1 2 - - 307 POWERS STREET 01 08901 9-15, 2020.pdf · 2020. 12. 2. · Phys Age SexCond Loc Inj Type...
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PAGE 1 OF 2 Fatal New Jersey Police Crash Investigation Report Reportable NonReportable Change Report 1 Case Number 20NB06638 2 Police Dept of NEW BRUNSWICK PD Code 01 3 Station/Precinct 4 Date of Crash 11/11/20 mm dd yy 5 Day Of Week WEDNESDAY 6 Time (use 2400 hrs) 0726 7 Municipality Code 1214 8 Total Killed 9 Total Injured 10 Crash Occurred On: RYDERS LANE 11 Speed Limit 25 Road Name Dir 12 Route No. Suffix 13 Milepost At Intersection With Feet Miles 14 15 16 N S E W of: 17 Cross Road Name LABOR CENTER WAY 25 18 Speed Limit 19 Ramp To From: 20 Route/Name NB SB EB WB 21 Latitude 22 Longitude 1 025635170 135 Parked Ped Pedalcyclist Resp To Emergency Hit & Run ADAN Initial Last Name RAMOSPEREZ M 307 POWERS STREET NEW BRUNSWICK State NJ Zip 08901 02 NJ R03650090012872 mm dd yyyy 12/21/1987 mm yy 09 20 Same As Driver First Name RAMOS HOME Initial Last Name IMPROVEMENT LL 369 SANFORD STREET NEW BRUNSWICK State NJ Zip 08901 FORD UNKNOWN BK 15 XGZG77 NJ FDOX4HY6FEC71715 10 21 GUARANTEED MOTORS Driven Left At Scene Towed Disabled & Impounded Towed Impounded Towed Disabled Owner Driver Police Given: Type: Results: No Yes Refused Breath Blood Urine Pending 0. % None On Board Spill USDOT None MC/MX Weight <= 10,000 lbs Weight 10,00126,000 lbs Weight >= 26,001 lbs 23 Veh # 24 Policy No. 25 NJ Ins. Code 26 Driver's First Name 27 Number & Street 28 City 29 Sex 30 Eyes DL Class Restrictions Endorsements 31 State 32 Driver's License Number 33 DOB 34 Expires 35 Owner's 36 Number & Street 37 City 38 Make 39 Model 40 Color 41 Year 42 Plate No. 43 State 44 VIN 45 Expires 46 Vehicle Removed To 47 Authority 48 Alcohol/Drug Test 49 Hazardous Material Hazard Class Placard No. 50 Carrier No. 51 GVWR/GCWR 52 Motor Carrier or Government Entity Number & Street City State Zip 2 Parked Ped Pedalcyclist Resp To Emergency Hit & Run Initial Last Name State Zip mm dd yyyy mm yy Same As Driver First Name Initial Last Name State Zip Driven Left At Scene Towed Disabled & Impounded Towed Impounded Towed Disabled Owner Driver Police Given: Type: Results: No Yes Refused Breath Blood Urine Pending 0. % None On Board Spill USDOT None MC/MX Weight <= 10,000 lbs Weight 10,00126,000 lbs Weight >= 26,001 lbs 53 Veh # 54 Policy No. 55 NJ Ins. Code 56 Driver's First Name 57 Number & Street 58 City 59 Sex 60 Eyes DL Class Restrictions Endorsements 61 State 62 Driver's License Number 63 DOB 64 Expires 65 Owner's 66 Number & Street 67 City 68 Make 69 Model 70 Color 71 Year 72 Plate No. 73 State 74 VIN 75 Expires 76 Vehicle Removed To 77 Authority 78 Alcohol/Drug Test 79 Hazardous Material Hazard Class Placard No. 80 Carrier No. 81 GVWR/GCWR 82 Motor Carrier or Government Entity Number & Street City State Zip 135 Damage To Other Property TWO PSE&G UTILITY POLES. POLE # 63501 AND E63501 Yes (If Yes, describe) No Oper. Oper. Oper. Oper. 136 Charge 137 Summons. No. 138 Charge 139 Summons. No. 140 Charge 141 Summons. No. 142 Charge 143 Summons. No. A B C D 83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death 1 01 01 32 M 11 04 ADAN RAMOSPEREZ 307 POWERS STREET NEW BRUNSWICK NJ 08901 96 04 97 98 01 99 07 100a 01 100b 04 101 02 102 01 103 01 104 2 105 11 106 107 05 02 01 108 109 110 111 112 113 114 115 116 117 02 118a 118b 119a 119b 01 120a 120b 121a 121b 01 122 123 11 124 125 56 52 52 52 126a 126b 126c 126d 126e 127a 127b 127c 127d 127e 52 128 01 03 129 130 131 132 04 133 134
Transcript of 1 2 - - 307 POWERS STREET 01 08901 9-15, 2020.pdf · 2020. 12. 2. · Phys Age SexCond Loc Inj Type...
