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Home My WebLink About23-13431 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-13431 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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# ❑ cawsloN 11 - 1-- 2023 0832 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ TALBOT RD S BLOCK NO. e✓ 1400 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 2751. 00 FEET MILES e S B W e S PUGET DR 0 1 29 MOTUNIT U1 VEHICR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 0 7 30 6� LAST NAME CASTANEDA FIRSTNAME ERIC MIDDLE N 1 1 2 31 INITIAL STREET El 10822 SE 192ND ST CITY RENTON ST WA ZIP' 980557409 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10 1❑ PI ATE14 BHA4286 STATE WA uN#' 1G1BE5SM2G7298682 -- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 5 1 33 12 0 0 VIN#j VIN#' FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE J 9 34 13 2 2016 CHEV CRUZE DAMAGE vEs 0NO f �AWkkRS vEs❑ No✓ REGISTERED OWNER INFO ERIC CASTANEDA 11122 SE 192ND ST RENTON INA 980557409 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 INSURANCE CO 4 14 IN EF IT INSURANCE PROGRESSNE 93809N31 IN EFFECT &POLICV# TOPVEH" CHARGE <1�3 OTTOM 5 36 LEGALLY YES❑NO❑ CITATION# 3A0681740,3A0681740 SPEED TOO FAST FOR CONDITIONS, MOT15❑ STAIN.D'ING 7 6 UNIT VE IOCLE CYCLE PEDAL ❑ PEDESTRIAN ❑ PROPERTY ❑ DAM YES✓ NO OLD MET PHONE 16 a LAST NAME JAMES FIRST NAME MAGDALENA IM INITIAL 17❑ STREET ❑', 2663 SW SYLVAN HEIGHTS DR CITY' SEATTLE ST WA ZIP 981061752 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 DRIVER'S STATE WA ]SEX IF D.C.B. 07 26 _ 1989 0 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE BJP0178 TATE WA VIN# JM3KFBCM4J0353402 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2018 MAKE MAZp MODEL CX5 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO MAGDALENA JAMES 2663 SW SYLVAN HEIGHTS DR SEATTLE WA 981061752 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU PORGY#E CO PROGRESSIVE 941373195IN 'E""LE CITATION# CHARGE E,�� LEGALLY YES N� 25❑ J s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE23195 COLLISION REPORT III III III III III 111 1591972 CASE# 23-13431 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 11-22-23 01:53 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 11/25/2023 2:29:08 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 8:33 AM TIME POLICE ARRIVED',8:37 AM PART I PAGE IT]OF 5� REPORT NO. EE23195 CASE# 23-13431 OF COLLISION 11/22/23 08:32 OF CbLLI510N NARRATIVE 3/slv suv 2 gray suv gry sedan/1 hot red lights brakes hit CC Within the city limits of Renton/King/WA I responded to a 3 car blocking crash near the 1400 block of Talbot Rd S. I contacted the driver of unit 1, ID'd by his picture WADL. He told me he northbound lane 1 Talbot Rd S and was "coming in hot" and looking down at his Maps. He told me when he looked up he saw red lights slammed on his brakes and crashed into the back of unit 2, pushing 2 into unit 3. He did not complain of injury and damages required a tow truck. I contacted the driver of unit 2 who told me she was stopped for traffic when she was hit from behind, forced into unit 3. She did not complain of injury but was checked/ released by Renton Fire for advanced pregnancy. Damages did not require a tow truck. I contacted the driver of unit 3 who told me she was stopped when she was hit from behind. She did not complain of injury and damages did not require a tow truck. I cited unit 1 ref RCW 46.61.400.1 speeds too fast for conditions and RMC 10-12-25 Driver 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 11/22/2023 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EE23195 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-13431 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ � PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ 0 7 29 LAST NAME NGUYEN FIRST NAME LOANN MIDDLE' K INITIAL STREET 30 NEW AnDRFrtP 622 S 53RD PL CITY RENTON ST WA ZIP 980557994 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 10 - 09 - 1970 7 ON DUTYl STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE I CAS4779 [TAT WA VIN# 2T3P1RFV4MW231195 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2021 MAKE TOYT MODELRA W STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1I' P FROM TO DAMAGE YES NO ✓ YES NO ✓ REGISTERED OWNER INFOLOANN NGUYEN 622 S 53RD PL RENTON WA 980557994 J 9 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO ((ABILITY INSURANCE INSURANCE CO ALLSTATE 817 q"i"Olx IN EFFECT &POLICY# 1 VEHICLE 34 13 2 Lecnuv YES NO❑ CITATION# CHARGE 10 BOTTUM STANDING } 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STREET"[-] 16 NEW nnR CITY ST ZIP CDL IGNITION REdUiRED IGNITION 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 rnr VIN# PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 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 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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 11-22-23 01:53 PM 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 F 3000-345-013 IR 11t18) REPORT NO. EE23195 CASE# ' 23-13431 DATE AND TIME 11/22/23 08:32 OF COLLISION nts ! ! Iti �1! Y ! &4 �1 f {III 1 i1 II, t�f � iv' I Y Y J 4 1 i 9d X PAGE 5 OF 5