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FLORIDA HIGHWAY PATROL TRAFFIC HOMICIDE FIELD NOTE PACKET Thereby verify that the contents of this report are true and scalp eed a ey parley, are prePAREDBY: Daphne Yunuber resis REVIEWED BY: (CH Sergeant) uth cu THI Case No. 1/6: 9 vv7 Page sMv 62652(1074) FIELD NOTE PACKET TABLE of CONTENTS HSMV 62652 TRAFFIC HOMICIDE FNP COVER SHEET HSMV 62653 FHP VEHICLE/PERSONNEL CRASH FNP COVER SHEET HSMV 62654 TABLE of CONTENTS SHEET HSMV 62655 INVESTIGATOR’S CASE ACTIVITY SUMMARY HSMV 62656 CRASH SCENE & PHYSICAL EVIDENCE HSMV 62657 FIELD SKETCH & MEASUREMENTS HSMV 62658 FIELD SKETCH MEASUREMENTS HSMV 62660 FIELD SKETCH DIAGRAM. HSMV 62661 CALCULATION SHEET HSMV 62704 WITNESS LIST HSMV 62662 WITNESS STATEMENT SHEET HSMV 62663 VICTIM DATA & BACKGROUND INFORMATION, HSMV 62664 POST-COLLISION INSPECTION (Sheet #1) HSMV 62665 POST-COLLISION INSPECTION (Sheet #2) HSMV 62666 POST-COLLISION INSPECTION (Trailer) HSMV 62667 POST-COLLISION INSPECTION (Cycle) HSMV 62668 POST-COLLISION INSPECTION (Multi-Axle Sheet #1) HSMV 62669 POST-COLLISION INSPECTION (Multi-Axle Sheet #2) HSMV 62670 POST-COLLISION INSPECTION (Train) HSMV 62671 ‘SUPPLEMENT / CONTINUATION SHEET OTHER: Tar caseNo,_7/6 39-007 Page HSM 62654 (1014) INVESTIGATOR’S CASE ACTIVITY SUMMARY Seah, |e sien |nothes ef fetalt, lado Ay |¥¥¢n arise an ee | ox/ phe | 60 pil Shaun phot gneshes jctne as/2Ae | bit pal Trek deer elec ved poten, ws k/e/). [4pm | spoke wth O-2 fatren eT bosloe/i.|/0:p1 Am | sen} oma\ Jo Tesla resol v2 we ie nes | isha | due ag | patreren MoM gon lieth. 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THI Case No._7/ © - 3 9-007 stv 62655 (1014) CRASH SCENE & PHYSICAL EVIDENCE (CRASH SCENE INFORMATION Date: 05/07/71 Day: SAtucday Time: 4°40 “ham Bi pm County: _ Ze vi City, Town or Community: If outside City, T Tomar ‘or Community: Feet = Miles’ BNO DE ay WT Sfore FE Open Highway [_] Business L] Residential [] Rural [] Other: Roadway Crash Occurred Upon: US | 52'S) grass ee a woz pon k/ ye fpo'grsoure fe] FA! pepiee sok A / dein" gout’ J Bren ive apgee I} Lio) j ti Gens a 99 eA THI Case No,__7/4-!'¥- 007 LHSMV FHP-FNPOGBE Page FIELD SKETCH MEASUREMENTS Date: OT-oR 16 (Time: 6.70 p~ | Location: U5 25 /vE /40er Measured by: gy 5 Cary eye Drawnby: Ad 3. /atiiwn XC Assisted by: [Dseop Ze boson Ye 4XS = ae (G=thAge oR yas = T-Rafecrvtos pars ok Feomtray west €- S66 - 4 EF 2 -Yie tf 2ox EY @35¢|tene aa K = $1487 Pol mrg foce oy L Sout 10 wiv ri Poon L= 72 PlejPik tbe i tie [53'lo7 0s eu wEiyoer 2 pcodg er df imkse reFere vedg\ 13 O54 VRASL-Siscee fevel wie Easeliwe ua | 1§ § "Engi = Sp'y" south 15 Futcew 16 ER D583 Fast = 65'9" sayth ml ch [westat Aog Fits Fede 18| fede ~ Wye Pasr Y yl 3 FASTH Mets Ja foie 22'S" $aurh Wb’ 0? Fast wedge time TH) ©" #199 Pole a)? EfP Pove= HOT eon Fast fsgete™ te Farr (2b) Ope C4sl Cyelwe FR LTE Tike DRAG SLED“? Erhops | ___ PULLS: f475 5 RUN: | {fear Sous geasi- level Savtynass -/4F sours Gere ov phopresy UP ees Fear e ou ptePehr PONE Foor’ PAGE. uns before vO) Penson gants 191 seewveslpotecs PORTS 14 Brepresy 1917.7 FLORIDA HIGHWAY PATROL