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Home My WebLink About24-604 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 ❑ RESULTED ❑ CASE 24-604 z INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENCI 4100 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 STRUCK RESERVATION 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION.. 01 - 18 - 2024 0748 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S GRADY WAY BLOCK NO. e✓ ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET ❑ S ❑ VV❑ LAKEAVE S 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2538826699 0 6 30 6� LAST NAME CATLETT FIRSTNAME RICHARD MIDDLE W 1 1 2 31 INITIAL STREET ❑ 4902 76TH AVENUE CT W CITy UNIVERSITY PLACE ST WA 2jp, 984674579 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES 2❑ ❑10❑ Pi aT�S� C47771H sTArI WWAvIN# 1GCOCUEG2GZ221853 3 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34 13 2 2016 CHEV SILVER DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO GENERAL MECHANICAL/NC 2316 S STATEST TACOMA WA 98405 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO SAME 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLYYES NO CITATION# 4AO078000 FOLLOW VEHICLE TOO CLOSELY <1�3 orrom 15❑ STANDING 7 6 T VEHICLE RTY DYES NO ET OLD M PHONE UN�1 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ 16 a CYCLE bWN A LAST NAME ROSEL FIRST NAME NATHAN MIDDLE N INITIAL 17❑ STREET ❑', 3116 SE 19TH CT CITY' RENTON ST WA ZIP 980584702 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs❑NOF YES ❑NO❑ 19 DRIVER # INJURY 7 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 USE CLASS HEAD NECK ❑ 21❑ LICENSE BWN2259 TAre WA vIN# 1HGCV1F47LA122532 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2020 MAKE HOND MODEL ACCORD STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO NATHAN ROSEL 3116 SE 19TH CT RENTON WA 980584702 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE 8 POINSURGY#E CO STFARM456 7972 D2447IN STOP 'E""Le ❑ ,J� CITATION# CHARGE io BOTTOM LEGALLY YES N`L J 25 ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE44300 COLLISION REPORT III III III III III 111 1591972 CASE# 1 24-604 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 NJURY POS. NATURE OF INJURIES 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 01-18-24 11:21 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1/25/2024 2:09:18 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 7:48 AM TIME POLICE ARRIVED',7:50 AM PART I PAGE IT]OF 5� REPORT NO. EE44300 CASE# 24-604 OF COLLISION 01/18/24 07:48 OF CbLLI510N NARRATIVE wht trk/1 lane 2 wht sedan 2 drk sedan 3 gray trck 4 CC Within the city limit of Renton/King/WA I responded to a 4 vehicle blocking crash at the intersection of S Grady Way at Lake Ave S. I contacted the driver of unit 4 who told me he was stopped in lane 2 for the red light when he was hit from behind. He 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 stopped in lane 2 for the red light when she was hit from behind. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 2 who told me he was slowing for stopped traffic in front of him when he was hit from behind by unit 1. He said that shoved his car into unit 3 then 3 hitting unit 4. He was checked and released on scene by Renton Fire. Damages required a tow truck. I contacted the driver of unit 1 ID'd by matching picture WADL. He told me he was unable to stop in time, sliding and hitting unit 2 causing the chain reaction crash. Although his airbag was deployed he did not complain of injury. Damages did not require a tow truck. I cited unit 1 Ref RCW 46.61.145 Following too close 4 vehicle crash 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 1/18/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EE44300 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-604 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 1 8 28 CARRIER NAME 3 CARRIER L ADDRESS `❑ CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME 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 D:2068507275 0 8 29 LAST NAME HERNANDEZ FIRST NAME ADRIANNA MIDDLE ',, A INITIAL : : STREET NFW AnDRFSP 13043 1ST AVE S CITY BURIEN ST WA ZIP 981682620 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 F MMDDYYv 02 — 25 — 1999 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE CGZ4156 TAr Wq VIN# JTMNlRFV1LD528685 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2020 MAKE TOYT MODELRAW STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFOADRIANNA HERNANDEZ 130431STAVE S BURIEN WA 981682620 J 9 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO ((ABILITY INSURANCE INSURANCE CO TRAVELERS 6151682852031 q"i"Olx IN EFFECT &POLICY# 9 9 VEHICLE 34 13 2 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING 8 7 6 DAMHRESHOLD MET PHONE ❑ 35 14 UNIT# 4 MdT{7R O PECAE ❑ PEDESTRIAN ❑ PROPERTY ❑ YENO VEHICLE CYCLE OWNER Sr�/ D:2064196967 15 � CANTOR ALOYSIUS MIDDLE '.p El36 LAST NAME FIRST NAME 71 INITIAL I 2 STREET 16 ❑ ❑ 3600 MORRIS AVE S CITY RENTON ST WA ZIP 980555732 NFn+AnnRFss CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YE. NO INTERLOCK YEs N. rEs NO ❑ DRIVER'S STATE WA SEX M D.O.B 37 LICENSE# MMDDYYY` O6 — 21 — 1971 18 ❑ ❑ON DUTY� STATUS AIRBAG 2 RESTR, Q EJECT 1 HELMET INJURY'1 NATURE OF INJURIES 38 USE CLASS 19 ❑ LICENSE ❑ PLATE# CKD9200 TAr WA v!N# JTENU5JR9P6194681 39 20 ❑ TRAILER' STATE TRAILER ST ❑ 40 PLATE#< PLATE# ATE 21 ❑ TRLR TRLR 41❑ ViN# YIN#i 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 2023 TOYT 4RUNNE DAMAGE YES NO YES NOZI 23 ❑ REGISTERED OWNER INFOALOYSIUS CANTOR 3600 MORRIS AVE S RENTON WA 980555732 D:2064196967 SHADE IN DAMAGED AREA 43 2 LIABILITY INSURANCE INSURANCE CO SAFECO H2360827 9'1'OP ❑ IN VEHICLE &POLICY# i " ® 44 24 LE YESZ NO❑ CITATION# CHARGE i060TiOtvi LEGALLY E:l STANDING 8 7 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. X LEVERTON 01-18-24 11:21 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 2517 O#I',WA0171300 JACOBS 1/25/2024 PAGE F41 OF❑ 3000-345-013(R 11118) REPORT NO. EE44300 CASE# ' 24-604 DATE AND TIME 01/18/24 07:48 OF COLLISION to a 3 _ f j � �r �Pcw �= 4 P 0 ads i t� b.. i P t s o �wz PAGE 5 OF 5