HomeMy WebLinkAbout23-10630 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE20280 170
27
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 23-10630 2 0 6
INTERSTATE CITY STREET RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE dF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
dowsloN 09 - 1-- 2023 0713 17 ❑.❑ S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE S BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
6❑ 50 00 FEET e S B W e S 3RD ST
0 2 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:7864319093 0 11
30
6� LAST NAME KOPYLOV FIRSTNAME ALEKSANDR MIDDLE 1 2 31
INITIAL
STREET ❑✓ 10923 SE 183RD CT CITY KENT ST WA 2jp, 980425480 2=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MM DAY' 02 1— 08 — 1989 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ P1 aTES� CHN6611 sTArr WAurN# 4T18E32K94U854747
TRAILER STATE TRAILEk STATE
11 3 5 PLATE# PLATE# ROM To
TRLR. TRLR 5 1 33
12 3 5 VIN#' VIN#
>;. FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 1 34
13 3 2004 TOYT CAMRY SD DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 965832586 3 4
IN EFFECT &POLICY# STOP
VE"'C' CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 3A0687776 IMPROPER LANE USAGE I o aorrom
15❑ STANDING 8 7
MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UN�T 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ DD 4255331872
16 a
LAST NAME PESHKOV FIRST NAME SERGEY MIDDLE V
INITIAL
17❑ NEW STREETREs7 5908 S 232ND PL CITY KENT ST WA ZIP 98032 4❑ 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 DRIVER'S STATE WA SEX M D.C.B. 02 _ 17 1983 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# 41
D643696 TArE WA VIN1i 1FTFW1EG7JKC29463 1
42
22❑ PILER LATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
GI
VEH YEAR 2018 MAKE FORD MODEL F150 STYLE PK DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE &POLICY#E CO GEICO 6116887321IN I STOP 5
VEHICLE ❑ C[:] CITATION# CHARGE to BOTTOM
LEGALLY YES N
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MATTHEW TRAINO 12811 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE20280
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10630
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'
At the listed date and time I was dispatched to a reported traffic accident at this location. The driver of
Unit# 2, identified by his WADOL as Sergey V. Peshkov (02/17/1983), contacted ValleyCom to report
the accident and stated that the driver of Unit# 1 had 'done this on purpose.' U-1 driver was later
identified by his WADOL as Aleksandr Kopylov (02/08/1989).
Upon arrival both vehicles had moved approximately 1 block north of the described accident location
and were located in a business parking lot.
I spoke with Kopylov and asked him to describe what had occured. He stated he was driving his 2004
Toyota Camry (WA Plate CHN6611) northbound on Rainier Ave S, and had attempted to merge to
the left when his vehicle collided with U-2.
I spoke with Peshkov and asked him to describe what had occured. He described driving northbound
in his 2005 Ford F150 (WA Plate D64369B) and seeing the driver of U-1 driving aggresively, trying to
pass vehicles in the right hand turn lane. According to Peshkov, Kopylov attempted to pull in front of
his vehicle, causing the collision.
I observed damaged to the left rear of the Camry, with similar damage to the front right of the F150.
Based on the evidence of damage and both drivers described actions, I determined driver Kopylov
had performed an improper lane change under RCW 46.61.140(1).
1 informed Kopylov he would receive a notice of infraction by mail. He stated he had no questions.
N/F.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW TRAINO 09-16-23 01:30 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 11288 11/16/2023 12:21:17 PM
BADGE OR ID# 112811 ORI# WA0171300 TIME POLICE DISPATCHED 7i17 AM TIME POLICE ARRIVED 7:18 AM
PART I PAGE IT]OF 3�
REPORT NO. EE20280 CASE# 23-10630 DATE AND TIME 09/15/23 07:13
OF COLLISION
Motto Scale
s
c
Scene Not Observed
S 3rd$I
Unit#°E
Unit#2
Point:of Impact
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