HomeMy WebLinkAbout24-2249 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EE55013 170
27
COLLISION REP FIT 1591971
CASE 24-2249 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION 02 — 1—— 2024 1630 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 43RD ST BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2537379733 0 11
30
6❑ LAST NAME MARUFZHON FIRSTNAME SABIROV MIDDLE 1 2 31
INITIAL
STREET 01 11328 SE KENT KANGLEY RD APT H2O6 CITY KENT ST WA ZIP 98030 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
ELOB 12 1— 03 — 1993 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10 9� P1 ATE 14 CLD4595 STATE WA u N# JTDKARFU1 G3022361
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. YRLR. 3 5 33
12 0 0 VIN#' VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 7 3 34
13 2016 TOYT PRIUS SD DAMAGE YES NO � '` RS YES❑ No✓
REGISTERED OWNER INFO SABIROVMARUFZHON 11328 SE KENT KANGLEYRD APT H2O6 KENT WA 98030 D:2537379733 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ABILI V INSURANCE INSURANCE CO PROGRESSIVE 974473242 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ NDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
1/ NO D:2062938697
16 a
LAST NAME GRAJCZYK FIRST NAME JOYCE MIDDLE A
INITIAL
17❑ STREET ❑', 12026 SE 216TH ST CITY' KENT ST WA ZIP 98031 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES
❑NOF,/
19 LDIIVERI # STATE WA SEX F M .C.B. 04 08 _ 1948 0 39
WELMET INJURY 7 NATURE OF INJURIES 40
20 F1 ON DUTY[:I]
STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS CHEST PAIN
21❑ LICENSE I PT04501 TATe WA VIN1i 1FAHP24W48G162697
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE FORD MODEL TAURUS STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO JOYCE GRAJCZYK 12026 SE 216TH ST KENT WA 98031 D:2062938697 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO SAFECO H1967108IN 9TOP 5
VEHICLE YES[:] ,.I—I CITATION# CHARGE to BOTTOM
LEGALLY N
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
SLAKE BOWIE 12105 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE55013
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2249
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) GRAJCZYK LAWRENCE R
(LAST FIRST,
ADDRESS&PHONE#
12026 SE 216THST KENT WA 98031 SEX M MMDDYyry 01 - 02 - 1942
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER L�WITNESS❑ UNIT# 2 POS + 8 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS +7 CHEST PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL) MUNRO GREGORY D
ADDRESS&PHONE# Q B
vv
11122 SE 183RD PL RENTON WA 98055 2065959359 SEX M 4:O- 05 _ 01 _ 1951
PASSENGER ❑ POS. USE CLASS WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
I was dispatched to a two-vehicle collision near S 180th St/Easy Valley Hwy.
Upon arrival, I contacted the driver of Unit 1 in a Prius. The Prius had front end damage and was
stopped in the right turn lane facing eastbound. Unit 1 was driving westbound before attempting to
turn south across oncoming lanes. One vehicle stopped to let Unit 1 make the turn but there were
three lanes Unit 1 had to cross over. While crossing over the three lanes, Unit 1 collided with Unit 2.
Unit 2 was driving eastbound in the right turn lane when Unit 1 turned in front of them. Unit 2 tried to
swerve but got hit by Unit 1 and went off the road into the ditch.
I spoke with a witness which stopped and allowed Unit 1 to turn. He stated that Unit 1 was able to turn
across two of the three lanes but never saw Unit 2 driving in the third lane and Unit 1 collided with
Unit 2 while making the turn.
Both vehicles were towed by Bankers and no major injuries. I provided both drivers with an exchange
of information and the case number.
See Axon video for further information.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electrically signed by Officer B. Bowie / 12105 on 02-29-2024 at 1738 hours in the City of Renton.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
SLAKE BOWIE 02-29-24 07:40 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 2/29/2024 9:13:22 PM
BADGE OR ID# 12105 OR]#' ' WA0171300 TIME POLICE DISPATCHED', 4:35 PM TIME POLICE ARRIVED',4:41 PM
PART I PAGE 2�OF❑
REPORT NO. EE55013 CASE# ' 24-2249 DATE AND TIME 02/29/24 16:30
OF COLLISION
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