HomeMy WebLinkAbout24-756 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# z4ass 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS OZ 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 1939 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW SUNSET BLVD BLOCK NO. e✓ 2100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1000 FEET MILES e S ❑ W e S 135TH ST
0 9 29
MOTUNIT O1 VEHIOR Z PEDAL-CLE CYCLE ElYYESA�NO GE THRESHOLD MET PHONE 0 1 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY ST zIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES No YES No
8❑ LIRCIENSRE#
STA fE I
SEX u MMDOOYY - 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES 2❑
3
LICENSE sTATI urN#'
10[ PI ATE#
C7
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR 3 9. TRLR 33
12 3 5 VIN# VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE R T 34
13 3 FORD FOCUS SD DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ❑ NSURANCECO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY#
VEwcLE CHARGE 36
LECALLv Yes❑NO CITATION# 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2532473381
16 a
LAST NAME HARRIS FIRST NAME BRIANNA MIDDLE R
INITIAL
17❑ NEW STREETRE--- 2101 SW SUNSET BLVD A407 CITY' RENTON ST WA ZIP 98057 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED ❑ 38
INTERLOCK YES❑No� INTERLOCK YES It1 I NoF t l YES NO
19 LDI IVE STATE WA SEX F MMDDYY 09 _ 10 _ 2001 El 39
H USE COMPLAINT
NJAURSY COMPLAINT OF KNEE PAIN 40
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 7 [NATURE OF INJURE
❑21❑ PLATE# CHG0031 TATE 41
WA vIN# 1NXBR32EOSZ369848 4
42
22 [TRAILER T
❑ PLATE# STATE PLATE#ILER STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
Gov HI
VEH YEAR 2005 MAKE 7'Oy7' MODEL CORO!! STYLE $D —FEHICLE
44
G TOWEDfj
NO O✓ yES NO AMA E BLIN TOWED BY
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ &POINSURGY#E Co DIRECTAUTO INS 2019052997IN 1UQ,
5VEHICLE ❑ C[:] CITATION# CHARGELEGALLY YES N25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.THOMPSON 1 1 10499 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE47397
COLLISION REPORT III III III III III 111
1591972 CASE# 24-756
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 January 22, 2024 1 was dispatched to what was a hit and run vehicle collision in front of the east
exit of 2101 SW Sunset BLVD. The driver of Unit 2 relayed the following: She was westbound on SW
Sunset BLVD in the number 2 lane. She approached the east exit of 2101 SW Sunset BLVD and saw
a vehicle (Unit 1) stopped in the number 2 lane waiting to turn left across the 18" yellow center line to
enter the exit of 2101 SW Sunset BLVD. The driver of Unit 2 attempted to stop but was unable to do
so in time and reported that she collided with Unit 1 at about 25-30mph. When she collided with Unit
1. Unit 1 turned left (south) into the exit of 2101 SW Sunset and fled the scene. The driver of Unit 2
described Unit 1 as a blue Ford Focus that parks in spot H15 at the complex. She did not see who
was driving the vehicle and did not get the license plate. She was very sure the vehicle she ran into is
the vehicle that parks in spot H15. She would not be able to identify the driver of Unit 1 as she did not
see who was driving the vehicle. The driver of Unit 2 stated her knee hurt from the collision and was
seen by Renton Fire Authority. Unit 2 was driven off the roadway by the driver of Unit 2 and parked in
her parking spot in the complex.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.THOMPSON 01-22-24 09:26 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 21512024 6:53:16 AM
BADGE OR ID# 10499 OR]# WA0171300 TIME POLICE DISPATCHED 7:40 PM TIME POLICE ARRIVED',7:49 PM
PART I PAGE IT]OF
REPORT NO. EE47397 CASE# 24-756 DATE AND TIME 01/22/2419:39
OF COLLISION
i 9
2101
SW Sunset ._... ..
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