The URL can be used to link to this page

Home My WebLink About23-6522 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-6522 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4200 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 03 STRUCK' TRAFFIC SIGNAL POLE RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# CowsloN 06 - 08 - 2023 0715 17 =. N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAPLE VALLEY HWY BLOCK NO. e✓ 14900 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 149THAVE SE 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YES �/No D:2067539775 0 11 30 g� LAST NAME SPARROW FIRSTNAME SARAH MIDDLE Y 1 2 31 INITIAL STREET ❑ 22328 88TH AVE W CITY EDMONDS ST WA 21p 980268177 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 6 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� AZN2271 sTArI WAurN# KNADM4A32G6642715 TRAILER STATE TRAILER STATE 11 4 5 PLATE# PLATE# FROM ro TRLR. TRLR 3 5 33 12 4 5 VIN#' VIN# >; FROM TO VEH.YEAR 20 MAKE KIA MODEL RIO STYLE VEHICLE TOWED 0 TOO ffBLIN T,QVWkkRS YOS❑ENIC O✓ 7 3 34 DAMAGE ILJI tSA1Wl6 13 F1 REGISTERED OWNER INFO SHELLEYWILLIAMS15277 MAPLE DR RENTON INA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE INSURANCE CO NATL GENERAL 2009973225 <1�3 4 IN EFFECT &POLICY# TOPvEHCLE CHARGE 36 LE�ALLv YEs No clTAnoN# 3A0387731 FAIL TO YIELD MOTOR VEHICLE orrom 15❑ STANDING 7 6 MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT a2 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2064740283 VEHICLE CYCLE OWNER YES�/ NO 16 a LAST NAME SANTANA LLAMAS FIRST NAME FRANCISCO MIDDLE I,I INITIAL 17❑ STREET ❑', 14305 SE 4TH ST APT D CITY BELLEVUE ST WA ZIP 980076631 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK Y�EsI I I NOF YES t l No❑ 19 DRIVER # STATE WA SEX M M.C.B. 08 _ 17 1982 0 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CEX3877 TAre WA VIN# 1FADP3L98EL271697 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2014 MAKE FORD MODEL FOCUS STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO OSMIN HERNANDEZ ZUNIGA 6405 S PRENTICE ST SEATTLE WA 98178 VEHICLE NO.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE INSU PORGY#E CO NATL GENERAL 2010444139IN STOP 5 'E""LE ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N`L J 25 ' a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 J.M/TCHELL 10377 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED70709 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6522 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) WOODRUF JAYLEE (LAST FIRST, ADDRESS&PHONE# D O.B. ' EDMONDS SEXi F MMDDYyry 12 - 15 - 2011 --------------------------- PASSENGER Z WITNESS 'UNIT# j 1 POS 3 AIRBAG 6 RESTR. q EJECT ? 1 HELMET NJURY NATURE OF INJURIES USE (CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) < WOODRUF LEON ADDRESS&PHONE# D O B EDMONDS SEX' M MMDDYVYu -F _ SEAT HELMET I INJURY NATURE of INJURIES PASSENGER Z WITNESS UNIT# 1 POS. 6 AIRBAG 6 RESTR. 4 EJECT 1 USE CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.B. PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' On 060823 1 responded to a 2-vehicle non-injury/blocking collision at the 14900 block of Maple Valley Hwy. I contacted the driver of unit 2 who told me they were traveling outbound in the #1 lane of Maple Valley (crossing 149th_ on a solid green signal when unit 1 turned in front of him, causing the vehicles to collide. That action caused unit 2 to veer right and ricochet into a City of Renton traffic signal box. The driver was not injured. Unit 2 sustained heavy body damage and required an impound. I contacted the driver of unit 1, identified Sarah Sparrow (dob 10-01081) via her WA DL. Sparrow told me she made a left turn from inbound Maple Valley Hwy onto southbound 149th Ave SE. Sparrow says lane 2 was a complete stop when she made the turn, so she did not see unit 2 approaching. Neither Sparrow nor her two passengers were injured. Her vehicle sustained heavy body damage and required an impound. But not for the action of UNIT 1 DRIVER the result would not have happened. I cited Sparrow via SECTOR under RCW 46.61.180 -Failure to Yield. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.MITCHELL 06-12-23 07:35 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 6/16/2023 8:43:37 AM BADGE OR ID# 10377 ORI# WA0171300 TIME POLICE DISPATCHED; 7:15 AM TIME POLICE ARRIVED 7:15 AM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT NO. ED70709 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-6522 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YEs� IN MIDDLE' 29 LAST NAME RENTON FIRST NAME CITY OF INITIAL STREET 30 NEW AnDRFSP' 1055 S GRADY WAY CITY RENTON ST WA ZIP 98056 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES[:]NO zERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# 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 vEHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NEn+AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN 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 TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 VEHICLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l C=DLv 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. J.MITCHELL 06-12-23 07:35 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 10377 O#I,WA0171300 JOHNSON 611612023 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. ED70709 CASE# 23-6522 DATE AND TIME 06/08/23 07:15 OF COLLISION NOT TO SCALE UNIT 3=Traffic Signal Cabinet d PAGE 4 OF 4