HomeMy WebLinkAbout23-827 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED26467 170
27
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# 23-827 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
cowsloN 01 - 19 - 2023 1120 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 2ND STREET BLOCK NO. e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2067869565 0 11
30
6❑ LAST NAME SINGH FIRSTNAME RAVINDER MIDDLE N 1 2 31
INITIAL
STREET ❑, 11020 SE 220TH PL CITY KENT ST WA 2jp, 980312197 2=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 01 1— 08 — 1991 2 32
9 ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES 2❑
3
10 9❑ PI ATE BGK9669 sTArI WAvIN#' 1HGCR2F88HA157522
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR. 3 5 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 1 2017 HOND ACCOR DAMAGE YES NO YES❑ NO✓
REGISTEREDOWNERINFO RAJWINDERKANG11020SE220THPL KENTWA98031 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILI VINSURANCE� NSURANCECO STATE FARM 4940539F0947 3
IN EFFECT &POLICY# 9TOP
VEwcLE CHARGE1013
5 36
LEGALLY YES❑NO CITATION# 3AO053358 PROH/IMPROPER TURN o aorrom
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2533818974
16 a
LAST NAME KNOCHENHAUER FIRST NAME WILLIAM MIDDLE E
INITIAL
17❑ STREET ❑', 28703 74TH AVENUE CT S CITY ROY ST WA ZIP 985808016 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs❑NOF YES
❑NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 09 _ 13 _ 1961 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I D23806A TAre WA vIN1t NMOLS7T25N1516642
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TIN# IN RLR
#.UIN#. '
VEH YEAR 2022 MAKE FORD MODEL TRANSIT STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ADT LLC 6102 N 9TH ST STE 700 TACOMA WA 98406 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE I PORGY#E CO OLD REPUBLIC MWTB 31431922IN STOP 5
VE""LE ❑ Nu,J CITATION# CHARGE
LEGAL to BOTTOM
LY YES
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
S.MORR/S 2613 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED26467
COLLISION REPORT III III III III III 111
1591972 CASE# 23-827
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On 01/19/2023 at 1129 hours I arrived for a two car non injury accident in the 200 block of S. 2ND
Street in King County, Renton WA.
The drivers were the only ones in the vehicles. Neither complained of injury. Both drivers were
identified by Washington State Drivers Licenses. Both drivers told the same story as to how the
collision occurred.
U1 was towed from the scene due to disabling damage to the drivers side and rear passenger side.
U2 was able to park in a parking lot and made his own arrangements for the vehicle.
U1 was Westbound on S 2nd Street which is a four lane one way street. U1 was in lane #2. U2 was
also Westbound a little behind U1 but was in lane #1 going straight ahead. U1 decided he wanted to
make a left turn into the Safeway parking lot and did so from lane #2 which was directly in front of U2.
U2 did not have time to react and drove straight into U1 causing front end damage.
U1 was towed from the scene. U1 is the proximate cause of this collision. U1 cited for improper turn
via complaint.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
S.MORRIS 01-19-23 12:31 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 111912023 1:07:45 PM
BADGE OR ID# 2613 OR]# WA0171300 TIME POLICE DISPATCHED 11:23 AM TIME POLICE ARRIVED';11:29 AM
PART I PAGE IT]OF
REPORT NO. ED26467 CASE# ' 23-827 DATE AND TIME 01/19/23 11:20
OF COLLISION
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S2ndSt um
U2
Rainier Ave S
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