity
Barometric Pressure
Rainfall Rate
Winds Speed:

80.8 degrees Fahrenheit


51.4 degrees Fahrenheit
36 percent
29.56 inches of mercury
0.00 inch
2.0 miles per hour from the south-southeast

Drainage Facilities
There was a 30-inch diameter drainage pipe that crossed under both the northbound and
southbound lanes in area of the collision. There was a drainage inlet with a concrete apron in the
center of the median that was connected to the drainage pipe. There were concrete flared end
sections at the east and west ends of the drainage pipe.

Drainage Pipe with Concrete Flared End Section (Typical)

69

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Roadway Environment (continued)


Sight Distance

Collision History

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

70

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Roadway Environment (continued)


Collision History (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

71

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

Facts Roadway Environment (continued)


Collision History (continued)

On August 27, 2010, at approximately 0715 hours, a collision occurred

On October 9, 2011, at approximately 2000 hours, a collision occurred

On July 31, 2011, at approximately 1130 hours, a collision occurred

On September 24, 2013, at approximately 0415 hours, a collision occurred

MAIT CASE NUMBER

NF-007-14

PAGE

72

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

Facts Roadway Environment (continued)


Collision History (continued)
On November 6, 2008, at approximately 1110 hours, a collision occurred

On November 5, 2013, at approximately 1735 hours, a collision occurred

On November 30, 2013, at approximately 1900 hours, a collision occurred

On March 17, 2009, at approximately 1118 hours, a collision occurred

MAIT CASE NUMBER

NF-007-14

PAGE

73

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

Facts Roadway Environment (continued)


Collision History (continued)
On April 7, 2008, at approximately 0135 hours, a collision occurred

MAIT CASE NUMBER

NF-007-14

PAGE

74

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts (continued)
Collision Scene Measurements
Overview
The collision scene on Interstate 5, north of State Route 32 (Newville Road), was measured.
MAIT personnel measured the collision scene on April 11, 2014, beginning at approximately
0010 hours, which encompassed the collision scene characteristics and physical evidence.
Caltrans personnel measured the collision scene on April 16, 2014, which encompassed the
collision scene characteristics.
MAIT personnel measured the collision scene with a Trimble Total Station Surveying Instrument
(TSSI), model S6, and two Leica High Definition Surveying (HDS) ScanStations, model 3000.
Caltrans personnel measured the collision scene with a Trimble Mobile Spatial Imaging (MSI)
scanner, model MX8, mounted to a Chevrolet Suburban.

Total Station Surveying Instrument (TSSI)


The TSSI collision scene measurements were taken using a Trimble TSSI, model S6, a Trimble
data collector, model TSC3, and a Trimble active prism, model MT1000 MultiTrack Target. The
measurements were taken utilizing the Autolock and the Direct Reflex modes of the TSSI. At
various times throughout the night, the composition of the team responsible for the TSSI
measurements changed. At various times, Investigators Dugger, Daubner, and Alexander
operated the TSSI and/or orientated the prism rod. Investigator Bowen identified measurement
locations and recorded the scene notes. Investigator Dugger set up and moved the TSSI, as
needed to obtain the measurements.
The easting, northing, and elevation coordinates (X, Y, and Z coordinates) were recorded to the
data collector and exported to a flash drive. The data was then downloaded to a computer
utilizing conversion software. The X, Y, and Z coordinates are published on the following
pages. The data was electronically moved to AutoCAD, where scale diagrams of the collision
scene were prepared.
Control Point #1 (data point 1001) was established for the TSSI during the collision scene
measurements. Control Point #1 was located approximately 82.6 feet northwest of a metal
drainage inlet located in the median north of the collision scene, approximately 178.7 feet
northwest of the postmile marker 26.00, and approximately 23.9 feet east of the west edge of
pavement of southbound Interstate 5. The positive Y-axis was established through Control Point
#2, which was located approximately 34.2 feet north of Control Point #1.

75

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
A total of four control points were established. The control points were locations where the
TSSI was moved to take measurements or the Trimble active prism was placed. The following
table lists the data points of the control points and the measurements that were taken from each
control point:
CONTROL
POINT

DATA POINT

MEASUREMENTS

1001

1 216, 300 331, 1021 1023,


2001, 3001

2001

None

3001

400 736, 1024, 1025, 4001

4001

750 872, 900 923, 930 946

Data Points 1021 through 1023 were HDS targets. The HDS targets were also measured with the
ScanStations, which allowed the collision scene measurements taken with the TSSI and the
ScanStations to be merged into the same coordinate system.
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

1001
2001
1023
1022
1021
3001
1
2
3
4
5
6
7
8
9
10

0.000
0.000
125.537
96.162
90.755
67.427
110.845
119.587
122.320
130.057
137.585
141.657
164.289
165.312
166.616
168.311

0.000
34.212
-62.123
-66.766
-116.300
56.985
-509.722
-507.173
-506.700
-503.549
-501.943
-501.051
-494.395
-494.176
-493.961
-493.150

0.000
0.124
6.397
6.971
5.653
0.130
-3.577
-2.540
-2.519
-1.725
-1.210
-0.991
-0.719
-0.836
-0.878
-1.047

76

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

186.682
153.312
148.210
144.638
157.255
140.188
134.706
131.161
142.923
153.691
128.868
132.169
116.847
114.796
112.698
100.010
88.637
84.533
77.001
49.837
43.726
37.514
32.766
17.159
19.454
26.598
30.857
41.611
38.104
49.694
51.558
53.389
53.490
72.165
59.231
62.332

-492.232
-499.034
-482.042
-470.438
-473.438
-455.932
-438.109
-426.507
-426.509
-388.527
-380.638
-320.886
-325.175
-325.609
-326.121
-325.386
-328.430
-329.846
-331.976
-201.960
-182.203
-162.032
-146.377
-178.743
-145.338
-142.036
-140.287
-135.322
-123.693
-120.743
-120.491
-120.011
-120.042
-112.083
-69.410
-65.511

-2.065
-0.750
-0.824
-0.808
-0.657
-0.715
-0.717
-0.714
-0.554
-1.913
-0.477
-1.633
-0.825
-0.640
-0.467
-0.469
-0.725
-0.977
-1.545
-0.524
-0.506
-0.463
-0.414
-2.178
-1.186
-0.656
-0.399
-0.221
-0.193
-0.126
-0.277
-0.441
-0.443
-1.766
-1.980
-2.020

PAGE

77

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82

66.400
61.536
59.738
61.445
59.459
67.015
54.652
59.035
56.493
52.078
30.500
27.987
26.127
14.971
11.436
3.965
-0.449
-7.925
-10.949
-27.326
0.008
5.788
-1.977
7.683
-37.133
-43.850
-47.019
-35.501
-29.475
-22.225
-17.780
-6.606
4.666
6.463
9.039
-11.657

-66.368
-57.512
-54.673
-49.403
-61.506
-57.360
-53.917
-40.774
-43.296
-42.994
-43.564
-43.838
-44.422
-48.357
-36.733
-52.610
-53.536
-55.273
-79.884
-131.850
-151.648
-150.054
-152.108
-149.737
12.512
10.628
10.119
13.675
14.458
16.501
18.124
21.936
25.085
25.915
26.370
37.992

-1.849
-2.097
-2.138
-2.052
-2.128
-1.935
-2.007
-2.024
-2.152
-1.973
-0.393
-0.125
0.042
-0.089
-0.049
-0.281
-0.521
-0.960
-3.284
-2.601
-2.140
-1.938
-2.249
-1.985
-2.802
-5.560
-6.558
-2.493
-0.893
-0.404
-0.124
0.085
0.131
-0.022
-0.230
0.035

PAGE

78

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118

-15.254
-20.047
-12.085
-7.275
-26.506
-28.783
-30.892
-41.835
-38.277
-53.838
-58.557
-65.150
-94.173
-119.074
-48.954
-31.711
-25.160
-21.046
-26.580
-79.458
-72.312
-67.889
-51.661
-55.280
-44.080
-42.587
-40.722
-22.470
-59.075
-77.891
-80.162
-81.979
-82.225
-91.476
-94.920
-105.624

49.797
65.481
78.092
148.662
142.363
141.985
141.829
137.095
125.447
136.145
135.836
131.894
138.807
166.180
-3.028
-82.878
-85.610
-81.427
-79.467
178.557
180.687
181.772
169.193
180.858
184.826
186.011
188.586
193.241
316.485
309.239
309.208
308.624
307.595
299.148
310.667
305.131

0.053
0.146
0.282
-1.530
-0.025
0.145
0.317
0.223
0.217
0.073
-0.225
-0.640
-6.743
-5.932
-8.122
-9.921
-8.877
-7.045
-8.835
-0.556
-0.164
0.136
0.256
0.261
0.373
0.204
0.030
-1.112
-0.884
0.246
0.407
0.559
0.629
0.462
0.475
0.352

PAGE

79

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154

-110.064
-117.824
-158.894
-204.957
-196.422
-206.142
-195.483
-174.592
-167.076
-162.471
-153.073
-158.087
-161.740
-138.657
-138.097
-135.954
-133.734
-116.574
-164.541
-182.885
-185.134
-187.061
-197.990
-201.600
-212.272
-216.901
-224.057
-244.461
-286.899
-287.226
-280.154
-275.760
-264.922
-268.579
-256.604
-254.606

303.932
301.996
295.657
479.958
482.440
480.604
484.052
487.774
488.697
490.187
499.758
516.223
527.900
490.446
490.524
490.612
490.950
498.064
656.256
650.362
649.703
649.412
645.750
657.403
651.863
650.726
648.907
707.317
711.775
854.303
856.312
857.909
862.614
874.359
875.881
876.453

0.064
-0.374
-5.538
-5.685
-4.808
-5.929
-4.979
-0.053
0.381
0.660
0.912
0.883
0.897
0.963
0.898
0.754
0.593
-0.625
-0.189
0.883
1.047
1.204
1.128
1.139
0.967
0.660
0.243
0.023
-5.349
0.564
0.991
1.285
1.495
1.504
1.631
1.443

PAGE

80

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190

-254.644
-252.297
-234.722
-256.447
-257.008
-257.729
-265.514
-273.782
-291.592
-293.853
-295.527
-305.192
-308.738
-320.159
-324.317
-331.423
-333.705
-371.237
-381.212
-378.670
-371.925
-367.963
-358.057
-361.495
-349.700
-349.190
-347.209
-344.871
-325.377
-408.504
-411.696
-466.156
-428.331
-426.197
-419.017
-415.484

876.499
876.901
883.781
888.198
888.038
887.830
902.853
1008.610
1004.085
1003.708
1003.191
993.429
1005.107
1001.815
1000.911
998.312
997.091
986.788
1153.607
1153.958
1156.960
1157.914
1165.942
1177.657
1178.537
1178.698
1179.119
1179.802
1184.664
1221.881
1220.861
1303.256
1313.081
1314.101
1315.999
1317.156

1.453
1.253
-0.147
1.427
1.477
1.514
1.735
0.301
1.494
1.684
1.809
1.733
1.726
1.551
1.266
0.798
0.436
-5.304
0.811
1.115
1.544
1.816
2.026
2.046
2.231
2.159
1.983
1.800
0.532
-0.507
-1.347
-4.846
0.908
1.403
1.822
2.103

PAGE

81

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
300
301
302
303
304
305
306
307
308
309

-405.580
-409.827
-413.298
-401.888
-399.538
-396.910
-378.207
-416.353
-433.275
-435.549
-437.874
-448.165
-451.521
-462.599
-466.414
-472.315
-474.234
-519.930
-517.854
-510.635
-507.008
-494.038
-482.035
-479.600
-477.803
-459.561
-62.249
-60.389
-58.164
-55.811
-52.403
-2.973
3.250
6.775
12.055
15.153

1324.915
1339.678
1351.349
1354.809
1355.139
1355.805
1359.926
1483.928
1479.896
1479.225
1478.659
1471.007
1482.739
1478.246
1477.772
1471.058
1470.434
1629.478
1630.118
1632.327
1633.442
1630.281
1633.561
1634.031
1634.379
1636.724
201.786
195.667
188.373
180.575
169.145
112.981
102.906
96.348
87.039
81.983

2.341
2.307
2.338
2.433
2.319
2.108
0.791
1.184
2.370
2.541
2.691
2.574
2.607
2.405
2.134
1.685
1.136
1.512
2.054
2.539
2.735
2.883
3.037
2.899
2.767
1.613
0.271
0.272
0.268
0.246
0.220
-1.093
-1.087
-1.154
-1.493
-1.136

PAGE

82

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
400
401
402
403
404
405
406
407
408
409
410
411
412
413

15.453
28.176
34.068
25.887
38.238
-12.883
-8.339
-5.207
10.836
14.856
21.184
25.725
30.808
37.005
3.501
23.786
26.107
29.995
33.101
11.108
15.962
23.459
0.965
0.896
0.968
0.952
-33.028
-44.285
-46.422
-48.213
-66.959
-38.255
-41.836
-46.376
-51.693
-55.275

81.270
36.081
36.861
70.230
26.799
39.954
24.854
14.120
6.191
-5.532
-23.001
-35.671
-49.700
-66.750
26.292
-28.988
-35.331
-49.111
-64.239
-36.832
-49.125
-67.152
400.397
400.376
400.385
400.391
384.709
381.272
380.381
379.956
377.096
401.486
413.124
428.428
445.308
457.094