SWORN WITNESS INTERVIEW 1, Corporal Daphne Yuncker of the Florida Highway Patrol am conducting a criminal investigation. This interview is being conducted at _BP US 27/NE 140 Ct ‘Cocaton) Today's date is _05/17/2016 The time is _9:00 EAM or [JPM Persons present ai this interview are: _myself, Terence Michael Mulligan The name of the person being interviewed is: Terence Mchael Mulligan Driver License/Identification Card Number: Sac Fo This sworn interview is being taken in relation to case number. _FHP716-™-007 OATH = This will be a sworn, recorded interview taken by a law enforcement officer pursuant to section 117.10 F.S.S. Please raise your right hand. Do you swear or affirm that the statement you are about to give will be the truth, the whole truth and nothing but the truth? yoo - Yes, I so swear or affirm. ke _— ‘Sienatre of Wiens) Please state your name: Terence Michael Mullis Please state your address Please state your telephone number. Home. Please state your work telephone number: Please state your place of employment jupply Whitecap Constuetion Supply 11416 NW Hwy 441 “Gainesville, FL 32653 n ITERVIEW QB Time interview concluded: 7/4 Jam Cem CERTIFICATION The undersigned law enforcement officer acknowledges taking and being present during this interview This interview was recorded on: []Tape: Side of tape PM pieitai File ‘Terence Mchael Mullis Interviewing Officer —_ Gel Word a Page | of 1 Case Number, 7/6 -3? 9-007 Page SMV 62781 (Rev. 1014) FLORIDs «ilGHWAY PATROL SWORN WITNESS INTERVIEW 1, Corporal Daphne Yuncker of the Florida Highway Patrol am conducting a criminal investigation. This interview is being conducted at _CR 102/NE 60 St. Bronson, FL. (Cocation) Today's dateis 05/17/2016. ‘Thetimeis 11:30 ___-DXJAM or [JPM Persons present at this interview are: _myself, James M. Suiies Jr The name of the person being interviewed is: _James M. Surles Ir. Driver License/Identfication Card Number MMNNNES State: Florida This sworn interview is being taken in relation to case number: _FHP 716-39-007 ATH This will be a sworn, recorded interview taken by a law enforcement officer pursuant to section 117.10 F.8.S. Please raise your right hand. Do you swear or affirm that the statement you are about to give will be the truth, the whole truth and nothing but the truth? Yes, Iso swear or affirm. _\_f Tips of Wey Please state your name: Please state your address: Please state your telephone number, Home Please state your work telephone number: Please state your place of employment: INTERVIEW Time interview concluded 47 Bam Oem CERTIFICATION The undersigned law enforcement officer acknowledges taking and being present during this interview. This interview was recorded on: []Tape: Side of tape Digital File James M. Surles Jr Interviewing Officer at Bente, Page 1 of 1 Case Number: _7/ @ + 39-007 Page SMV 62751 (Rev. 1016) VICTIM DATA & BACKGROUND INFORMATION Pronounced by: Identified by: FL De Viet poston determined by Dinu SWitness Physical evidence [] Other other, explain: Fingerprints: []¥es DXINo_ | ID Photo: []Yes BgNo TD Photo by: [VAT Personal property: []¥es AQNo Personal Property in