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Home My WebLink About24-2777 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 24-2777 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF 03 OBJECT 1 1 8 28 UNITS RESERVATION STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CowsloN 03 - 1-- 2024 0811 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 7TH ST BLOCK NO. e✓ 2100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 100 00 FEET e S ❑ E e CAMAS AVE NE❑ 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2532503458 1 4 30 6� LAST NAME SCHULTZ FIRSTNAME AMY MIDDLE K 1 1 2 31 INITIAL STREET ❑, 15764 118TH AVE SE CITY RENTON ST WA ZIP 980584664 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 ✓ I INTERLOCK YES[:]No NTERLOCKYEs NO YEs NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10� Pi aT�S� C57358W sTATe WAurN# 1 C6RR7MTOES252859 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 0 0 VIN#' VIN# FROM 34 13❑ VEH.YEAR2014 MAKE RAM MODEL 1500 STYLE VEHICLE TOWEDNOOpLSABLIN TSIYYEp9vMEYERS vOs❑ENO✓ HICLE DAMAGE IILLJJII (S�IV6 REGISTERED OWNER INFO DUSTIN SCHULTZ 11764118TH AVE SE RENTON WA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE INSURANCE CO ALLSTATE 820273449 4 IN EFFECT &POLICY# 9TOP VEHICLE 5 36 LEGALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM 15❑ STANDING 8 7 6 UNIT 02 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ OWN ARTY ❑ DYES✓ NO OLD MET PHONE 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET CITY RENTON ST ZIP 7 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l NO❑ 19 LLIICENS # STATE SEX U MMDDYY 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG g RESTR g EJECT '1 USE 9 CLASS 0 ❑ ❑ILICENSE 21❑ PLA E# BW4362 TATE 41 WA VIN# 1J4GW48S94C194990 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2004 MAKE JEEP MODEL GRAND STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI �44 L4❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO BRIANNA ALLEN-TAHA 2111 NE 7TH ST RENTON WA 98056 D:2067085800 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU PORGY#E CO NATIONAL GENERAL PENDINGIN 1 9TOP 5 'E""LE ❑ Nu,J CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES $ ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.JAC08S 1953 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE61591 COLLISION REPORT III III III III III 111 1591972 CASE# 24-2777 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 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' On 3-14-24 at about 0838 1 arrived in the 2100 block of NE 7th St for a 3 vehicle collision. I contacted the driver of unit 1, Amy Schultz in her vehicle. Schultz told me; She had just turned eastbound up NE 7th St when she was blinded by the sun. As she was trying to shield herself from the sun, she struck the rear of unit 2. She was not injured. I contacted the R.O. of unit 2/3's Boyfriend, Landon. Landon told me; He did not see the collision, but he heard it. Landon was able to provide me with the Registration and insurance information for units 2 and 3. During the collision unit 2 was pushed into the rear of unit 3. Units 2 and 3 were left at the scene. Unit 1 was towed by Gene Meyers at the owners request. This incident occurred in the city of Renton, County of King. I declare under penalty of perjury under Washington state law that the foregoing is true and correct. C. Jacobs/1953 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.JACOBS 03-14-24 12:37 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 3/22/2024 3:52:52 PM BADGE OR ID# 1953 ORI# WA0171300 TIME POLICE DISPATCHED; 8i22 AM TIME POLICE ARRIVED 8:38 AM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT NO. EE61591 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-2777 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 DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES� IN 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnDRFS CITY RENTON ST ZIP 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No NTERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX U M��DYSYv' -� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE CKF4365 TAr WA VIN# 4T3ZF13CX2U438315 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2002 MAKE TOYT I MODELSIENNA STYLE VN VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFOBRIANNAALLEN-TAHA 2111 NE 7THST RENTONWA98056 m 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# t 9 1"01? EHILLE o BarroM 34 13 LEGALLY YES N001 CITATION# CHARGE STANDING �} 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15F� I LAST NAME FIRST NAME INIMIDDLETIAL ❑ 36 ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES NO NTERLOCK YES NO 'YES NO ❑ 17 5 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ VIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ [441 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 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGAtty STANDING S 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.JACOBS 03-14-24 12:37 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 1953 O#IL WA0171300 JOHNSON 3/22/2024 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. EE61591 CASE# 24-2777 DATE AND TIME 03/14/24 08:11 OF COLLISION l F , } Afr a ttCa. E� m, n t i 4 i d ,� � , ' aaw�. a `�� .'�`�a �� . .,,. � �1� x� ��.w� � ..��° �.��.,?�, w¢:��•. , mow' PAGE 4 OF 4