STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL TRAFFIC COLLISION REPORT 5 CHP 555 PAGE 1 (REV. 04-11) OPI 060 PAGE 1 OF

SPECIAL CONDITIONS NUMBER HIT & RUN CITY JUDICIAL DISTRICT LOCAL REPORT NUMBER INJURED FELONY 0 HAYWARD EAST COUNTY SUPERIOR 9345-2017-02497

NUMBER KILLED HIT & RUN COUNTY REPORTING DISTRICT BEAT DAY OF WEEK TOW AWAY MISDEMEANOR 0 ALAMEDA 092 THURSDAY x YES NO

COLLISION OCCURRED ON: MO DAY YEAR TIME (2400) NCIC # OFFICER I.D. SR-92 EASTBOUND 09/21/2017 0806 9345 020316

MILEPOST INFORMATION: GPS COORDINATES NONE PHOTOGRAPHS BY: x LATITUDE 37.634953° LONGITUDE - 122.103148°

AT INTERSECTION WITH: STATE HWY REL x OR: .25 MILE(S) WEST OF HESPERIAN BOULEVARD x YES NO PARTY DRIVER'S LICENSE NUMBER STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE / MODEL / COLOR LICENSE NUMBER STATE 1 CA L G 2016 TESLA S60 RED CA

DRIVER NAME(FIRST, MIDDLE, LAST) x WILLIAM KONG LIANG LIAO OWNER'S NAME x SAME AS DRIVER PEDES- STREET ADDRESS TRIAN OWNER'S ADDRESS x SAME AS DRIVER PARKED CITY / STATE / ZIP VEHICLE BURLINGAME CA DISPOSITION OF VEHICLE ON ORDERS OF: OFFICER x DRIVER OTHER BICY- SEX HAIR EYES HEIGHT WEIGHT BIRTHDATE RACE ISLAND AUTO TOW - (510)246-7742 CLIST MO DAY YEAR PRIOR MECH. DEFECTS x NONE APP. REFER TO NARRATIVE HOME PHONE BUSINESS PHONE OTHER VEHICLE IDENTIFICATION NUMBER:

VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA

INSURANCE CARRIER POLICY NUMBER UNK NONE MINOR 01 MOD x MAJOR ROLL-OVER DIR OF TRAVEL ON STREET OR HIGHWAY SPEED LIMIT CA DOT E SR-92 65 CAL-T TCP/PSC MC/MX

PARTY DRIVER'S LICENSE NUMBER STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE / MODEL / COLOR LICENSE NUMBER STATE 2

DRIVER NAME(FIRST, MIDDLE, LAST)

OWNER'S NAME SAME AS DRIVER

PEDES- STREET ADDRESS TRIAN OWNER'S ADDRESS SAME AS DRIVER

PARKED CITY / STATE / ZIP VEHICLE DISPOSITION OF VEHICLE ON ORDERS OF: OFFICER DRIVER OTHER

BICY- SEX HAIR EYES HEIGHT WEIGHT BIRTHDATE RACE CLIST MO DAY YEAR PRIOR MECHANICAL DEFECTS NONE APP. REFER TO NARRATIVE

OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:

VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA NONE INSURANCE CARRIER POLICY NUMBER UNK MINOR

MOD MAJOR ROLL-OVER

DIR OF TRAVELON STREET OR HIGHWAY SPEED LIMIT CA DOT CAL-T TCP/PSC MC/MX

PARTY DRIVER'S LICENSE NUMBER STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE / MODEL / COLOR LICENSE NUMBER STATE 3

DRIVER NAME(FIRST, MIDDLE, LAST)

OWNER'S NAME SAME AS DRIVER

PEDES- STREET ADDRESS TRIAN OWNER'S ADDRESS SAME AS DRIVER

PARKED CITY / STATE / ZIP VEHICLE DISPOSITION OF VEHICLE ON ORDERS OF: OFFICER DRIVER OTHER

BICY- SEX HAIR EYES HEIGHT WEIGHT BIRTHDATE RACE CLIST MO DAY YEAR PRIOR MECHANCIAL DEFECTS NONE APP. REFER TO NARRATIVE

OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:

VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA INSURANCE CARRIER POLICY NUMBER UNK NONE MINOR

MOD MAJOR ROLL-OVER

DIR OF TRAVEL ON STREET OR HIGHWAY SPEED LIMIT CA DOT CAL-T TCP/PSC MC/MX

PREPARER'S NAME DISPATCH NOTIFIED REVIEWER'S NAME DATE REVIEWED C. KROPP 020316 YES NO x N/A D HARPER 017406 09/26/2017

AN INTERNATIONALLY ACCREDITED AGENCY STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL TRAFFIC COLLISION CODING PAGE 2 OF 5 CHP 555 CARS PAGE2 (REV. 04-11) OPI 060 DATE OF COLLISION (MO. DAY YEAR) TIME(2400) NCIC # OFFICER I.D. NUMBER 09/21/2017 0806 9345 020316 9345-2017-02497

OWNER'S NAME OWNER ADDRESS 600 LEWELLING BOULEVARD NOTIFIED DEPARTMENT OF TRANSPORTATION PROPERTY SAN LEANDRO, CA 94579 x YES NO DAMAGE DESCRIPTION OF DAMAGE IMPACT ATTENUATOR PUSHED INWARD

SEATING POSITION SAFETY EQUIPMENT AIR BAG INATTENTION CODES CHILD RESTRAINT OCCUPANTS B - UNKNOWN A - CELL PHONE HANDHELD A - NONE IN VEHICLE Q - IN VEHICLE USED L - AIR BAG DEPLOYED B - CELL PHONE HANDSFREE B - UNKNOWN R - IN VEHICLE NOT USED M - AIR BAG NOT DEPLOYED C - ELECTRONIC EQUIPMENT C - LAP BELT USED S - IN VEHICLE USE UNKNOWN N - OTHER D - RADIO / CD D - LAP BELT NOT USED T - IN VEHICLE IMPROPER USE 1 - DRIVER P - NOT REQUIRED E - SMOKING E - SHOULDER HARNESS USED U - NONE IN VEHICLE 2 TO 6 - PASSENGERS F - EATING F - SHOULDER HARNESS NOT USED EJECTED FROM VEHICLE 7 - STATION WAGON REAR G - CHILDREN G - LAP/SHOULDER HARNESS USED M / C BICYCLE HELMET 8 - REAR. OCC TRK. OR VAN 0 - NOT EJECTED H - ANIMALS H - LAP/SHOULDER HARNESS NOT USED 9 - POSITION UNKNOWN DRIVER PASSENGER 1 - FULLY EJECTED I - PERSONAL HYGIENE J - PASSIVE RESTRAINT USED 0 - OTHER V - NO X - NO 2 - PARTIALLY EJECTED J - READING K - PASSIVE RESTRAINT NOT USED W - YES Y - YES K - OTHER P - NOT REQUIRED 3 - UNKNOWN ITEMS MARKED BELOW FOLLOWED BY AN ASTERISK (*) SHOULD BE EXPLAINED IN THE NARRATIVE. PRIMARY COLLISION FACTOR MOVEMENT PRECEDING TRAFFIC CONTROL DEVICES SPECIAL INFORMATION LIST NUMBER (#) OF PARTY AT FAULT 1 2 3 1 2 3 COLLISION CITED 1 VC SECTION VIOLATED: YES A CONTROLS FUNCTIONING A HAZARDOUS MATERIAL A STOPPED A 22350 NO x B CONTROLS NOT FUNCTIONING* B CELL PHONE HANDHELD IN USE x B PROCEEDING STRAIGHT OTHER IMPROPER DRIVING* C CONTROLS OBSCURED C CELL PHONE HANDSFREE IN USE C RAN OFF ROAD B x D