-1.314
-1.740
-1.704
-1.643
-1.735
0.023
0.006
-0.009
0.085
-0.012
-0.073
-0.123
-0.193
-0.316
0.130
-0.116
-0.150
-0.156
-0.148
-0.064
-0.084
-0.099
3.735
3.341
1.592
3.485
0.743
0.672
0.500
0.307
-0.738
0.698
0.717
0.776
0.741
0.756

PAGE

83

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449

-124.265
-109.523
-105.816
-104.157
-102.166
-91.746
-95.383
-99.953
-80.618
-76.176
-68.910
-113.408
-120.091
-124.701
-131.818
-135.402
-139.640
-146.386
-148.345
-150.183
-167.953
-200.648
-240.955
-222.446
-220.545
-218.738
-206.770
-198.488
-202.148
-196.814
-191.348
-184.108
-11.557
-12.904
4.878
6.744

562.297
566.148
567.766
568.842
569.684
575.690
587.369
601.965
579.407
580.539
583.163
726.994
724.296
722.587
705.533
717.529
731.735
713.383
712.350
711.813
706.749
860.276
943.562
947.284
947.763
948.410
949.051
921.705
933.446
956.367
955.925
957.227
396.832
202.407
207.218
207.694

-0.658
0.426
0.624
0.826
1.008
0.963
0.984
1.086
0.803
0.548
0.028
0.140
0.740
1.016
1.200
1.201
1.301
1.286
1.082
0.812
-0.258
0.776
0.214
1.259
1.527
1.717
1.698
1.592
1.621
1.425
1.135
0.546
-0.306
-1.237
0.025
0.224

PAGE

84

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485

8.748
20.426
28.129
24.563
31.260
35.883
42.847
83.719
134.568
93.084
86.594
82.842
73.439
81.636
77.937
62.306
60.085
58.298
38.946
87.434
95.439
93.469
90.027
92.295
95.302
101.905
98.442
96.491
95.678
93.161
92.651
92.458
93.218
93.993
94.814
95.609

208.444
211.035
185.293
197.123
215.212
216.299
219.115
228.523
63.323
54.014
50.556
47.088
37.700
11.068
22.930
34.486
33.824
33.250
26.750
191.529
183.964
192.820
179.322
167.266
152.974
157.325
169.000
180.433
162.848
162.094
163.116
163.978
163.988
163.514
163.730
151.166

0.402
0.439
0.317
0.328
0.182
-0.088
-0.624
-7.128
-8.460
-0.864
-0.343
-0.084
0.135
0.019
0.045
0.100
-0.073
-0.296
-1.764
-7.800
-7.986
-7.572
-7.571
-7.640
-7.975
-7.706
-7.904
-7.434
-8.737
-7.823
-7.594
-7.581
-8.126
-8.508
-8.600
-7.716

PAGE

85

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521

95.440
92.828
89.994
83.959
84.252
84.624
84.609
97.320
95.924
93.985
100.344
99.480
97.068
95.656
97.689
100.738
102.272
101.462
99.125
94.893
92.801
89.670
87.238
87.200
88.359
90.306
93.195
94.612
89.103
87.864
86.536
83.858
89.755
92.203
95.429
96.666

134.924
120.529
107.637
79.430
82.050
79.642
81.415
130.916
123.530
116.315
135.057
128.752
116.315
110.377
170.830
160.048
146.015
135.649
121.987
105.976
98.735
88.213
72.337
64.656
51.960
40.602
28.223
23.234
65.146
70.607
67.000
68.644
63.812
53.596
40.784
35.169

-6.898
-5.344
-3.622
-0.576
-0.644
-0.609
-0.660
-7.055
-6.312
-5.379
-7.488
-7.283
-6.059
-5.295
-7.712
-7.702
-7.991
-7.559
-6.867
-4.807
-3.627
-2.282
-0.665
-0.544
-0.451
-0.379
-0.345
-0.344
-0.632
-0.662
-0.538
-0.446
-0.644
-0.616
-0.597
-0.582

PAGE

86

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557

98.975
96.739
97.622
98.425
98.687
98.960
102.261
102.762
103.433
103.584
103.023
102.537
100.737
98.693
102.538
102.472
102.900
103.426
103.041
101.279
95.877
102.044
103.476
101.245
101.787
102.208
102.533
102.709
102.839
101.653
102.188
103.910
104.229
104.409
104.657
98.386

26.871
56.756
47.167
36.474
31.496
14.059
-6.930
-2.895
8.787
13.619
21.310
27.179
40.192
52.199
14.499
15.523
16.216
16.497
17.947
21.744
34.003
13.203
8.823
12.304
10.586
10.721
9.708
9.778
9.494
10.131
7.145
7.815
6.718
7.571
6.709
5.614

-0.579
-1.755
-1.224
-0.694
-0.622
-0.453
-0.219
-0.379
-0.552
-0.618
-0.697
-0.993
-1.462
-1.885
-0.581
-0.593
-0.619
-0.639
-0.644
-0.616
-0.536
-0.542
-0.550
-0.504
-0.503
-0.524
-0.526
-0.535
-0.533
-0.490
-0.478
-0.557
-0.558
-0.574
-0.578
-0.197

PAGE

87

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593

97.585
97.758
99.596
103.193
106.664
108.753
113.028
113.115
112.780
112.612
111.800
110.133
108.134
106.502
101.041
99.255
112.909
115.491
119.210
122.870
127.725
131.716
125.100
125.407
125.748
127.140
126.531
125.461
124.830
124.213
92.000
96.118
100.832
103.412
104.250
105.308

-0.836
-8.848
-19.179
-30.575
-41.081
-46.565
-58.140
-50.765
-43.263
-39.286
-32.741
-23.617
-16.041
-10.696
3.914
7.966
-11.399
-18.935
-30.848
-43.230
-58.856
-72.276
-42.344
-42.359
-42.069
-41.869
-40.116
-39.921
-39.550
-39.869
-8.722
-22.053
-37.841
-45.929
-49.584
-54.232

-0.149
-0.143
-0.136
-0.159
-0.188
-0.203
-0.228
-0.264
-0.285
-0.328
-0.432
-0.460
-0.451
-0.455
-0.389
-0.358
-0.690
-0.701
-0.728
-0.746
-0.794
-0.816
-1.250
-1.296
-1.426
-1.633
-1.543
-1.463
-1.370
-1.208
-0.078
-0.097
-0.141
-0.162
-0.181
-0.161

PAGE

88

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629

105.163
103.888
103.236
100.736
95.983
92.005
108.378
91.910
108.251
107.834
107.574
109.408
109.083
109.914
109.505
110.800
110.283
109.711
109.133
110.607
110.477
107.529
107.629
107.687
108.681
108.311
108.022
108.028
107.602
105.151
109.477
113.034
115.330
118.699
108.936
108.865

-52.684
-48.286
-46.341
-38.118
-22.644
-9.240
-55.842
-9.270
-58.048
-57.079
-60.083
-58.643
-60.985
-57.877
-61.006
-54.597
-58.644
-63.244
-64.311
-62.550
-63.019
-64.798
-66.408
-65.830
-65.598
-65.244
-65.314
-65.013
-60.115
-52.694
-66.225
-77.450
-84.747
-95.636
-62.534
-63.219

-0.167
-0.167
-0.151
-0.147
-0.111
-0.075
-0.182
-0.080
-0.176
-0.176
-0.184
-0.185
-0.182
-0.189
-0.182
-0.211
-0.187
-0.189
-0.183
-0.192
-0.192
-0.177
-0.181
-0.175
-0.183
-0.201
-0.187
-0.186
-0.169
-0.160
-0.199
-0.204
-0.223
-0.239
-0.186
-0.187

PAGE

89

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665

108.710
108.431
111.845
111.887
110.206
112.078
112.654
113.526
114.525
114.742
115.503
101.878
105.228
107.449
109.825
111.771
114.893
123.713
131.380
133.048
125.088
127.623
124.829
127.195
126.043
128.307
126.295
128.215
4.707
7.624
14.613
22.498
31.148
33.505
37.833
43.135

-63.694
-64.109
-69.726
-69.995
-69.820
-72.398
-71.566
-71.855
-70.351
-70.488
-70.499
-68.922
-73.232
-76.724
-80.170
-83.156
-87.462
-100.004
-110.262
-116.405
-104.993
-106.303
-106.169
-107.328
-99.246
-101.007
-98.055
-99.909
165.425
153.629
139.735
130.498
122.077
118.916
113.648
105.657

-0.182
-0.188
-0.201
-0.203
-0.188
-0.204
-0.206
-0.211
-0.220
-0.225
-0.233
-0.120
-0.132
-0.141
-0.148
-0.178
-0.209
-0.276
-0.347
-3.434
-0.280
-0.314
-0.277
-0.304
-0.318
-0.322
-0.311
-0.318
-0.940
-1.027
-0.854
-0.527
-0.122
0.041
0.238
0.217

PAGE

90

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701

47.835
52.575
54.008
55.055
49.371
45.314
41.137
37.792
32.484
27.838
23.711
21.522
19.818
9.770
12.449
18.810
29.771
34.863
38.135
43.632
45.738
25.303
26.851
31.824
35.895
42.075
49.026
50.403
52.129
55.683
61.357
67.527
77.153
87.304
94.502
99.852

96.113
80.521
70.144
67.115
81.782
89.596
96.189
100.805
107.259
112.094
116.957
120.097
124.454
165.570
155.204
142.172
126.431
118.167
112.464
100.601
94.617
122.873
117.248
105.641
98.240
86.085
57.117
32.284
19.271
0.614
-21.552
-39.952
-65.578
-87.671
-102.556
-112.840

0.200
0.175
0.162
0.158
0.181
0.192
0.038
-0.097
-0.417
-0.618
-0.767
-0.832
-0.863
-0.522
-0.625
-0.491
-0.155
0.045
0.239
0.211
0.181
-0.510
-0.555
-0.484
-0.379
-0.200
-0.450
-0.997
-1.167
-1.312
-1.478
-1.552
-1.418
-1.141
-0.955
-0.805

PAGE

91

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
1024

100.554
95.401
87.674
79.702
70.679
65.472
59.579
59.501
57.157
56.675
54.201
54.682
56.096
56.106
59.563
65.497
71.657
81.591
88.647
96.992
97.072
86.095
75.281
68.136
60.628
29.221
38.368
39.529
29.619
48.852
72.201
84.896
70.027
54.362
41.061
150.427

-112.487
-101.953
-84.409
-64.430
-38.845
-20.561
2.458
2.444
20.504
23.886
45.965
32.322
20.244
20.289
2.473
-20.561
-38.549
-63.716
-79.476
-96.297
-92.659
-67.683
-37.787
-13.325
25.525
58.126
43.337
27.337
68.008
23.770
-12.021
-40.121
-25.647
-1.321
17.364
-267.162

-0.753
-0.882
-1.045
-1.227
-1.299
-1.179
-1.019
-1.018
-0.757
-0.700
-0.387
-0.655
-0.849
-0.850
-1.009
-1.179
-1.210
-1.042
-0.861
-0.654
-0.546
-0.792
-0.887
-0.781
-0.305
-1.709
-1.519
-1.675
-1.530
-1.295
-0.373
-0.055
-0.973
-1.424
-1.747
6.252

PAGE

92

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

1025
4001
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783

141.761
89.302
146.552
147.127
149.094
148.802
134.942
134.547
134.011
133.726
133.711
133.765
133.877
138.277
137.479
136.525
136.128
136.565
136.809
138.607
137.847
137.276
137.228
144.371
143.031
141.488
140.031
139.033
138.549
138.390
138.154
138.148
143.721
143.020
141.929
141.170

137.371
-119.007
-164.096
-163.177
-164.317
-165.110
-141.146
-139.556
-137.672
-135.774
-133.493
-131.449
-129.355
-147.390
-143.761
-139.301
-135.090
-130.771
-128.861
-143.753
-140.013
-136.865
-132.383
-147.282
-145.061
-142.934
-140.914
-138.860
-137.003
-135.946
-132.883
-130.691
-144.539
-142.148
-138.766
-135.462

5.805
-1.549
-0.440
-0.444
-0.480
-0.467
-0.311
-0.318
-0.309
-0.307
-0.317
-0.331
-0.339
-0.342
-0.345
-0.353
-0.358
-0.379
-0.375
-0.376
-0.372
-0.379
-0.382
-0.463
-0.437
-0.407
-0.413
-0.397
-0.394
-0.386
-0.387
-0.394
-0.457
-0.448
-0.440
-0.440

PAGE

93

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819

140.943
141.091
144.597
143.706
142.697
142.088
141.720
141.651
191.260
188.773
189.203
163.081
164.791
162.837
161.008
146.259
145.612
144.657
143.731
147.727
150.514
153.389
157.697
162.526
166.970
171.410
173.966
177.053
184.061
181.757
138.046
138.562
141.343
144.344
147.931
152.411

-131.915
-129.843
-143.734
-140.859
-138.447
-136.256
-134.254
-131.800
-153.186
-143.746
-142.549
-142.329
-138.674
-137.322
-141.403
-146.637
-142.727
-137.170
-131.527
-154.696
-168.688
-181.850
-199.843
-218.666
-235.264
-250.799
-259.745
-269.738
-292.316
-285.057
-148.046
-150.705
-163.029
-177.335
-192.800
-210.325

