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Home My WebLink About23-5140 (2) ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-5140 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CawsloN 05 - 07 - 2023 0300 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE 2ND LANE BLOCK NO. e✓ 6120 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 50 00 FMILES EET e S ❑ W e ROSARIO AVE SE 0 1 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YEs NO ,/ D:4253061298 1 4 30 6� LAST NAME LY FIRSTNAME THONG MIDDLE 1 2 31 INITIAL STREET ❑ 6207 SE 3RD PL CITY RENTON ST WA ZIP 980597079 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H U SE 9 1 INJURY CLASS 1 NATURE OF INJURIES z❑ 3 10❑ PI ATE ASV8150 sTArI WAurN#' JNKAY01 E06M106228 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR. 3 7 33 12 0 0 VIN#' VIN#' 2006 INFI M35 SD plsA FROM 34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE 13 2 DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO THONG LY 6207SE 3RD PL RENTON WA 98059 D:4253061298 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE Z INSURANCE CO SAFECO INSURANCE H2399045 IN EFFECT &POLICY# 9TOP 36 VE—LE CHARGE 5 ECALLv ❑NO❑ CITATION# 1 o BOTTOM 15❑ L STANDING YES 8 7 6 UNIT 02 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ OWNERMOTO YES ❑ DYES NO SOLD MET PHONE 16❑ LAST NAME NONE FIRST NAME MIDDLE INITIAL 17❑ STREET CITY ORLANDO ST ZIP $ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LLIICENS # STATE SEX U MMDDYY —�_ 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑ ❑ILICENSE 21❑ PLA E# 708WCW TAre 41 FL VIN# LPSED3KA2ML016960 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ TRLR 43 RLR UIN#. 'IN#. YEAR 2021 MAKE TESL MODEL MODELS STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 VEH 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO HERTZ VEHICLES LLC 5400 BUTLER NATIONAL DR ORLANDO FL 32812 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POLICY#E CO SELF INSUREDIN I STOP 5 vE""LE ❑ N,J� CITATION# CHARGE LEGAL i o BOTTOM LY YES 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 NATHANIEL BROWN 12765 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED61909 COLLISION REPORT III III III III III 111 1591972 CASE# 23-5140 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. NATHANIEL BROWN 05-07-23 03:49 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 1 512012023 10:00:47 AM BADGE OR ID# 12765 ORI# WA0171300 TIME POLICE DISPATCHED; 9:38 AM TIME POLICE ARRIVED',9:53 AM PART I PAGE IT]OF 4� REPORT NO. ED61909 CASE# 23-5140 OF COLLISION 05/07/23 03:00 OF CbLLI510N NARRATIVE On 05/07/2023, at approximately 0938 hours, I was dispatched to a hit and run report at 6120 SE 2nd Ln in Renton, King County, Washington. According to the individual who was renting vehicle 2, identified by his Florida DL as Viet Nguyen, the vehicle he is renting was sideswiped on the driver's side door and front wheel by vehicle 1 sometime overnight. Unit 2 is a grey 2021 Polestar 2 electric vehicle (Florida license # 70BWCW) and it was legally parked on the street outside of the above address. The driver of vehicle 1 did not notify Nguyen of the collision until an acquaintance of Nguyen found vehicle 1 a block away in the morning. Vehicle 1 had a damaged passenger side mirror that matched broken plastic pieces left near vehicle 2 after the collision as well as paint scuffs along the entire passenger side of the vehicle. Nguyen stated he did not wish to pursue charges for the hit and run because he lives in California. According to the driver/owner of vehicle 1, identified by his WADL as Thong Ly, he was driving west on SE 2nd Ln around 0300 hours when he accidentally hit vehicle 2 because it was dark out. Ly admitted to colliding with vehicle 2 overnight. Upon inspection, I observed vehicle 2, a blue Infiniti M35 (WA license #ASV8150), with paint scuffs along the entire passenger side of the vehicle and broken passenger side mirror. The broken pieces of plastic matched the broken mirror on vehicle 1. Photos were taken of the damaged mirror and paint scuffs. Ly stated he was "sorry" when asked why he did not notify anyone about the collision. The owner of vehicle 2, Hertz Vehicles LLC has not yet been notified of the collision and it is unknown if they wish to pursue charges for the hit and run. This report is for insurance purposes. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Weather: UNKNOWN **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 4 REPORT NO. ED61909 CASE# 23-5140 DATE AND TIME 05/07/23 03:00 OF COLLISION ly UNIT 2 i f� Not to scale t; t1 rt UNIT 1 PAGE 4 OF 4