NO CONTROLS PRESENT / FACTOR* x D CELL PHONE NOT IN USE D MAKING RIGHT TURN C OTHER THAN DRIVER* TYPE OF COLLISION E SCHOOL BUS RELATED E MAKING LEFT TURN D UNKNOWN* A HEAD - ON F 75 FT MOTORTRUCK COMBO F MAKING U TURN B SIDE SWIPE G 32 FT TRAILER COMBO G BACKING C REAR END H SIDESHOW H SLOWING / STOPPING WEATHER (MARK 1 TO 2 ITEMS) D BROADSIDE I STREET RACING I PASSING OTHER VEHICLE x A CLEAR x E HIT OBJECT J CELL PHONE UNKNOWN J CHANGING LANES B CLOUDY F OVERTURNED K K PARKING MANEUVER C RAINING G VEHICLE / PEDESTRIAN L L ENTERING TRAFFIC D SNOWING H OTHER*: M M OTHER UNSAFE TURNING E FOG / VISIBILITY FT. N N XING INTO OPPOSING LANE F OTHER:* MOTOR VEHICLE INVOLVED WITH O O PARKED G WIND A NON - COLLISION P MERGING LIGHTING B PEDESTRIAN Q TRAVELING WRONG WAY A DAYLIGHT C OTHER MOTOR VEHICLE R OTHER*: x 1 2 3 OTHER ASSOCIATED FACTORS B DUSK - DAWN D MOTOR VEHICLE ON OTHER ROADWAY (MARK 1 TO 2 ITEMS) C DARK - STREET LIGHTS E PARKED MOTOR VEHICLE A VC SECTION VIOLATED: CITED: YES D DARK - NO STREET LIGHTS F TRAIN NO VC SECTION VIOLATED: CITED: E DARK - STREET LIGHTS NOT G BICYCLE B YES FUNCTIONING* H ANIMAL: NO SOBRIETY - DRUG ROADWAY SURFACE C VC SECTION VIOLATED: CITED: YES 1 2 3 PHYSICAL x A DRY x I FIXED OBJECT: NO (MARK 1 TO 2 ITEMS) B WET IMPACT ATTENUATOR D x A HAD NOT BEEN DRINKING C SNOWY - ICY J OTHER OBJECT: E VISION OBSCUREMENT: B HBD - UNDER INFLUENCE D SLIPPERY (MUDDY, OILY, ETC.) F INATTENTION*: C HBD - NOT UNDER INFLUENCE* ROADWAY CONDITION(S) G STOP & GO TRAFFIC D HBD - IMPAIRMENT UNKNOWN* (MARK 1 TO 2 ITEMS) PEDESTRIAN'S ACTIONS H ENTERING / LEAVING RAMP E UNDER DRUG INFLUENCE* A HOLES, DEEP RUT* x A NO PEDESTRIANS INVOLVED I PREVIOUS COLLISION F IMPAIRMENT - PHYSICAL* B LOOSE MATERIAL ON ROADWAY* B CROSSING IN CROSSWALK - J UNFAMILIAR WITH ROAD G IMPAIRMENT NOT KNOWN C OBSTRUCTION ON ROADWAY* AT INTERSECTION K DEFECTIVE VEH. EQUIP.: CITED H NOT APPLICABLE D CONSTRUCTION - REPAIR ZONE C CROSSING IN CROSSWALK - NOT YES I SLEEPY / FATIGUED* E REDUCED ROADWAY WIDTH AT INTERSECTION NO F FLOODED* D CROSSING - NOT IN CROSSWALK L UNINVOLVED VEHICLE G OTHER*: E IN ROAD - INCLUDES SHOULDER M OTHER*: x H NO UNUSUAL CONDITIONS F NOT IN ROAD x N NONE APPARENT G APPROACHING / LEAVING SCHOOL BUS O RUNAWAY VEHICLE SKETCH FOR SKETCH DIAGRAM, SEE PAGE 3 MISCELLANEOUS

