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Click here or scroll down to respond to this candidatePage 1 of 3VASHISTCity State Zip DOBDECATUR GA PHONE NUMBER AVAILABLE/Street Address /1982Drivers License No. Class State CountryStreet Address C GA UNITED STATESInsurance Co. Policy No. Telephone No.STATE FARM 112D332131Year Make ModelVIN2023 TESLA MODEL YVehicle Color7SAYGDEE5PA070101 WHITag # State County YearTrailer Tag # YearCWK2384 GA FULTON 2025State CountySame as Driver Owner's VASHIST Last Name First RUPAM MiddleAddressCity1391 COLLIER RD NW APT 2401State ZipRemoved By:ATLANTA GA30318-7456RequestDRIVER ListAlco Test: Type: Results: Drug Test: Type: Results: 2 2Unit #Susp At Fault1DriverPedBikeLAST NAME FIRST MIDDLERUPAMAddress2306 PACES PARK DRFirst Harmful Event: 11 Most Harmful Event: 11 Operator/Ped Cond: 1 Operator Contributing Factors:Roadway Contributing Factors:11Vehicle Contributing Factors: 1 1Direction of Travel: 2 Vehicle Maneuver: 6 Non-Motor Maneuver: Vehicle Class: Vehicle Type: Vision Obscured:Number of Occupants: Area of Initial Contact:1 1 11 9 Damage to Veh: 2Traffic-Way Flow: 3 Road Comp: 2 Road Character: 5 Number of Lanes: 6 Posted Speed: 55 Work Zone: 0Traffic Control: 7 Device Inoperative: Yes NoCOMMERCIAL MOTOR VEHICLES ONLYCitation #Citation #Citation #O.C.G.A.
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Citation Information:E05111244 40-6-123(a)Carrier Name:Address City State ZipU.S. D.O.T. # No. of Axles G.V.W.R.Cargo Body Type Vehicle Config. Interstate Fed. Reportable Intrastate Yes NoC.D.L.? Yes No C.D.L. Suspended? Yes NoVehicle Placarded? Yes No Hazardous Materials? Yes No Haz Mat Released? Yes NoIf YES: Name or four Digit Number from Diamond or Box: One Digit Number from Bottom of Diamond:Ran Off Road Down Hill Runaway Cargo Loss or Shift Separation of UnitsMCGEECity State Zip DOBATLANTA GA PHONE NUMBER AVAILABLE/02/1978Drivers License No. Class State Country056531078 C GA UNITED STATESInsurance Co. Policy No. Telephone No.GEICO PHONE NUMBER AVAILABLEYear Make ModelVIN2016 DODGE JOURNEYVehicle Color3C4PDCAB8GT147510 REDTag # State County YearTrailer Tag # YearCXW7490 GA CLAYTON 2024State CountySame as DriverOwner's SHEIKA MCGEE Last Name First KETURAH LA Middle AddressCity2101 PINE TREE TRLState ZipRemoved By:COLLEGE PARK GA30349-7110RequestDRIVER ListAlco Test: Type: Results: Drug Test: Type: Results: 2 2Unit #Susp At Fault2DriverPedBikeLAST NAME FIRST MIDDLEKETURAH LA SHEIKAAddress2101 PINE TREE TRLFirst Harmful Event: 11 Most Harmful Event: 11 Operator/Ped Cond: 1 Operator Contributing Factors:Roadway Contributing Factors:Vehicle Contributing Factors: 1 1Direction of Travel: 2 Vehicle Maneuver: 5 Non-Motor Maneuver: Vehicle Class: Vehicle Type: Vision Obscured:Number of Occupants: Area of Initial Contact:1 1 11 1 Damage to Veh: 2Traffic-Way Flow: 3 Road Comp: 2 Road Character: 5 Number of Lanes: 6 Posted Speed: 55 Work Zone: 0Traffic Control: 7 Device Inoperative: Yes NoCOMMERCIAL MOTOR VEHICLES ONLYCitation #Citation #Citation #O.C.G.A.
