Loading...
HomeMy WebLinkAbout24-157 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 5 27c COLLISION REP FIT 1591971 ❑ ❑ RESULTED ❑ CASE z4-157 2 INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 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.. 01 - 1-- 2024 1455 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RENTON AVE S BLOCK NO. e✓ 100 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV a HARDIEAVE SW 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:3474883671 0 11 30 6� LAST NAME WU FIRSTNAME XIAOYUN MIDDLE N 1 1 2 31 INITIAL STREET ❑ 7215 176TH PL NE CITY ARLINGTON ST WA 2jp, 982238189 2= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10❑ Pi aTES� CBV7785 sTATe WAurN# 7MUCAABGONV002254 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 2 2022 TOYT RAV4 UT DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 14 LIABILITY INSURANCE INSURANCE CO STATEFARM 5045647 35 -E24.47 4 IN EFFECT &POLICY# 9TOP VEHlcl.e 5 36 LEGALLY YES❑NO❑ CITATION# CHARGE 1 o BOTTOM 15❑ STANDING MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES NO ,/ D:2065957174 16 a LAST NAME PRAM FIRST NAME THAN MIDDLE I V INITIAL 17 STREET❑ NEW ADDREss❑' 304 NW 5TH ST CITY RENTON ST WA ZIP 980573413 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 LDI IVEW # STATE WA SEX M M D.C.B. 12 _ 29 _ 1954 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40 ❑21❑ PLATE# B23929U TATE 41 WA VIN# 3TMLU4EN3CM081123 1 42 22❑ PLATE# STATE PLATE ILER# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2012 MAKE TOYT MODEL TACOMA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO THU-HUONGLE304NW5THST RENTON WA 98057 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO ECONOMY PREFERRED 411432888-0 9TOP 5 IN EFFECT 'E""LE LEGAL ❑ Nu,J CITATION# CHARGE to BOTTOM LY YES 25 ' 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. EE44301 COLLISION REPORT III III III III III 111 1591972 CASE# 24-157 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. C.CATALAN 01-23-24 01:59 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1/25/2024 2:06:14 PM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED; 2:55 PM TIME POLICE ARRIVED]2:55 PM PART I PAGE IT]OF 5� REPORT NO. EE44301 CASE# 24-157 OF COLLISION 01/05/24 14:55 OF CbLLI510N NARRATIVE On January 5, 2024, at 1300 hours dispatch requested that I respond to a collision at the intersection of Hardie Ave SW and Renton Ave Ext. Dispatch advised that there was a three-vehicle collision that was blocking the entire intersection. Upon my arrival I spoke with the driver of unit 3. He stated he was facing westbound at the intersection waiting with traffic for the light to turn green when the collision occurred. The driver stated they did not see which vehicle ran the traffic light but one of vehicles was pushed into his tailgate. I then spoke with the driver of unit 2 and they explained they were going northbound on Hardie Ave SW when the collision occurred. The driver stated he had a green light going northbound, so he proceeded through the intersection. As he crossed, unit one ran the red light going eastbound bound, causing him to collide with their front bumper. The impact sent unit 1 into a spin which ultimately led them to slide into unit 3. 1 then spoke with the driver unit 1 and they explained they were going eastbound on Renton Ave Ext when the collision occurred. They could not recall what color of the traffic light was as they entered the intersection, but they said unit 2 crossed the intersection, causing the collision. Based on the comments I gathered the following. The driver of unit 3 had a red light while they faced westbound on Renton Ave Ext. That means eastbound traffic was also stopped with a red light. Unit 2 had a green light, so they proceeded forward. The information above consists with the damage seen on seen. Only unit 1 sustained severe damage so it needed to be removed by bakers towing later. All the drivers were medically checked by Renton Fire, and no one needed to be transported to the hospital. An exchange of information was given to all the drivers involved. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EE44301 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-157 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ � PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ D:2066795551 0 7 29 LAST NAME : VAO FIRST NAME : KAURIRI MIDDLE D INITIAL STREET 30 NEW AnDRFrtP 10757 18TH AVE SW CITY SEATTLE ST WA ZIP 981462029 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 07 - 28 - 1976 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE I C4205OW [TAT WA VIN# 1FDXF46F7YEA44247 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 O O VEH.YEAR2000 MAKE FORD MODELF4550 I STYLE TR I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' FROM TO DAMAGE YES NO ✓ YES NO ✓ REGISTERED OWNER INFO.HANDY ANDY RENT 10711 AURORA AVE N SEATTLE WA 98133 J 9 33 12 � SHADE IN DAMAGED AREA 34 FROM TO LIABILITY INSURANCE INSURANCE CO SELF INSURED GQ IN EFFECT &POLICY# 1VEHICLE 34 13Lecnuv YES NO❑ CITATION# CHARGE STANDING } 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNER YE YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN ❑ 36 15 LAST NAME FIRST NAME ': NIbIAL STR 16 STREETEETAnnR"[-] CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 ❑ TRAILER TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR 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 4 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. C.CATALAN 01-23-24 01:59 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12007 O#IL WA0171300 JACOBS 1/25/2024 PAGE F41 OFF 3000-345-013(R 11118) REPORT NO. EE44301 CASE# ' 24-157 DATE AND TIME 01/05/24 14:55 OF COLLISION NTS t I s t ' PAGE 5 OF 5