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L23112651 DRUGSALCOHOL(cont'd)TRACS KEY NO.95DRIVER LICENSE RESTRICTIONS98 - Other18 - Prosthetic Aid17 - Outside Mirror16 - Motor Vehicles Without Air Brakes15 - Military Vehicles Only <br /> adaptive devices) brakes, hand controls, or other14 - Mechanical Devices (special13 - Limited-Other12 - Limited to Employment11 - Limited to Daylight Only10 - Learner’s <br /> Permit Restrictions09 - Intermediate License Restrictions08 - Farm Waiver07 - Except Tractor-Trailer06 - Except Class A Bus05 - Except Class A & Class B Bus04 - Corrective Lenses03 <br /> - CDL Intrastate Only02 - Automatic Transmission01 - Alcohol Interlock Device00 - None(up to 3 choices)ENDORSEMENTS98 - Other Non-Commercial License Endorsements & Hazardous Materials07 <br /> - X - Combination Tank Vehicle06 - T - Double / Triple Trailers05 - S - School04 - P - Passenger03 - N - Tank Vehicle02 - M - Motorcycle01 - H - Hazardous Materials00 - None(up to 4 <br /> choices)DRIVER ACTIONS AT TIME OF CRASH98 - Other Contributing Action16 - Wrong Side or Wrong Way etc. Object, Non-Motorist in Roadway, Slippery Surface, Motor Vehicle,15 <br /> - Swerved or Avoided Due to Wind,14 - Ran Off Roadway13 - Over-Correcting/Over-Steering Reckless or Aggressive Manner12 - Operated Motor Vehicle in Negligent or Erratic <br /> Manner Inattentive, Careless,11 - Operated Motor Vehicle in10 - Improper Turn09 - Improper Passing08 - Improper Backing07 - Followed too Closely06 - Failed to Yield Right-of-Way05 <br /> - Failed to Keep in Proper Lane04 - Disregarded Traffic Sign03 - Disregarded Road Markings02 - Disregarded Stop Sign01 - Disregarded Red Light00 - No Contributing Action(up to 4 choices)AT <br /> TIME OF CRASHDRIVER CONDITION(up to 2 choices)DRUG TYPE(up to 4 choices)Agency Case No.Investigator’s Motor Vehicle Crash Report - Driver ofSheet 99 - Unknown if Impaired98 - Other97 <br /> - Not Applicable Drugs or Medication06 - Under Influence of Alcohol,05 - Physically Impaired04 - Ill (sick, fainted) angry, disturbed, etc.)03 - Emotional (depressed,02 <br /> - Asleep or Fatigued01 - Apparently Normal05 - Other Controlled Substance04 - Opiate03 - Marijuana01 - Amphetamine97 - Not Applicable (excludes post-crash drugs)07 - Other Drug06 <br /> - PCP L1 WEBER, SOFIA, A DRIVER NAME (Last, First, Middle)(402) 705-6637 CONTACT PHONE 02 SEX99 - Unk.02 - Female01 - Male 119 E 4TH ST MAILING ADDRESS HASTINGS CITY NE STATE 68901 <br /> ZIPDATE OF BIRTH (MMDDYYYY)DOB Unk.DRIVER’S LICENSE NO.NE STATEUNKNOWNCITATION BH5300134 12 05 DRIVER LICENSE JURISDICTION97 - Not Applicable06 - U.S. Government05 - U.S. State04 - <br /> Mexican* (other than Mexico, Canada)03 - International License*02 - Indian Nation*01 - Canadian*00 - Not Licensed 02 DRIVER LICENSE STATUSType Applicable for this Person <br /> graduated driver license, etc.) (learner’s permit, temporary/limited,03 - Non-CDL Restricted Driver License02 - Non-CDL Driver License01 - Commercial Driver License (CDL)0406 <br /> Status06 - Valid License05 - Suspended02 - Disqualified (CDL)01 - Canceled or Denied00 - Not Licensed NEBRASKA Nation indicated on the Driver’s License Include the specific State, <br /> Province or* Name of Jurisdiction 01 DRIVER LICENSE TYPE99 - Unknown License Type05 - Temporary License04 - School Permit03 - Learner’s Permit02 - Intermediate Driver License01 - Full <br /> Driver License00 - Not Licensed 05 CLASS98 - Other97 - Not Applicable05 - Regular Driver License00 - None 0002 ALCOHOL INTERLOCK PRESENT?02 - No01 - Yes 00 SPEEDING RELATED03 - Too <br /> Fast for Conditions02 - Racing01 - Exceeded Speed Limit00 - No 02 COMMERCIAL DRIVER LICENSE (CDL)02 - No01 - Yes 0700 DRIVER DISTRACTED BYAction03 - Other Action (looking away from <br /> task, etc.) (texting, dialing, playing game, etc.)02 - Manually Operating01 - Talking/Listening00 - Not Distracted 0197 Source97 - Not Applicable (not distracted)08 - Other cell <br /> phone use like GPS navigation07 - Other Distraction (animal, food, grooming, etc.)06 - External (to vehicle/non-motorist area)05 - Passenger/Other Non-Motorist04 - Vehicle-Integrated <br /> Device03 - Other Electronic Device02 - Hand-held Mobile Phone01 - Hands-free Mobile Phone 02 ALCOHOL SUSPECTED02 - No01 - Yes 02 ALCOHOL TEST STATUS99 - Unknown if Tested03 - Test Refused02 <br /> - Test Not Given01 - Test GivenALCOHOL TEST TYPE97 - Not Applicable98 - Other03 - Urine02 - Breathalyzer “BrAC”01 - Blood “BAC”ALCOHOL TEST RESULT02 - Positive01 - NegativeBAC Level: <br /> (ex: 0.132)02 DRUGS SUSPECTED02 - No01 - Yes 02 DRUG TEST STATUS99 - Unknown if Tested03 - Test Refused02 - Test Not Given01 - Test GivenDRUG TEST TYPE98 - Other03 - Saliva02 - Urine01 <br /> - BloodDRUG TEST RESULT02 - Positive01 - Negative <br /> <br />