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HomeMy WebLinkAbout24-6004 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 3 27c COLLISION REP FIT 1591971 INTERSTATE ❑ CITY STIR FIRE CASE EET ❑ 24-sooa z RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#OF OBJECT ❑2$ i TRIBAL 1 02 STRUCK FENCE RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# CowsloN 06 - 1-- 2024 1808 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ 140TH WAY SE BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e MAPLE VALLEYHWY 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4259317796 30 6❑ LAST NAME MARSH FIRSTNAME MARGARET MIDDLE A 1 1 2 31 INITIAL STREET ❑ 14023 171 ST AVE SE CITY RENTON ST WA ZIP 98059 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LDRIVER # STATE WA SEX'F MID .O B 02 - 12 - 1969 32 INJURY -, [NATURE OF INJURIES 9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U SE CLASS 7 I STATED BACK HURT z❑ 3 10❑ P1 ATNES# BHR2465 sTAr WAv N# 2C3CD26T9FH702971 IT STATE TRAILER STATE 11 0 0 PLATE# PLATE# Rom TO TRLR. YRLR. 5 1 33 12❑ vIN#' UIN# IC FL—E FROM 34 VEH.YEAR 2OIS MAKE DODG MODEL CHALLE STYLE 2D VEHICLE TOWEDNOO pLSSBLIN TSIYY.Ep9vMEYER vOS❑ENO✓ 13❑ DAMAGE LJI (�ciV6 REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14❑ LIABILIT INSURANCE❑ INSURANCE CO IN EFFECT & LI POCY# 9TOP ❑ VEI"LL CHARGE 10BOTTOM 36 15 1 LEGA1LNG res No CITATION# 4g0223036,4A0223036, OP MOT VEH W/OUT INSURANCE,FL UNIT U2 VEHICCMOTOLE ❑ CYCLE ❑ PEDESTRIAN OWNER YES ✓� DYES✓ NO THROLD MET PHONE 16❑ LAST NAME MAPLEWODO GOLF COURSE FIRST NAME MIDDLE INITIAL 17❑ STREET ❑', 4050 MAPLE VALLEY HWY CITY RENTON ST WA ZIP 98058 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 LLIRIVERISTICENS # STATE SEX U MMDDYY -❑_ 39 WELMET INJURY NATURE OF INJURIES 4O 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ LICENSE TArE VIN# 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO 1 9TOP 5 NODALOVIC ❑ C[:] CITATION# CHARGE i o BOTTOM YES N 25 s e 'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 11628 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE84559 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6004 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) CONRAD DAVID (IAST FIRST, ADDRESS&PHONE# D O.B. 2532617711 SEX U MMDDYYYY -❑ PASSENGER❑ � SOS. USE ICLASS J WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMETCLAINJURY RYSS NATURE OF INJURIES NAME (LAST,FIRST,MIDDLE INITIAL) I MOODY ANTHONY ADDRESS&PHONE# D O B 3606085464 SEX U MMDDYYIV PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES []WITNESS 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. N.ODALOV/C 06-07-24 04:42 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 6/7/2024 9:00:45 PM BADGE OR ID# 11628 ORI# WA0171300 TIME POLICE DISPATCHED 8:08 PM TIME POLICE ARRIVED',6:08 PM PART I PAGE IT]OF 4� REPORT NO. EE84559 CASE# 24-6004 OF COLLISION 06/06/24 18:08 OF CbLLI510N NARRATIVE U1 was traveling northbound on 140th Way SE with the intent of turning west onto Maple Valley Hwy utilizing a left turn lane. Instead, U1 proceeded north through the intersection, on top of a dirt mound, and collided into a pole into Maplewood Golf Course's property. The driver of U1, Margaret, stated she does not remember the collision and the last memory she had was driving northbound on 140th Way SE "coming down the hill". Witnesses on scene stated Margaret was traveling at a high rate of speed and was in a left turn lane, but then proceeded straight and crashed. Margaret initially did not complain of any injury, but then later stated her back was sore from the collision. Margaret was evaluated by the Renton Fire Authority (RFA) on scene. Margaret was not transported to a hospital. Margaret had an existing broken right arm which was in a sling. Margaret's vehicle was severely damaged from the pole and airbags were deployed. Margaret stated she had not eaten in a day in a half. Margaret agreed to complete a few field sobriety tests which did not show impairment. Margaret later thought that maybe her sling caused her to steer the vehicle from the left turn lane. I did not observe brake marks on the roadway prior to final rest stop of U1. U1 was towed by Gene Meyer Towing. Maplewood Golf Course employees were on scene and were provided a case number. Ofc Rivera took photos of the scene which were later uploaded to evidence.com. Prior to Margaret's departure from the scene, I asked if she had insurance. Margaret stated she did have insurance but did not have proof of insurance in U1 or on her cellphone. I provided Margaret with my business card which had my email on it. I asked Margaret to email me proof of her insurance. At the time of writing this report, Margaret did not email me her insurance information. I also reviewed city cameras at the intersection. The footage shows U1 in lane 1 which is the west left turn lane. U1 then veers from the lane, through the next two lanes, onto the sidewalk/curb, and then straight to where U1 came to a rest. The footage is quite glitchy and I am unable to determine if Margaret was traveling any faster than the other vehicles traveling on the roadway. The camera footage was uploaded to evidence.com. Margaret was cited under citation number 4AO223036 for: RCW 46.30.020 operating a vehicle with no insurance RCW 46.16A.030.5.0 failure to renew vehicle registration grater than two months RCW 46.6.055 failure to obey a traffic control legend During this incident I was equipped with body-worn camera which records both audio and video. Portions of the incident were recorded. This report is merely a summary of the incident and is not intended to be an exact transcription of the entire investigation or what may have been captured with the recording system. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Weather: SUNNY **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 4 REPORT NO. EE84559 CASE# ' 24-6004 DATE AND TIME 06/06/24 18:08 OF COLLISION "IRZ .'& ,t� din•.., a� St zz z �tz�•'„�i.2F w#��t �'z � a t r � c , nit s z s � z „y 1 � � z � z t 1 m k PAGE 4 OF 4