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PETRINO

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Attachments

Arkansas Uniform Motor Vehicle Collision Report


S 4/1/2012 U M Road/Street/Highway 16 M A At Intersection With R Y
County Date Day Time Time Notified Time Arrived Unit Assigned

Report Number

440412041
District Section Log Mile

SUNDAY

06:32 PM

06:36 PM
Latitude

07:22 PM
Longitude

L33 -00 93.911999 04 04.54

35 86.7557 0.54 Mi
County GLC City

Not at Intersection, But Direction

Of Reference Point

EAST

LOG MILE 4 / CULVERT


City GLC

MADISON
Hit and Run Not in City, But Direction

AR 05 087
Of Reference City Speed Limit Posted Speed Limit Speed Limit 2

Yes No E N V I R O N M E N T CLEAR

00.38 Mi
Number of Vehicles

EAST 0

CROSSES
Number of Carriers Number of Pedestrians

YES
Number of Witnesses

55
Number of Property Owners

0
Light Conditions

0
Accident Locale

Atmospheric Conditions Surface Conditions

DAYLIGHT
Road System

RURAL
Road Surface

DRY
Road Alignment

STATE HIGHWAY
Road Profile

ASPHALT
Traffic Lanes(#) Traffic Flow

STRAIGHT
Construction/Maintenance Zone

GRADE
Roadway Defects

NOT DIVIDED

NO
Relation to Junction

NO DEFECTS
Traffic Controls

NON-JUNCTION
Traffic Control Devices

TRAFFIC LANES MARKED


Type of Collision Fire Occurrence

FUNCTIONING PROPERLY
Rank Officer - Last Name

SINGLE VEHICLE
Officer - First Name Officer - MI

NO FIRE OCCURRENCE
Officer - Suffix

TRP

ARNOLD

JOSHUA
Officer - Badge Number

A
Officer - Department

Officer - Signature

409
Reviewing Officer Rank Supervisor - Last Name Supervisor - First Name Supervisor - Badge Number Supervisor - Department

ASP - TROOP L
Date Filed Supervisor - MI Photos

YES
Supervisor - Suffix Supervisor Da

Supervisor - Signature

ASP - TROOP L

PETRINO

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Attachments

Arkansas Uniform Motor Vehicle Collision Report


D PETRINO R I Driver - Address V 4518 BRIDGEWATER LANE E Driver - License Number DL State R AR 928907079 1 Driver - Ejection Code NOT EJECTED
Driver - Safety Equipment Driver - Last Name Driver - First Name Driver - MI Driver - Suffix Driver - Zip Code

Report Number

440412041
Driver - Telephone #

ROBERT
Driver - City

P
Driver - State

FAYETTEVILLE
DL Endorse. DL Class DL Restrictions

AR
Driver - Date of Birth Driver - Race

72703
Driver - Sex

D
Driver - Injury

3/10/1961

CAUCASIAN
Air Bag

MALE

INCAPACITATING INJURY

NOT APPLICABLE

EYE PROTECTION
Driver - Vision Obscured

SUNLIGHT
Test Requested Test Type(s) Driver - Condition

Yes No

Blood Breath

Urine Toxicology

APPEARED NORMAL
Driver - Impairment

NONE

Blood/Breath/Urine Results

V PETRINO ROBERT E Owner - Address Owner - City H 4518 BRIDGEWATER LANE FAYETTEVILLE I C License Plate Year Make Model L 2007 HARLEY DAVIDSON ROAD KING E Yes
Vehicle - Body Vehicle - Color 1

Owner - Last Name

Owner - First Name

Owner - MI

Owner - Suffix Owner - Zip Code

P
Owner - State

AR
Plate - Year

72703
Plate - State Plate - Number

2012
Vehicle - Color 2 Number of Passengers

AR

RI839

Vehicle Identification Number

No ALLSTATE

MOTORCYCLE

RED
Insurance - Policy Number

1HD1FR4197Y652300
MultiPass Reqd.

