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Home My WebLink About23-14944 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c COLLISION REP FIT 1591971 CASE 23-14944 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENCI 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 7 28 TRIBAL UNITS 04 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 1653 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ MAPLE VALLEY HWY BLOCK NO. e✓ 1900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FMILES EET e S ❑ W e CEDEAR RIVER PARK DR 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El No ,/ I D:4253651993 0 11 30 6� LAST NAME HANSSON FIRSTNAME LEXUS MIDDLE L 1 1 2 31 INITIAL STREET ❑ 29305 KANASKAT KANGLEY RD SE CITY RAVBNSDALE ST WA ZIP' 980519077 z 'NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs ,/ I NO NTERLOCKYEs NO Z/ YES R No�/ 8❑ L NER # STATE yyq SEX'F I D.MM D Y' 09 — 13 — 2002 1 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 1 RESTR 4 EJECT 1 HE U EET 2 CLASS 7 I [NATURE OF INJURIES COMPLAINT OF BACK PAIN z❑ 3 10 99 P1 ATNES# CHR1920 sTAT WAuN# 3VWD17AJ2EM389224 -� TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# FR.. To TRLR. TRLR 7 3 33 12 4 0 VIN#' VIN#' FROM TO VEH.YEAR 2014 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 VOLK JETTA SD DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO LEXUS HANSSON 21129 SE 283RD ST MAPLE VALLEY WA 98038 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 4 INSURANCE CO 3 4 14 INSURANCE PROGRESSIVE 949290475 IN EFFECT EFFEE CT &POLICY# � 9TOP VEF" 36 LEGALLv re5❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ OYCLE ❑ ❑ OWNER ❑ YES NO ,/ RO 2069799242 16 a LAST NAME CADY FIRST NAME CHARLES MIDDLE ID INITIAL 17 STREET I128TH ST CITY' SEATTLE ST WA ZIP 981337857 37 NEW ADOREs�' 2115 N 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LICENSE# STATE WA SEX M M D.O.B. 10 _ 05 _ 2005 39 20 ON DUTY STATUS AIRBAG, 1 RESTR 4 EJECT 1 H EET 2 NJAU Sy 7 COMPLAINT OF NECK PAIN ❑F—NATURE OF INJURIES 40 LICENSE I ❑21❑ PLA E# CBX0792 TATE 41 WA VIN# YV1LS5677W2543460 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. N#. 43 RLR 'I VEH YEAR 1998 MAKE VOLV MODEL S70 STYLE SO VEHICLETOWED TOWEDBY GOV HI �44 24❑ DAMAGE YES NOTO,/ BLIN YES NO REGISTERED OWNER INFO CHARLES CADY 2115 N 128TH ST SEATTLE WA 98133 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU POLICY#E CO SAFECO H1899807IN 9TOP OQ VEHICLE YES[:] N� CITATION# 3AO852526 CHARGE FOLLOW VEHICLE TOO CLOSELY i o aoTroM LEGALLY 25 s 7 a 7KEV S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 PETERSON 12808 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. EE39313 COLLISION REPORT III III III III III 111 1591972 CASE# 23-14944 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HANSEN REEGAN J (LAST FIRST, ADDRESS&PHONE# D O.B. 28112 MAPLE RIDGE WAY SE MAPLE VALLEY WA 980382026 2065565162 SEX F MMDDvyYv 09 - 24 - 2003 {� SEAT HELMET INJURY COMPLAINT OFNE NATURE OF INJURIES PASSENGER ZWITNESS❑ UNIT# 1 POS. 8 AIRBAG 1 RESTR. 4 EJECT 1 USE 2 CLASS 7 CK PAIN NAME (LAST,FIRST,MIDDLE INITIAL) KIIANITSA MAXIM ADDRESS&PHONE# 3635 FREMONT AVE N SEATTLE WA 98103 9376171677 SEX' M MMDDvvvv 10 _ 28 _ 2004 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS 0 UNIT# 2 POS 3 AIRBAG'1 RESTR. 4 EJECT 1 USE 2 CLASS 7 COMPLAINT OF LOWER BACK PAIN NAME (LAST FIRST,MIDDLE INITIAL) SANDHEI ALICIA M ADDREss&PHONE# 25046 SE 216TH ST MAPLE VALLEY WA 980387603 2533772883 SEX F D.o•B. 05 -F 14 _ 1959 MMDDYYYY PASSENGER WITNESS UNIT# ! 3 SEAT 3 AIRBAG 1 RESTR. 