HomeMy WebLinkAbout24-883 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# z4-ss3 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 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 N E IN CITY# ❑
COLLISION.. 01 - 1-- 2024 0757 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BL N BLOCK NO. e✓ 233
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 1501. 00 FEET ❑ S B W❑ N 3RD ST
❑ MILES
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:4252699407 0 7 30
6� LAST NAME RODRIGUEZ FIRSTNAME ARIEL MIDDLE O 1 1 2 31
INITIAL
STREET El 10461 1ST AVE SW CITY SEATTLE ST WA 2jp, 98146 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3❑
10 9❑ PI ATE 14 CKG7222 STATE WAa VIN#' JN8AY2NC4H9503716
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
FT -R TPILF1 1 5 33
12 0 0 VIN#j VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE J 9 34
13 2 2017 NISS ARMAD DAMAGE vEs 0NO f �AWkkRS vEs❑ No
REGISTERED OWNER INFO HORTENCIA GUZMAN WDALS 104611STAVE SW SEATTLE WA 98146 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 2 LIABILITY INSURANCE INSURANCE CO ALLSTATE 820 004 039
IN EFFECT &POLICY# 9TOP
VE—LE CHARGE to BOTTOM 5 36
LECALLv YES❑NO CITATION# 4A0078003,4A0078004 INATTENTIVE DRIVING,DWLS 3RD
15❑ STANDING 6
MOTOR PEDAL-: 'PEDESTRIAN PROPERTY DAM THR PHONE
UNIT 02 VE OLD MET HICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2535333144
16 2
LAST NAME BENNETT FIRST NAME TRICIA MIDDLE I L
INITIAL
17❑ STREET ❑', 103 BIG HILL DR CITY' CLE ELUM ST WA ZIP 989223263 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NOF INTERLOCK YEs❑NOF YES
❑NO❑
19 F] DRIVER'S STATE WA SEX F D.C... 02 _ 11 1975 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS FACE
21❑ LICENSE BVA8352 TATE WA VIN# 4JGBF7BE8BA718493
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2011 MAKE MERZ MODEL GL STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO GARY HJELMAA 6W HOQUTAM AVE NE RENTON WA 98059 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE INSU&POLICY#E CO SAME. 1 9TOP
'E""LE CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES NEI
❑ s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE44529
COLLISION REPORT III III III III III 111
1591972 CASE# 24-883
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'
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.
M.LEVERTON 01-25-24 04:13 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1
1/26/2024 7:36:29 AM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 7:57 AM TIME POLICE ARRIVED:8:02 AM
PART I PAGE IT]OF 4�
REPORT NO. EE44529 CASE# 24-883 OF COLLISION
01/25/24 07:57
OF CbLLI510N
NARRATIVE
slv suv lane 2 stopped blk suv change lanes rear
CC
On 1/25/2024 at about 0757 hours within the city limits of Renton/King/Wa I responded to a 2 car
blocking crash near the 233 block of Sunset Blvd N.
Renton Fire was on scene when 1 arrived and moved both vehicles out of the roadway.
I contacted the driver of unit 2 who told me she was southbound on Sunset BI lane 2 and stopped for
traffic when she was hit from behind. She was bleeding from the face and was being treated by
Renton Fire. Damaged did not require a tow truck.
Unit 1 driver was ID'd by a Mexico ID card as Rodriguez, Ariel O 05261991. A WACIC/DOL check via
Dispatch revealed he had been assigned a WA-OLN and that he was suspended third degree. Sgt
Jacobs helped me translate with unit 1 driver. Jacobs told me the following. Unit 1 was south in lane
3 when he swerved to avoid a truck in front of him. Unit 1 swerved into lane to and drove into the
back of stopped unit 2. He did not complain of injury. The vehicle he was operating had towable
damage. Also he was not the RO of that vehicle and he is currently DWLS 3rd. Bankers impounded
the crashed vehicle. Jacobs also told me that Rodriguez has been in the area for about 3 years and
neglected to get a drivers license and still chooses to drive.
Unit 1 did driver without paying close attention to stopped traffic during morning commuter hours and
made a sudden/evasive move to not rear end a truck, but instead rear ended a stopped vehicle lawful
upon the roadway. He also chose to driver without a drivers license while being suspended in the
third degree by Wa State.
I cited unit 1/Rodriguez ref RCW 46.20.342 DWLS 3rd and ref RMC 10-12-25 Driver inattention 2 car
injury crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 1/25/2024
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REPORT NO. EE44529 CASE# 24-883 DATE AND TIME 01/25/24 07:57
OF COLLISION
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