HomeMy WebLinkAbout24-2479 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-2479 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 03 - 1-- 2024 1028 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ 400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e LIND AVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2069140565 0 11
30
6� LAST NAME DAVIS FIRSTNAME MARQUIS MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 14002 SE 276TH ST CITY KENT ST WA ZIP, 980429077 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 6 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� BYJ1171 sTATI WAvIN# 2C3CDZAG1KH616570
IT STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. A'RLR. 1 3 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 2 2019 DODG CHALLE DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO MARQUIS DAVIS 14001 SE 276TH ST KENTWA 98042 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE z INSURANCE CO GEICO 0689 02 05 01 4
LI EFFECT I POLICY# TOPVENICLE CHARGE 36
LEGALLv res❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064718805
16 2
LAST NAME WESTERGREEN FIRST NAME RYAN MIDDLE I C
INITIAL
17❑ STREET ❑', 24422 130TH PL SE CITY' KENT ST WA ZIP 980305075 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYEs❑No� INTERLOCK ves No� YES NDF
19 LICENSE#DRIVERS STATE WA SEX MMDC7YY
M D.O.B. 10 _ 27 1977 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE AXP6881 TATe WA vIN# 1C4RJFBG4FC166658
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 2015 MAKE JEEP MODEL GRAND STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ALAN WESTERGREEN 24422130TH PL SE KENT WA 98030 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE &POINSURGY#E CO PROGRESSIVE 955 376 114IN STOP 5
VE""LE ❑ Nu,J CITATION# CHARGE
25 io BOTTOM
LEGALLY YES s � e
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE60144
COLLISION REPORT III III III III III 111
1591972 CASE# 1 24-2479
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HAYWOOD JAMIKA C
(IAST FIRST,
ADDRESS&PHONE# D O.B. '
123 S 333RD LN APT A FEDERAL WAY WA 980036236 SEXi F MMDDYyvv 04 - 28 - 1999
PASSENGER WITNESS❑ UNIT# 1 POST 3 AIRBAG(6 RESTR. 4 EJECT ? 1 HELMET INJURY NATURE OF INJURIES
USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) POSSIBLY STEVEN
ADDRESS&PHONE# D E B
KENT 2539061452 SEX' M MMaDuvvv - _
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'
On March 6, 2024, at 1028 hours dispatch requested that I respond to a collision at the intersection of
Lind Ave SW and SW Grady Way, in the city Renton, county of king, and state of Washington.
Upon my arrival I spoke with the driver of unit 1 and he explained that he was making a left turn from
Lind Ave SW to SW Grady Way when the collision occurred. While waiting, the driver stated that a
bus was also attempting to make a left turn from SW Grady Way to Lind Ave SW. The bus was taking
"forever." When his light turned green, he proceeded forward and drove around the bus which was
still in intersection. Simultaneously, the bus and him moved forward. As he drove past the bus, he
struck unit 2 which was going westbound on SW Grady Way.
I then spoke with the driver of unit 2 and he explained that he had a green light while going west
bound on SW Grady Way. The driver noticed a metro bus making a left turn from SW Grady Way to
Lind Ave SW. The bus was seen going northbound on Lind. Once unit 2 entered the intersection, unit
1 struck his passenger side doors.
Both vehicles sustained severe damage and needed to be towed away. Later, Gene Meyers towing
took custody of the two vehicles.
A man named Steven was a witness to the collision. They left their contact information with driver 2.
When I tried contacting them, they never responded, and their phone went straight to voicemail.
After speaking with the two involved drivers, I was unable to determine who committed the traffic
violation, so an exchange of information was given to both drivers.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 03-12-24 01:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 311812024 12:00:21 PM
BADGE OR ID# 12007 OR]#' ' WA0171300 TIME POLICE DISPATCHED; 10:31 AM TIME POLICE ARRIVED 10:37 AM
PART I PAGE IT]OF 3�
REPORT NO. EE60144 GAGE At ' 240479 DATE AND TIME 03/06/24 10:28
OF COLLISION
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