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PAGE 1 OF 2 Fatal New Jersey Police Crash Investigation Report Reportable NonReportable Change Report1 Case Number
20NB066382 Police Dept of
NEW BRUNSWICK PDCode
013 Station/Precinct
4 Date of Crash
11/11/20mm dd yy
5 Day Of Week
WEDNESDAY
6 Time(use 2400 hrs)
0726
7 MunicipalityCode
1214
8 Total Killed
9 Total Injured
10 CrashOccurred On: RYDERS LANE
11 Speed Limit
25Road Name Dir
12 Route No. Suffix 13 Milepost
At Intersection With
Feet
Miles14 15 16
N
S
E
W
of:17 Cross Road Name
LABOR CENTER WAY 2518 Speed Limit
19Ramp
To
From: 20 Route/Name
NB
SB
EB
WB
21 Latitude
22 Longitude
1 025635170 135Parked Ped Pedalcyclist Resp To Emergency Hit & RunADAN
Initial
Last Name
RAMOSPEREZ M
307 POWERS STREET
NEW BRUNSWICKState
NJZip
08901
02 NJ
R03650090012872mm dd yyyy
12/21/1987mm yy
09 20
Same As Driver
First Name
RAMOS HOME
Initial
Last Name
IMPROVEMENT LL
369 SANFORD STREET
NEW BRUNSWICKState
NJZip
08901
FORD UNKNOWN BK 15 XGZG77 NJ
FDOX4HY6FEC71715 10 21
GUARANTEED MOTORSDriven
Left At Scene
Towed Disabled & Impounded
Towed Impounded
Towed Disabled
Owner Driver Police
Given:
Type:
Results:
No Yes Refused
Breath Blood Urine
Pending0. %
None On Board Spill
USDOT None
MC/MX
Weight = 26,001 lbs
23 Veh # 24 Policy No. 25 NJ Ins. Code
26 Driver's First Name
27 Number & Street
28 City
29 Sex
30 Eyes DL Class Restrictions Endorsements 31 State
32 Driver's License Number 33 DOB 34 Expires
35 Owner's
36 Number& Street
37 City
38 Make 39 Model 40 Color 41 Year 42 Plate No. 43 State
44 VIN 45 Expires
46 Vehicle Removed To
47 Authority
48 Alcohol/Drug Test 49 Hazardous Material
Hazard Class Placard No.
50 Carrier No. 51 GVWR/GCWR
52 Motor Carrier or Government Entity
Number & Street
City State Zip
2 Parked Ped Pedalcyclist Resp To Emergency Hit & Run
Initial
Last Name
State
Zip
mm dd yyyy
mm yy
Same As Driver
First Name
Initial
Last Name
State
Zip
Driven
Left At Scene
Towed Disabled & Impounded
Towed Impounded
Towed Disabled
Owner Driver Police
Given:
Type:
Results:
No Yes Refused
Breath Blood Urine
Pending0. %
None On Board Spill
USDOT None
MC/MX
Weight = 26,001 lbs
53 Veh # 54 Policy No. 55 NJ Ins. Code
56 Driver's First Name
57 Number & Street
58 City
59 Sex
60 Eyes DL Class Restrictions Endorsements 61 State
62 Driver's License Number 63 DOB 64 Expires
65 Owner's
66 Number& Street
67 City
68 Make 69 Model 70 Color 71 Year 72 Plate No. 73 State
74 VIN 75 Expires
76 Vehicle Removed To
77 Authority
78 Alcohol/Drug Test 79 Hazardous Material
Hazard Class Placard No.
80 Carrier No. 81 GVWR/GCWR
82 Motor Carrier or Government Entity
Number & Street
City State Zip
135 Damage To Other Property
TWO PSE&G UTILITY POLES. POLE # 63501 AND E63501
Yes (If Yes, describe) No
Oper.
Oper.
Oper.
Oper.