4 EJECT 1 HELMET 2 NJURY 1 NATURE OF INJURIES ❑ POS. USE CLASS ----� NARRATIVE' I was dispatched to a collision on 12/29/23 at 1655 hours at the 1900 block of Maple Valley Highway in city Renton, King County WA. Unit 1 CHR1920 Driver: Lexus, Hansson L (09/13/2002) Unit 2 CBX0792 Driver: Charles D. Cady (10/05/2005) Unit 3 BWX0086 Driver: Robert H. Kuro (03/27/1959) Unit 4 CAM8982 Driver: Larry S. Kennedy (01/28/1963) All drivers were identified by their WADL. All drivers had the same account of what occurred. All 4 Units were traveling down Maple Valley Highway traveling from the West to the East in lane 1. Unit 1 had a vehicle cut her off, and it made Unit 1 hit her breaks. Unit 2 was following too closely to Unit 1 and collide with Unit 1. Unit 3 was able to stop prior to colliding with Unit 2. Unit 4 was following to closely to Unit 3 and collide with the rear of Unit 3. Unit 4 pushed Unit 3 into unit 2 and then Unit 2 was pushed more into Unit 1. The driver and passenger of both Unit 1 and Unit 2 were seen by fire for complaints of back and neck pain. The driver of Unit 2 Charles D. Cady (10/05/2005) was fowling to closely to Unit 1 and was unable to stop before causing a collision. I cited them for following a vehicle to closely. The driver of Unit 4 Larry S. Kennedy (01/28/1963) was fowling to closely to unit 3 and was unable to stop before causing a collision. I cited them for following a vehicle to closely. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. KEVIN PETERSON 12-30-23 06:25 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 1 1/1112024 6:12:57 AM BADGE OR ID# 1Y808 OR]# WA0171300 TIME POLICE DISPATCHED 4:55 PM TIME POLICE ARRIVED 5:00 PM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT No. EE39313 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-14944 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 ] 28 CARRIER NAME 3 CARRIER L ADDRESS `❑ CITY ST ZIP-1 I ' 4 ❑ NAME # PLACARD: :❑ GINAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES✓ NO D:2533448928 ] OF 1 29 LAST NAME KURO FIRST NAME ROBERT MIDDLE' ',, H INITIAL 0 1 30 STREET NEW AnDRFSP 1 25046 SE 216TH ST CITY MAPLE VALLEY ST WA ZIP 980387603 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO✓ zERLOCK YES❑NO❑✓ YEs N ✓ DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 03 - 27 - 1959 7 ❑ ON DUTY� STATUS AIRBAG' 1 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE BWX0086 TAr Wq VIN# 1FMCU9GX9FUC64503 PLATE# 9 TRAILER TRAILER 91 PLATE# STATE PLATE# STATE 10 TRLR TRLR 91 VIN.#. VIN.#. 11 4 0 VEH.YEAR2015 MAKE FORD MODELESCAPE STYLE UT I VEHICLE TOME E T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE YES NO ✓ YES NO ✓ REGISTERED OWNER INFOALICIA SANDHEI 25046 SE 216TH ST MAPLE VALLEY WA 98038 ] $ 33 12 Q 0 SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO ALLSTATE 964066086 q"i"Olx IN EFFECT &POLICY# 7 3 ew e 34 13 4 �ecnuv YES[:] NO❑ CITATION# CHARGE 10 BOTTUM STANDING 8 7 DAMAGETHRFSHOLD MET PHONE ❑ 35 14 UNIT# 4 MOTOR ❑✓ PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO VEHICLE CYCLE OWNER ✓ D:2532301396 15 � KENNEDY LORRY MIDDLE': S ❑ 36 LAST NAME FIRST NAME INITIAL 2 16 ❑ STREET ❑ 14023 SE 278TH ST CITY KENT ST WA ZIP 980427407 NEn+AnnRFss CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICAL TANSPORTED 17 ❑ INTERLOCK YES No✓ INTERLOCK YEs NC7✓ YEs No./ ❑ DRIVER'S D.O.B 4 37 LICENSE# STATE WA SEX M MMDDyYY' 01 - 28 - 1963 18 ❑ ON DUTY❑ STATUS' AIRBAG 1 RESTR, 4 EJECT 1 1 HELMET 2 INJURY 1 NATURE OF INJURIES 38 USE CLASS 19 ❑ ❑ PLATE# CAM8982 TAr yyq vIN# 5J8T64H52JL027538 3 39 20 ❑ TRAILER' STATE TRAILER ST 3❑ 40 PLATE#< PLATE# ATE 21 ❑ ❑ 41 TRLR TRLR ViN# YIN#i 42 22 VEH.YEAR2018 MAKE ACUR MODEL RDX STYLE U7. VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 1 DAMAGE YES NO ✓ YES NO ✓ 23 ❑ REGISTERED OWNERINF0IARRYKENNEDY14023SET78THSTKENTWA98042 SHADE IN DAMAGED AREA 43 LIABILITY INSURANCE INSURANCE CO STATE FARM 3439444DI747K IN EFFECT &POLICY# 4��, ¢¢ 24 LVEHICLE E ALLY vE6❑ NO❑DING CITATION# 3A0852525 CHARGE FOLLOW VEHICLE TOO CLOSELY s GA«r .STA O I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. KEVIN PETERSON 12-30-23 06:25 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12808 O#I',WA0171300 APPROVED BY 1/111/2024 PAGE❑OF❑ 3000-345-013(R 11118) REPORT NO. EE39313 CASE# ' 23-14944 DATE AND TIME 12/29/23 16:53 OF COLLISION I Unit I ,,. 1900 Block� , Unit 2 Unit 3 PAGE 4 OF 4