Insurance - Company Name CMV Qualifying Information

9 31 494887 03/05 Bus (9 or more seats)


Registration State Estimated Damage

NO Haz Mat Placard (any vehicle type)


Plate Number

GVWR/GCWR > 10,000 lbs


Trailer(s) Attached Number of Trailers

NO

Vehicle Damage
Point of Initial Contact

$2,000.00
Direction of Travel Vehicle Action

TRAILER

CAR

WEST
Collision Damage

GOING STRAIGHT
First Harmful Event

DISABLED
First Harmful Collision With

ROADSIDE

--- TOP

>

--- TOP

>

OVERTURNED
Contributing Factors

OTHER Unknown
Vehicle Defects

Undercarriage

Collision with fixed object

OTHER
Prior Vehicle Damage Damage Location

NO DEFECTS
Vehicle Towed Name of Towing Service

NO
Address Vehicle Removed To

Yes No
Injury Transported

D AND D WRECKER SERVICE - MADISON


City Vehicle Removed To

4518 BRIDGEWATER LANE


State Vehicle Removed To Zip Vehicle Removed To

FAYETTEVILLE
EMS Notified Hospital Name EMS Arrived

AR
Transported By Hospital City

72703

Yes
Hospital State

No

PETRINO

Page 3

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Attachments

Arkansas Uniform Motor Vehicle Collision Report


P DORRELL A S Passenger - Address S 1022 RASPBERRY ST E Position In/On Vehicle N 2 3 G E 4 5 6 R
Passenger - Last Name Passenger - First Name

