HomeMy WebLinkAbout23-12342 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-12342 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 1 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# ❑
cowsloN 10 - 1-- 2023 1736 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD M4044
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4257535411 0 11
30
6� LAST NAME ALACI FIRSTNAME LUCA MIDDLE 1 2 31
INITIAL
STREET ❑, 2317 185TH PL NE CITY REDMOND ST WA ZIP 98052 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES 2❑
3
10 9❑ P1 ATE 14 BHF4591 STATE WAa VIN# WBAPK5C50BF126255
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 5 1 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR 2011 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 3 7 34
13 4 BMW 328 SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER WFO TEMISTOCLE STEFANESCU2291021STAVE SE BOTHELL WA 98021 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO FARMERS INSURANCE 228192016.0 4
IN EFFECT &POLICY# 9TOP
VEHICLE 5 36
LEGALLY
res❑NO❑ CITATION# CHARGE 1 o BOTTOM
15❑ NDING 8 6
MOTOR PEDAL- PEDESTRIAN
16 a PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4252475426
LAST NAME DE LIRA RIOS FIRST NAME JESUS MIDDLE
INITIAL
17❑ STREET NEW ADOREs7 3100 NE 13TH ST APT 2 CITY RENTON ST WA ZIP 98056 37
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO INTERLOCK yEs It I NOF YES
t l NOF,/
19 DRIVER# STATE WA SEX M M D.C.B. 01 01 1976 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# D84774A TATE WA VIN# 1(BCCoSCEN4H1194973 41
1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2017 MAKE CHEV MODEL COLOR/a STYLE PK DAMAGE TOWED No✓ BLIN yES!TN-
REGISTERED 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 509 2492-1321-47AIN STOP 5
VE""LE ❑ ,J CITATION# CHARGE to BOTTOM
LEGALLY YES Nu
25 ' a
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE14822
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12342
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 October 27, 2023 at 1736 hours, dispatch requested that I respond to a collision that occurred at
4044 NE Sunet Blvd NE, in the City of Renton.
Upon my arrival I spoke with the driver of unit 2, a 2017 Chevy Colorado bearing Washington plates
D84774A. The driver, Jesus De Lira Rios, explained he was going westbound on NE Sunset Blvd
when unit 1 crossed the entire roadway and struck his driver's side fender, severaly damaging his
vehicle.
I then spoke with the driver of unit 1, a BMW 328 bearing Washington plates BHF4591. The driver,
identified as Luca Alaci, explained he was leaving the parking lot of Emerald Haze and planned on
entering the Chevron gas station. He crossed NE Sunset Blvd, but failed to notice unit 2 driving west
bound. He drove across the road and collided with the other vehicle.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 10-27-23 09:36 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
DESIRES SCOTT 10272 1013112023 7:14:23 AM
BADGE OR ID# 12007 ORI#' WA0171300 TIME POLICE DISPATCHED! 5:41 PM TIME POLICE ARRIVED 5:44 PM
PART I PAGE IT]OF
REPORT NO.! EE14822 CASE# ' 23-12342 DATE AND TIME 10/27/23 17:36
OF COLLISION
CHEVRON''' LU
z
NE Sunset.Blvd.
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