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Home My WebLink About23-11631 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE10853 170 27 COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE$# 23-11631 2 0 5 INTERSTATE CITY STREET RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4200 3 $ 6 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 RESERVATION STRUCK 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CawsloN 10 - 11 - 2023 0847 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BL SW SUNSET BLVD OCK NO. e✓ --- ----� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ e S ❑ W e❑ FEET NACHES AVE SW 2 0 29 UNIT MOTOR VEHICL Z CYCLE ElOYESA✓NOTHRESHOLDMET PHONE 0 11 30 6� LAST NAME LEAR FIRSTNAME MATTHEW MIDDLE J 1 2 31 INITIAL STREET ❑1 1920 QUEEN ANNE AVE N APT 409 CITY SEATTLE ST WA ZIP 981092569 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES NO YES No 8❑ DRIVERS # STATE WA SEX'M I D-MIDI Y' 05 - 10 - 1975 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS ICNLJAURY 1 NATURE OF INJURIES 2❑ 3 10 9❑ P1 ATE 14 CEN9753 STATE WA V N# KMUMCDTC2NU071770 11[-j- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO rRLR. TRLR. 1 5 33 12 3 5 VIN#' UIN# FROM TO ❑ VEH.YEAR ZO22 MAKE O7.H MODEL GV70 STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 2 DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO MATTHEWLEAR 210 WALL ST UNIT 1204 SEATTLE WA 98121 D:7039947503 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ABILI INSURANCE IN CO SAME. 3 IN EFFECT &POLICY# 9TOP vewcLe CHARGE 1 5 36 LEGALLY YES❑NO CITATION# 3A0681705 IMPROPER LANE USAGE 10 eOTTom 15❑ STANDING 8 7 6 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT a2 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2063355172 VEHICLE CYCLE '. OWNER YES�/ NO 16 a LAST NAME NGUYEN FIRST NAME ANTON MIDDLE I T INITIAL 17❑ STREET ❑', 3909 S THISTLE ST CITY SEATTLE ST WA ZIP 981184353 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED 38 INTERLOCKYES�NOF INTERLOCK YES It I NOF YES t l NO❑ 19 DRIVER # I INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE 608ZVM TATE WA VINt 4T4BF3EK4AR075363 ❑ 41 PLATE# 42 22❑ PLATILER E# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2010 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES✓ NO BANKERS YES NO REGISTERED OWNER INFO NGA LE 3909 S THISTLE ST SEATTLE WA 98118 VEHICLE NO.2 SHADE DA GEbAREA LIABILITY INSURANCE 8 POLICY#E CO SAME. CCdd IN CTO VE""LE ❑ ,J� CITATION# CHARGE U �LEGALLYIESi BOT 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. EE10853 COLLISION REPORT III III III III III 111 1591972 CASE# 23-11631 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 10-11-2310:57AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 1011912023 10:44:43 AM BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED 8:48 AM TIME POLICE ARRIVED 8:49 AM PART I PAGE IT]OF 5� TIME REPORT NO. EE10853 CASE# 23-11631 OF COLLISION10/11/23 08:47 NARRATIVE wht/3 shoulder wht sedan 2 lane 1 sb wht 1 suv lane 2 into lane 1/1 CC Within the city limits of Renton/King/Wa I responded to a 3 car crash near the intersection of Naches Ave SW and SW Sunset Blvd. When I arrived there were 4 cars stopped. Unit 3 had been in a non-reportable with the 4th car and both were stopped on the shoulder of SW Sunset southbound. The occupants of the 4th car and unit 3 were doing an info exchange when the following collision took place. I contacted the owner of unit 3 who told me he was stopped on the shoulder working out an info exchange with another vehicle when his car was hit by unit 2. Unit 2 rolled over coming to rest blocking lane 1 and part of lane 2 southbound. Unit 3 did not complain of injury as he was outside his vehicle when the crash took place. Damages required a tow truck. I contacted the driver of unit 2 who told me he was south in lane 1 and wasnt really sure what happened from there as it happened so fast. He did not complain of injury despite just rolling his car onto the roof top. Damages required a tow truck. I contacted the driver of unit 1 ID'd by his picture WADL. He told me he was southbound SW Sunset Blvd in lane 2. He said traffic slowed greater than he anticipated from the two cars stopped on the shoulder. To avoid a collision with traffic in front of him in lane 2 he made a sudden lane change into lane 1, hit unit 2 which pushed unit 2 into stopped unit 3. He did not complain of injury and damages did not require a tow truck. I cited unit 1/Lear Ref RCW 46.61.140 improper lane use 3 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 10/11/2023 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE108553 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-11631 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 DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YEs� IN 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnDRFS CITY RENTON ST ZIP 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No NTERLOCK YES❑N0� YES N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE CGK5601 TAr WA VIN# JTDBDMHE6P3004518 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLI anvi vFH1C P FROM TO 2023 TOYT COROLL THE DAMAGE YES�NO YES NO REGISTERED OWNER INFORAPAEL RODRIGUEZ LEPE 10824 SE 170TH ST UNIT A106 RENTON WA 98055 m 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO LIABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# t 9 1"01? VEHICLE 1 o BarroM 34 13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING } 6'& 14 ❑ UNIT Tr Vd 1RE O : CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIALMIDDLE TIAL ❑ STR 16 STREETEETAnnR"[-] CITY ST ZIP CDL IGNITION REdUiREE7 IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES NO NTERLOCK YES NO 'YES NO ❑ 17 5 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ VIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ [441 TRLR TRLR 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 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv E:l STANDING S 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 10-11-23 10:57 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 2517 O#I',WA0171300 JACOBS 10/19/202 PAGE F OF 5 3000-345-013(R 11118) REPORT NO.! EE10853 CASE# 23-11631 DATE AND TIME 10/11/23 08:47 OF COLLISION � e und3stanGe! ath w.bacv� u�Al 4U:car PAGE 5 OF 5