Report Number

440412041
VEHICLE #1 72727

Passenger - MI Passenger - Suffix Passenger - Occupancy

JESSICA
Passenger - City

M
Passenger - State

Passenger - Zip Code Passenger - Sex Age

ELKINS
Passenger - Race

AR

Riding/Hanging Outside Bed of Pickup Trailing Other/Unknown

CAUCASIAN
Safety Equipment Used

FEMALE

25

EYE PROTECTION
Ejection Code Injury Code Air Bag

NOT EJECTED
EMS ARRIVED

NO INJURY / PROPERTY DAMAGE


TRANSPORTED BY HOSPITAL CITY

NOT APPLICABLE

Injury Transported

EMS NOTIFIED HOSPITAL NAME

YES
HOSPITAL STATE

NO Narrative ACCIDENT SCENE: THIS ACCIDENT OCCURRED ON ARKANSAS STATE HIGHWAY 16 IN MADISON COUNTY. ARKANSAS STATE HIGHWAY 16 IS AN EAST/WEST HIGHWAY OF ASPHALT CONSTRUCTION WITH ONE LANE OF TRAVEL IN EITHER DIRECTION SEPARATED BY A SOLID DOUBLE YELLOW LINE. THIS SECTION OF THE HIGHWAY IS STRAIGHT WITH A DOWNHILL GRADE AND HAS IMPROVED ASPHALT SHOULDERS THAT PARALLEL THE ROADWAY ON THE NORTH AND SOUTH SIDES. A GRASSY ROAD DITCH IS ALSO LOCATED ON THE NORTH AND SOUTH SIDES OF THE ROADWAY. A PILE OF DIRT AND TREE LIMBS WAS FOUND IN THE NORTH ROAD DITCH. A CONCRETE DRAINAGE CULVERT IS ALSO LOCATED ON THE NORTH AND SOUTH SIDES OF THE ROADWAY. A SKID MARK LEFT ON THE SURFACE OF THE ROADWAY BY V-1 (PETRINO) IS LOCATED ON THE WESTBOUND SHOULDER OF THE ROADWAY TRAVERSING FROM THE EAST TO THE NORTHWEST. FURROW MARKS LEFT BY V-1 (PETRINO) ARE LOCATED IN THE NORTH ROAD DITCH. THESE FURROW MARKS TRAVERSE FROM THE EAST TO THE NORTHWEST. V-1 (PETRINO'S MOTORCYCLE) WAS LOCATED NORTHWEST OF THE DIRT AND TREE LIMB PILE. THE LEFT SIDE MIRROR OF V-1 (PETRINO'S MOTORCYCLE) WAS LOCATED IN FRONT OF THE PILE OF DIRT AND TREE LIMBS. ACCIDENT SITUATION: OPERATOR PETRINO (V-1) WAS TRAVELING WEST ON HIS MOTORCYLE IN THE WESTBOUND LANE OF ARKANSAS STATE HIGHWAY 16 WITH PASSENGER DORRELL RIDING ON THE BACK. FOR AN UNKNOWN REASON, V-1 (PETRINO) TRAVELED ACROSS THE WESTBOUND FOG LINE AS HE WAS APPLYING THE BRAKES. AFTER TRAVELING OFF THE NORTH SIDE OF THE ROADWAY THE REAR OF V-1 (PETRINO'S MOTORCYCLE) BEGAN ROTATING COUNTERCLOCKWISE CAUSING V-1 (PETRINO) TO LAY OVER ONTO ITS LEFT SIDE. WHILE ON ITS LEFT SIDE, V-1 SLID NORTHWEST THROUGH A GRASSY ROAD DITCH, STRIKING A PILE OF DIRT AND TREE LIMBS IN THE NORTH ROAD DITCH. AFTER IMPACT WITH THE DIRT AND TREE PILE, V-1 CAME TO FINAL REST ON ITS LEFT SIDE JUST NORTHWEST OF THE DIRT AND TREE PILE. V-1 SUSTAINED EXTENSIVE DAMAGE TO THE LEFT SIDE OF THE MOTORCYCLE. WHILE INVESTIGATING THE COLLISION, I TOOK SEVERAL PHOTOGRAPHS OF THE ACCIDENT SCENE. POST CRASH ACTIVITIES: OPERATOR PETRINO (V-1) AND PASSENGER DORRELL WERE NOT PRESENT AT THE ACCIDENT SCENE WHEN I ARRIVED. EMS WAS NOT NOTIFIED OF THE TRAFFIC ACCIDENT. OPERATOR PETRINO (V-1) AND PASSENGER DORRELL WERE TRANSPORTED FROM THE COLLISION SCENE TO THE INTERSECTION OF EAST HUNTSVILLE ROAD AND CROSSOVER ROAD IN FAYETTEVILLE BY BENJAMIN ADAM WILLIAMS , JODY DIANE STEWART, AND WILLIAMS' 12 YEAR OLD SON, BENJAMIN WILLIAMS. THESE THREE RESIDE AT 817 NORTH 3RD STREET, OZARK, AR 72946. UPON ARRIVAL AT THE INTERSECTION OF EAST HUNTSVILLE ROAD AND CROSSOVER ROAD IN FAYETTEVILLE, PASSENGER DORRELL DEPARTED IN HER PERSONEL VEHICLE. OPERATOR OF (V-1) PETRINO WAS TRANSPORTED TO PHYSICIAN SPECIALTY HOSPITAL BY ASP CAPTAIN LANCE KING IN HIS ASP VEHICLE. ON TUESDAY, APRIL 3, 2012, ASP SERGEANT GABE WEAVER AND I INTERVIEWED AND OBTAINED A WRITTEN DRIVER/WITNESS STATEMENT FROM THE OPERATOR OF V-1 (PETRINO) AT HIS OFFICE AT RAZORBACK STADIUM IN FAYETTEVILLE, ARKANSAS. FOR DETAILS, SEE OPERATOR PETRINO'S WRITTEN DRIVERS/WITNESS STATEMENT ATTACHED TO THIS REPORT. ASP SERGEANT GABE WEAVER AND I ALSO SPOKE WITH PASSENGER DORRELL TO SEE WHAT INFORMATION, IF ANY, SHE COULD SHARE REGARDING THE CAUSE OF THE COLLISION. PASSENGER DORRELL STATE SHE DID NOT KNOW WHAT CAUSED THIS ACCIDENT. CONTRIBUTING FACTORS: EVIDENCE INDICATES THAT OPERATOR PETRINO OPERATED HIS MOTORCYCLE IN SUCH A MANNER THAT CAUSED HIM TO FAIL TO MAINTAIN CONTROL OF V-1. NO CITATIONS WILL BE ISSUED.

PETRINO

Page 4

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Attachments

Arkansas Uniform Motor Vehicle Collision Report


Diagram / Photo 1
S tate Highway 16 2ft 1in EB 10ft 7in WB 10ft 6in 3ft 4in

Report Number

440412041

RP

1 V-

Dirt and Tree P ile

Furrow Marks

S tate Highway 16 Madison County Tr p. J. Ar nold #409


V-1

V1

A is the P oint V -1 left the westbound lane of S tate Highway 16. A A A A A A to B 22ft 2in W (V -1 S kid Mar k) to C 40ft 2in W / 3ft 4in N (V -1 over tur ned onto its left side) to D 77ft W / 11ft 5in N (V -1 str uck the dir t and tr ee lim b pile) to E 101ft 3in W / 17ft N (Rear tir e of V -1 at final r est) to F 104ft 6in W / 21ft N (Fr ont tir e of V -1 at final r est) to G 123ft W / 3ft 4in N (E ast m ost cor ner of Culver t)

V -1 S kid Mark

V-1

R oad D itch

V -1

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