HomeMy WebLinkAboutAuto Accident Report involving monitoring kits 1975 6 1,1E OA,
BRAZOS ..•, � . COUNTY
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JAKE CANGLOSE OFFICE OF JAMES PRESSWOOD
COUNTY DIRECTOR AND CHAIRMAN TEXAS AA M UNIVERSITY DIRECTOR
E.E. BURNS CIVIL DEFENSE & EMERGENCY PLANNING GEORGE L. HUEBNER
COUNTY DEPUTY DIRECTOR COUNTY COURTHOUSE COLLEGE STATION DIRECTOR
J.LOUIS ODLE BRYAN,TEXAS 77801 NORTH BARDELL
BRYAN DIRECTOR COLLEGE STATION DEPUTY DIRECTOR
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TEXAS PEACE OFFICER'S ACCIDENT REPORT ST.3 (Rev. 10/74) MAIL TO: Texas Department of Public Safety, Box 4087, Austin 78773
PLACE WHERE DO NOT WRITE IN THIS SPACE
ACCIDENT OCCURRED County Brazos City or town C.o.1 iege...lSt.ati.on
If accident was outside city limits, Show only it inside city limits Local No
indicate distance from nearest town miles ❑ ❑ ❑ ❑ of
North S E W City or town
ors No
ROAD ON WHICH Under ❑ Ye. Speed
ACCIDENT OCCURRED Texa.s....F.arm..RQ.ad...2347 Const. IA! No Limit Lac
Block Number Street or Rood Nome Route Number
Old Airport Road Under pYe• Speed
INTERSECTING STREET p Const. �9 Na Limit
Complete Block Number Street or Road Name Route Number Fat. Res Dr. Re.
one NOT AT INTERSECTION feet ❑ ❑ ❑ ❑ of .
North $ E W Show milepost or nearest intersecting numbered highway.
If urbon, show nearest intersecting street or reference point. Code Severity
I DATE OF Day of A If exactly noon
7 , y
' or m
ACCIDENT March 4 19.75.... Week Tuesday Hour .7.:15 b M. so stiatednight, Type .
UNIT NO. 1 - MOTOR VEHICLE EH !DENT.
YEAR , A MODEL BODY LICENSE I
MODEL...l. 7 MAKE...Ch.eyxoi.e.t NAME....Mont.e...C.ar1.0 STYLE 2...1,r!y� r.....H.t......PLATE 1974 Texas f j
Year Stole Number
OPERATOR'S
NAME ,... Ho. u. s. t. on., ...Ix,..000UPATION.....Stud.ent
last First Middle Address City State
OPERATOR'S DATE OF Was driver or passenger r Yvs If ans. es wer is f . d e
LICENSE Texas
OWNER'S DAMAGE I f damage noting
NAME Same as above RATING FD - 7
4 or more,
Last First Middle Address City State complete bock side.
UNIT NO. 2 - MOTOR VEHICLE, TRAIN, PEDALCYCLIST, PEDESTRIAN, TOWED OR OTHER INDICATE WHICH VEH. IDENT.
(II Pedestrian or cyclist injured, show data on back). NUMBER
YEAR MODEL BODY LICENSE
MODEL MAKE NAME STYLE PLATE
Veer Stele Noisier
OPERATOR'S
NAME OCCUPATION
OPERATOR'S loss find Middle DATE OF Address 1'.�f State Was driver or passenger ❑Yer
tlmmwer
LICENSE ; BIRTH SEX RACE in this vehicle ❑ N
. injured ? o plate
State Nemder o on bock side. ata
OWNER'S DAMAGE N damage rating
NAME RATING 4 or mom it
Last First Middle Address City State complete back side.
DAMAGE TO PROPERTY OTHER THAN VEHICLES (A Bldg. #756) DOLLAR
DAMAGE S
Estimated $ 2. 1.,. 0. 00... to.... E.as.t.erwo.a.d...Airport...Han ex. ,...Aircraft.,. 420th.. ESTIMATE 21 , 000.
Nome properly and show how damaged - Always show fixed and other objects suck and d istance from curb or pavement. edge
Engineer Brigade Office and FFA Facilities
Name and address of owner of damaged property i
DESCRIBE WHAT HAPPENED Describe
Vehicle #1 was travel. ng... at.., an.,. unk.nowzt.,....but...app.arente Weather O.u.exc.as.t
Describe Road and Good Dry
Vehicle Surface Condition Asphalt, y
light
#l..fai.led..to... maintain.. contxo. 1..and..struck...t.he•..airport - Condition Good
Type of Yield Sign
hanger_ Traffic Control .
If Not Operative '
i Explain
FACTORS CONTRIBUTING TO ACCIDENT (OFFICER'S OPINION) DIAGRAM ........................•
(Chao for each driver above)
Driver Driver Driver
1 2 :..
1. ❑ ❑ Speeding -over limit 10. ❑ ❑ Wrong side•net passing 19. ❑ ❑ Improper parking
2. ❑ ❑ Speed.under limit.unsafe 11. ❑ ❑ Wrong way 1 way rood Dtalcehol
•
•
,
20. ® ❑ Under influence •
3. ❑ ❑ Fail to Yield ROW to Vehicle 12. ❑ ❑ Following too closely • ❑ drugs
4. ❑ ❑ Disregard Stop Sign or Light 13. ❑ ❑ Overtak. and pass - insufficient clear. 21. ❑ ❑ Defective brakes
S. ❑ ❑ Disregard Slop and Go Signal 14. ❑ ❑ Pass in no Posing Zone 22. ❑ ❑ Defective lights
6. ❑ ❑ Disregard Flashing Yellow Signal 15. ❑ ❑ All other improper passing 23. ❑ ❑ Other Defective equipment (SEE • `'DIAGRAM. )
1. ❑ ❑ Improper turn wide right 16. ❑ ❑ No signal or wrong signal of intent. 24. ❑ ❑ Other factors O
B. ❑ ❑ Improper turr.cut corner on left 17. ❑ ❑ Improper start from parked position
•
9. ❑ ❑ Improper turn•wrong lane I0. ❑ ❑ Fail to yield ROW to pedestrian - INDICATE •
• . NORTH
POLICE ACTIVITY Type
Ticket Alcohol
Name Charge Number Test
SHOW ARRESTS Lod First Middle .
Ticket
Type
AND CHARGES Alcohol
Name Charge Number Test
Last First Middle
Time notified 3 -4 -75 7 7:21 21 ... College Station Unit 1 rime arrived at
of accident p M How .3 +!. scene of accident 3.- 4. 7.75 7;,30 pm
Date Hour Date Hour
-.�� r- #8 Texas A$M University Police Dap . -tQ -75 Is report El.'s compl
SIGNATURE...]. f?\.F'.i t ` ^✓ report made....... .., ete ? � No
/ Inve ke '. name and !dent No. Department
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