136 Charge 137 Summons. No. 138 Charge 139 Summons. No.
140 Charge 141 Summons. No. 142 Charge 143 Summons. No.
A
B
C
D
83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death
1 01 01 32 M 11 04 ADAN RAMOSPEREZ 307 POWERS STREET NEW BRUNSWICKNJ 08901
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PAGE 2 OF 2
New Jersey PoliceCrash Investigation Report
Police Dept: NEW BRUNSWICK PD Code: 01
Station: Case No: 20NB06638
(Refer to vehicle by number)
ALL
INVOLVED
E
F
G
H
I
J
VehOcc
PosIn/On Eject
PhysCond Age Sex
LocInj
TypeInj
RefMed
EquipAvail
EquipUsed
BagDept
HospCode
83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death
144 Crash Diagram (NOT TO SCALE)
145 Crash Description/Narrative
On 11/11/2020 at approximately 0726 hrs. the undersigned responded in 910 to the area of Ryders Lane and Labor Center Way for an accident.
The driver of vehicle #1 stated, he was traveling straight in the right lane on Ryders Lane approximately 250 feet from Labor Center Way. The driver of vehicle #1 explained, while traveling straight, he applied the brakes to slow down. According to the driver of vehicle #1, once the brakes were applied...he lost control of the vehicle. At which point, the driver of vehicle #1 struck two utility poles (pole # 63501 and E63501) causing damage. The driver of vehicle #1 stated, no injuries. Vehicle #1 was towed by Guaranteed Motors. PSE&G arrived on the scene.
146 Officer's Signature
DALE GRAY147 Badge #
7227148 Reviewer Badge #
YURKOVIC 5252149 Case Status
Pending Complete
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PAGE 1 OF 2 Fatal New Jersey Police Crash Investigation Report Reportable NonReportable Change Report1 Case Number
20NB067072 Police Dept of
NEW BRUNSWICK PDCode
013 Station/Precinct
NEW BRUNSWICK4 Date of Crash
11/15/20mm dd yy
5 Day Of Week
SUNDAY
6 Time(use 2400 hrs)
0150
7 MunicipalityCode
1214
8 Total Killed
9 Total Injured
10 CrashOccurred On: EASTON AVE. S
11 Speed Limit
25Road Name Dir
12 Route No. Suffix 13 Milepost
30
At Intersection With
Feet
Miles14 15 16
N
S
E
W
of:17 Cross Road Name
BUCCLEUCH PL. 2518 Speed Limit
19Ramp
To
From: 20 Route/Name
NB
SB
EB
WB
21 Latitude
22 Longitude
1 4624747236 148Parked Ped Pedalcyclist Resp To Emergency Hit & RunSORAYA
Initial
DLast Name
MOTA F
71 WAYDELL STREET
NEWARKState
NJZip
07105
02 D NJ
M67577206461952mm dd yyyy
11/08/1995mm yy
08 21
Same As Driver
First Name
USB LEASING LT
Initial
Last Name
1850 OSBORNE AVE.
OSHKOSHState
WIZip
54902
TOYOTA TACOMA SL 2020 N93MKS NJ
3TMCZ5AN2LM333828 04 22
Driven
Left At Scene
Towed Disabled & Impounded
Towed Impounded
Towed Disabled
Owner Driver Police
Given:
Type:
Results:
No Yes Refused
Breath Blood Urine
Pending0. %
None On Board Spill
USDOT None
MC/MX
Weight = 26,001 lbs
23 Veh # 24 Policy No. 25 NJ Ins. Code
26 Driver's First Name
27 Number & Street
28 City
29 Sex
30 Eyes DL Class Restrictions Endorsements 31 State
32 Driver's License Number 33 DOB 34 Expires
35 Owner's
36 Number& Street
37 City
38 Make 39 Model 40 Color 41 Year 42 Plate No. 43 State
44 VIN 45 Expires
46 Vehicle Removed To
47 Authority
48 Alcohol/Drug Test 49 Hazardous Material
Hazard Class Placard No.
