HomeMy WebLinkAbout23-12405 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE14820 170
27
COLLISION REP FIT 1591971
CASE 23-12405 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 10 - 1-- 2023 1518 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
108TH AVE SE BLOCK NO. e✓ 19100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET MILES e S B W e SE 192ND ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2066830188 0 11
30
6 LAST NAME JUAREZ SALGADO FIRST NAME JESUS MIDDLE 1 1 2 31
INITIAL
STREET ❑✓ 12545 SE 188TH PL CITY RENTON ST WA ZIP 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� CFD8796 sTArI WAvIN# 1HGCM56415A145883
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR. TRLR. 3 5 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 200$ HOND ACCOR SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO VICENTE JUAREZ JUAREZ 14622215THAVEE BONNEYLAKE WA 98391 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE❑ INSURANCE CO NONE 3 4
IN EFFECT &POLICY# STOP
vECAtty Hla.e 5 36
res❑NO❑ CITATION# CHARGE 1 o BOTTOM
15❑ LE STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2062511728
16 a
LAST NAME CHAO FIRST NAME YOUN MIDDLE I C
INITIAL
17 STREET❑ NEW ADDRESS❑' 7235 S 128TH ST CITY SEATTLE ST WA ZIP 981784345 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 LICENSE# STATE I WA SEX M M .C... 11 01 1951 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# B93591P TArE WA VIN# 41
3TMMU4FN68M025792 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2011 MAKE TOYT MODEL TACOMA STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO YOUN CHAO 7235 S 128TH ST SEATTLE WA 98178 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&POLICY#E CO PEMCO CA 1257901IN 1UQ,
5"'LE ❑ ,.I— CITATION# CHARGELGALLYYES N25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
GREGORY BILLS 1
12495 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE14820
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12405
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
PM 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.
GREGORY BILLS 10-29-23 04:26 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIREE SCOTT 10272 1013112023 7:14:06 AM
BADGE OR ID# 12495 ORI# WA0171300 TIME POLICE DISPATCHED! 3:18 PM TIME POLICE ARRIVED',3:18 PM
PART Ei PAGE IT]OF 4�
REPORT NO. EE14820 CASE# 23-12405 OF COLLISION
10/29/23 15:18
OF CbLLI510N
NARRATIVE
On 10/29/2023 at 1518 hours I was driving northbound in the 19100 block of 108th Ave SE, in the
City of Renton, King County, Washington. I observed a vehicle collision while on routine patrol.
In this report, Unit 1 refers to a gold 2005 Honda Accord (WA/CFD8796), driven by Jesus Juarez
Salgado (DOB 04/15/1990, verbal). Unit 2 refers to a gray 2011 Toyota Tacoma (WA/B93591 P),
driven by Youn C. Chao (DOB 11/01/1951, WA DL).
I observed Unit 1 exit the parking lot of the 76 gas station at 19044 108th Ave SE. It turned south (left)
out of the parking lot, attempting to occupy the left turn lane of southbound 108th Ave SE.
Unfortunately, Unit 2 was already in that turn lane. The two vehicles collided, causing minor damage
to the passenger side front door and quarterpanel area of Unit 1, and the driver side front door and
quarterpanel of Unit 2.
1 instructed the drivers to pull into the parking lot of the gas station.
Salgado did not speak English, so I used Language Line to communicate in Spanish. He stated he
left his wallet at home so did not have his ID, and there was no insurance for the vehicle. I ran his
name in ACCESS and got a return in WA DOL. His driving status showed "not licensed -eligible."
There was no photo available with the record.
Chao provided his license, registration, and proof of insurance.
I told Salgado he would be receiving a ticket in the mail and confirmed his mailing address.
I established probable cause Salgado committed the infractions of operating a motor vehicle without
insurance and no valid operator's license. I decided to cite him for NVOL with ID instead of the crime
of NVOL without ID.
I authored Salgado a citation for the above infractions (cite # 3A0465175).
Salgado's DOL record showed an expiration of 00-00-0000, which SECTOR does not accept. I used
today's date in SECTOR to submit the report.
This concludes my involvement in this case.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Gregory Bills #12495, 10/29/2023 at 1609 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO.! EE14820 CASE# ' 23-12405 DATE AND TIME 10/29/23 15:18
OF COLLISION
1 08th Ave SE N
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