HomeMy WebLinkAbout23-2761 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 6 27c
COLLISION REP FIT 1591971
CASE 23-2761 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ v1=Hlc:l F ❑ LOCAL AGENC 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK M/SC OBJECT OR DEBRIS ON ROAD
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 03 - 07 - 2023 1915 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
AIRPORT WAY BLOCK NO. e ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SHATTUCKAVES
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:9493025864 0 11
30
6� LAST NAME YOUNG FIRSTNAME JENNIFER MIDDLE R 1 1 2 31
INITIAL
STREET ❑, 6848 S 133RD ST CITY SEATTLE ST WA 2jp, 981785034 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES z❑
USE CLASS ROLL OVER COLLISION NO PAIN AT SCENE
3
10❑ PI QTNFS# CDU2676 STATE WA VIN#' JTEBU5JROK5674710
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# Rom To
TRLR. TRLt2 7 3 33
12 3 5 VIN#' VIN#'
FROM TO
VEH.YEAR 2 4 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T VgyEWk GOVT.VEHICLE 34
019
13 4 TOYT SV DAMAGE YES NO """ R 1 5 YES[:] No
No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILIT INSURANCE Z INSURANCE CO USAA 0164349437102
IN EFFECT &POLICY# 9TOP
VEwcLE 36
LEGALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069092586
LAST NAME LYNCH FIRST NAME JAMES MIDDLE A
INITIAL
17 STREET❑ NEW ADOREss❑' 2608 2ND AVE APT 112 CITY SEATTLE ST WA ZIP 981211212 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES
❑NOF,/
19 DRIVERS
# STATE WA SEX M Mr D.C.B. 09 _ 20 _ 1963 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# AXY1460 TATE 41
WA VIN# 1C4NJPBA4GD602985 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2016 MAKE JEEP MODEL PATRIOT STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JAMES LYNCH 26082ND AVEAPT 112 SEATTLE WA 98121 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO ALLSTATE 817810848IN 9TOP 5
—e E ❑ ,J� CITATION# CHARGE E
BOTTOM
LEGALLY YES N`L J
25 ' e
7JASON
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26TURNER 12650 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED41391
COLLISION REPORT III III III III III 111
1591972 CASE# 23-2761
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
PM 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'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JASON TURNER 03-10-23 09:51 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 311112023 12:18:05 AM
BADGE OR ID# 12650 ORI# WA0171300 TIME POLICE DISPATCHED! 7:24 Pry TIME POLICE ARRIVED',7:Y7 Pry
PART I PAGE IT]OF 4�
REPORT NO. ED41391 CASE# 23-2761 OF COLLISION
03/07/23 19:15
OF CbLLI510N
NARRATIVE
On 03/07/2023 at approximately 1924 hours I was working as a Police Officer for the city of Renton.
While working I was dispatched to an unknown if injury accident at the intersection of Airport Way and
Shattuck Ave S.
The notes of the call stated that one of the vehicles rolled over during the collision.
Unit 1 Driver: Jennifer R. Young (DOB: 12/06/1973)
Vehicle: 2019 White Toyota 4runner (WA LIC: CDU2676)
Unit 2 Driver: James A. Lynch (DOB: 09/20/1963)
Vehicle: 2016 Black Jeep Patriot (WA LIC: AXY1460)
The accident was reported as follows:
Unit 1 was driving in a straight line in the number 2 lane going westbound on Airport Way
approaching the intersection of Airport Way and Shattuck Ave S.
Unit 2 was waiting at the light of Shattuck Ave S and Airport Way so that he could proceed
southbound on Shattuck Ave S.
Unit 2's light turned green, and he remained at the intersection for a moment, attempting to pick up an
item up from the floor of his vehicle. Unit 2 then proceeded through the greenlight. Unit 1 had a red
light and was approaching a red light at the above intersection at 35mph. Unit 1 ran through the red
light causing the vehicles to collide at the intersection.
Unit 1's vehicle rolled over at the intersection and then rolled back up right. The vehicle slid
westbound and went to rest into some bushes on the property of Renton Municipal Airport. The
vehicle was resting with it's rear in the bushes. The vehicle caused damaged to the bushes on the
property.
Both drivers reported no injuries on the scene. Unit 2's front bumper was significantly damaged, parts
of it were hanging off the vehicle. Unit 1's vehicle was significantly damaged all around the vehicle,
the front windshield was shattered with multiple dents and scratches all around the vehicle. Unit 2
had no air bag deployment, while unit 1 had multiple airbags deploy in the vehicle. Both vehicle's had
damage worth more than $1000.
Fire was called to the scene and evaluated both drivers. I provided an exchange of information to
both drivers.
There is no further information at this time.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by J. Turner 12650 on 03/10/2023 at 2147 hours.
PAGE 3 OF 4
REPORT NO. ED41391 CASE# ' 23-2761 DATE AND TIME 03/07/23 19:15
OF COLLISION
V)
t
1
1
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