FHP custody: L]Yes ASN Property removed by:__A/ 78 Status of property: __a)/80 DI Renker MMI pecs: f{___ site: EL tap dete_ov 113 Restrictions: []Yes B§No Ifyes, explain: Endorsements: []Yes BYNo If yes, explain: Driving record obtained and reviewed: BqYes CINo NOK NOTIFICATION (If deceased) Check if N/A: AR Notified by: Date: Time: OAM OPM ‘Name of NOK: Address: City: ‘State: Zip: Phone: Other: ‘NOK type: [] Spouse [] Parent [] Adult child [] Sibling [) Guardian () Other If other, explain: MEDICAL EXAMINER (If deceased) Check if WABS Notified by: CaM OPM Autopsy: Dies LINo Investigator present: ove TNe ME. set wort obainel LT Vex IN Date: Time: OAM OPM Location of autopsy: ‘Cause of death: BACKGROUND INFORMATION Purpose of travel (Origin/Destination): hq veLw9 tp [los pis xem Blues Farry 3250 ME 40 Ave Wilisper— FO 3269 3 oad & seh very oe ue ber7 es. Familiar with roadway, Dd¥es LJNo [JUnknown Familiar with vehiclg-jves LINo LJUnknown Known physical medical condition(s): JaNone known Seizures [) Heart condition Diabetes [() Vision [] Hearing [] Physical disability Alcoholism ([] Drug dependency [] Mental illness [] Other and/or temporary condition(s): Source of information: 2) — THI CaseNo. 7/6 -39. OOF Page HSM 62663 (10714) VICTIM DATA & BACKGROUND INFORMATION ICTIM DATA Driver [) Passenger of Vehicle: _ od OR OD Pedestrian STATUS: [] Alive J Deceased Last Name: Q eu Address| Rave: ex Pronounced by: Gowza lee Wentified by: _OHio OL Victim position determined by: [ lnjury LJ Witness AR Physical evidence [] Other A If other, explain: Fingerprints: []Yes BgNo | ID Photo: Yes [No ID Photo by: Yun Personal property: []Yes Ne, Personal Property in FHP custody: Der Ryo Property removed by: Status of property: DRIVER. Number: TypelClass: _D State: _O Exp. Date: 21 (201) 4 Restrictions: esePSNO [ryes, explain: ——— Endorsements: #Slves [JNo If yes, explain: Mutyreye/e Driving record obtained and reviewed: [Yes [JNo ROKNOTIFICATION (deceased) Check ifN/A: O Notified by: Cp/ Pato ia Fels sha) Date: Time: (U2 5~ Epa TPM ‘Name of NOK: Address: Phone: ‘NOK type: If other, explain: — MEDICALEXAMINER (Ifdeceased) Check if NAD] Notified by: RCC Date: os (oP Ae Time: 725 6 “RAM OEPM Autopsy: }eiYes LINo Investigator present: [Yes ME. report obtained:29 Yes CINo AM -M Doctor: 4, ¢//¢m F Hon,” tone Date: C108 /it Time: _//:20 Location of autopsy: 606 SC 7 Ave. Gainesvifie $e Fae0) Cause of death: jn jurit Sustehed (n Gutonpbde Cotlis dn BACKGROUND INFORMATION Purpose of travel (Origin/Destination): Ww J #7 ve-6v' jee yacet aw ra Orlante™ tg 40 Synth Cerviwe for work %& Familiar with roadway: L]¥es LJNo aUUnknown Familiar with vehiclgNeqves CINo []Unknown Kaown physical medical condition( fone known, Seizures [)Heart condition [Diabetes [] Vision ([) Hearing L] Physical disability Alcoholism [J Drug dependency (J Mental illness] Other and/or temporary condition(s): “Souree of information: NNN C72 7727 ‘THI Case No. b: ve? Page SMV 62663 (1071) one POST COLLISION INSPECTION (Multi-Axle Sheet #1) Vehicle No. | Year 2014 Make:Freisat! wen Model: Color: Own 3 SCC Addr City State: ) oP VIN: SA ATG Eve