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Home My WebLink About23-12578 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-12578 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 11 - 01 - 2023 1730 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S GRADY WAY BLOCK NO. e✓ 100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 25 00 FEET MILES e S ❑ W e lAKEAVES 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4253623467 0 81 30 6� LAST NAME CASTANEDA FIRSTNAME HOMERO MIDDLE N 1 1 2 31 INITIAL STREET ❑ 440 SM►THERS AVE S CITy RENTON ST WA 2jp, 980572511 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 ✓ I INTERLOCK YES[:]No NTERLOCKYEs NO✓ YES R No 8❑ LRIIVERS STATE WA SEXI M MM DAY' 02 1— 24 — 2003 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 1❑ PI ATFBit CBW9694 sTAT� WA urN#' 3VWRM71K38M123527 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 7 9 34 13 3 2008 VOLK JETTA P4 DAMAGE vE5 0 NO agW�MEYER TOWING ves❑ No✓ REGISTERED OWNER INFO HOMERO CASTANEDA GOMEZ 440 SMITHERS AVES RENTON WA 98057 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 14 LIABILITY INSURANCE❑ INSURANCE CO 3 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLv YEs❑NO CITATION# 3AO489811 INATTENTIVE DRIVING o sorrow 15❑ STAIN,"' 6 UNIT U2 VEHICCLE CYCLE ❑ PEDESTRIAN ❑ OWNER RTY ❑ DYES✓ NO OLD MET PHONE 16 a LAST NAME MACIAS DUENEZ FIRST NAME CASANDRA MIDDLE B INITIAL 17❑ STREET SS❑' 10930 S NEW ADDREE 172ND ST APT A 103 CITY RENTON ST WA ZIP 980555979 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 DRIVER'S STATE WA ]SEX IF D.C.B. 09 _ 07 2000 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 9 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40 USE CLASS BACK/NECK ❑ 41 21❑ LICENSE I PLA E# CAA9821 TATE WA VIN# 1HGCR2F86DA161322 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2013 MAKE HOND MODEL ACCORD STYLE P4 VEHICLETOWED TOWEDBY GOV HI 44 24❑ DAMAGE YES NOTO✓ BLIN YES NO✓ REGISTERED OWNER INFO KATIACUBIAS26OS156THSTAPT31 BURIENWA98148 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE I PORGY#E CO SAFECO INSURANCE M1772308 STOP IN EFFECT VE""LE CITATION# CHARGE to BOTTOM LEGALLY YES Nu 25❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 C. —11VER 10540 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE27733 COLLISION REPORT III III III III III 111 1591972 CASE# 23-12578 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 11/01/23, 1 was dispatched to a injury collision located on S. Grady Way at the intersection of Lake Ave S. This area is located within the City of Renton, County of King. U1 was traveling east on S. Grady Way in the #2 (left) travel lane approaching Lake Ave S which was controlled by red traffic signal. U2 was traveling the same direction and travel lane but in front of U1, stopped for the red traffic signal. U3 was traveling the same direction of the two vehicles but in front of U2, stopped at the same traffic signal. U1 failed to stopped and collided with the rear end of U2. The force of the collision caused U2 to travel forward and collide with 3. D2 complained of injury to her neck/back. Renton Fire Authority responded and treated D2 for the complaints of injury. Based on the aforementioned, I determined D1 was the primary causation of this collision. D1 was cited for Driver Inattention. Sgt C. Tolliver I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.TOLLIVER 12-07-23 01:54 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.TOLLIVER 10540 1 121712023 2:24:49 AM BADGE OR ID# 10540 OR]#' WA0171300 TIME POLICE DISPATCHED' 5:36 PM TIME POLICE ARRIVED]5:39 PM PART I PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. EE27733 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-12578 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD 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:3609036647 0 8 29 LAST NAME THORNTON FIRST NAME PETER MIDDLE' ',, A INITIAL STREET 30 NEW AnDRFSP 107 MAIN AVE S APT 101 CITY RENTON ST WA ZIP 980572145 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 06 TOE] - 1984 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE B►H7690 TAr WA VIN# JTDKN3DU1E0379364 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2014 MAKE TOYT I MODELPRIUS STYLE P4 VEHICLE TOWS E T SABLIN TOWED BY anvi vEH11' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFOPETER THORNTON 107 MAIN AVE S APT 101 RENTON WA 98057 ] 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO GEICO 4199-72.68.05 q"i"Olx IN EFFECT &POLICY# 1 EwcLE 34 13 4 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STREET 16 NEW ETET".� CITY ST ZIP AnnRCDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YES NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# i 970P - 4 44 24 LE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEG E E:l STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.TOLLIVER 12-07-23 01:54 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 10540 O#II,WA0171300 APTOLLIVER 12n/2023 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. EE27733 CASE# 23-12578 DATE AND TIME 11/01/2317:30 OF COLLISION E' PAGE 4 OF 4