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HomeMy WebLinkAbout24-2560 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 24-2560 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ cowsloN 03 - 08 - 2024 1006 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW 34TH ST BLOCK NO. e✓ 200 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El No ,/ I D:3053439152 0 11 30 6 LAST NAME LOPEZ LEZCANO FIRST NAME YOANKIS MIDDLE N 1 1 2 31 INITIAL STREET ❑, 14511 NW 88 PL CITY MIAMI LAKES ST I FL ZIP' 330180000 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 'NJUR 5Y 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� RP11156 sTArI WAurN# 3AKJHHDR5RSVE4812 TRAILER 82134AH STATE WA TRAILER STATE 11 3 0 PLATE# PLATE# FROM ro TRLR TRLR 3 1 33 12 3 0 vIN#' 1 UYVS2530S2212811 YIN If FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 3 ] 34 13 2 2024 FRHT PT126S TR DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO P T TRANSPORT LLC 3012 S FIFE ST TACOMA WA 984097613 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 INSURANCE CO 3 4 14 LIABILITY INSURANCE SELF MSURED-ACCORD INSURANCE 999.785.4677 IN EFFECT &POLICY# 9TOP ve EFFECT CHARGE 5 36 LEH'C Yes❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES, No D:2064452878 16 a LAST NAME MACKEY FIRST NAME IESHA MIDDLE S INITIAL 17 STREET ❑', 6014 S 237TH ST APT A302 CITY KENT ST WA ZIP 980323687 37 NEW ADDRESS ❑ 181 CDL IGNITION REQUIRED IGNITION PRESENT MEDICALt—T�RANSPORTED 38 INTERLOCK YES❑NoR INTERLOCK ves NoF YEs t l No❑ 11 19[ D IVEW # {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE BZD4750 TAre WA vIN1t 1(B11J5SX9EF112057 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. TOWED BY Gov HI 44 VEH YEAR 2014 MAKE CHEV MODEL MALIBU STYLE $D DAMAGE TOWED NOO✓ BLIN YES NO,� 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#E CO BRISTOL WEST G013936116 00IN 1URV'""LE ❑ ,J� CITATION# CHARGELEGALLYYES N 25 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE60149 COLLISION REPORT III III III III III 111 1591972 CASE# 24-2560 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. C.CATALAN 03-12-24 12:11 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 311812024 12:02:10 PM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED; 10:09 AM TIME POLICE ARRIVED',10:18 AM PART I PAGE IT]OF 5� REPORT NO. EE60149 CASE# 24-2560 OF COLLISION 03/08/24 10:06 OF CbLLI510N NARRATIVE On March 8, 2024, at 1006 hours dispatch requested that I respond to a collision at 400 SW 34th St. in the city of Renton. Upon my arrival I spoke with the driver of unit 1 and he stated that he had just made a left turn from East Valley Rd. to SW 34th St. when the collision occurred. The driver of unit one was attempting to enter a property near 200 SW 34th St. Because he was driving a semi-truck she needed to use both lanes to make the right turn into the property. He was in lane 2 when he made his right turn. The driver of unit 1 failed to see unit 2 in their blind spot striking unit twos driver side Fender and door. I then spoke with the driver of unit 2 and she explained she was in the number one lane going westbound when the collision occurred. As they approached 200 SW 34th St. Unit 1 made a right turn from lane 2 which then struck her vehicle. The driver of unit 2 stated that the semi truck never use their turn signal. I clarified that statement with the driver of unit 1 and he stated that he did have his blinker on and suggested that the driver of unit 2 possibly failed to see it. Based on the information above I was unable to determine who committed the traffic violation. While I was at the location, I observed the damages on both vehicles and neither appeared to have severe damage that would disable the vehicle. I provided the two drivers with an exchange of information. As I completed my investigation the driver of unit 2 stated they would go to the hospital because they're back hurt. It is important to note that the driver of unit 1 did have his dash camera recording. After I reviewed the footage, I was unable to determine whether he had his blinker on or not. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE60149 r` POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-2560 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 1 USDOT ICC# VEHICLE TYPE 4 CARGO BODY 9 TYPE 2 ❑ CARRIER 1 28 NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ AME N IF NO NUMBER SOURCE 3 AXLES 05 GI 10000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnDRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYEYY' 2 7 F-I ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHII' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 � SHADE IN DAMAGED AREA 7 j 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# t 9 101? VEHICLE 1 o BarroM 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING �} MOTOR 8 7 6 14 ❑ UNIT Tr Vd 1 RE O CYDDAL OWNERRTY YES D-AMAGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN ❑15 LAST NAME FIRST NAME NIDDL 36 STREET 16 NFln+Aon "F—] CITY ST I ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO El 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' IN EFFECT � &POLICY# i 970P - 4 E:l A44 24 ....... YES❑ NO❑ CITATION# CHARGE iq 60TiOM .Glly STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 03-12-24 12:11 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 12007 O#IL WA0171300 JACOBS 3/18/2024 PAGE�OF 3000-345-013(R 11118) REPORT NO. EE60149 CASE# ' 24-2560 DATE AND TIME 03/08/24 10:06 OF COLLISION NTS SW 34th St PAGE 5 OF 5