ESFN TAY Weight: 6) Asp bh > Steering: te Tag Number: 7G — c Decal Number: Exp. Date:_ SE Mileage: Fe Exp: galip ‘Transmission’ Gear: Z TACHO-GRAFH Oy x» {ESHTING ou ELECTRICAL SYSIEM, a Sn Be | Equipped “hes fie Tye fie | Bis bie | “Wyes ONo Gis Bx BiYes CINo | 0) Yes C)No | Operative, sYes C)No_|"BtYes CNo | BX¥es No | BkYes ONo [Ef Yes CINo | fl Yes ONo |G Yes ONo sos j . Peston [Bre Bis Oo Dor | Qo: Com | Go Dor | Oo Dor = “Eres No | Himaged | Prstored ‘Printout | | TIRES (Include DOT Numbers in Notes Section) Make | She ra | ‘Tread Depth Re-Cap |Re-Groov — _ Steering Anke Right F4 chelh 73s 720 no 7o | 5 a] > a2\L) wa (Myer os Po A22 >t om) 4 alt ml OO Forward Drive Axle \—— Righttmide | AT ce? ws 7 R23 zy Smal ml < ml Oh —— al mal ml OY Lefiimside | w Wb| 7 =| 3 ml vy ml Of <7 ma] mal ml EY of OG Oo Oo Whectbase: Total Length ‘ Miror-o-Miror Width Ea ‘Track Width: Front: 7é Rear: 72 BODY CONDITION EXHAUST SYSTEM Geel [ avers Per [Pee [ Oil | “Ont Taner One Tair | (a a a o ~ Fiterior a ot a-+—#8 g a o o Photographed By: CO / Mn n fuge Dae: § //2/) He Tine &. anor Anmpened By: age ed CE Dae £7 ime: “5AM OM Hold Released EIVes CINo By Time am OPM Notes: THI CaseNo. 7/6 - 39-07 Page HSM 62668 (1014) POST COLLISION INSPECTION (MULTI-AXLE #2) VEHICLE NO. Brake condition: [] N/A P]Operative O ive C1Condition:_ _Goeo ‘Type brakes: [1] Hydraulic [] Air [] Other: le [- hk ara) [See ASPEN Repor for brake details CWA Windshield condition: shattered 2X) Normal Ci Tjnted [) Obstructed Contributing factor [J Yes Why?: ia Wipers condition: JSYOperative [] Inoperative [] Condition:_ Goo d Cab glass condition: [] Normal [] Tinted [7] Obstructed Gauietin foe Elven Porm a he t ~ | Operative Peon ~ Fosdon GPS Tos Cor Hors Video recording [on [J Om | — Wasines radio [oT oF AIC [on_LJom: CB radio [on [on ‘QUAL-COM (On om | Side radar [On] om ‘EWC On] om" | Lane departure (On LTO ~ [Waiver | te date | Exp. Date | _ Dr Name ee Dr. adres ‘Driver Med. Trae WA cen O [alaglislilagin|"e%-m amp 7 GoDriver Med. Cert : river mame: iver name: Tnterstate Jef Intrastate Ciinteeate CD tntrastate Total Total Teta ‘On-duty | Total miles On-auty Date | hours on pate | Rourgon | Det miles srsen | Debi ascatag | "aren ma Wes | sot rig Tous THI Case No. 2/6 39-347 Page HSMY 62669 (10/74) POST COLLISION INSPECTION (SHEET #2) VEHICLE NO. _!_ Front wheel 10 ‘Rear whee! to bumper ‘Wheelbase “Track width ‘Sketch of Vehicle Damage Hv up fan Sound Notes: EDR Downloaded: [1] Yes [] No EDR Printed Copy and Electronic file retained by: EDR Captured By: Date: Time: OamM OPM tameceady: Cpl unclean [Tip Feul —paeSHehit rime 830 Phamoen Photographed y: CO) \ynek pate: OS [Hie _time:_P2e_RRAM-ELPM Hd Reese ex CIN By: G0/ Yunchen Date: sin Time: /O70 AMEE THICaseNo. 7/7 b-19-— oup Page HSM 62665 (1014) POST COLLISION INSPECTION (TRAILER) VEHICLE NO. Year: 202 Make: _U/~ Model” Color: VfL Dunes Qicim ae, ExgreTT ILC Address Cy ee SS ce Niner ISA VIN: JUVySasju3uOT7P 02 LEPDOT# USOoT | 065 ‘Weight: Tag Naber. 