50 Carrier No. 51 GVWR/GCWR
52 Motor Carrier or Government Entity
Number & Street
City State Zip
Parked Ped Pedalcyclist Resp To Emergency Hit & Run
Initial
Last Name
State
Zip
mm dd yyyy
mm yy
Same As Driver
First Name
Initial
Last Name
State
Zip
Driven
Left At Scene
Towed Disabled & Impounded
Towed Impounded
Towed Disabled
Owner Driver Police
Given:
Type:
Results:
No Yes Refused
Breath Blood Urine
Pending0. %
None On Board Spill
USDOT None
MC/MX
Weight = 26,001 lbs
53 Veh # 54 Policy No. 55 NJ Ins. Code
56 Driver's First Name
57 Number & Street
58 City
59 Sex
60 Eyes DL Class Restrictions Endorsements 61 State
62 Driver's License Number 63 DOB 64 Expires
65 Owner's
66 Number& Street
67 City
68 Make 69 Model 70 Color 71 Year 72 Plate No. 73 State
74 VIN 75 Expires
76 Vehicle Removed To
77 Authority
78 Alcohol/Drug Test 79 Hazardous Material
Hazard Class Placard No.
80 Carrier No. 81 GVWR/GCWR
82 Motor Carrier or Government Entity
Number & Street
City State Zip
135 Damage To Other Property
Yes (If Yes, describe) No
Oper.
Oper.
Oper.
Oper.
136 Charge 137 Summons. No. 138 Charge 139 Summons. No.
140 Charge 141 Summons. No. 142 Charge 143 Summons. No.
A
B
C
D
83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death
1 01 01 25 F 11 11 SORAYA D MOTA _71 WAYDELL ST. NEWARK NJ 07105
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06101
02102
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107
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134
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PAGE 2 OF 2
New Jersey PoliceCrash Investigation Report
Police Dept: NEW BRUNSWICK PD Code: 01
Station: NEW BRUNSWICK Case No: 20NB06707
(Refer to vehicle by number)
ALL
INVOLVED
E
F
G
H
I
J
VehOcc
PosIn/On Eject
PhysCond Age Sex
LocInj
TypeInj
RefMed
EquipAvail
EquipUsed
BagDept
HospCode
83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death
144 Crash Diagram (NOT TO SCALE)
145 Crash Description/Narrative
Driver of V1 (Soraya Mota) stated she was traveling South Bound on Easton Avenue. A deer ran in front of her vehicle from the front lawn of 286 Easton Avenue. Ms. Mota attempted to drive her vehicle into the North Bound lane around the deer but was unable to avoid striking the deer.
V1 sustained minor damage to the passengers side front headlight and was driven from the scene. The deer was removed from the roadway and placed in the area of Buccleuch Park to be dispatched. (See Officer Kerwin's supplemental report for further details). Animal Control was advised of the incident and stated they would respond to the scene at a later time to remove the deer. Nothing further to report.
P.O Hagerty 7359
146 Officer's Signature
TIMOTHY HAGERTY147 Badge #
7359148 Reviewer Badge #
HILLYER 4192149 Case Status
Pending Complete
-
PAGE 1 OF 2 Fatal New Jersey Police Crash Investigation Report Reportable NonReportable Change Report1 Case Number
20NB067232 Police Dept of
NEW BRUNSWICK PDCode
013 Station/Precinct
NEW BRUNSWICK4 Date of Crash
11/15/20mm dd yy
5 Day Of Week
SUNDAY
6 Time(use 2400 hrs)
1940
7 MunicipalityCode
1214
8 Total Killed
9 Total Injured
10 CrashOccurred On: US HIGHWAY 1 N
11 Speed Limit
55Road Name Dir
12 Route No. Suffix 13 Milepost
At Intersection With
Feet
Miles14 15 16
N
S
E
W
of:17 Cross Road Name
STATE ROUTE 18 NORTH RAMP 2518 Speed Limit
19Ramp
To
From: 20 Route/Name
NB
SB
EB
WB
21 Latitude
22 Longitude
1 F0727909 426Parked Ped Pedalcyclist Resp To Emergency Hit & RunGABRIELLA
Initial
PLast Name
BARQUIN F
50 E MADISON AVE
FLORHAM PARKState
NJZip
07932
02 D NJ
B06582707758002mm dd yyyy
08/27/2000mm yy
08 21
Same As Driver
First Name
JOSE
Initial
Last Name
BARQUIN
50 E MADISON AVE
FLORHAM PARKState
NJZip
07932
SUB LEG GD 2006 UDS88X NJ
4S4BP61C667319866 12 21
Driven
Left At Scene
Towed Disabled & Impounded
Towed Impounded
Towed Disabled
Owner Driver Police
Given:
Type:
Results:
No Yes Refused
Breath Blood Urine
Pending0. %
None On Board Spill
USDOT None
MC/MX
Weight = 26,001 lbs
23 Veh # 24 Policy No. 25 NJ Ins. Code
26 Driver's First Name
27 Number & Street
28 City
29 Sex
30 Eyes DL Class Restrictions Endorsements 31 State
32 Driver's License Number 33 DOB 34 Expires
35 Owner's
36 Number& Street
37 City
38 Make 39 Model 40 Color 41 Year 42 Plate No. 43 State
44 VIN 45 Expires
46 Vehicle Removed To
47 Authority
48 Alcohol/Drug Test 49 Hazardous Material
Hazard Class Placard No.