-0.468
-0.597
-0.496
-0.488
-0.470
-0.463
-0.482
-0.555
-2.785
-2.872
-2.812
-2.182
-2.363
-2.333
-1.858
-0.595
-0.639
-0.658
-0.681
-0.516
-0.494
-0.471
-0.495
-0.514
-0.539
-0.542
-0.552
-0.578
-0.619
-0.609
-0.354
-0.337
-0.330
-0.336
-0.330
-0.361

PAGE

94

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855

158.561
163.385
165.844
173.647
181.438
134.016
134.545
135.432
136.396
136.942
136.558
137.739
138.668
139.897
142.282
145.288
147.902
151.222
155.113
159.278
158.072
162.777
166.579
171.304
174.611
178.708
181.553
175.761
170.948
167.318
162.280
159.035
155.136
151.184
149.034
149.008

-232.687
-249.052
-257.454
-282.224
-306.823
-128.077
-125.602
-122.037
-119.046
-117.453
-145.719
-148.660
-150.709
-149.617
-162.952
-177.703
-189.084
-203.017
-218.257
-233.825
-226.975
-242.876
-255.838
-270.501
-282.075
-295.387
-287.247
-269.297
-253.218
-240.865
-223.935
-212.169
-196.942
-180.428
-170.901
-170.945

-0.384
-0.400
-0.409
-0.471
-0.504
-0.353
-0.366
-0.375
-0.415
-0.465
-0.323
-0.326
-0.342
-0.374
-0.352
-0.346
-0.352
-0.353
-0.375
-0.395
-0.401
-0.426
-0.428
-0.462
-0.484
-0.503
-0.585
-0.550
-0.520
-0.513
-0.487
-0.467
-0.453
-0.460
-0.456
-0.452

PAGE

95

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918

145.076
141.445
141.004
142.130
141.648
141.806
141.818
142.324
143.720
143.211
162.426
169.865
152.942
162.179
178.207
191.225
200.282
176.058
192.168
194.140
195.792
206.518
201.925
198.330
215.148
219.790
227.665
270.252
223.399
183.131
176.238
171.608
161.770
158.308
153.188
141.174

-150.890
-127.944
-129.796
-124.589
-131.811
-129.314
-129.309
-126.805
-131.516
-128.211
-264.048
-289.289
-278.073
-302.008
-341.756
-372.042
-392.722
-401.975
-399.851
-399.702
-399.015
-393.966
-378.947
-367.367
-382.093
-380.458
-381.957
-377.891
-225.138
-236.745
-239.145
-240.524
-248.692
-237.361
-220.505
-219.651

-0.462
-0.616
-0.567
-0.688
-0.556
-0.619
-0.618
-0.666
-0.679
-0.701
-0.342
-0.388
-0.886
-0.709
-0.475
-0.533
-0.576
-2.228
-0.871
-0.735
-0.565
-0.564
-0.614
-0.591
-0.833
-1.113
-1.548
-3.258
-3.028
-1.173
-0.861
-0.588
-0.361
-0.315
-0.240
-0.183

PAGE

96

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


Total Station Surveying Instrument (TSSI) (continued)
DATA POINT

EASTING
(X)

NORTHING
(Y)

ELEVATION
(Z)

919
920
921
922
923
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946

140.663
139.019
137.358
122.814
155.295
73.774
54.259
61.211
60.675
51.219
46.318
47.220
-16.899
-32.248
-43.338
-31.707
-16.043
46.350
52.825
64.815
63.790
53.490

-219.799
-220.059
-220.654
-226.866
-265.510
-32.973
2.624
-7.499
-8.094
4.707
14.187
14.862
154.721
189.728
213.174
189.997
155.160
30.587
19.766
1.331
0.539
17.232

-0.256
-0.418
-0.520
-1.700
-0.236
-0.862
-1.334
-1.110
-1.146
-1.447
-1.534
-1.521
-0.944
-0.555
-0.277
-0.619
-1.018
-1.306
-1.076
-0.612
-0.715
-1.069

PAGE

97

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Collision Scene Measurements (continued)


High Definition Surveying (HDS)
A portion of the collision scene was measured using two Leica HDS ScanStations. The main
purpose of the HDS scan was to document the positions of rest of the vehicles, vehicle damage,
and debris in the area. One of the ScanStations was operated by CHP Northern Division MAIT
personnel while the other ScanStation was operated by CHP Headquarters MAIT personnel.
A total of 36,747,436 data points were collected. Each data point was located with an X, Y, and
Z coordinate. HDS targets were placed within the collision scene and were measured with both
the TSSI and the ScanStations. This allowed the TSSI data to be merged with the scan data. The
coordinate system of the scan data was matched to the coordinate system of the TSSI data.
The final product was a 3-dimensional virtual model of a portion of the collision scene that can
be viewed and measured using Cyclone software.

98

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Collision Scene Measurements (continued)


High Definition Surveying (HDS) (continued)

To depict the vehicles at their positions of rest, and to document the location of some of the
debris and roadway features, Investigator Hamann identified points in the virtual model and
electronically exported the coordinates. The coordinates were then imported into the AutoCAD
file to complete the diagrams.
The X, Y, and Z coordinates for the data points began with the number 5000 and are published
on the following pages:
DATA POINT

5000
5001
5002
5003
5004
5005
5006
5007
5008
5009

173.8193
177.4069
178.4875
179.3103
179.7523
180.1388
179.7067
179.0573
179.1327
180.8136

-63.0415
-74.576
-72.6219
-70.8664
-68.9088
-67.8856
-66.2512
-65.1069
-64.3847
-85.7532

-3.1627
-1.8533
-2.5099
-2.9997
-3.5345
-3.8936
-4.6634
-5.0233
-5.7554
0.1954

99

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


High Definition Surveying (HDS) (continued)
DATA POINT

5010
5011
5012
5013
5014
5015
5016
5017
5018
5019
5020
5021
5022
5023
5024
5025
5026
5027
5028
5029
5030
5031
5032
5033
5034
5035
5036
5037
5038
5039
5040
5041
5042
5043
5044
5045

181.9171
183.0673
184.4652
188.0107
188.1524
194.3157
194.1933
202.4022
189.6665
192.0436
174.6464
173.4472
171.6481
175.0378
180.3801
171.5936
164.9731
152.2031
158.7946
153.3751
156.2524
132.4295
155.8949
158.431
132.3519
141.8537
137.5316
139.9517
144.0236
166.6266
169.6463
171.3385
163.4662
165.8217
168.7771
167.0042

-90.4392
-94.4363
-97.4189
-108.756
-109.071
-129.103
-128.778
-155.695
-123.352
-115.536
-117.052
-120.32
-117.559
-122.551
-128.653
-83.2644
-75.822
-95.9409
-106.349
-110.08
-104.401
-103.636
-111.269
-103.538
-94.6098
-116.445
-117.496
-125.049
-123.447
-116.766
-108.783
-116.586
-150.304
-149.072
-155.498
-156.568

-0.4988
-0.0537
0.7202
0.6587
0.6735
2.238
2.215
3.3076
-1.9809
-1.6467
-2.1998
-0.7327
-1.1025
-1.7056
-2.8105
-3.191
-3.3788
-1.1876
-0.5652
-0.0401
0.2719
-0.4114
1.0741
1.3546
3.1932
0.2213
0.6631
0.6038
0.2638
-1.5506
5.8618
4.9712
-1.2861
-1.0408
-1.7126
-1.7165

PAGE

100

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Collision Scene Measurements (continued)


High Definition Surveying (HDS) (continued)
DATA POINT

5046
5047
5048
5049
5050
5051
5052
5053
5054

187.1714
179.8843
180.6233
180.3452
183.2797
132.7057
138.6578
144.4355
150.8627

-158.965
-154.063
-156.513
-153.607
-159.02
-114.515
-134.085
-152.609
-173.483

-2.364
-0.5939
-1.2657
-2.4137
-0.9235
-0.3478
-0.3867
-0.4214
-0.4672

PAGE

101

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Collision Scene Measurements (continued)


Trimble Mobile Spatial Imaging (MSI) Scanner
On April 16, 2014, the collision scene and surrounding area was measured by Caltrans personnel
with a Trimble MSI scanner, model MX8, mounted on a Chevrolet Suburban. The MSI
combines premium laser scanning, positioning, and imagery technologies to collect
georeferenced point clouds and high-resolution imagery. 4 The MSI was capable of collecting
over one million data points per second. The Chevrolet Suburban was driven on Interstate 5, in
the area of the collision scene as the measurements were taken. The area measured was from
approximately 0.7 mile south to approximately 0.5 mile north of the collision scene for both the
northbound and southbound lanes of traffic.
Caltrans personnel processed the data and provided CHP Northern Division MAIT with
computer files that contained the point cloud data. A total of 240,961,671 data points were in the
computer files. Each data point was located with an X, Y, and Z coordinate. The data points
combined to create a 3-dimensional virtual model of the roadway and surrounding environment.

4. Trimble Navigation Limited, Trimble MX8 Mobile Spatial Imaging Datasheet, 2013.

102

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

COLLISION ENVIRONMENT DIAGRAM

PAGE

103

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

Facts (continued)
Vehicle Measurements
Overview

Volvo (Vehicle #1)

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

104

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Vehicle Measurements (continued)


2006 Wabash (Vehicle #1A)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

105

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Vehicle Measurements (continued)


Hyundai (Vehicle #1B)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

106

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Vehicle Measurements (continued)


2013 Wabash (Vehicle #1C)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

107

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Vehicle Measurements (continued)


Nissan (Vehicle #2)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

108

Insert Vehicle Diagram Page 109

Insert Vehicle Diagram Page 110

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Vehicle Measurements (continued)


Exemplar Nissan

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

111

Insert Vehicle Diagram Page 112

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts (continued)
Involved Driver Information
Some of the information used to compile this section of the investigation was obtained from
employee records and interviews of the involved parties and documented witnesses to the
collision or events that occurred before the collision.

Timothy Paul Evans (Driver #1)


Identification
Driver Evans was the driver of the Volvo at the time of the collision. Driver Evans was observed
on the ground near the drivers side of the Volvo by MAIT and Glenn County Sheriffs Office
(GCSO) personnel. Driver Evans was lying prone beneath the Volvo driver seat frame with his
legs beneath metal debris. Driver Evans was badly burned and identifying information was not
located with him. Driver Evans
and was reported to be the
sole occupant of the Volvo at the time of the collision. His identity was verified post-autopsy by
dental records.
At the time of the collision, Driver Evans was a

-year-old male with a date of birth of

Driver Evans declared himself to have been 5-feet-9inches tall, weighing 180 pounds, with blonde hair, and blue eyes. His residence address is
indicated on page one of the traffic collision report.

Driving Experience

113

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

Facts Involved Driver Information (continued)


Timothy Paul Evans (Driver #1) (continued)
Driver License History

Pre-Collision Profile

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

114

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Involved Driver Information (continued)


Timothy Paul Evans (Driver #1) (continued)
Pre-Collision Profile (continued)

Driver Evans drove south on Interstate 5, toward the FedEx Freight


Inc. Service Center, in West Sacramento. Driver Evans entered a straight section of Interstate 5,
south of County Road 7, north of Orland. Approximately one-quarter mile north of the
southbound State Route 32 exit in Orland, California, Driver Evans activated the left turn signal
of the Volvo. Driver Evans began to gradually merge into the #1 lane of Interstate 5 southbound.
Driver Evans maintained this gradual path of travel and continued toward the median. Driver
Evans crossed the median traveling southeast into Interstate 5 northbound traffic.

115

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

Facts Involved Driver Information (continued)


Timothy Paul Evans (Driver #1) (continued)
Log Book Information

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

116

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Involved Driver Information (continued)


Timothy Paul Evans (Driver #1) (continued)
Log Book Information (continued)

6. Evans signed off-duty in Sacramento at 0915 hours and was off-duty until 2000 hours, when he came on-duty and then began driving.

PAGE

117

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

Facts Involved Driver Information (continued)


Timothy Paul Evans (Driver #1) (continued)
Log Book Information (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

118

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

Facts Involved Driver Information (continued)


Timothy Paul Evans (Driver #1) (continued)
Log Book Information (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

119

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Involved Driver Information (continued)


Timothy Paul Evans (Driver #1) (continued)
Sobriety

Medical History

Established as Driver
Driver Evans was established as the driver of the Volvo by:

Driver Evans was employed as a driver


the Volvo

Driver Evans was the sole occupant of the Volvo

The injuries sustained by Driver Evans during the collision

Driver Evans location post-collision

the registered owner of

120

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Involved Driver Information (continued)


Timothy Paul Evans (Driver #1) (continued)
Vehicle
At the time of the collision, Driver Evans was driving a white Volvo truck-tractor pulling a set of
double Wabash trailers. The Volvo was registered to FedEx Freight Inc., 7306 North Baker
Road, Fremont, Indiana. A post-collision mechanical inspection of the Volvo and Wabash
trailers was conducted. Refer to the Mechanical Inspections section for details.

121

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Involved Driver Information (continued)


Bonnie Jean Duran (Driver #2)
Identification
Driver Duran was the driver of the Nissan at the time of the collision. Driver Duran was
contacted by Officer Horwath. Officer Horwath related she was the driver of the Nissan at the
time of the collision.
At the time of the collision, Driver Duran was a
.