33.5 CF. State: FL Decal Number. rt) Expiration Date: Type Connection: © 77 _w a 6e Width: £5 Length: 2! CMV Trailer: E}¥es LJNo Tach pf Sain Fb EQUIPMENT TIRES v | Operate Mae se [a low Tail lights rece Be FLO | S@iye k Zee Valo YO. Stop lights Wes [JNo| FA ~% F@ [ol bo Tees ahs RalELO arco ae ee atet Marker lights Wes CINof RAI [Foveu l= mes. b= 170 $ 7p | ‘Safety chains LU Dyes Nol FR-O [Gr Sexton 2957. rier leisle Tie downs [Dives “Binof Frat [7c z 2737 + [700 [9 [> Reflectors es [INo[ RRO[ So. uy RE 7Saays [ysl Ty lS ‘Loud cover Yes PJNo[ RRA | 55 To ~ aps eros | es tetas OOS Axle for tire defects: JYes EINo Axle# Brake Condition: [] N/A [Operative [] Inoperative Type Brakes: (J None [J Blectric [] Surge EY Other: / Condition: HAZMAT: [Yes DINo Ifyes, Name material: fv“ Placard: CIYes No Spill: Yes EANo™ If yes, Amounts [] Lbs. L] Gal. ‘SKETCH of TRAILER DAMAGE Inspected By: 7h? Faas | Date: x// 2 Photographed By: G / KneAen a Hold Released: 52] Yes [] No By: G@/ Yn Dat THI Case No. 2/& ~? 9 — 027 Page HSM 62666 10114) FLORIDA HIGHWAY PATROL. COMMERCIAL VEHICLE ENFORCEMENT POST CRASH INSPECTION REPORT SUMMARY/SUPPLEMENT On 05/07/16, at approximately 1730 Hours, I received a phone call from Florida Highway Patrol (FHP) Communications Center. I was requested to respond to US27 and NE 140" Avenue in Williston, Levy County, Florida in reference to a vehicle crash involving one commercial vehicle and one passenger vehicle with one fatality. Florida Highway Patrol Lieutenant Michael Blair and Sergeant Pat Earp were notified of the incident. A Post Crash notification was emailed through the proper chain of command on 05-07-16. arrived at the above location at approximately 1830 Hours and made contact with FHP Corporal Daphne Yuncker, who was conducting the traffic homicide investigation, case number FHP-B16-OFF-012225, and Traffic Homicide Investigation case number FHP 716-39-007. I was advised that at approximately 1642 Hours a red, 2014, Freightliner Tractor (North bound on US 27)) hauling a 2003 Utility trailer turned West on NE 140" Avenue in Williston, FL. While turning West on NE 140" Ave, a black in color Tesla passenger vehicle ran under the center part of the trailer causing the passenger vehicle to crash. The driver of the passenger vehicle sustained injuries which were fatal. A CVSA level one inspection (FL3122005025) was conducted on 05-12-16 at 0755 hours on the 2014 Freightliner tractor and 2003 Utility trailer. A copy of the inspection was mailed to Owner Frank Baressi. observed the tractor to be a red, 2014, Freightliner, with vehicle identification number 3AKIGHDV4ESFN1249, bearing Florida tag number F5619T, and unit number 14. The tractor is registered to Okemah Express LLC (DOT# 1065141). The trailer is an aluminum, 2003 Utility trailer, with identification number IUYVS25303U087802, bearing Florida tag 3535CP, and unit number 2004. The trailer is also registered to Okemah Express LLC. 1 observed the carrier to be Okemah Express LLC (DOT# 1065141) out of Palm Harbor, Florida. I did a query central search and determined the carrier has no out of service vehicles or drivers in their profile. The carrier has the proper authority and insurance. I then made contact with driver of the Commercial