HomeMy WebLinkAbout24-00549 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-00549 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. 01 - 1-- 2024 1400 17 =-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S 43RD ST BLOCK NO. e --- ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e TALBOT RD S
Fill1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:4257666202 1 11
30
6 LAST NAME EARL FIRSTNAME CHRISTOPHER MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 13019 SE 237TH CT CITY KENT ST WA ZIP 98031 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 1❑ P1 aT�S� 61446D sTATI WA vIN# 1GCHSBE35G1297802
TRAILER STATE TRAILED STATE
11 3 5 PLATE# PLATE# ROM To
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR 2016 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 3 7 34
13 4 CHEV COLOR 4C DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO RENTON 1110111711 S GRADY WAY RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� INEFITYINSURANCEz INSURANCECOCITYOFRENTONCITYOFRENTON 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLv res❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2063510030
16 a
LAST NAME FROST FIRST NAME JAMES MIDDLE P
INITIAL
17 STREET I❑ s❑' 1511 EA GLE RIDGE DR S,UNIT 1 CITY RENTON ST WA ZIP 98055 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK yEs I I NOF YEs t l NOF,/
19 DIVE
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE ❑21❑ PLA E# BEC8168 TATE 41
WA VIN# KNMAT2MV4HP521979 1
42
22❑ PLATE# STATE PLATE#ILER STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
Gov HI
VEH YEAR 2017 MAKE pJ/$$ MODEL ROGUE STYLE UT —FEHICLE
TOWED NOO✓ BLIN TOWED BY 44
fj
YES
NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU PORGY#E CO STATE FARM 045 8417-E21-47FIN 1 9TOP
VEHICLE YES[:] N
C[:] CITATION# CHARGE i o BOTTOM
LEGALLY
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
JAREN JOKELA 12805 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE42574
COLLISION REPORT III III III III III 111
1591972 CASE# 24-00549
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 01/16/2024 1 was dispatched to a non-injury, non blocking collission at the intersection of S 43rd
St/Talbot Rd S. Prior to arriving on scene, both involved parties relocated to a parking lot located at
17930 Talbot RD S, Renton. In speaking with Unit 1 driver, he advised to officers on scene that he
was stopped at a red light preparing to turn north onto Talbot RD S. As the light turned green, the
vehicle ahead of him began their turn with the flow of traffic. As Unit 1 driver started his turn, he did
not realize that the vehicle in front of him had slowed, causing him to hit the vehicle. Unit 2 driver
advised to officers on scene the same set of circumstances. The observed damage to both vehicles
was in line with the events as described by both involved drivers.
I took photographs of the vehicles and their sustained damage and later uploaded them to Axon
Evidence. Both parties were provided a business card and case number and cleared the scene.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Jaren Jokela #12805, 01/16/2024 at 1858 hours in Renton, Washington.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
JAREN JOKELA 01-16-24 06:59 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 112112024 2:19:21 PM
BADGE OR ID# 12805 OR]# WA0171300 TIME POLICE DISPATCHED; 2:10 PM TIME POLICE ARRIVED]2:29 Pry
PART I PAGE IT]OF
REPORT NO. EE42574 CASE# ' 24-00549 DATE AND TIME 01/16/24 14:00
OF COLLISION
Scene Not Observed
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