-year-old female with a date of birth of

Driver Duran declared herself to


have been 5-feet-6-inches tall, weighing 130 pounds, with blonde hair and green eyes. Her
residence address is indicated on page one of the traffic collision report.
Driver Duran was assisted out of the right-front side of the Nissan by her spouse, Passenger
Duran, the right-front passenger in the Nissan. Driver Duran was transported from the scene by
a school bus to Orland Memorial Hall, in Orland, California, where her injuries were reassessed.
A neck brace was placed on Driver Duran and she was placed on a backboard and was
transported to Oroville Hospital in Oroville, California, by Westside Ambulance Association,
WS-3. Passenger Duran accompanied her during transport to Oroville Hospital.

Driving Experience

Driver License History

122

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Involved Driver Information (continued)


Bonnie Jean Duran (Driver #2) (continued)
Pre-Collision Profile

On Thursday, April 10, 2014,

Driver Duran observed the weather was clear, sunny, and the traffic was congested.
Driver Duran approached the Setra in the #2 lane and changed lanes to the #1 lane to overtake
the Setra. As Driver Duran and Passenger Duran passed the Setra, they discussed how new it
looked.

Sobriety
Driver Duran was contacted at the collision scene by Officer Horwath. Driver Duran did not
display any objective signs of intoxication.

PAGE

123

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Involved Driver Information (continued)


Bonnie Jean Duran (Driver #2) (continued)
Medical History

Established as Driver
Driver Duran was established as the driver of the Nissan by:

Driver Durans admission to driving the Nissan at the time of the collision

Passenger Durans statement that Driver Duran was the driver of the Nissan at the time of
the collision

Driver Durans injuries sustained during the collision

Vehicle
At the time of the collision, Driver Duran was driving a white Nissan Altima. The Nissan was
owned by Hertz Vehicles LLC, 18625 Des Moines Memorial Drive, SeaTac, Washington.
Driver Duran had driven the Nissan at various times in the days preceding the collision and did
not mention any mechanical issues with the vehicle. A mechanical inspection was conducted
post-collision. Refer to the Mechanical Inspections section for details.

124

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Involved Driver Information (continued)


Talalelei Lealao-Taiao (Driver #3)
Identification
Driver Lealao-Taiao was the driver of the Setra at the time of the collision. After the collision,
Driver Lealao-Taiao was observed at the left-front corner of the Setra, lying in a prone position
on the ground, beneath the drivers seat, by MAIT and GCSO personnel. Driver Lealao-Taiao
was partially covered with sheet metal debris. Driver Lealao-Taiao was badly burned and
identifying information was not located with her. Her identity was verified post-autopsy through
dental records.
At the time of the collision, Driver Lealao-Taiao was a
.

-year-old female with a date of birth of

Driver Lealao-Taiao declared herself to have been 5-feet5-inches tall, weighing 200 pounds, with brown hair, and black eyes. Her residence address is
indicated on page one of the traffic collision report.

Driving Experience

125

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Involved Driver Information (continued)


Talalelei Lealao-Taiao (Driver #3) (continued)
Driver License History

Pre-Collision Profile

On Thursday, April 10, 2014,

Driver Lealao-Taiao was driving the Setra on Interstate 5, north of Orland, at


approximately 70 miles per hour in the #2 lane.

PAGE

126

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Involved Driver Information (continued)


Talalelei Lealao-Taiao (Driver #3) (continued)
Log Book Information

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

127

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

Facts Involved Driver Information (continued)


Talalelei Lealao-Taiao (Driver #3) (continued)
Log Book Information (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

128

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

Facts Involved Driver Information (continued)


Talalelei Lealao-Taiao (Driver #3) (continued)
Log Book Information (continued)

Sobriety

Medical History

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

129

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Involved Driver Information (continued)


Talalelei Lealao-Taiao (Driver #3) (continued)
Established as Driver
Driver Lealao-Taiao was established as the driver of the Setra by:

Driver Lealao-Taiao was employed as a driver by


owner of the Setra

Driver Lealao-Taiaos location post-collision

The injuries sustained by Driver Lealao-Taiao during the collision

Passenger statements that Driver Lealao-Taiao was the driver of the Setra

the registered

Vehicle
At the time of the collision, Driver Lealao-Taiao was driving a white Setra S 417 TC. The Setra
was a 56-passenger motorcoach, with an automatic transmission, registered to Silverado Stages,
Inc., 241-B Prado Road, San Luis Obispo, California. Driver Lealao-Taiao had completed a
37-mile road test that certified her to drive the Setra for Silverado Stages, Inc. A mechanical
inspection of the Setra was conducted post-collision. Refer to the Mechanical Inspections
section for details.

130

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts (continued)
Injury Assessments
Introduction
Glenn County Sheriff Deputy Z. Lopeteguy, ID 1981, determined a mass casualty time of death
of 1748 hours, for all decedents at the collision scene.

Toxicological Samples and Analysis

PAGE

131

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Toxicological Samples and Analysis (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

132

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Toxicological Samples and Analysis (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

133

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Timothy Paul Evans (Driver #1)
Initial On-Scene Observations/Reports
Driver Evans was observed on the ground near the drivers side of the Volvo by MAIT and
GCSO personnel. Driver Evans was lying prone beneath the driver seat frame of the Volvo, with
his legs beneath metal debris. Driver Evans was badly burned and identifying information was
not located with him. Driver Evans was initially documented as decedent #2 and marked with a
yellow #2 placard by GCSO personnel. GCSO originally assigned Glenn County Coroners case
#14-3849-36 to Driver Evans, and then corrected the case number to #14-3850-36.

Treatment and Transportation


Driver Evans was pronounced deceased by Deputy Lopeteguy at approximately 1748 hours.
Driver Evans was extricated from beneath metal debris by Glenn County Coroner personnel.
Driver Evans was transported by F.D. Sweet & Son to their facility in Willows, California.

Identification

Injury Description

134

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Injury Assessments (continued)


Timothy Paul Evans (Driver #1) (continued)
Injury Description (continued)

Autopsy Findings

Specimens for Toxicology

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

135

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

Facts Injury Assessments (continued)


Timothy Paul Evans (Driver #1) (continued)
Toxicological Analysis
Central Valley Toxicology (CVT) Results

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

136

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

Facts Injury Assessments (continued)


Timothy Paul Evans (Driver #1) (continued)
Toxicological Analysis (continued)
Civil Aerospace Medical Institute (CAMI) Results

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

137

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Timothy Paul Evans (Driver #1) (continued)
Toxicological Analysis (continued)
Civil Aerospace Medical Institute (CAMI) Results (continued)

Use of Safety Equipment


Due to the ensuing fire damage, it was indeterminate if Driver Evans was utilizing his Type 2
(three-point continuous loop lap/shoulder) occupant restraint system seatbelt at the time of the
collision.

PAGE

138

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Talalelei Lealao-Taiao (Driver #3)
Initial On-Scene Observations/Reports
Driver Lealao-Taiao was observed at the left-front corner of the Setra, lying in a prone position
on the ground, beneath the drivers seat of the Setra, by MAIT and GCSO personnel. Driver
Lealao-Taiao was partially covered with sheet metal debris. Driver Lealao-Taiao was badly
burned and identifying information was not located with her. Driver Lealao-Taiao was initially
documented as decedent #7 and marked with a yellow #7 placard by GCSO personnel. GCSO
originally assigned Glenn County Coroners case #14-3849-41 to Driver Lealao-Taiao, and then
corrected the case number to #14-3855-41.

Treatment and Transportation


Driver Lealao-Taiao was pronounced deceased by Deputy Lopeteguy at approximately 1748
hours. Driver Lealao-Taiao was extricated from beneath the metal debris by Glenn County
Coroner personnel. Driver Lealao-Taiao was transported by F.D. Sweet & Son to their facility in
Orland, California.

Identification

Injury Description

139

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Talalelei Lealao-Taiao (Driver #3) (continued)
Injury Description (continued)

Autopsy Findings

Specimens for Toxicology

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

140

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Talalelei Lealao-Taiao (Driver #3) (continued)
Toxicological Analysis
Central Valley Toxicology (CVT) Results

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

141

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Talalelei Lealao-Taiao (Driver #3) (continued)
Use of Safety Equipment
Due to the ensuing fire damage, it was indeterminate if Driver Lealao-Taiao was utilizing her
Type 2 (three-point continuous loop lap/shoulder) occupant restraint system seatbelt at the time
of the collision.

PAGE

142

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Arthur Tury Arzola Jr.
Initial On-Scene Observations/Reports
Passenger Arzola was observed emerging from the right front of the Setra, then walking
southbound on the east shoulder, south of the Setra and Volvo by USFS Captain Casey, ID 1642,
at approximately 1742 hours. Passenger Arzola was walking south on the east shoulder away
from the Setra while still on fire. Sergeant S. Johnson, ID 503, and Officer K. Cessna, ID 505,
arrived as Captain Casey retrieved a fire extinguisher. Captain Casey had Passenger Arzola lie
down. Captain Casey and Officer Cessna doused the flames on Passenger Arzola with fire
extinguishers from their patrol vehicles.

Treatment and Transportation


Passenger Arzola was initially treated at the collision scene by Sergeant Johnson, Officer Cessna,
and Captain Casey. Westside Ambulance Paramedics arrived and treated Passenger Arzola until
Enloe FlightCare, N922RJ, arrived and transported him by helicopter to University of California
Davis Medical Center, in Sacramento, California.
Passenger Arzola was given comfort care and was pronounced deceased on April 10, 2014, at
2229 hours by Pirko Maguina, M.D.

Injury Description

143

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Arthur Tury Arzola Jr. (continued)
Injury Description (continued)
External Examination

Specimens for Toxicology

Toxicological Analysis

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger Arzola was utilizing his seatbelt
at the time of the collision.

144

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Initial On-Scene Observations/Reports
Passenger
was observed in the Setra, on the right side, in seat #32, near the handicap
door by MAIT and GCSO personnel. Passenger
was facing backward (rearward) in the
seat. Passenger
was burned and identifying information was not located with .
Passenger
was initially documented as decedent #1 and marked with a yellow #1 placard
by GCSO personnel. GCSO assigned Glenn County Coroners case #14-3849-35 to Passenger
.

Treatment and Transportation


Passenger
was pronounced deceased by Deputy Lopeteguy at approximately 1748 hours.
Passenger
was extricated from the seat by Glenn County Coroner personnel. Passenger
was transported by F.D. Sweet & Son to their facility in Willows, California.

Identification

Injury Description

145

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

Facts Injury Assessments (continued)


Passenger
Injury Description (continued)

Autopsy Findings

Specimens for Toxicology

(continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

146

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

Facts Injury Assessments (continued)


Passenger

(continued)

Toxicological Analysis
Central Valley Toxicology (CVT) Results

Civil Aerospace Medical Institute (CAMI) Results

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

147

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger

(continued)

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger
was utilizing
seatbelt
at the time of the collision.

148

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Adrian Castro
Initial On-Scene Observations/Reports
Passenger Castro was observed on the ground, located under decedents #5 and #6, east of the
front of the Setra, by MAIT and GCSO personnel. Passenger Castro was badly burned and
identifying information was not located with him. Passenger Castro was initially documented as
decedent #4 and marked with a yellow #4 placard by GCSO personnel. GCSO originally
assigned Glenn County Coroners case #14-3849-38 to Passenger Castro, and then corrected the
case number to #14-3852-38.

Treatment and Transportation


Passenger Castro was pronounced deceased by Deputy Lopeteguy at approximately 1748 hours.
Passenger Castro was extricated from beneath decedents #5 and #6 by Glenn County Coroner
personnel. Passenger Castro was transported by F.D. Sweet & Son to their facility in Willows,
California.

Identification

Injury Description

149

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Injury Assessments (continued)


Passenger Adrian Castro (continued)
Injury Description (continued)

Autopsy Findings

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

150

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

Facts Injury Assessments (continued)


Passenger Adrian Castro (continued)
Specimens for Toxicology

Toxicological Analysis
Central Valley Toxicology (CVT) Results

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

151

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Adrian Castro (continued)
Toxicological Analysis (continued)
Civil Aerospace Medical Institute (CAMI) Results

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger Castro was utilizing his seatbelt
at the time of the collision.

152

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Denise Eraina Gomez
Initial On-Scene Observations/Reports
Passenger Gomez was observed on the ground, located on top of decedents #4 and #6, east of the
front of the Setra, by MAIT and GCSO personnel. Passenger Gomez was badly burned and
identifying information was not located with her. Passenger Gomez was initially documented as
decedent #5 and marked with a yellow #5 placard by GCSO personnel. GCSO originally
assigned Glenn County Coroners case #14-3849-39 to Passenger Gomez, and then corrected the
case number to #14-3853-39.

Treatment and Transportation


Passenger Gomez was pronounced deceased by Deputy Lopeteguy at approximately 1748 hours.
Passenger Gomez was extricated from on top of decedents #4 and #6 by Glen County Coroner
personnel. Passenger Gomez was transported by F.D. Sweet & Son to their facility in Willows,
California.

Identification

Injury Description

153

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger Denise Eraina Gomez (continued)
Injury Description (continued)

Autopsy Findings

Specimens for Toxicology

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

154

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger Denise Eraina Gomez (continued)
Toxicological Analysis
Central Valley Toxicology (CVT) Results

Civil Aerospace Medical Institute (CAMI) Results

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

155

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Denise Eraina Gomez (continued)
Use of Safety Equipment
The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger Gomez was utilizing her seatbelt
at the time of the collision.