Vehicle, Frank Baressi, who provided me with License and registration for both truck and trailer. He also provided me with log book, medical card and annual inspections for both truck and trailer. He verbally provided me with his daily activity which I wrote in my notes at the scene of the accident. Mr. Baressi had a valid Florida Class A CDL with no endorsements. Mr. Baressi advised on scene that on this date (05-07-16), at approximately 0800 hours, he left his home in Tampa, Florida driving his tractor/trailer to pick up a load of Blueberries in Plant City, Florida. He stated that he arrived in Plant City at approximately 0930 hours to load. He then left Plant City at 1300 hours traveling to Williston, FL to pick up more Blueberries to transport to Boston, MA. I then inspected Mr. Baressi og book and observed that he was off duty not driving from 04-31-16 through 05-06-16 and that on 05-07-16 (Date of accident) he had only driven for 5.25 hours and was in compliance with the hours of service regulations. Mr. Baresi asked that due to being loaded with perishable blueberries and us putting a 5 day hold on the vehicle, if he could unload the blueberries at the packing house which was 2 miles from the accident scene. After conferring with Cpl. Yuncker, we allowed Mr. Baressi to drive his vehicle to the packing house located at HSMV 61513 (08/11) 3250 NE 140" Ave, Williston, FL unload, After unloading the vehicle, we secured the vehicle at the loading house until we could return to complete the inspection of the CMV. On 05-12-16, at approximately 0755 hours, I completed a CVSA level 1 inspection on the truck and trailer. During my inspection of the power unit, I discovered no violations. During my inspection of the trailer L observed damage to the middle part of the trailer where the passenger vehicle went under the trailer. 1 observed that the left and right side lower frame rail was broken on the middle part of the trailer (Out of Service Violation). I observed that 1 cross member was missing at the same location that the frame rail was broken on the trailer and that 1 cross member was bent at the front of the trailer about the fifth whee! assembly. I observed 1 audible air leak at a proper connection between axle 4 and 5 on the trailer (Vehicle was able to maintain adequate air pressure during air pressure test) and I observed the left and right intermediate marker lamps broken on the trailer also due to passenger vehicle hitting the middle part of the trailer. All violations were due to the accident except the air leak at proper connection which I am unable to determine if the violation existed prior to the accident. During my inspection of the power unit and trailer, Driver Frank Baressi assisted with the controls of the vehicle. He was instructed to build air pressure to 100 psi when inspecting the braking system of the vehicle. Axle’s 1, 2 and 3 of the power unit were Disc brakes and no measurement was obtained. Axle’s 3 and 4 of the trailer were regular air brakes with no violations discovered. I then inspected the annual inspections on the truck and trailer and observed both to be