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Home My WebLink AboutMINUTES - 03182003 - C41-C42 .............I...................................................................................................................................................... .................................................................................................... �C' 'TRANSIT CRASH WITNESS STAT,-JENTr �r I, Patricia Wallace,was a passenger on an AC Transit bus at approximately 8:05 a.m. on the morning of August 27, 2002 when it collided with a passenger car at the intersection of Main and C Streets in downtown Hayward, CA. I was seated in the front of the bus on the left hand side. I saw that the traffic light was red when the bus entered the intersection traveling east bound on"C" St. At the time, the bus driver was talking on the speaker, entered the intersection against the red light and struck the vehicle traveling south on Main St. Patricia Wallace Date Address: 736 Memorial Way#7 Hayward,CA 94 ............................................-........................ ......... ...... .... ....._- SR 1 IREV"I) FINANCIAL RESPONSIBILITY REPORT OF *** OFtRAFFICACCIDENT*k i SECTION VSE ONL r SEE INSTRUCTIONS ON BACK MAIL THIS I*PORT TO DEPARTMENT OF MOTOR VE141CLES— FINANCIAL RESPONSIBILITY P.O.BOX 942884,SACRAMENTO.CALIFORNIA 94284-0401 PLUSE PRI)VT (916)657.6421 oATE OF ACCIYIEMT.i'" * +oua Month O R G.- Year Cl A.M. OP.M. PLACE LOCATION OF ACCIDENT CITY COUNTY PRWATE PROPERTYtJO.VEHICLES IN ACCIDENT CAj e;` ,I v oq-1z T e ❑Yes YOUR VEHICLE.- (Also, plea complete Insurance Information stub below) §Aqppo In Traffic Ing 0 LParked © Pedestrian 0 Bicycle DRIVER'S NAME(FIRST.MIDDLE,LAST) DRIVER LICENSE NO.AND STATE DATE OF R H(MONTP,�AY,YEAR) DRIVER ADDRESS M.AND ,e�STREET) (,r CITY J STATE ZIP'CODE TEL Ot O�_^��/� 7,9 OWNER OF VEHICLEJOU WERE DRIVING(FIRST,MIDDLE,LAST) ADDRESS(NO.AND STREET) CITY STATE ZIP CODE VEHICLE YOU WERE DRIVING(YEAR ANI)MASE) BODY TYPE VEHICLE LICENSE OR 10,NO.AND STATE ESTIMAT CAST OF REPAIRS WERE YOU DRIVING A VEHICLE IF,YES EMPLOYER'S NAME AND ADDRESS OWNED BY YOUR EMPLOYER AND WITH PERMISSION? Yes OTHER VEHICLE I 0 Sopped In "traffic vinq C3 Legally Parked 13Pedestrian 3 {�''} Bicycle DRIVER'S NAME(FIRST,MIDDLE.LAST) DRIVER LICEW NO.AND STATE DATEOF 8 T (MONTH.DAY,YEAR) DRIVER ADDRM ANDS '') CITY STATE ZIP CO�TELEP - ENO: '46411111,g, -- Work: Horne: OWNER OF OT4141 VEHICLE(FIRST,MIDDLE.LAT) r ADORE (NO.AND ST11 CITY STATE ZIP CODE VEHICLE{Y RAND MAKE} BODY TY VE#IICLE LICENSE OR#.D.N AND STA ESTIMAT D COST Of REPAIRS IVC2r ,603 7 t WAS HEISHE DRIVING AIF YES,E P YER:'S NAME AND ADDRESS VEHICLE OWNED 9Y AN EMP%OY AND WITH PERMISSION? Yes ( NO DAMAGE TO OTHER OOPERTY ESTIMATED COST TO REPAIR