156

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Mattison Leatrice Haywood
Initial On-Scene Observations/Reports
Passenger Haywood was observed in the Setra, with her feet near the drivers compartment and
her head near the aisle towards the exit door, by MAIT and GCSO personnel. Passenger
Haywood was badly burned and identifying information was not located with her. Passenger
Haywood was initially documented as decedent #8 and marked with a yellow #8 placard by
GCSO personnel. GCSO originally assigned Glenn County Coroners case #14-3849-42 to
Passenger Haywood, and then corrected the case number to #14-3856-42.

Treatment and Transportation


Passenger Haywood was pronounced deceased by Deputy Lopeteguy at approximately 1748
hours. Passenger Haywood was extricated from the drivers area of the Setra by Glenn County
Coroner personnel. Passenger Haywood was transported by F.D. Sweet & Son to their facility in
Orland, California.

Identification

Injury Description

157

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger Mattison Leatrice Haywood (continued)
Injury Description (continued)

Autopsy Findings

Specimens for Toxicology

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

158

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger Mattison Leatrice Haywood (continued)
Toxicological Analysis
Central Valley Toxicology (CVT) Results

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

159

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger Mattison Leatrice Haywood (continued)
Use of Safety Equipment
The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger Haywood was utilizing her
seatbelt at the time of the collision.

PAGE

160

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Ismael Jimenez
Initial On-Scene Observations/Reports
Passenger Jimenez was observed on the ground, located above decedent #4 and under decedent
#5, east of the front of the Setra, by MAIT and GCSO personnel. Passenger Jimenez was badly
burned and identifying information was not located with him. Passenger Jimenez was initially
documented as decedent #6 and marked with a yellow #6 placard by GCSO personnel. GCSO
originally assigned Glenn County Coroners case #14-3849-40 to Passenger Jimenez, and then
corrected the case number to #14-3854-40.

Treatment and Transportation


Passenger Jimenez was pronounced deceased by Deputy Lopeteguy at approximately 1748
hours. Passenger Jimenez was extricated from beneath decedent #5 by Glenn County Coroner
personnel. Passenger Jimenez was transported by F.D. Sweet & Son to their facility in Willows,
California.

Identification

Injury Description

161

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

Facts Injury Assessments (continued)


Passenger Ismael Jimenez (continued)
Injury Description (continued)

Autopsy Findings

Specimens for Toxicology

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

162

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger Ismael Jimenez (continued)
Toxicological Analysis
Central Valley Toxicology (CVT) Results

Civil Aerospace Medical Institute (CAMI) Results

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

163

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger Ismael Jimenez (continued)
Use of Safety Equipment
The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger Jimenez was utilizing his
seatbelt at the time of the collision.

PAGE

164

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Michael Lee Myvett Jr.
Initial On-Scene Observations/Reports
Passenger Myvett was observed on the ground near the right-rear tires of the Volvo, by MAIT
and GCSO personnel. Passenger Myvett was badly burned and identifying information was not
located with him. Passenger Myvett was initially documented as decedent #3 and marked with a
yellow #3 placard by GCSO personnel. GCSO originally assigned Glenn County Coroners case
number #14-3849-37 to Passenger Myvett, and then corrected the case number to #14-3851-37.

Treatment and Transportation


Passenger Myvett was pronounced deceased by Deputy Lopeteguy at approximately 1748 hours.
Passenger Myvett was extricated from ground by Glenn County Coroner personnel. Passenger
Myvett was transported by F.D. Sweet & Son to their facility in Willows, California.

Identification

Injury Description

165

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger Michael Lee Myvett Jr. (continued)
Injury Description (continued)

Autopsy Findings

Specimens for Toxicology

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

166

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger Michael Lee Myvett Jr. (continued)
Toxicological Analysis
Central Valley Toxicology (CVT) Results

Civil Aerospace Medical Institute (CAMI) Results

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

167

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Michael Lee Myvett Jr. (continued)
Use of Safety Equipment
The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger Myvett was utilizing his seatbelt
at the time of the collision.

168

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Initial On-Scene Observations/Reports
Passenger
was observed in the aisle of the Setra, adjacent to the second left window
rearward from the left front of the Setra, by MAIT and GCSO personnel. Passenger
was
badly burned and identifying information was not located with . Passenger
was
initially documented as decedent #9 and marked with a yellow #9 placard by GCSO personnel.
GCSO originally assigned Glenn County Coroners case #14-3849-43 to Passenger
, and
then corrected the case number to #14-3857-43.

Treatment and Transportation


Passenger
Passenger
Passenger

Identification

Injury Description

was pronounced deceased by Deputy Lopeteguy at approximately 1748 hours.


was extricated from the aisle of the Setra by Glenn County personnel.
was transported by F.D. Sweet & Son to their facility in Orland, California.

169

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger
Injury Description (continued)

Autopsy Findings

Specimens for Toxicology

(continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

170

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Injury Assessments (continued)


Passenger

(continued)

Toxicological Analysis
Central Valley Toxicology (CVT) Results

Civil Aerospace Medical Institute (CAMI) Results

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

171

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


(continued)
Toxicological Analysis (continued)
Use of Safety Equipment
The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger
was utilizing
seatbelt
at the time of the collision.

172

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Bonnie Jean Duran (Driver #2)
Initial On-Scene Observations/Reports
Driver Duran stated she did not lose consciousness during the collision. She climbed over the
center console and exited the Nissan through the right-front door with assistance from Passenger
Duran.

Transportation and Treatment


Driver Duran was treated at the collision scene by emergency personnel. She was transported
from the collision scene by school bus to Orland Memorial Hall, in Orland, California. After
being reassessed, she was transported by Westside Ambulance Association, WS-3, to Oroville
Hospital, in Oroville, California.

Injury Description
Driver Duran was interviewed on April 12, 2014, by Sergeant Parsons, Investigator Horner, and
NTSB Investigator Panagiotou. The following injuries were based upon statements made by
Driver Duran and the observations of the investigators:

Abrasion to left arm

Contusion to right side of hip and chest

Complaint of pain to her neck, back, chest, and ribs.

Specimens for Toxicology


No sample was obtained from Driver Duran.

Use of Safety Equipment


Driver Duran was utilizing her Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelt at the time of the collision. Analysis of the ACM within the Nissan
confirmed her use of the occupant restraint system seatbelt.

173

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Joe Vidal Duran
Initial On-Scene Observations/Reports
Passenger Duran stated he did not lose consciousness during the collision. He exited the Nissan
through the right-front door.

Transportation and Treatment


Passenger Duran was treated at the collision scene by emergency personnel. He was transported
from the collision scene by school bus to Orland Memorial Hall. After being reassessed, he was
transported, with Driver Duran, by Westside Ambulance Association, WS-3, to Oroville Hospital.

Injury Description
Passenger Duran was interviewed on April 12, 2014, by Sergeant Parsons, Investigator Horner,
and NTSB Investigator Panagiotou. The following injuries were based upon statements made by
Passenger Duran and the observations of the investigators:

Laceration to his left-ring finger

Tightness in his left-lower back

Complaint of pain on his left arm from the middle of this neck to his lower arm.

Specimens for Toxicology


No sample was obtained from Passenger Duran.

Use of Safety Equipment


Passenger Duran was utilizing his Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelt at the time of the collision. Analysis of the ACM within the Nissan
confirmed his use of the occupant restraint system seatbelt.

174

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel. Passenger
was transported from the collision scene by school bus to Orland Memorial Hall. After being
reassessed, was transported by St. Elizabeth Ground Ambulance, Corning-2, to Enloe Medical
Center, in Chico, California.

Injury Description
Passenger
was interviewed on April 22, 2014, by Investigator Horner and NTSB
Investigator R. Kaminski. The following injuries were based upon statements made by
Passenger
and the observations of the investigators:

Contusion to back of right thigh

Sprain to right ankle

Complaint of pain to back

Complaint of pain to neck

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

175

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
transported from the collision scene by school bus to Orland Memorial Hall.

was

Injury Description
Passenger
was interviewed on April 11, 2014, by Sergeant Vialovos and Investigator
Newton. The following injuries were based upon statements made by Passenger
and the
observations of the investigators:

Small burn to right palm

Lacerations to right arm

Laceration and contusion to left arm

Complaint of pain to neck

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

PAGE

176

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported from the collision scene by school bus to Orland Memorial Hall. On April 11, 2014,
at approximately 0020 hours,
was reassessed and transported by Westside Ambulance
Association, WS-2, to Glenn Medical Center, in Willows, California.

Injury Description
Passenger
was interviewed on April 11, 2014, by Sergeant Parsons and
Investigator Newton. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Abrasions to knuckles on right and left hands

Laceration to right palm

Contusion to left inner thigh

Multiple contusions to left side

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger
was wearing
seatbelt at the time of the collision.

177

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was transported
from the collision scene by school bus to Orland Memorial Hall. After being reassessed, was
transported by Butte County Emergency Medical Services, LLC, #36-12, to St. Elizabeth
Community Hospital, in Red Bluff, California.

Injury Description
Passenger
was interviewed on April 22, 2014, by Investigator Hamann and NTSB
Investigator T. Barth. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Complaint of pain to right knee

Abrasion to right forearm

Complaint of pain to left side of hip

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

178

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported from the collision scene by school bus to Orland Memorial Hall. After being
reassessed, was transported by Butte County Emergency Medical Services, LLC, #36-12, to
St. Elizabeth Community Hospital.

Injury Description
Passenger
was interviewed on April 21, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Contusion to right scapula area

Abrasion to left knee

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

179

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Cecilia Carabez
Transportation and Treatment
Passenger Carabez was treated at the collision scene by emergency personnel. She was
transported from the collision scene by school bus to Orland Memorial Hall.

Injury Description
Passenger Carabez was interviewed on April 22, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
Carabez and the observations of the investigators:

Fractured right clavicle

Contusion to right thigh

Contusion to left-lower leg

Abrasions to both hands

Specimens for Toxicology


No sample was obtained from Passenger Carabez.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Carabez was not wearing her seatbelt at the time of the
collision.

180

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Elijah Carranza
Transportation and Treatment
Passenger Carranza was treated at the collision scene by emergency personnel. He was
transported from the collision scene by school bus to Orland Memorial Hall.

Injury Description
Passenger Carranza was interviewed on April 11, 2014, by Sergeant Vialovos and Investigator
Newton. The following injuries were based upon statements made by Passenger Carranza and
the observations of the investigators:

Abrasions to left knee

Abrasions to hands

Contusion to left knee

Lacerations to hands

Specimens for Toxicology


No sample was obtained from Passenger Carranza.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Carranza was not wearing his seatbelt at the time of the
collision.

181

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger Alonso Castillo
Transportation and Treatment
Passenger Castillo was treated at the collision scene by emergency personnel. He was
transported from the collision scene by Butte County Emergency Medical Services, LLC,
#35-13, to Enloe Medical Center.

Injury Description
Passenger Castillo was interviewed on April 21, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
Castillo and the observations of the investigators:

Abrasions to left and right lower legs

Complaint of pain to back

Complaint of pain to right elbow

Laceration to left eyebrow

Abrasions to both hands

Abrasions to both knees

Specimens for Toxicology


No sample was obtained from Passenger Castillo.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Castillo was not wearing his seatbelt at the time of the
collision.

PAGE

182

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger Steven Clavijo
Transportation and Treatment
Passenger Clavijo was treated at the collision scene by emergency personnel. He was
transported from the collision scene by school bus to Orland Memorial Hall.

Injury Description
Passenger Clavijo was interviewed on April 24, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
Clavijo and the observations of the investigators:

Laceration to left palm

Laceration to right hand

Laceration to chin

Laceration to inside of upper lip

Contusion to right knuckles

Contusion to left knee

Contusion to right shin

Contusion to left side of hip

Specimens for Toxicology


No sample was obtained from Passenger Clavijo.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Clavijo was not wearing his seatbelt at the time of the
collision.

PAGE

183

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Angela Corro
Transportation and Treatment
Passenger Corro was treated at the collision scene by emergency personnel. She was transported
by Butte County Emergency Medical Services, LLC, #36-13, to St. Elizabeth Community
Hospital.

Injury Description
Passenger Corro was interviewed on April 14, 2014, by Investigator Ruppert and NTSB
Investigators D. Rayburn and Squire. The following injuries were based upon statements made
by Passenger Corro and the observations of the investigators:

Contusion to head

Two chipped teeth

Multiple contusions/abrasions

Burn injury to esophagus

Specimens for Toxicology


No sample was obtained from Passenger Corro.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Corro was not wearing her seatbelt at the time of the
collision.

184

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Dayion Laterece Crumble
Transportation and Treatment
Passenger Crumble was treated at the collision scene by emergency personnel. She was
transported from the collision scene by school bus to Orland Memorial Hall. After being
reassessed, she was transported by Butte County Emergency Medical Services, LLC, #36-12, to
St. Elizabeth Community Hospital.

Injury Description
Passenger Crumble was interviewed on April 23, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
Crumble and the observations of the investigators:

Two broken bottom teeth

Laceration to bottom lip

Complaint of pain to back

Complaint of pain to left side

Contusion to right side of hip

Specimens for Toxicology


No sample was obtained from Passenger Crumble.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Crumble was not wearing her seatbelt at the time of the
collision.

185

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported by Butte County Emergency Medical Services, LLC, #36-13, to Mercy Medical
Center, in Redding, California.