completed on January 2016, by Daniel L. Martin of All Around Repairs, located at 715 Laura Street, Clearwater, FL. ‘The carrier has active insurance with OOIDA Risk Retention Group Inc., with policy # PL199520574A, current through 05-17-16. The carrier's policy was in compliance with the federal regulations at the time of the accident. Mr. Baressi provided me with a current and valid medical card which was issued on 09-28-15 and expires on 09-28-17. The medical card was issued by Advanced Registered Nurse Practitioner Tracey Green at 1000 E Tarpon Ave, Tarpon Springs, FL. I confirmed the medical card by telephone on 05-23-16 at approximately 1130 hrs. On 05-07-16, Mr. Baressi provided local paramedics with a sample of his blood for drug and alcohol test at the request of Cpl. Yuncker. I am still waiting on the results from said drug and alcohol test. HSMV 61513 (08/11) FLORIDA HIGHWAY PATROL COMMERCIAL VEHICLE ENFORCEMENT POST-CRASH INSPECTION REPORT. EHPEIGOFFO12205, a TR JEREMY FAUL EN USZ78NE HO AVE, WILLISTON, FL 52585 ew aia mQ6172016 me 1740S | om05072016 me en0HRS | weO192016 me OTE5HRS | sn 05/220%6 me {000HRS “Drs fo Drs B00 arr WA ad Os Bw Ores he “NA ial aia “| meoncconn | i cen OR CPL DAPHNE YUNCKER FHer1635007 x 05072016 ae 164245 MOTOR CARRIER INFORMATION OKEMAN EXPRESS LC a = “oes Breve FRANK BARES! ey _ (OIDA RISK RETENTION GROUP NC. 1 NW OOIDA Dive, Grn Valo, MO 6429 (815220 5701 = PLIQG5205744 “ost7s, DRIVER INFORMATION i FRANK BARES! Destine We Death ae a ee - a ccosrsiorn0 _| ri | | ovivzoos | ‘Nowe =~ eer T= xo 09700015 vw wmoarazor7 | rracveReeNARNe | wezn nam = “TOO0E TARPONAVE,TARPONSPRINGS | essremo~®e = | — FL 34689 _— ——=- = BeBe Sebo : Dest rato VEHICLE INFORMATION FREIGHTLINER “a _| aot AKIGHOVAESENT29 fs6iar | ‘wooo 5280 “ urumty zoos __| 2008 suyvsesenavosro0e 2s36ce i “4000 22500 “T A ae TIROR Ciroucesomen Clemessnoo EluoccorareR GIcoMOO GlcEuReNe CIAEIRNCIOGS Tr verso Paawtats FRANK BARESSI 1B verstare CD ateastare 04072016 526 0101/2016 0 06510272016 0 0 0 0 0 0610372016 06/04/2016 (06/06/2016 0510672016 0510772016 TOTALS 43 PERSONS ASSISTING WITH INSPECTION ‘SUBMITTED BY TPR JEREMY FAUL REVIEWING POST-CRASH TROOPER TPR JEREMY FAUL REVIEWING SUPERVISOR ‘SGT. PAT EARP suv e152 a5) penta NM /DISK BRAKES NM DISK BRAKES NM/DISK BRAKES NMDISK BRAKES NM DISK BRAKES NM DISK BRAKES 2INCH 2118 INCH 1.944 INCH 1122 INCH *Pushrods length: 5 inch, 5.5 inch or 6 inch ‘Standard Drums size: 16.5 inch diameter on the steer and 18 inch diameter on the rear *Code letter for coefcient of friction: C, D, E, F, G or H. The final 2 letters of the brake edge codes. Prone usu erst2 oan) POST COLLISION INSPECTION (SHEET #1) peers pect dit VEHICLE NO. O& yh Year: 20 Make:_ Modet__/“ofe/ £ ~ styte: 4 ver VIN: £ YA (SIRF Se OIG Color ATS Mileage _@36 97,4 Tag Number: SFr) - J State:_ oH Exp. Date:/-g) = 77 Decal Number. Weight: = Transmission: 7ectrrc —" s/< Gear Drive Axie- [] Front jDiRer ORAL Owner: Sus hue (rde rn Address: wv State: Zip: Tallighs —|‘Taglighis | Sop “Tarmigeal | Parking lights Yes CUNo | Gh Yes No | Bi Yes ()No |T5lYes (No [Bx'Yes CINo Ci ves CyNo | Cl Yes