The URL can be used to link to this page

Home My WebLink About23-12906 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-12906 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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 CITY# ❑ cawsloN 11 - 09 - 2023 0653 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 156TH AVE SE BLOCK NO. e✓ 12900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 500 00 FEET e S B W e NE 4TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2068501717 0 7 30 6� LAST NAME NGUYEN-PHAM FIRSTNAME NU MIDDLE A 1 1 2 31 INITIAL STREET ❑, 9815 S 235TH PL CITY KENT ST WA ZIP 980312729 z= NEW ADDRESS ]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10� P1 aT�S� BXJ7750 sTATe WA vIN# WBA3D5C59EKX96679 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. YRLR. 5 1 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE J 9 34 13 2 2014 BMW 328 DAMAGE vEs 0NO agW�MEYER vEs❑ No REGISTERED OWNER INFO THUONG NGIIYEN9811 S 235TH PL KENT WA 98031 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ABILI V INSURANCE INSURANCE CO ST FARM 1934195A09.47E 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 3A0681727 INATTENTIVE DRIVING 1 o sorrow 15❑ STANDING 7 6 UNIT MOTOR Z PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ ET PHON DAM THR OLDME 1 VEHICLE CYCLE OWNER YES�/ NO 16 a LAST NAME PEGG FIRST NAME CHAD MIDDLE I L INITIAL 17❑ STREET ❑', 14213 SE 286TH CT CITY KENT ST WA ZIP 980423936 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 D IVEW # INJURY 7 NATURE OF INJURIES 40 20F1 ON DUTY STATUS' AIRBAG,6 RESTR 4 EJECT '1 USE CLASS FOREHEAD 21❑ LICENSE I BF04016 TATe WA VIN# 5NPE34F9HH477693 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2017 MAKE HYUN MODEL SONATA STYLE VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44 24 DAMAGE YES NO GENE MEYER YES NO REGISTERED OWNER INFO CHAD PEGG 14213 SE 286TH CT KENT WA 980423936 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE &POINSURGY#E CO PROGRESSIVE 959763293IN STOP 'E""LE CITATION# CHARGE 25 to BOTTOM LEGALLY YES Nu ❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE23153 COLLISION REPORT III III III III III 111 1591972 CASE# 23-12906 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) DUNN NATASHA F (IAST FIRST, ADDRESS&PHONE# D O.B. 2068496144 SEX U MMDDYyYv 07 - 31 - 1996 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ POS. USE CLASS NAME '(LASTr FIRS' MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYYYY PASSENGER ❑WITNESS❑ UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. 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 11-09-23 10:59 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 11/25/2023 7:51:07 AM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 6:54 AM TIME POLICE ARRIVED',7:01 AM PART I PAGE IT]OF 5� REPORT NO. EE23153 CASE# 23-12906 OF COLLISION 11/09/23 06:53 OF CbLLI510N NARRATIVE gray suv/3 stopped nb blk sedan/2 stopped wht swdan/1 no brakes per wit CC Within the city limits of Renton/King/WA I responded to a 2 car blocking crash near the 12900 block of 156th Ave NE. I contacted the driver of unit 3 who said she was stopped northbound on 156th when she was hit from behind by unit 2, because unit 2 had been hit by unit 1. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 2 who told me he was stopped behind unit 3. He said he had been stopped for at least 30 seconds before he was hit. He was hit hard enough it pushed him into unit 3. He did not complain of injury and damages did require a tow truck. I contacted the Wit who told me she watched unit 1 driving strangely, speeding up/slowing down and swerving, possible on her cell phone. The Wit was behind unit 1 and watched unit 1 drive into the back of unit 2. Wit said she never saw brake lights come on from unit 1 just prior to impact. I contacted the driver of unit 1 ID'd by her picture WADL. She did not provide any information ref the crash. She answered all the questions I asked with " I dont know." She did not complain of injury and damages did require a tow truck. I cited unit 1 ref RMC 10-12-25 Driving Inattention 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 11/9/2023 1 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 11/9/2023 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EE23153 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-12906 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:2535615982 OF 7 29 LAST NAME HOWARD FIRST NAME TAYLOR MIDDLE' ',, J INITIAL STREET 30 NEW AnDRFSP' 15815 SE FA{RWOOD BLVD CITY RENTON ST WA ZIP 1 980588633 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES�NO� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 01 - 08 - 1998 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE I CBL6789 [TAT WA VIN# 1C4RJFAG4MC883818 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2021 MAKE JEEP MODEL GRAND STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO.TAYLOR HOWARD 17650134TH AVE SE APT Q301 RENTON WA 98058 J 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO USAA 045730723G RTOp IN EFFECT &POLICY# 1 EHICLE 34 13 2 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 14 ❑ UNIT Tr Vd 14RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ 39 LICENSE VIN# PLATE# rnr 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41 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 a 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECAtty 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. X LEVERTON 11-09-23 10:59 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE O#I' APPROVED 1126 ORID# 2517 WA0171300 ACOBS 12 PAGE 4 OF 5 3000-345-013 IR 11t18) REPORT NO. EE23153 CASE# ' 23-12906 DATE AND TIME 11/09/23 06:53 OF COLLISION i { i j NTS r it 2 m. } i i PAGE 5 OF 5