Injury Description
Passenger
was interviewed on April 10, 2014, by CHP Northern Division Investigative
Services Unit (ISU) Investigators T. Schneider, ID 17688, and M. Weaver, ID 15053. Passenger
was again interviewed on April 22, 2014, by Investigator Horner and NTSB Investigator
Kaminski. The following injuries were based upon statements made by Passenger
and
the observations of the investigators:

Complaint of pain to jaw

Complaint of pain to neck

Complaint of pain to lower back

Complaint of pain to right wrist

Complaint of pain to right ankle

Three inch laceration to chin

Broken tooth

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

186

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Tannen Delgado
Transportation and Treatment
Passenger Delgado was treated at the collision scene by emergency personnel. She was
transported from the collision scene by CALSTAR, #8, to Mercy Medical Center.

Injury Description
Passenger Delgado was interviewed on April 23, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
Delgado and the observations of the investigators:

Abrasion to left elbow

Laceration to right elbow with glass fragments

Bloody nose with a contusion

Strain to left medial collateral ligament

Lacerations to right palm

Lacerations to right side of hip

Contusion to hip

Contusions to both arms

Specimens for Toxicology


No sample was obtained from Passenger Delgado.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Delgado was not wearing her seatbelt at the time of the
collision.

187

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Regina Draffen
Transportation and Treatment
Passenger Draffen was treated at the collision scene by emergency personnel. She was
transported from the collision scene by school bus to Orland Memorial Hall.

Injury Description
Passenger Draffen was interviewed on April 11, 2014, by Sergeant Vialovos and Investigator
Newton. The following injuries were based upon statements made by Passenger Draffen and the
observations of the investigators:

Laceration to right small finger

Abrasions to right hand

Specimens for Toxicology


No sample was obtained from Passenger Draffen.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Draffen was not wearing her seatbelt at the time of the
collision.

188

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported from the collision scene by Butte County Emergency Medical Services, LLC,
#35-13, to Enloe Medical Center.

Injury Description
Passenger
was interviewed on April 24, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Fractured left orbital floor and malar complex

Laceration to left eyebrow

Laceration to left cheek

Contusion to right knee

Concussion

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

PAGE

189

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported by school bus to Orland Memorial Hall. After being reassessed,
was transported
by St. Elizabeth Ground Ambulance, Corning-2, to Enloe Medical Center.

Injury Description
Passenger
was interviewed on April 22, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Contusion to left side of head, near the temple

Abrasion to left shoulder

Complaint of pain to right leg

Left elbow strain

Abrasion to knuckles on right hand

Contusion to buttocks

Bloody Nose

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

190

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported from the collision scene by school bus to Orland Memorial Hall. After being
reassessed, was transported by Butte County Emergency Medical Services, LLC, #35-12, to
Enloe Medical Center.

Injury Description
Passenger
was interviewed on April 22, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Second degree burn to left side of neck

Second degree burn between shoulders

Contusion to inner thighs

Lacerations to hands

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

191

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported from the collision scene by school bus to Orland Memorial Hall. After being
reassessed,
was transported by Butte County Emergency Medical Services, LLC, #36-12, to
St. Elizabeth Community Hospital.

Injury Description
Passenger
was interviewed on April 24, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Lacerations to palms and feet

Contusion to right side of hip

Contusions to both arms

Contusion to left wrist

Contusion to back

Contusion to right side of forehead

Contusion to right eye

Complaint of pain to neck

Complaint of pain to chest

Complaint of pain to lower back

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of
the collision.

192

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
by St. Elizabeth Ground Ambulance, Corning-2, to Enloe Medical Center.

was transported

Injury Description
Passenger
was interviewed on April 22, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Pneumothorax to left lung with a pulmonary contusion

Lacerations to both legs

Contusion to left thigh

Abrasions on knuckles

Burn to right ear

Right humerus radial head fracture

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

193

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel. Passenger
was transported from the collision scene by Enloe Ambulance Services, #50-99, to Glenn
Medical Center.

Injury Description
Passenger
was interviewed on April 11, 2014, by Investigator Newton. The following
injuries were based upon statements made by Passenger
and the observations of the
investigator:

Abrasions to left arm

Abrasions to left hand

Contusion to left knee

Complaint of pain to right ribs

Complaint of pain to right ankle

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

194

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
transported by REACH Air Medical Services, #5, to Mercy Medical Center.

was

Injury Description
Passenger
was interviewed on April 24, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Lacerations to both hands

Third degree burn to back

Second degree burn to left cheek

Second degree burn to left hand

Second degree burn to left arm

Contusion to left temple

Contusion to left-rear portion of scalp

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

195

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported by school bus to Orland Memorial Hall. After being reassessed, was transported
by St. Elizabeth Ground Ambulance, Corning-2, to Enloe Medical Center.

Injury Description
Passenger
was interviewed on April 21, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Contusion to back of left thigh

Laceration to right eyebrow

Abrasions to both arms

Abrasion to chin

Complaint of pain to left side of hip

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of
the collision.

PAGE

196

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

NCIC

1740

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported by Butte County Emergency Medical Services, LLC, #36-13, to St. Elizabeth
Community Hospital.

Injury Description
Passenger
was interviewed on April 22, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Abrasion to right side of forehead

Contusion to right side from hip to shoulder

Strained cervical

Strained lumbar

Abrasions to

Strained elbow

Contusion and abrasion to left knee

Lacerations to left knee

Abrasion on right side of face

Complaint of pain to back

right knuckles

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of
the collision.

197

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported by Butte County Emergency Medical Services, LLC, #34-13, to Mercy Medical
Center.

Injury Description
Passenger
was interviewed on April 10, 2014, by CHP Northern Division ISU
Investigator S. Rauch, ID 14425. Passenger
was again interviewed on April 23, 2014,
by Investigator Horner and NTSB Investigator Kaminski. The following injuries were based
upon statements made by Passenger
and the observations of the investigators:

Fractured left cheekbone

Abrasions to right calf

Abrasion to top of left foot

Laceration to lip

Contusion to back of left thigh

Contusions to both knees

Laceration to right forearm

Laceration to right elbow

Abrasion to hands with glass and rocks embedded in them

Abrasion to right knee

Complaint of pain to back

Complaint of pain to both arms

Specimens for Toxicology


No sample was obtained from Passenger

PAGE

198

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger

(continued)

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

199

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Melvin Harris III
Transportation and Treatment
Passenger Harris was treated at the collision scene by emergency personnel. He was transported
by CHP Northern Division Air Operations Unit, H-16, to Mercy Medical Center.

Injury Description
Passenger Harris was interviewed on April 10, 2014, by ISU Investigators Schneider and
Weaver. Passenger Harris was again interviewed on April 21, 2014, by Investigator Hamann and
NTSB Investigator Barth. The following injuries were based upon statements made by
Passenger Harris and the observations of the investigators:

Laceration to the top-left portion of scalp

First degree burn to right leg from shin to below the knee

Second degree burn to back of right ear

Specimens for Toxicology


No sample was obtained from Passenger Harris.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Harris was not wearing his seatbelt at the time of the
collision.

200

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Miles Hill
Transportation and Treatment
Passenger Hill was treated at the collision scene by emergency personnel. He was transported by
REACH Air Medical Services, #7, to Enloe Medical Center.

Injury Description
Passenger Hill was interviewed on April 23, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger Hill
and the observations of the investigators:

Second degree burns to both hands

Second degree burn to left side

Burn to right side of face

Fractured left clavicle

Laceration to top-left side of head

Grade one spleen laceration

Specimens for Toxicology


No sample was obtained from Passenger Hill.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Hill was wearing his seatbelt at the time of the collision.

201

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Sineva Hosea
Transportation and Treatment
Passenger Hosea was treated at the collision scene by emergency personnel. She was transported
from the collision scene by school bus to Orland Memorial Hall.

Injury Description
Passenger Hosea was interviewed on April 11, 2014, by Sergeant Parsons. The following
injuries were based upon statements made by Passenger Hosea and the observations of the
investigator:

Contusion to right knee

Specimens for Toxicology


No sample was obtained from Passenger Hosea.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Hosea was not wearing her seatbelt at the time of the
collision.

202

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Harley Hoyt
Transportation and Treatment
Passenger Hoyt was treated at the collision scene by emergency personnel. He was transported
by school bus to Orland Memorial Hall. After being reassessed, he was transported by Enloe
Ambulance Services, #50-99, to Glenn Medical Center.

Injury Description
Passenger Hoyt was interviewed on April 11, 2014, by Sergeant Vialovos. The following injuries
were based upon statements made by Passenger Hoyt and the observations of the investigator:

Laceration to lower lip

Abrasions to both knees

Abrasions to both hands

Abrasions to left arm

Abrasions to left-upper back

Complaint of pain to back

Specimens for Toxicology


No sample was obtained from Passenger Hoyt.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Hoyt was not wearing his seatbelt at the time of the
collision.

203

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was transported
by school bus to Orland Memorial Hall. After being reassessed, was transported by Butte
County Emergency Medical Services, LLC, #35-12, to Enloe Medical Center.

Injury Description
Passenger
was interviewed on April 24, 2014, by Investigator Hamann and NTSB
Investigator Barth. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Laceration to lower lip

Laceration to left cheek

Contusion to left cheek

Abrasions to both knees

Abrasions to both hands

Abrasions to left-upper back

Contusion to left-lower leg

Complaint of pain to left elbow

Complaint of pain to left forearm

Laceration above left eye

Contusion above left eye

Abrasions to left arm

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

204

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was transported
by REACH Air Medical Services, #6, to Shasta Regional Medical Center, in Redding,
California.

Injury Description
Passenger
was interviewed on April 10, 2014, by ISU Investigator Rauch. Passenger
was again interviewed on April 23, 2014, by Investigator Horner and NTSB Investigator
Kaminski. The following injuries were based upon statements made by Passenger
and the
observations of the investigators:

Laceration to left shin

Burn to forehead

Contusion to right side of hip

Abrasion to right shoulder

Contusion to right shoulder

Contusion to head

Abrasion to face

Contusion to the entire body

Complaint of pain to neck

Contusion to left eye

Complaint of pain to both legs

Complaint of pain to chest

Specimens for Toxicology


No sample was obtained from Passenger

205

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger

(continued)

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

PAGE

206

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
transported by Enloe Ambulance Services, #50-99, to Glenn Medical Center.

was

Injury Description
Passenger
was interviewed on April 11, 2014, by Sergeant Parsons. The following
injuries were based upon statements made by Passenger
and the observations of the
investigator:

Laceration to lower-right jaw

Contusion to right-inner thigh

Abrasions to right-inner thigh

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

207

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Jayda Nicole Kosar
Transportation and Treatment
Passenger Kosar was treated at the collision scene by emergency personnel. She was transported
by CHP Northern Division Air Operations Unit, H-14, to Shasta Regional Medical Center.

Injury Description
Passenger Kosar was interviewed on April 10, 2014, at approximately 2115 hours, by ISU
Investigator Rauch. Passenger Kosar was again interviewed on April 15, 2014, by Investigator
Horner and NTSB Investigators Rayburn and Squire. The following injuries were based upon
statements made by Passenger Kosar and the observations of the investigators:

Laceration to the top left of scalp

First degree burn on right leg from shin to below the knee

Second degree burn to right ear

Acute respiratory failure

Burns to both arms

Burns to shoulder

Second degree burns to right arm

Second degree burns to head

First degree burn to left ear

Thermal respiratory burns to throat and lungs

Lacerations to bottom of both feet

Specimens for Toxicology


No sample was obtained from Passenger Kosar.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Kosar was not wearing her seatbelt at the time of the
collision.

208

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
transported from the collision scene by school bus to Orland Memorial Hall.

was

Injury Description
Passenger
was interviewed on April 11, 2014, by Sergeant Parsons. The following
injuries were based upon statements made by Passenger
and the observations of the
investigator:

Bloody and swollen nose

Contusion above right eye

Abrasions to left knee

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

PAGE

209

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Benjamin Lopez
Transportation and Treatment
Passenger Lopez was treated at the collision scene by emergency personnel. He was transported
from the collision scene by school bus to Orland Memorial Hall. After being reassessed, he was
transported by St. Elizabeth Ground Ambulance, Corning-2, to Enloe Medical Center.

Injury Description
Passenger Lopez was interviewed on April 21, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
Lopez and the observations of the investigators:

Second degree burns to both ears

Second degree burns to fingers on left hand

Laceration to right side of head

Lacerations to right arm

Abrasions to lower-left leg

Contusion to left knee

Contusion to left shoulder

Contusion to right side of hip

Specimens for Toxicology


No sample was obtained from Passenger Lopez.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger Lopez was not wearing his seatbelt at the time of the
collision.

210

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
was
transported by St. Elizabeth Ground Ambulance, Corning-2, to Enloe Medical Center.

Injury Description
Passenger
was interviewed on April 21, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Chipped tooth

Sprained left ankle

Sprained right hand

Sprained left wrist

Laceration to chin

Laceration to elbow

Laceration to nose

Contusion to nose

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

211

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger Angelina Rezendez
Transportation and Treatment
Passenger Rezendez was treated at the collision scene by emergency personnel. She was
transported by school bus to Orland Memorial Hall. After being reassessed, she was transported
by Enloe Ambulance Services, #50-99, to Glenn Medical Center.

Injury Description
Passenger Rezendez was interviewed on April 11, 2014, by Sergeant Vialovos and Investigator
Newton. The following injuries were based upon statements made by Passenger Rezendez and
the observations of the investigators:

Contusion to left thigh

Laceration to right thumb

Specimens for Toxicology


No sample was obtained from Passenger Rezendez.