CiNo | ChVes Cho | C1 Yes (No |CiVes Cio [D1 Yes CINo Oo Dor | on Gor] Qon Dom BRAKE & SUSPENSION SYSTEM. OCCUPANT RESTRAINT SYSTEM [Ema | seme | Say | fos ee mw | ol/o | 8 Te a o a O o oO o a o Notes (also include DOT Tire Numbersy: “le TEIR (Nol SIRRS NP ous aus” Rip Wave oosy¥ Ds THI Case No. -7/0- 39-007 Page HSMY 62666 10114) POST COLLISION INSPECTION (SHEET #2) venice No._A_ ‘Wheelbase Rew “Track width ST Sketch of Vehicle Damage 7 sapereta/ =e im poed oF Fra Jun gf wt < <| Se GS] sates are bucked Lean separeted cud Luskled Notes: EDR Downloaded: Yes []No EDR Printed Copy and Electronic file retained by: FNP _/7)a EDR Captured By: Matthens Schwel) PHO W tesla Date: l/r ‘Time: XJ am Cm Inspected By: Cf) ON uncon pate: os /i2/4 time: 0__ am OPM Photographed By: Cpl _\)_ ‘unc ue pate: 05/ig/i0 time: 136 gam Orem Hold Released fates INO By:_P/ Vien eben date: 05/8/16 Time: (0S Eh IM THI Case No. 27 6 ~ 37 - OU? Page HSV 62565 (1014) See / CONTINUATION SHEET v Feodl + buwper corer seperated — “IE Wight @isently seporated Ge fendar cruthed mind! up wy 16" + budleS outed (fie) | Fe _ of bod buckled Sun wand lene) Aas Stretches Fk 7 [Riche sie: Qbor ontutal trned ~- Guise .w bottrtat coon outs Jo Mire Seveped + bakin at AIR dove put ef al. dase. wed tbachled du Fas0st Rin ~Reer ~1R-~ Scevepes vsertched Lel+ Sides Both Agere put of Ghonmert uty de pr er Bev feet 41a dove buckled due to avtrechm vf D-z Roof hes been copareteS by imped vf tale News aye bees bert to Hho veer Taw y AES and tole sdli ¢Hahel ct (ook All pre peoken ~ Awdoras Ag han is bokew THI Case Number: 24 6-3 7-0 07 Page: HsMV e271 i014) FLORIDA HIGHWAY PATROL TROOP H - NEXT OF KIN NOTIFICATION DATA DECEASED INFORMATIO) NAME OF VICTIM: _Joshua Damon Brown VICTIM ADDRESS: TELEPHONE: CURRENT LOCATION OF SURVIVORS Hospital/Address/Phone: N/A. Hotel/Address/Phone: N/A Survivor/Address/Phone: N/A OTIFICATION DATA AGE | RACE | SEX RELATIONSHIP Ww. M_| Father W. F__| Mother Address of Family Notified | Telephon of Fini; Noe: Date and Time of Notification: 05-07-16 10:35PM. Name/ID# of Notifying Person:_Senior Corporal Patricia Jefferson-Shaw #524 VICTADV-NOTIFY-FORM OFFICE OF THE MEDICAL EXAMINER DISTRICT EIGHT — th senmndistrictfime.com 606 ang ‘Avenue UFHeal Alachua, Baker, Bradford, Die, Gal F260 mr Gilchrist, Levy & Union Counties ey Decedent: Brown, Joshua Hospital: WA ] Age/DOB: (40) Sex: Male Autopsy Number: 16-0225 Date of Autopsy: 05/08/16 @ 1120 LIMINARY Y FINDIN 1, MASSIVE CRANIOCEREBRAL BLUNT TRAUMA WITH FACIAL AND SCALP LACERATIONS, FRACTURES OF CALVARIUM AND SKULL BASE, MAXILLA AND MANDIBLE, AVULSION OF BRAIN AND UPPER BRAINSTEM a 2 p ASPIRATION OF BLOOD CONTUSION OF RIGHT UPPER ARM . CONTUSIONS AND ABRASIONS OF LEFT FOREARM AND HAND SMALL CONTUSIONS OF RIGHT AND LEFT LUNGS AND PULMONARY PROBABLE CAUSE OF DEATH: INJURIES SUSTAINED IN AUTOMOBILE- TRACTOR TRAILER COLLISION MANNER OF DEATH: ACCIDENT Lu. 0A SE sxe WILLIAM F. HAMILTON, M.D. Comment: Autopsy findings and conclusions are subject to modification upon completion of the death investigation. Page | of |

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