HomeMy WebLinkAbout23-12490 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE15388 170
27
COLLISION REP FIT 1591971
CASE 23-12490 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 10 - 1-- 2023 0836 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
LOGAN AVE N BLOCK NO. e✓ 500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FEET MILES e S B W e N 6TH ST
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2148464055 0 11
30
6� LAST NAME SANCHEZ FIRSTNAME ALFONSO MIDDLE R 1 1 2 31
INITIAL
STREET ❑, 5352 FREESTONE DRIVE CITY GRAND PRAIRIE ST TX 2jP', 750520000 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
❑ DRIVER'S' STATE TX SEX'M MM ovY' 01 1- 11 - 1972 2 32
8 LICENSE#
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET INJUR
5Y NA
1 TURE OF INJURIES 2❑
3
Pi ATNES14 NYH 4054 STATE TN VIN# 1C6RR6FTOLS147663
10�
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# ROM TO
TRLR. TRLR. 5 1 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 RAM 1500 DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO KNIGHT COMMERCIAL 4200 SOJOURN DR ADDISON TX 75001 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO SAME. 3 4
IN EFFECT &POLICY# 9TOP
VeH'CLe CHARGE 5 36
LEGALLv Ye8❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8
MOTOR PEDAL- PEDESTRIAN
16 a PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2062940247
LAST NAME ARTEAGA SOLORZANO FIRST NAME RUBEN MIDDLE N
INITIAL
17❑ STREET ❑', 6811 S 128TH ST UNIT B CITY' SEATTLE ST WA ZIP 981784733 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 DRIVERS
# STATE WA SEX M Mr D.O.B. 04 12 _ 1996 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE D11949D TATE WA VIN# 3GCUKREC7JG103500
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
VEH YEAR 2018 MAKE CHEV MODEL SILIVERA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO RUBEN ARTEAGA SOLORZANO 6811 S 128TH ST UNIT B SEATTLEWA98178 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. IGQVE""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. EE15388
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12490
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 10-31-23 09:27 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1
111112023 3:28:50 PM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 8:49 AM TIME POLICE ARRIVED]8:50 AM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EE15388 CASE# 23-12490 OF COLLISION10/31/23 08:36
NARRATIVE
gry/trk/2 middle wht/trk/1 right lane into middle
RTF
Within the city limits of Renton/King/WA I responded to a 2 car crash near the 500 block of Logan Ave
N.
I contacted the driver of unit 2 who told me he was in the middle lane (lane 1) when unit 1 made a left
lane change into the side of his front fender. He did not complain of injury and damages did not
require a tow truck.
I contacted the driver of unit 1 who told me he signaled and believed he had one car length of space
and made his lane change. He told me he was half way into his lane before he was rear ended by
unit 2. The damage to either vehicle did not indicate a rear end collision but side contact. Unit 1 did
not complain of injury and damages did not require a tow truck.
Unit 1 was emphatic that his signal and one car length authorized his movement. He said he
checked his mirror positioned at the rear of his truck and that it was clear. He briefly tried to compare
Texas law vs Washington law. I provided him with the RCW ref lane change and following too
closely.
Information/Insurance only.
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 10/31/2023
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REPORT NO.! EE15388 CASE# 23-12490 DATE AND TIME 10/31/23 08:36
OF COLLISION
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