50 Carrier No. 51 GVWR/GCWR
52 Motor Carrier or Government Entity
Number & Street
City State Zip
2 * *Parked Ped Pedalcyclist Resp To Emergency Hit & RunLORESA
Initial
Last Name
DANIEL F
215 E CAMDEN AVE APT K07
MOORESTOWNState
NJZip
08057
02 D NJ
D04314840060702mm dd yyyy
10/06/1970mm yy
03 21
Same As Driver
First Name
LYNNETTE
Initial
R
Last Name
YOUNG
7703 WOOLSTON AVE FLR 2
PHILADELPHIAState
PAZip
19150
NISSAN UNKNOWN GY 2016 JCF5060 PA
3N1AB7AP9GY335456 09 21
DEPENDABLEDriven
Left At Scene
Towed Disabled & Impounded
Towed Impounded
Towed Disabled
Owner Driver Police
Given:
Type:
Results:
No Yes Refused
Breath Blood Urine
Pending0. %
None On Board Spill
USDOT None
MC/MX
Weight = 26,001 lbs
53 Veh # 54 Policy No. 55 NJ Ins. Code
56 Driver's First Name
57 Number & Street
58 City
59 Sex
60 Eyes DL Class Restrictions Endorsements 61 State
62 Driver's License Number 63 DOB 64 Expires
65 Owner's
66 Number& Street
67 City
68 Make 69 Model 70 Color 71 Year 72 Plate No. 73 State
74 VIN 75 Expires
76 Vehicle Removed To
77 Authority
78 Alcohol/Drug Test 79 Hazardous Material
Hazard Class Placard No.
80 Carrier No. 81 GVWR/GCWR
82 Motor Carrier or Government Entity
Number & Street
City State Zip
135 Damage To Other Property
Yes (If Yes, describe) No
Oper.
Oper.
Oper.
Oper.
136 Charge 137 Summons. No. 138 Charge 139 Summons. No.
140 Charge 141 Summons. No. 142 Charge 143 Summons. No.
A
B
C
D
83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death
01 01 20 F 04 04 GABRIELLA BARQUIN 50 E MADISON AVE FLORHAM PARK NJ 07932
02 01 50 F 04 04 LORESA DANIEL 215 E CAMDEN APT K07 MOORESTOWN NJ 08057
02 04 8 F 04 04 ISSA DANIEL 215 E CAMDEN APT K07 MOORESTOWN NJ 08057
02 05 12 F 04 04 ANAIS DANIEL 215 E CAMDEN APT K07 MOORESTOWN NJ 08057
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PAGE 2 OF 2
New Jersey PoliceCrash Investigation Report
Police Dept: NEW BRUNSWICK PD Code: 01
Station: NEW BRUNSWICK Case No: 20NB06723
(Refer to vehicle by number)
ALL
INVOLVED
E
F
G
H
I
J
VehOcc
PosIn/On Eject
PhysCond Age Sex
LocInj
TypeInj
RefMed
EquipAvail
EquipUsed
BagDept
HospCode
83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death
144 Crash Diagram (NOT TO SCALE)
145 Crash Description/Narrative
Vehicle 1 was driving in the fast lane on Rt. 1 Northbound when in front of her the traffic came to a sudden stop due to another accident that was not much further ahead of them (another accident report generated for the other accident on the highway). When vehicle 1 came to a stop, vehicle 2 was unable to stop in time, colliding with vehicle 1.
No injuries to any occupants inside of the vehicle.
Vehicle 2 insurance information: Pennsylvania insurance company
**Company name: USAA9800 Fredericksburg Road San Antonio, TX 78288phone: 2105318722/ 8005318722Policy # 04055 63 79R 7101 2NAIC: 21253
146 Officer's Signature
DANIEL LABOS147 Badge #
7343148 Reviewer Badge #
HILLYER 4192149 Case Status
Pending Complete
-
20NB0663820NB0670720NB06723MVA 11-09-20 to 11-15-20
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