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and it was indeterminate if Passenger Rezendez was wearing her
seatbelt at the time of the collision.

212

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Injury Assessments (continued)


Passenger
Initial On-Scene Observations/Reports
Transportation and Treatment
Passenger
was treated at the collision scene by emergency personnel.
by Westside Ambulance Association, WS-3, to Oroville Hospital.

was transported

Injury Description
Passenger
was interviewed on April 22, 2014, by Investigator Horner and NTSB
Investigator Kaminski. The following injuries were based upon statements made by Passenger
and the observations of the investigators:

Laceration to left ear

Contusion to left shin

Contusion to left knee

Contusion to left shoulder

Abrasion to neck

Complaint of pain to neck

Complaint of pain to back

Specimens for Toxicology


No sample was obtained from Passenger

Use of Safety Equipment


The Setra was equipped with Type 2 (three-point continuous loop lap/shoulder) occupant
restraint system seatbelts, and Passenger
was not wearing
seatbelt at the time of the
collision.

213

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts (continued)
Physical Evidence Legend
The following items of physical evidence were documented by MAIT investigators on April 11,
2014, and are depicted on the Physical Evidence Diagrams.
NUMERIC

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS

IDENTIFIER

DATA
POINT(S)

937 939

A tire track, approximately 64.2 feet in length and 0.7


foot in width

940, 941

A tire track, approximately 38.1 feet in length and 0.7


foot in width

305 309

A tire track, approximately 35.9 feet in length and 1.7


feet in width

310 314

The perimeter of a path of damage to oleanders

300 304

A tire friction mark, approximately 34.1 feet in length

300
301
302
303
304

315 317
315
316
317

318 324
318
319
320
321
322
323
324

329 331
329
330
331

0.3 foot in width


0.3 foot in width
0.3 foot in width
0.2 foot in width
0.2 foot in width

A tire friction mark, approximately 27.0 feet in length


0.4 foot in width
0.4 foot in width
0.25 foot in width

A tire friction mark, approximately 98.9 feet in length


0.5 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width
0.4 foot in width

A tire friction mark, approximately 32.7 feet in length


0.4 foot in width
0.5 foot in width
0.5 foot in width

214

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER

DATA
POINT(S)

325 328
325
326
327
328

10

469 471
469
470
471

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS
A tire friction mark, approximately 36.5 feet in length
0.3 foot in width
0.3 foot in width
0.4 foot in width
0.5 foot in width

The position of rest of the Nissan


Left-front tire
Right-rear tire
Right-front tire

11

472 477

The perimeter of an area of disturbed dirt and grass

12

478 484

A plastic door panel

13

485 488

A tire furrow through a grassy area, approximately 44.1


feet in length and 0.5 foot in width

14

493 495

A scrape mark in the grass, approximately 15.0 feet in


length

493
494
495

0.6 foot in width


0.5 foot in width
0.6 foot in width

15

496 499

A tire furrow through a grassy area, approximately 25.1


feet in length and 0.5 foot in width

16

500 507

A tire furrow through grassy area, approximately 84.7


feet in length

500
501
502
503
504
505
506
507

0.5 foot in width


0.5 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width
0.6 foot in width

17

491, 492

A scrape mark, approximately 1.8 feet in length and 0.15


foot in width

18

489, 490

A scrape mark, approximately 2.6 feet in length and 0.05


foot in width

215

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS

IDENTIFIER

DATA
POINT(S)

19

516, 517

A scrape mark, approximately 3.1 feet in length and 0.1


foot in width

20

508 513

A tire friction mark, approximately 49.9 feet in length

508
509
510
511
512
513

21

514, 515
514
515

0.4 foot in width


0.4 foot in width
0.4 foot in width
0.3 foot in width
0.3 foot in width
0.2 foot in width

A scrape mark, approximately 5.6 feet in length


0.1 foot in width
0.2 foot in width

22

518 520

A scrape mark, approximately 23.7 feet in length and


0.05 foot in width

23

523 527

A tire friction mark that transitioned into a tire furrow,


approximately 42.8 feet in length

523
524
525
526
527

24

528 535

528
529
530
531
532
533
534
535

25

521, 522

0.6 foot in width


0.7 foot in width
0.3 foot in width
0.3 foot in width
0.3 foot in width

A tire friction mark that transitioned into a tire furrow,


approximately 59.5 feet in length
0.5 foot in width
0.5 foot in width
0.4 foot in width
0.4 foot in width
0.4 foot in width
0.8 foot in width
0.9 foot in width
1.0 foot in width

A scrape mark, approximately 8.6 feet in length and 0.05


foot in width

216

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER

DATA
POINT(S)

26

540 542
540
541
542

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS
A tire friction mark, approximately 17.6 feet in length
0.1 foot in width
0.2 foot in width
0.3 foot in width

27

536 539

A tire friction mark, approximately 2.5 feet in length and


0.25 foot in width

28

543, 544

A scrape mark, approximately 4.6 feet in length and 0.05


foot in width

29

547, 548

A scrape mark, approximately 1.1 feet in length and 0.01


foot in width

30

545, 546

A scrape mark, approximately 1.8 feet in length and 0.05


foot in width

31

551, 552

A scrape mark, approximately 3.0 feet in length

551
552

32

564 573
564
565
566
567
568
569
570
571
572
573

33

557 563
557
558
559
560
561
562
563

0.1 foot in width


0.2 foot in width

A tire friction mark, approximately 68.2 feet in length


0.7 foot in width
0.8 foot in width
0.8 foot in width
0.8 foot in width
0.7 foot in width
0.5 foot in width
0.6 foot in width
0.6 foot in width
0.5 foot in width
0.5 foot in width

A tire friction mark, approximately 53.9 feet in length


0.2 foot in width
0.3 foot in width
0.4 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.1 foot in width

217

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS

IDENTIFIER

DATA
POINT(S)

34

555, 556

A scrape mark, approximately 0.9 foot in length and 0.05


foot in width

35

553, 554

A scrape mark, approximately 1.1 feet in length and 0.1


foot in width

36

549, 550

A scrape mark, approximately 0.3 foot in length and 0.05


foot in width

37

574 579

A scrape mark, approximately 63.7 feet in length

574
575
576
577
578
579

0.05 foot in width


0.1 foot in width
0.2 foot in width
0.25 foot in width
0.1 foot in width
0.1 foot in width

38

588 592

A scrape mark, approximately 42.7 feet in length and


0.05 foot in width

39

593 599

A scrape mark, approximately 47.0 feet in length and


0.05 foot in width

40

580 587

A metal door skin

41

603, 604

A scrape mark, approximately 3.0 feet in length

603
604

42

600, 602

600
602

0.05 foot in width


0.01 foot in width

A scrape mark that transitioned to a gouge mark,


approximately 2.2 feet in length
0.15 foot in width
0.1 foot in width

43

605, 606

A scrape mark, approximately 2.4 feet in length and 0.01


foot in width

44

607, 608

A scrape mark, approximately 3.2 feet in length and 0.01


foot in width

45

609 612

A scrape mark, approximately 9.9 feet in length and 0.1


foot in width

218

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS

IDENTIFIER

DATA
POINT(S)

46

613, 614

A scrape mark, approximately 0.5 foot in length and 0.05


foot in width

47

628 631

A scrape mark, approximately 1.7 feet in length and 0.05


foot in width

48

619 621

The perimeter of a chop mark, approximately 0.05 in


depth

49

615 618

The perimeter of a scrub mark

50

632, 633

A scrape mark, approximately 0.3 foot in length and 0.05


foot in width

51

638 640

A scrape mark, approximately 1.0 foot in length and 0.05


foot in width

52

636, 637

A scrape mark, approximately 0.9 foot in length

636
637

53

634, 635
634
635

0.05 foot in width


0.1 foot in width

A tire friction mark, approximately 3.2 feet in length


0.5 foot in width
0.4 foot in width

54

656, 657

A tire friction mark, approximately 2.7 feet in length and


0.3 foot in width

55

654, 655

A tire friction mark, approximately 2.9 feet in length and


0.4 foot in width

56

623 627

A scrape mark, approximately 45.0 feet in length and


0.01 foot in width

57

652, 653

A tire friction mark, approximately 2.6 feet in length

652
653

58

650, 651
650
651

0.1 foot in width


0.6 foot in width

A tire friction mark, approximately 2.9 feet in length


0.1 foot in width
0.6 foot in width

219

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER

DATA
POINT(S)

59

679 686

679
680
681
682
683
684
685
686

60

658, 659
658
659

61

660 668

660
661
662
663
664
665
666
667
668

62

687 691
687
688
689
690
691

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS
A tire friction mark that transitioned to a tire furrow,
approximately 80.1 feet in length
0.7 foot in width
0.6 foot in width
0.5 foot in width
0.7 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width
0.4 foot in width

A tire furrow, approximately 12.2 feet in length


1.0 foot in width
0.4 foot in width

A tire friction mark that transitioned to a tire furrow,


approximately 82.0 feet in length
0.5 foot in width
0.9 foot in width
0.9 foot in width
0.5 foot in width
0.4 foot in width
0.4 foot in width
0.4 foot in width
0.4 foot in width
0.3 foot in width

A tire furrow, approximately 40.6 feet in length


0.5 foot in width
0.5 foot in width
0.7 foot in width
0.9 foot in width
0.5 foot in width

PAGE

220

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER

DATA
POINT(S)

63

669 678

669
670
671
672
673
674
675
676
677
678

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS
A tire friction mark that transitioned to a tire furrow,
approximately 68.0 feet in length
0.3 foot in width
0.4 foot in width
0.5 foot in width
0.5 foot in width
0.7 foot in width
0.9 foot in width
0.9 foot in width
0.9 foot in width
0.7 foot in width
0.5 foot in width

64

730 736

The perimeter of deposited oleander foliage

65

692 701

A tire furrow, approximately 179.1 feet in length

692
693
694
695
696
697
698
699
700
701

66

727, 728

67

712 714,
716 721
712
713
714
716
717
718
719
720
721

0.6 foot in width


0.7 foot in width
0.7 foot in width
0.7 foot in width
0.8 foot in width
0.7 foot in width
0.7 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width

A tire print, approximately 17.4 feet in length and 1.7


feet in width
A tire furrow, approximately 149.8 feet in length

0.7 foot in width


0.6 foot in width
0.6 foot in width
1.3 feet in width
0.8 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width
0.4 foot in width

PAGE

221

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER
68

702 707,
709 711
702
703
704
705
706
707
709
710
711

69

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS

DATA
POINT(S)

722 726
722
723
724
725
726

A tire furrow, approximately 144.0 feet in length

0.5 foot in width


0.5 foot in width
0.5 foot in width
0.5 foot in width
0.6 foot in width
0.8 foot in width
1.3 feet in width
0.6 foot in width
0.6 foot in width

A tire furrow, approximately 124.2 feet in length


0.4 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.4 foot in width

70

942 944

A tire print, approximately 34.6 feet in length and 0.7


foot in width

71

933 935

A tire print, approximately 26.6 feet in length and 0.7


foot in width

72

945, 946

A tire print, approximately 19.6 feet in length and 0.7


foot in width

73

931, 932, 936

A tire print, approximately 26.4 feet in length and 0.7


foot in width

74

641 648, 829

A tire friction mark, approximately 59.9 feet in length

641
642
643
644
645
646
647
648
829

75

795 798

0.1 foot in width


0.8 foot in width
0.2 foot in width
0.9 foot in width
0.5 foot in width
0.9 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width

The perimeter of a window

PAGE

222

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER

DATA
POINT(S)

76

793, 794

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS
A piece of mirror

793
794

0.5 foot in width


0.6 foot in width

77

792

A hub cap, approximately 1.5 feet in diameter

78

780 785,
857, 859
780
781
782
783
784
785
857
859

79

786 791,
860, 861, 863
786
787
788
789
790
791
860
861
863

A tire friction mark, approximately 20.4 feet in length

0.1 foot in width


0.7 foot in width
0.75 foot in width
0.8 foot in width
0.7 foot in width
0.6 foot in width
0.7 foot in width
0.7 foot in width

A tire friction mark, approximately 17.5 feet in length

0.1 foot in width


0.6 foot in width
0.7 foot in width
0.6 foot in width
0.5 foot in width
0.4 foot in width
0.5 foot in width
0.5 foot in width
0.5 foot in width

PAGE

223

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER
80

799 813,
865
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
865

81

761 766,
816 824
761
762
763
764
765
766
816
817
818
819
820
821
822
823
824

82

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS

DATA
POINT(S)

767 770
767
768
769
770

A tire friction mark, approximately 169.3 feet in length

0.5 foot in width


0.6 foot in width
0.6 foot in width
0.5 foot in width
0.5 foot in width
0.6 foot in width
0.6 foot in width
0.7 foot in width
0.7 foot in width
0.7 foot in width
0.7 foot in width
0.7 foot in width
0.7 foot in width
0.7 foot in width
0.7 foot in width
0.5 foot in width

A tire friction mark, approximately 184.1 feet in length

0.5 foot in width


0.5 foot in width
0.6 foot in width
0.8 foot in width
0.9 foot in width
0.9 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.5 foot in width
0.5 foot in width

A tire friction mark, approximately 11.5 feet in length


0.5 foot in width
0.5 foot in width
0.7 foot in width
0.8 foot in width

PAGE

224

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER

DATA
POINT(S)

