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HomeMy WebLinkAbout24-2283 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE# 24-2283 2 0 7 INTERSTATE CITY STREET ✓ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3❑HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION 2 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION.. 03 - 01 - 2024 1518 17 �. S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ SE CARR RD MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e 103RD AVE SE 0 1 29 UNIT MOTOORVECL Z CYCLE ElDDAMYESA✓NOESHOLD MET PHONE 0 1 30 6� LAST NAME ZHENG FIRSTNAME XIAOHONG MIDDLE N 1 9 2 31 INITIAL STREET ❑ 26215 SE 33RD ST CITY SAMMAMISH ST WA ZIP 980759129 2= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVERS STATE WA SEX'M MM DAY' 03 1- 10 - 1966 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES 2❑ 3 ,OF P1 ATE B 4 AZD0890 JBTATIJ WAV N# WDDHF8JBOG6181895 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO rRLR TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T/yj�)��p/ggY GOVT.VEHICLE 3 7 34 13 2 2016 MERZ E DAMAGE YES NO �"-"--"TE YES❑ NO✓ REGISTERED OWNER INFO XIAOHONG ZHENG 21215 SE 33RD ST SAMMAMISH WA 98075 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 ❑ ❑ INSURANCE CO 3 4 14 INLIABILITYEFFECT INSURANCE ✓ SAME. IN EFFECT &POLICY# 9TOP vE— CHARGE 1 o BOTTOM 36 EGALLv YES No CITATION# 4AO078049 NEGLIGENT DRIVING 2ND DEGREE 15❑ STAIN.D'ING 8 7 6 UNIT a2 VEHICMOTOLE CYCLE ❑ PEDESTRIAN ❑ OWNER YES ❑ DYES✓ NO OLD MET PHONE 16 a LAST NAME TRAN FIRST NAME THUY MIDDLE K INITIAL 17❑ STREET ❑', 9601 S 248TH ST CITY KENT ST WA ZIP 980304863 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l No❑ 19 DRIVER'S STATE WA ]SEX IF D.Q.B. 02 _ 28 _ 1983 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CJN4167 TAre WA VINIi 5TDKDRBHOPS038033 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2028 MAKE TOYT MODEL HIGHLAN STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO VOLAMCO INC 16720 INTERNATIONAL BLVD SEATAC WA 98188 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME I 9TOP 'E""LE ❑ Nu J ,J� CITATION# CHARGE LEG i o BOTTOM AFLY YES 25 $ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE57079 COLLISION REPORT III III III III III 111 1591972 CASE# 24-2283 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 PM 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 03-06-24 04:55 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 31712024 5:58:15 PM BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED; 3:44 PM TIME POLICE ARRIVED',3:48 PM PART I PAGE IT]OF TIME REPORT NO. EE57079 CASE# 24-2283 OF COLLISIONO3/01/24 15:18 NARRATIVE blk sedan rear moving unit 2 wht suv Brat sedan 3 hits 1 from behind CC Within the city limits of Renton/King/WA I responded to a 3 car blocking crash at SE Carr Rd at 103rd Ave SE. I contacted the driver of unit 2 who told me she was westbound in lane 2 going about 35 mph when she was rear-ended by unit 1. She said she stopped after she was hit in lane 2 as did unit 1. Unit 2 did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 3 who told me she was behind unit 1 when he ran into the back of unit 2. They came to a sudden stop and she was unable to avoid contact. She contacted unit 2 from behind. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 ID'd by his matching picture WADL. He was telling the other drivers to be quiet and calling them liars. I asked him what happened and he told me that unit 2 slowed or stopped suddenly and he hit her then was rear-ended by unit 3. Both unit 2 and 3 said not what happened. He did not complain of injury and had a tow truck that he called before I cleared the scene. Damage to unit 2 was primarily on the passenger front of his car while the damage to unit 2 was mostly left/driver side rear. Unit 2 told me she wasnt slowing or stopping she was going 35 mph when she was hit. The POI was lane 2 in a slight grade curve to the right. It appeared that either unit 1 made a sudden lane change to avoid a car in lane 1 that unit 3 did not notice or unit 1 was traveling too fast and rear ended a moving car or possibly distracted on his phone. Ref RCW 46.61.525 unit 1 did drive in a manner that did driver both negligently and endanger other persons and property. I cited unit 1 ref RCW 46.61.525 Negligent Driving 2nd Degree 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 3/6/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE557079 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-2283 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 DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO 0 1 29 LAST NAME MONTALVO-GOMEZ FIRST NAME MA YA MIDDLE' M INITIAL STREET 30 NEW AnDRFSP' 14901 SE 179TH ST CITY RENTON ST WA ZIP 980589071 6 CDL IGNITIttN 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 02 - 09 - 2008 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE A7019822 TAr WA VIN# 1N4AL3APODN410644 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 3 5 VEH.YEAR2013 MAKE NISS I MODELALTIMA STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1Ci P FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFOSAMATHA GOMEZ 14901 SE 179TH ST RENTON WA 980589071 3 ] 33 12 � SHADE IN DAMAGED AREA 4 FROM TO ((ABILITY INSURANCE INSURANCE CO PROGRESSIVE 95325444 gTOp IN EFFECT &POLICY# VEHICLE 10 6QTTUM 34 13 ❑ Lecnuv YES❑ NO❑ CITATION# CHARGE gg�@ STANDING S} l:9 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNER YE YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME NIITIA 36 L ❑ STREET"[-] 16 NEW nnR CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LERICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv 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 03-06-24 04:55 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 2517 O#I',WA0171300 APJOHNSON 3n/2024 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EE57079 CASE# ' 24-2283 DATE AND TIME 03/01/24 15:18 OF COLLISION t s a t 4k 5< i PAGE 5 OF 5