HomeMy WebLinkAbout23-9607 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-9607 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 ❑28
TRIBAL UNITS 01 STRUCK STREET LIGHT POLE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
GawsloN 08 - 1-- 2023 2308 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
800
SW 16TH STREET BLOCK NO. e✓ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 RAYMONDAVESW
FEET S W❑ ,❑ e ❑
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2067782191 30
6� LAST NAME MULLINS FIRSTNAME STEPHEN MIDDLE MI 1 1 2 31
INITIAL
STREET ❑1 2315 SE 8TH DR CITY RENTON ST WA ZIP 98055 z
NEW ADDRESS
7❑ CDL I 1/ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO NTERLOCKYEs NO Z/ _YES R NoF,/
LRIIVER # STATE WA SEX'M MMDDYY' 08 — 16 — 1979 1 32
8❑
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ PI ATE BZU2678 sTAr� WA #' 1 HGCR2F74FA032540
TRAILER STATE TRAILER STATE
11 1 5 PLATE# PLATE# Rom ro
TRLR. TRLR 3 7 33
12❑ vIN#' VIN#
FROM
34
13� VEH.YEAR201S MAKE HOND MODEL ACCOR STYLE SD VEHICLE TOWEDNOOpLSABLIN TSIYYEp9vMEYER vOs❑ENo�
HICLE
DAMAGE IILLJJII (5�IV6
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILI INSURANCE INSURANCE CO PROGRESSIVE 70576015 <�g3 4
IN EFFECT &POLICY# OPVEHCLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# TTOM
15❑ STAIN.D'ING 7 6
UNIT a2 VE IMOTOCLE ❑ CYCLE ❑ PEDESTRIAN ❑ oWNFR PEDAL RTY ❑ DYES NO OLD MET PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 4❑ 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LLIICENS # STATE SEX MMDDYY —❑_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TArE IN# 41
V 1
PLATE#
42
22❑ PIR I I TRAILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP 5
VE."Le YES❑ N J
,J� CITATION# CHARGE i o BOTTOM
LEGALLY
25 s � e
7MICAELA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 CASTAIN 7 12573 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED92178
COLLISION REPORT III III III III III 111
1591972 CASE# 23-9607
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'
On 08-20-2023 at approximately 2308 hours I was dispatched to a single vehicle blocking collision at
the intersection of SW 16th Street and Raymond Ave SW, in the City of Renton, King County, WA.
While in route, dispatch advised that a vehicle hit a pole that was laying in the roadway.
Upon arrival, I contacted Stephen Mullins (DOB 08/16/1979), who was the driver of the Honda Accord
(WA/BZU2678) that was involved in the collision.
Renton Fire arrived on scene and cleared Mullins.
Mullins advised that he was traveling westbound through the intersection above and didn't realize
there was a roundabout intersection. Mullins hit the roundabout barrier, continued traveling
westbound while losing control of the vehicle. Mullins hit the light pole about 15 yards west of the
intersection. The light pole was completely ripped out of the ground. I left the light pole laying on the
side of street and out of the roadway.
I notified Renton Front Counter that the light pole was damaged.
The Honda was undrivable and towed to Gene Meyer Towing Lot.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. Castain #12573 8/21/2023 Renton, King County, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MICAELA CASTAIN 08-21-23 02:39 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 8/23/2023 6:17:32 PM
BADGE OR ID# 12573 ORI# i WA0171300 TIME POLICE DISPATCHED; 11:08 PM TIME POLICE ARRIVED',11:08 PM
PART I PAGE IT]OF
REPORT NO. ED92178 CASE# 23-9607 DATE AND TIME 08/20/23 23:08
OF COLLISION
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SW:76TH STREET
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