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TRAFFIC ACCIDENT REPORT 035 570.71 iNtERVIEW AnD InvESTIgATION SUMMARY Accident number. Give description of accidenf stene, factual data, statements,and oficer's opinions, conclusions, and recommendations below: /. 7 S/s dArs K 57 Aetn?r!. UAS uA5 %B Y <oNE yrz TATC VEN. Ar/ts wti yr 3 AooFacts B.A on y.ltin from urine was 2y%o. Bhon'rhulssto22% No Bannitunales DeteefeI. s s7. .C.D 2 58c ....photos ay chp -9- .PHOTOS BY (HUMSER) Notifieo of Accident--Date..../.c?...7...time......... TOTAL TIME reports at station. TOTAL TIME 5 D FROM. 1 BYWHOM .TO. INVESTIGATE REPORT b6 AS TYPED. b7C CHP Form llO (Rev 5-68) PAGE 3 :/