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HomeMy WebLinkAbout23-8228 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED82455 170 27 COLLISION REP FIT 1591971 CASE 23-8228 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ cowsloN 07 - 18 - 2023 0821 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BENSON RD S BLOCK NO. e 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 50 00 FEET MILES e S B W e S PUGET DR 1 2 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YEs NO ,/ D:5039560016 1 2 30 6� LAST NAME RICHARDSON FIRSTNAME CODY MIDDLE J 1 2 31 INITIAL STREET ❑✓ 1300 S PUGET DR#501 CITY RENTON ST WA 2jp, 98058 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 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� CDH5045 sTArI WAurN# 19UU61F54FA010474 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# FROM TO TRLR. TRLR. 3 1 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR 2015 MAKE ACUR MODEL TLX STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 1 34 13 2 DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO RYLIE MANN 2111113RD AVENUE CTE SPANAWAYWA 98387 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO DAIRY LAND 11408486689 3 4 IN EFFECT &POLICY# 9TOP VE"'CE 15❑ 5 36 LEGALLY YES❑NO❑ CITATION# CHARGE 1 o BOTTOM STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ cvcLE ❑ ❑ OWNER [:]EA. YEs No ,/ D:2533070573 16 a LAST NAME GAMES FIRST NAME COURTNEY MIDDLE N INITIAL 17❑ STREET -[1632 PIERCE AVE SE CITY RENTON ST WA ZIP 98058 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICALt—T�RANSPORTED 38 INTERLOCK YEs❑NOR INTERLOCK YEs I I NoF YES t l NOF,—/] 19 LDI IVE STATE WA ]SEX IF M D.C.B. 04 21 1991 39 WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE I BXT8944 TAre WA VIN1t KMHDU46D88U560503 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. GI VEH YEAR 2008 MAKE yyUN MODEL ELANTRA STYLE DAMAGE TOWED NOO✓ BLIN TOWED BY ov HYES NO 1/ 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO USAA 047286046R71019IN I 9TOP 5 VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM LEGALLY YES N`LJ 25 $ ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 K.LANE 10008 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED82455 COLLISION REPORT III III III III III 111 1591972 CASE# 23-8228 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MANN RYLIE E (IAST FIRST, ADDRESS&PHONE# 25513 33RD AVENUE CT E SPANAWAY WA 983879332 5037589527 SEXi F MMDDYyry 10 - O6 - 2000 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ R, 1 POS. 3 2 4 1 USE 2 CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB BEd MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B. MMDDYYYY. — PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' Unit 1 was traveling behind Unit 2 westbound on S Puget DR both intending to turn right onto northbound Benson RD S. Unit 3 was traveling northbound on Benson RD S approaching the intersection with S Puget DR intending to continue northbound. Unit 1 and Unit 2 were in a right turn lane that merges with northbound Benson RD S as two lanes initially northbound on Benson RD S before the right lane merges into the dedicated single northbound lane. Driver 2 states she observed traffic already on northbound Benson DR S in this dedicated lane and slowed and stopped to gain time and space to merge before the lane ended. Driver 1 states Unit 2 was somehow upset with him and was "brake checking him" and throwing her arms in the air to show displeasure. Driver 2 disputes this claim. Unknown the exact events prior to the collision. Regardless, Driver 1 stated that he was upset with Unit 2 unnecessarily stopping in the roadway and perceived signs of displeasure and went to pass Unit 2 on the left entering the dedicated northbound Benson DR S lane and stated he did not see Unit 3 which was approaching. This passing on the left was the proximate cause of the collision. As Unit 1 made this pass on the left it turned into the path of Unit 3 and the front driver's side of Unit 1 struck the rear passenger side of Unit 3. This diverted Unit 1's course and the front passenger side of Unit 1 then struck the rear driver's side of Unit 2. All Unit's sustained moderate damage. This report is to document the circumstances of the collision and statements of the drivers. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K.LANE 07-18-23 03:49 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 7/24/2023 11:29:30 AM BADGE OR ID# 10008 ORI# WA0171300 TIME POLICE DISPATCHED; 8i23 AM TIME POLICE ARRIVED 8:30 AM PART I PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. ED82455 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-8228 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 tSJ CYCLE _) PEDESTRIAN � OWNER � YES NO D:2069310450 rFO 1 29 LAST NAME JONES FIRST NAME ELANE MIDDLE INITIAL STREET 30 NEW AnDRFSP' 18718 111TH PL SE CITY RENTON ST WA ZIP 980557181 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 09 - 05 - 1985 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY I 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE ALV6298 [TAT WA VIN# YV4CM592761267817 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 3 5 VEH.YEAR2006 MAKE VOLV MODEL SC90 STYLE SD I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1G P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER rj 1 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO ALLSTATE 976948768 gTOp IN EFFECT I POLICY# 1 EHICLE 34 13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STRE 16 NEW ETETnnR"Fl CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK 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 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' TRAILER El40 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 ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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. K.LANE 07-18-23 03:49 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 10008 O#IL WA0171300 JACOBS 712412023 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. ED82455 CASE# 23-8228 DATE AND TIME 07/18/23 08:21 OF COLLISION E m Z 0 nJ ***NOT TO SCALE`*" w. m z, (n O z �7 €n PAGE 4 OF 4