HomeMy WebLinkAbout24-80 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# z4-so 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. 01 - 1-- 2024 1017 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S GRADY WAY BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SHATTUCKAVES
0 1 29
UNIT MOTOR
Z PEDAL ❑ YESAGE NHORE✓LD MET PHONE 0 8 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES No YES No
8❑ LIRCIENSRE#
STATE I
SEX u MMDDYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES 2❑
3
LICENSE sTATI urN#'
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR 3 7. TRLR 33
12 3 5 vIN#' VIN#
FROM TO
VEH.YEAR MAKE DODG MODEL RAM STYLE PK VEHICLE TOWED fn TO VELINI TOWED BY GOVT.VEHICLE J 9 34
13 2 DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICV# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT
❑VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ No D:4253515047
16 a
LAST NAME QUINN FIRST NAME ALISTER MIDDLE ,I
INITIAL
17 STREET I❑ 2901 SE 10TH ST#1004 CITY RENTON ST WA ZIP 98058 37
NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs I I No� YES t l NO❑
19 D IVEW #
I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
❑LICENSE 21❑ PLA E# CKS8135 TATE 41
WA vIN# YV1MK672382074030 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
YEAR 2008 MAKE VOLV MODEL C30 2.41 STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
VEH
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ALISTER QUINN 2901 SE LOTH ST#1004 RENTON WA 98058 D:4253515047 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. IU
9TOP
"""LE CITATION# CHARGE o BOTTOMLEGALLYYES NEI25❑
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# 777T�NCY26LAN 12007 0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE39520
COLLISION REPORT III III III III III 111
1591972 CASE# 1 24-80
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 NJURY
POS. NATURE OF INJURIES
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 January 03, 2024 at 0827 hours dispatch requested that I respond to a collision that occurred
near the 300 block of S Grady way, in the city of Renton/King/WA. The reporting party, later identified
by his WADL as Alister J. Quinn, reported he was involved in collision where the other driver fled the
scene.
Upon contact, Alister explained he was waiting for the traffic light on S Grady way and Shattuck Ave
S when the collision occurred. He was in the number 2 lane when he observed unit 1 appraoching
from behind. Unit 1 was in the number 1 land, but changed lanes (moved left) at the last second and
struck his rear bumper, causing substantial damage.
Unit 1 was described a blue Dodge Ram (unknown plates). The vehicle had black wheels and fled
westbound towards Rainier Ave S. The driver of unit 2 followed unit 1, but was eventually lost near S
6th St and Smithers Ave S.
The driver of unit 2 refused medical treatment and the vehicle was not removed by a tow.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 01-03-24 02:33 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1/1112024 2:21:25 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED; 10:17 AM TIME POLICE ARRIVED 10:27 AM
PART I PAGE IT]OF 3�
REPORT NO. EE39520 CASE# ' 24-80 DATE AND TIME 01/03/24 10:17
OF COLLISION
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