83

778, 779
778
779

84

771 777
771
772
773
774
775
776
777

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS
A tire friction mark, approximately 2.2 feet in length
0.1 foot in width
0.6 foot in width

A tire friction mark, approximately 13.0 feet in length


0.25 foot in width
0.8 foot in width
0.95 foot in width
1.0 foot in width
0.7 foot in width
0.55 foot in width
0.1 foot in width

85

830 832

A tire friction mark, approximately 5.4 feet in length and


0.5 foot in width

86

754 760,
825 829

A tire friction mark, approximately 24.3 feet in length

754
755
756
757
758
759
760
825
826
827
828
829

87

833 839
833
834
835
836
837
838
839

88

750 753

0.2 foot in width


0.8 foot in width
0.8 foot in width
0.9 foot in width
0.9 foot in width
0.6 foot in width
0.5 foot in width
0.5 foot in width
0.7 foot in width
0.7 foot in width
0.7 foot in width
0.7 foot in width

A tire friction mark, approximately 86.4 feet in length


0.6 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.6 foot in width
0.5 foot in width

A mirror, approximately 0.8 foot by 2.3 feet

225

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

PAGE

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS

IDENTIFIER

DATA
POINT(S)

89

866, 867

A tire friction mark, approximately 26.3 feet in length


and 0.5 foot in width

90

846 856

A tire friction mark, approximately 141.3 feet in length


and 0.5 foot in width

91

840 845

A tire friction mark, approximately 71.5 feet in length

840
841
842
843
844
845

0.6 foot in width


0.6 foot in width
0.6 foot in width
0.6 foot in width
0.5 foot in width
0.5 foot in width

92

5001 5014

Damaged sections of metal fencing

93

5046 5050

The perimeter of the hood and left-front fender from the


Volvo

94

5042 5045

The perimeter of a door from the Setra

95

5018 5024

The position of rest of the Volvo

5018
5019
5020
5021
5022
5023
5024

96

5025 5027
5025
5026
5027

97

5028 5030
5028
5029
5030

Axle #2 left-outboard tire


Axle #2 right-outboard wheel
Leading edge of right frame rail
Leading edge of left frame rail
Center of outboard of axle #1 right wheel
Center of inboard of axle #1 left wheel
Top of cab

The position of rest of the 2006 Wabash


Right-front corner
Left-front corner
Axle #3 left-outboard wheel

The position of rest of the Hyundai


Axle #4 right-outboard wheel
Left-corner corner
Location on right frame rail where taper to tow pintle begins

226

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

NCIC

1740

OFFICER I.D.

9160

17692

NUMBER

MAIT CASE NUMBER

2014-04-05

NF-007-14

Facts Physical Evidence Legend (continued)


NUMERIC
IDENTIFIER

DATA
POINT(S)

98

5031 5034
5031
5032
5033
5034

99

5035 5041
5035
5036
5037
5038
5039
5040
5041

100

868 872
868
869
870
871
872

ITEM IDENTIFICATION
AND APPROXIMATE WIDTH
AT SPECIFIC DATA POINTS
The position of rest of the 2013 Wabash
Axle #5 right-outboard tire
Right-front corner of flatbed
Left-front corner of flatbed
Left-rear corner of flatbed

The position of rest of the Setra


Axle #2 left-outboard wheel
Axle #3 left tire
Axle #3 right tire
Axle #2 right-outboard wheel
Axle #1 right wheel
Left-front corner of top
Right-front corner of top

A tire friction mark, approximately 124.1 feet in length


1.0 foot in width
0.7 foot in width
0.6 foot in width
0.6 foot in width
0.5 foot in width

PAGE

227

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

Physical Evidence Diagram 1

MAIT CASE NUMBER

NF-007-14

PAGE

228

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

Physical Evidence diagram 2

MAIT CASE NUMBER

NF-007-14

PAGE

229

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

NUMBER

17692

MAIT CASE NUMBER

2014-04-05

NF-007-14

Facts (continued)
Mechanical Inspections
Volvo (Vehicle #1)
DATES OF INSPECTION:

April 10 20, and 22, 2014

INSPECTION LOCATION:

Caltrans Willows Maintenance Station


939 North Humboldt Avenue
Willows, California 95988

REGISTERED OWNER:

FedEx Freight Inc.


7306 North Baker Road
Fremont, Indiana 46737

YEAR:

2007

MAKE:

Volvo

MODEL:

VNL42T

EQUIPMENT NUMBER:

2500583

LICENSE:

2027487 Indiana

VIN:

4V4N19TG37N486336

ODOMETER:

Missing

COLOR:

White

EXTENT OF INSPECTION:

Engine
Transmission
Driveshaft
Differential and Axles
Exhaust System
Fuel System
Steering System
Suspension System
Braking System
Tires and Wheels
Electrical System
Driver Controls and Accessories
Engine Control Module (ECM)
Vehicle Research

PAGE

230

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)


Volvo (Vehicle #1) (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

231

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

232

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

233

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

234

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)


Volvo (Vehicle #1) (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

235

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

236

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

237

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

238

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

239

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

240

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

241

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

242

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

243

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

244

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

245

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

246

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Mechanical Inspections (continued)


2006 Wabash (Vehicle #1A)
DATES OF INSPECTION:

April 10 20, and 22, 2014

INSPECTION LOCATION:

Caltrans Willows Maintenance Station


939 North Humboldt Avenue
Willows, California 95988

REGISTERED OWNER:

FedEx Freight Inc.


7306 North Baker Road
Fremont, Indiana 46737

YEAR:

2006

MAKE:

Wabash

MODEL:

DVDBHPC van semi-trailer

EQUIPMENT NUMBER:

2500583

LICENSE:

T840158 Tennessee

VIN:

1JJV281W96L955332

COLOR:

White

EXTENT OF INSPECTION:

Suspension System
Braking System
Tires and Wheels
Vehicle Research

PAGE

247

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

248

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

249

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

250

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

251

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Mechanical Inspections (continued)


Hyundai (Vehicle #1B)
DATES OF INSPECTION:

April 10 20, and 22, 2014

INSPECTION LOCATION:

Caltrans Willows Maintenance Station


939 North Humboldt Avenue
Willows, California 95988

REGISTERED OWNER:

FedEx Freight Inc.


7306 North Baker Road
Fremont, Indiana 46737

YEAR:

2010

MAKE:

Hyundai

MODEL:

CD21 converter dolly

EQUIPMENT NUMBER:

FXF57683

LICENSE:

None

VIN:

3H3J061S6AT088213

COLOR:

White

EXTENT OF INSPECTION:

Suspension System
Braking System
Tires and Wheels
Vehicle Research

PAGE

252

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

253

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

254

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

255

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

256

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Mechanical Inspections (continued)


2013 Wabash (Vehicle #1C)
DATES OF INSPECTION:

April 10 20, and 22, 2014

INSPECTION LOCATION:

Caltrans Willows Maintenance Station


939 North Humboldt Avenue
Willows, California 95988

REGISTERED OWNER:

FedEx Freight Inc.


7306 North Baker Road
Fremont, Indiana 46737

YEAR:

2013

MAKE:

Wabash

MODEL:

DVDBHPC van semi-trailer

EQUIPMENT NUMBER:

P30546

LICENSE:

P337596 Indiana

VIN:

1JJV281D7DL771311

COLOR:

White

EXTENT OF INSPECTION:

Suspension System
Braking System
Tires and Wheels
Vehicle Research

PAGE

257

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

258

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

259

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

260

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

261

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Mechanical Inspections (continued)


Nissan (Vehicle #2)
DATE OF INSPECTION:

April 30, 2014

INSPECTION LOCATION:

Caltrans Willows Maintenance Station


939 North Humboldt Avenue
Willows, California 95988

REGISTERED OWNER:

Hertz Vehicles LLC


18625 Des Moines Memorial Drive
SeaTac, Washington 98148

YEAR:

2013

MAKE:

Nissan

MODEL:

Altima

LICENSE:

AMF7461 Washington

VIN:

1N4AL3AP7DC257191

ODOMETER:

29,842 miles

COLOR:

White

EXTENT OF INSPECTION:

Engine
Transmission
Fuel System
Electrical System
Steering System
Suspension System
Braking System
Tires and Wheels
Vehicle Research

PAGE

262

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

263

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

264

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

265

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

266

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

267

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

268

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

NUMBER

17692

MAIT CASE NUMBER

2014-04-05

PAGE

NF-007-14

Facts Mechanical Inspections (continued)


Setra (Vehicle #3)
DATES OF INSPECTION:

April 10 22, 2014

INSPECTION LOCATION:

Caltrans Willows Maintenance Station


939 North Humboldt Avenue
Willows, California 95988

REGISTERED OWNER:

Silverado Stages, Inc.


241-B Prado Road
San Luis Obispo, California 93401

YEAR:

2014

MAKE:

Setra

MODEL:

S 417 TC, 56 passenger

LICENSE:

CP93340 California

VIN:

WKKA57XH1E3010190

ODOMETER:

8,774 miles 14

COLOR:

White

EXTENT OF INSPECTION:

Engine
Transmission
Driveshaft
Differential and Axles
Exhaust System
Fuel System
Steering System
Suspension System
Braking System
Tires and Wheels
Electrical System
Driver Controls and Accessories
Engine Control Module (ECM)
Vehicle Research

14. This mileage reading is an approximation, and was based on the last known mileage recorded at the driver exchange in Sacramento,
California, and was provide by Silverado Stages, Inc. The last recorded mileage of 8,677 miles was recorded at the driver exchange at 2900
Del Paso Road, Sacramento, California, which is located approximately 97 miles south of the collision location.

269

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

270

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

271

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

272

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

273

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

274

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

275

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

276

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

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PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

OFFICER I.D.

9160

Facts Mechanical Inspections (continued)

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014
Facts (continued)

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Motor Carrier Inspections (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

282

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014
Facts (continued)

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

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PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)


Volvo (Vehicle #1) (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

304

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

305

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

306

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

307

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

308

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

309

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

311

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

312

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

313

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

315

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

316

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)


Nissan (Vehicle #2) (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

317

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

318

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

319

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

320

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

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STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

323

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

324

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

325

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

326

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

327

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

328

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

329

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

330

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

331

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

332

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

333

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

334

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Vehicle Damage Descriptions (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

335

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014
Facts (continued)

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

336

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

Facts Airbag Control Module (ACM) Imaging (continued)

MAIT CASE NUMBER

NF-007-14

PAGE

337

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014
Facts (continued)

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

338

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

Facts Global Positioning System (GPS) Data (continued)

MAIT CASE NUMBER

NF-007-14

PAGE

339

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014
Facts (continued)

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

340

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Video Log and Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

341

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Video Log and Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

342

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Video Log and Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

343

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts (continued)
Audio Log and Inventory
Interviews
During the course of the investigation, the interviews conducted by MAIT personnel were
digitally recorded. The digital files were titled by the name of the person interviewed, and if
necessary, by sequential number. The digital files were downloaded to CD and the CD was
booked as evidence at the CHP Northern Division office, with evidence number E20140014.
Upon completion of the investigation, the evidence was transferred to the CHP Willows Area
office.

Interviewer and Equipment

PAGE

344

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Audio Log and Inventory (continued)


Interview Inventory

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

345

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Audio Log and Inventory (continued)


Interview Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

346

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Audio Log and Inventory (continued)


Interview Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

347

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

Facts Audio Log and Inventory (continued)


Interview Inventory (continued)

CHP Chico Communication Center (CHCC) Audio Files


The CHCC created a CD containing digital audio files containing the radio and telephone
communications beginning on the afternoon of April 10, 2014. The CD was created by public
Safety Dispatch Supervisor E. Mitchell, ID A11684. The CD was booked into evidence as
physical evidence item #25 of evidence number E20140014.

PAGE

348

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts (continued)
Photograph Log and Inventory
Photographs taken during the course of this investigation by MAIT personnel were transferred
from the memory card of the camera directly to CD or DVD. The CDs or DVDs were identified
by the date the memory cards were downloaded, and the downloaders initials, unless otherwise
noted. The original CDs or DVDs were booked as evidence at the CHP Northern Division
office, with evidence number E20140014. Upon completion of the investigation, the evidence
was transferred to the CHP Willows Area office.

Photographers and Equipment

349

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Photograph Log and Inventory (continued)


Inventory

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

350

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Photograph Log and Inventory (continued)


Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

351

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

TIME (2400)

04-10-2014

1740

NCIC

9160

OFFICER I.D.

17692

Facts Photograph Log and Inventory (continued)


Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

352

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

NUMBER

2014-04-05

MAIT CASE NUMBER

PAGE

NF-007-14

Facts (continued)
Evidence Log and Inventory
During the course of the investigation, items of evidence were booked at the CHP Northern
Division office with evidence number E20140014. Upon completion of the investigation, items
booked at the CHP Northern Division office were transferred to the CHP Willows Area office.

Inventory

353

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Evidence Log and Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

354

STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL

MULTIDISCIPLINARY ACCIDENT INVESTIGATION TEAM NARRATIVE/DIAGRAM


CHP 558D (Rev. 9-08) OPI 065 (MAIT use only)
DATE OF COLLISION (MONTH-DAY-YEAR)

04-10-2014

TIME (2400)

1740

NCIC

9160

OFFICER I.D.

17692

Facts Evidence Log and Inventory (continued)

NUMBER

2014-04-05

MAIT CASE NUMBER

NF-007-14

PAGE

355