DAMAGE NATURE OF DAMAGES OWNER'S NAME AND ADDRESS INJUMES AND DEATHS CAUSED BY THE ACCIDENT NAMEJAODRESS TYPE OF INJURY —AGE 0 Driver 0 In Your Vehicle ©Bk-Olst a Fatal ❑Passenger ❑to Other Vehicle Q Pedestrian NAMVADDRESS TYPE OF INJURY AGE 0 Driver 0 In Your Vehicle C3 acwjsI ©Fatal Passenger 0 In Other Vehicle ©Pedestnan Was a policy of LIABILITY insurance or a bond covering the operation of YOUR vehicle in effeC at time of accident? 0 Yes t'1 Nn tsars AAW tri US .gdep OZ fit 411M JUDWI iieidea em 01 peuln1et F +arq jentu,m 'polio ul ;ou 89,M puog/ft*ilod e%a 1041 404imliul'01 p04tew $I UUof slyl if ole() �llt3. asnleu6tS _ J -01---- Ol WO4 pO90d pU08 xa ;340d JagwnN puoq Jo&x1od iO3JJ5 N1 ION SVM ❑ 105:1:13 NI SYM :1Uapt3aT petiodal aql of loadsaJ L4tm '-0'n 9909L '09S ut t4lAol )as sltwtt wrTUJtutw aLtl sat#stles yoi" `apes asigAw atll UD papodej puoq Jo Aottod atll 1egj sesi pe Auedwoo pau t lepun eq j too()-b8zb6 e11.110lt1e0 `O)uaweloeg `b98Ztr6 xog -O-d ',titltgtsuodsai} jetOU1VU!-4--S6iOt40A JOIOVY P 1UGUAJedB`G :01 .............. . ... _ _ 07 : 43 J aU 7()b Murber : 6459 B & S HACIENDA AUTO BOD' License # :AC1614 60 Federal ID 4 : 9442464`167 Quality isn' t expensive it ' s pri _pass 3687 OLD SANTA RITA RD #7 `LEASANTON, CA 94388 (925) 847-8789 Fax: (925) 947-x804 PRELIMINAIRY SUPPLEMENT 1 WITH SUMMARY Written by: Lisa Hanrahan 4 A<--'-i aster . Doug W_` Iburn Jr ±sed: Douq rJuT Chi (`t3i:Il .7ner: Doug YOu:'?ce P014 c- d cess: 70 North Oak Ct Deductible: _OCr . 00 Deville, CA 94506 Date of Lass: ( 5' 0j 76-1064 Type of Loss: _,rsning: ( 923) 736-3937 Point of' Impact: Req _ Qt_ Pos: ,-zpect B & S HACIE 3rA A'1JTO BODY Business: 92 '_7-8 789 ,:)cvcion: 3697 OLD SANTA RI`'A RC #7 ?Lz,zSANIM, CA 94338 �ronce c y.RM7R- .,—::,anv: �'j I30T 6-3 . OT 77 J tiC D E_a'�. _..� -A -2- 3387 Lic: 4,, 221 CA Prod Date: " . ._ 1" odometer: 30511 ondon ng Rear Defogger T-4 -t :,]heel _ ? Control i terms t_e:-.t W4 0ers _i'rate Control Entry Theft reterrent/r.?ar... "—'a a M---' Controls _.in Dua_ Mirrors Class Sunroer i3tlrc Clear Co- az Pain.. ;'rl=_ 7p=er ng �__"le ."',ear p1wer PPS__viae Se aOr L Era'res (#) Dri,,e Air Eau Ar Ba�- 3 y : ide 1moact Air Bac Posit�3�t:^i7 r lca Seats =.t Seats AIumi r,um/Ai 11 o Wheeis ------------------------------------------------------------------------------ Or . DE:SCRw +T10 O, L �7 1 ✓ _ T LA2OR PAINT ------------------------------------------------------------------------------ W7-NDSHIELD R&I Ui:�ber molding ;Y one`. 0 . 8 RESTRAINT SYSTEMS „^ Rep! RT Side bad m 0 . 7 P7 System diag,ncsis m 0 . 5 N] SEATS & TR .C[{S r Repl RT Pad backrest 220 R:OO E SOI BInd Rooms panes 1 . 5 R.&I RT Drip Ws�rio 0. 3 _ R&= LT Drip W s`r rs 0 . 3 PILLARS, RC,1_K7;z. __._. .......... ..._._ ..___ T.__..