INDICATE NORTH

AN INTERNATIONALLY ACCREDITED AGENCY STATE OF CALIFORNIA SKETCH DIAGRAM CHP 555 Page 4(Rev. 04-11) OPI 060 PAGE 3 OF 5 DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER 09/21/2017 0806 9345 020316 9345-2017-02497

ALL MEASUREMENTS ARE APPROXIMATE AND NOT TO SCALE UNLESS STATED (SCALE= ) N

PREPARED BY I.D. NUMBER DATE REVIEWER’S NAME DATE C. KROPP 020316 09/21/2017 D HARPER 017406 09/26/2017 STATE OF CALIFORNIA NARRATIVE/SUPPLEMENTAL PAGE 4 OF 5 DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER 09/21/2017 0806 9345 020316 9345-2017-02497

1 NOTIFICATION: 2 On 9/21/2017 at approximately 0809 hours, I received a call from Golden Gate Communications Center 3 (GGCC) regarding a traffic collision with an ambulance responding. After clearing an enforcement stop, I 4 responded from SR-92 Westbound, east of Clawiter Road and arrived on scene at approximately 0854 5 hours. After speaking with the involved party on scene, I determined a solo vehicle property damage only 6 traffic collision had occurred. All times, speeds and measurements in this report are approximate. 7 Measurements were obtained by visual estimation and patrol vehicle odometer. 8 9 STATEMENTS: 10 I contacted P-1 at the scene and he related the following in essence:

19 20 SUMMARY: 21 P-1 was driving V-1 on SR-92 Eastbound, west of Hesperian Boulevard in the # 3 lane at approximately 22 65 MPH while traffic at the time was light. As P-1 approached the gore point which separates the # 1 and 23 # 2 lanes from the # 3 and # 4 lanes, P-1 allowed V-1 to continue traveling straight in an easterly direction 24 into the gore point ultimately causing a collision between V-1 and the impact attenuator. After the 25 collision, P-1 remained on scene with V-1 for CHP arrival. 26 The Summary was determined by P-1’s statement, damage to V-1 and my observation of the damage to 27 the impact attenuator. 28 29

PREPARED BY I.D. NUMBER DATE REVIEWER’S NAME DATE C. KROPP 020316 09/21/2017 D HARPER 017406 09/26/2017 STATE OF CALIFORNIA NARRATIVE/SUPPLEMENTAL PAGE 5 OF 5 DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER 09/21/2017 0806 9345 020316 9345-2017-02497

1 AREA OF IMPACT (A.O.I.): 2 The A.O.I. (V-1 v.s. impact attenuator) was determined to have occurred approximately .25 miles west of 3 the west edge of Hesperian Boulevard and approximately 30 feet south of the north roadway edge of 4 SR-92 Eastbound. 5 The A.O.I. was determined by P-1’s statement and my observation of the damage to the impact attenuator. 6 7 CAUSE: 8 P-1 was driving V-1 at an unsafe speed for conditions and is determined to have caused this collision by 9 being in violation of California Vehicle Code section 22350 which states – “No person shall drive a 10 vehicle upon a highway at a speed greater than is reasonable or prudent having due regard for weather, 11 visibility, the traffic on, and the surface and width of, the highway, and in no event at a speed which 12 endangers the safety of persons or property.” P-1 failed to negotiate the split in the roadway allowing V-1 13 to enter the gore point which split the # 1 and # 2 lanes from the # 3 and # 4 lanes causing a collision 14 occur between the front of V-1 and the impact attenuator.

15 The Cause was determined by P-1’s statement, damage to V-1 and my observation of the damage to the 16 impact attenuator.

PREPARED BY I.D. NUMBER DATE REVIEWER’S NAME DATE C. KROPP 020316 09/21/2017 D HARPER 017406 09/26/2017