HomeMy WebLinkAbout23-14890 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EE37453 170
27
COLLISION REP FIT 1591971
CASE 23-14890 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 3 TOTAL#OF OBJECT 1 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#
COLLISION.. 12 - 1-— 2023 0709 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
TAYLOR AVE NW e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET VV a NW 2ND PL
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2065124600 0 11
30
6� LAST NAME SECKA FIRSTNAME SHEIKH MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 3047 S BRIGHTON ST CITY SEATTLE ST WA ZIP 981083772 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8❑ LRIIVERS STATE WA SEX'M MID
ELOB 11 1— 04 — 1974 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 9❑ P1 ATE 14 CHR1332 STATE WA u N# 5YJ3E1EB2LF650565
11[-jTRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# IR.. ro
TRLR. TRLR 5 7 33
12 3 0 VIN#' VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2 2020 TESL MODEL DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO B&WRIDES LLC 2020 MALTBYRD STE 7 BOTHELL WA 98021 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO USAA 01550 6782U 3 4
IN EFFECT &POLICY# 9TOP
❑ LVEHicLe CHARGE 1 5 36
15 2 srnNoiNG YES No CITATION# 3A0681753 IMPROPER LANE USAGE s 1 o aorrom
MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:4255243109
16 a
LAST NAME ABDULLE FIRST NAME ABDIRAHMAN MIDDLE H
INITIAL
17❑ STREET ❑', 8555 S 120TH ST CITY SEATTLE ST WA ZIP 981784521 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 D IVEW # STATE WA SEX M MMor w 01 01 1983 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I BPP5329 TATe WA vIN# 3FA6POLU3JR172325
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE FORD MODEL FUSION STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ABDIRAHMAN ABDULLE 8555 S 120TH ST SEATTLE WA 981784521 D:4255243109 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE� &POINSURGY#E CO ST FARM 4100085-B1347GIN 1GQI
VE""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE37453
COLLISION REPORT III III III III III 111
1591972 CASE# 23-14890
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.
M.LEVERTON 12-28-23 08:14 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 11512024 8:57.45 AM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED! 7:09 AM TIME POLICE ARRIVED',7:14 AM
PART I PAGE IT]OF 4�
REPORT NO. EE37453 CASE# 23-14890 OF COLLISION
12/28/23 07:09
OF CbLLI510N
NARRATIVE
wht/1 shoulder turn maroon/2 nb
CC
Within the city limits of Renton/King/WA I responded to a 2 car blocking crash at the intersection of
Taylor Ave NW at NW 2nd P1.
I contacted the driver of unit 2 who told me he was north on Taylor Ave NW and observed unit 1
pulled to the side of the roadway with his 4 way flashers on. Unit 2 said he slowed and began to go
around him, when unit 1 made a sudden turn striking unit 2. He did not complain of injury and
damages did not require a tow truck. Unit 2 told me that unit 1 was an Uber driver of some sort.
I contacted the driver of unit 1 ID'd by matching picture WADL. He told me he was making a turn
when he was hit by unit 2. 1 asked him for the video footage from his Tesla to confirm what happened
and he told me no. I asked him if he was an Uber driver and he told me no. The registration provided
listed B&W rides LLC. 1 asked unit 1 again for the video footage and he told me no and/or he did not
know how to provide it. When I offered to have him recover it and email it to me he was not
interested. I asked him if he was a driver of some sort since he car was registered to a LLC and he
told me he is not. He told me he was struck by unit 2 while turning towards NW 2nd P1. He did not
complain of injury and damages did not require a tow truck.
I cited unit 1 ref RCW 46.61.140 improper lane use/turn causing a 2 car crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 12/28/2023
PAGE 3 OF 4
REPORT NO. EE37453 CASE# 23-14890 DATE AND TIME 12/28/23 07:09
OF COLLISION
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