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Citation Information:Carrier Name:Address City State ZipU.S. D.O.T. # No. of Axles G.V.W.R.Cargo Body Type Vehicle Config. Interstate Fed. Reportable Intrastate Yes NoC.D.L.? Yes No C.D.L. Suspended? Yes NoVehicle Placarded? Yes No Hazardous Materials? Yes No Haz Mat Released? Yes NoIf YES: Name or four Digit Number from Diamond or Box: One Digit Number from Bottom of Diamond:Ran Off Road Down Hill Runaway Cargo Loss or Shift Separation of Units Agency Case NumberCPHONE NUMBER AVAILABLEAgency NCIC NumberGAGSP0000GEORGIAMOTOR VEHICLE CRASH REPORTCountyFULTONDate Rec. by GDOT06/07/24 19:20Estimated CrashDate Time Date Time06/07/24 19:35DispatchDate Time06/07/24 19:45ArrivalVehicles Injuries Fatalities2 0 0Total Number of Inside City OfATLANTARoad ofOccurrenceAt ItsIntersection WithNot At ItsIntersection ButLatitude (Y) Longitude (X)Of(Format) 00.00000 (Format) -00.00000Corrected ReportSup To OriginalHit And Run?I-75 S0.2MilesFeetNorthSouthEastWestPHONE NUMBER AVAILABLEDEERING RDGDOT-523 (07/17)Page 2 of 3COLLISION FIELDSManner of Collision: 1 Location at Area of Impact: 1 Weather: 1 Surface Condition: 1 Light Condition: 1 Vehicle#1 was traveling southbound on I-75 in the 3rd lane from the median wall. Vehicle#2 was traveling southbound on I-75 in the 2nd lane from the median wall. Vehicle#1 improperly changed lanes and crossed into the 2nd lane, causing vehicle#2 to hit vehicle#1 in the left side with its right fron side area. Area of impact was in the 2nd lane from the median wall, determined by driver's statements and video from vehicle#1. Upon investigating Trooper's arrival both vehicles had been removed from the roadway and found parked on the left shoulder. Crash investigation was digitally recorded. Perm# 1525 376 Digital VideoNARRATIVEDIAGRAMINDICATENORTHPROPERTY DAMAGE INFORMATIONDamage Other Than Vehicle OwnerWITNESS INFORMATIONName (Last, First) Address City State Zip Code Telephone Number OCCUPANT INFORMATION1Name (Last, First): VASHIST, RUPAM Address: 2306 PACES PARK DR DECATUR, GA 30033-7402 Age:42 FSex:1Unit #3Position:1Safety Eq: Ejected:2Extricated:2Air Bag:Injury:1 2Taken forTreatment:Injury Taken To: By: EMS Notified Time: EMS Arrival Time: Hospital Arrival Time: 2Name (Last, First): MCGEE, KETURAH Address: 2101 PINE TREE TRL ATLANTA, GA 30349-7110 Age:45 FSex:1Unit #3Position:1Safety Eq: Ejected:2Extricated:2Air Bag:Injury:2 2Taken forTreatment:Injury Taken To: By: EMS Notified Time: EMS Arrival Time: Hospital Arrival Time: ADMINISTRATIVEPhotos Taken: YesNoBy: Officer Note: If collision resulted in a fatality, please send prompt notification to the GDOT Crash Reporting Unit via either email at EMAIL AVAILABLE or Fax at PHONE NUMBER AVAILABLE Report By: Agency: Report Date:BOWDEN, LEE #0376 GSPC\POST 49Checked By: Date Checked:06/07/24 RARIDEN, J.C. #0335 06/11/24GDOT-523 (07/17) MAIL TO: Georgia Department of Transportation, CRASH REPORTING UNIT, 935 East Confederate Ave., Atlanta GA 30316-2590 Page 3 of 3ADDITIONAL or FULL PAGE DIAGRAMGDOT-523 SUPP (07/17) |
