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Home My WebLink About24-1017 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE46167 170 27 COLLISION REP FIT 1591971 CASE 24-1017 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 03 STRUCK' FENCE RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 01 - 1-- 2024 0902 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 3RD ST BLOCK e✓ 500 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e MORR/S AVE S 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2062616361 0 11 30 6� LAST NAME MOHAMED FIRSTNAME AHMED MIDDLE S 1 1 2 31 INITIAL STREET ❑, 3004 S HOLLY ST CITY SEATTLE ST WA 2jp, 98108 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� CKU5451 sTArI WAvIN# 4T1G31AK1RU067980 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM ro TRLR. TRLR 7 1 33 12 2 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 7 $ 34 13 1 2024 TOYT CAMPY SD DAMAGE YES NO �LIkRS vEs❑ No REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 937407782 3 4 IN EFFECT &POLICY# 9TOP VE—LE 5 36 LEGALLY Yes❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063131227 16 a LAST NAME MA FIRST NAME SHUKANG MIDDLE INITIAL 17 STREET❑ NEW ADOREsS❑' 2036 S FERDINAND ST CITY SEATTLE ST ZIP 98010 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YEs❑ND� INTERLOCK vEs❑NOF YEs❑NOF,/ 19 LDI IVER # STATE WA SEX M M .C... 01 10 _ 1979 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ 41 CLS 21❑ LICENSE I PLA E# CKE8190 TArE WA VIN# 7SAYGDEE1PF890369 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED By GOV HI 44 VEH YEAR 2023 MAKE TESL MODEL MODE!Y STYLE $D DAMAGE TOWED TOO✓ BLIN YES NO 1/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE DA GEbAREA LIABILITY INSURANCE &POINSURGY#E CO PROGRESSIVE 936142538IN STOP 5 0( —ILLE ❑ ,J� CITATION# CHARGE 25 ' e io BOTTOM LEGALLY YES N`L J 7JACOB NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26WEBER 12532 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE46167 COLLISION REPORT III III III III III 111 1591972 CASE# 24-1017 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) RAMAN/AKSHAYKUMAR D (LAST FIRST, ADDRESS&PHONE# D O.B. ' 225 LOGAN AVE S APT 293 RENTON WA 98057 4809378283 SEX M MMDDYyvv 12 - 01 - 1998 PASSENGER I�I WITNESS UNIT iI 1 Spy y AIRBAG j 2 RESTR. 4 EJECT ? 1 HELM USEET 2 INJURY CLAS 1 NATURE OF INJURIES NAME L�1 (LAST,FIRST,MIDDLE INITIAL) 1 MA YUYANG ADDRESS&PHONE# D O B 2036 S FERDINAND ST SEATTLE 98108 9999999999 SEX M MMODvvvv 04 _ 05 _ 2011 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' On January 28th, 2024, at approximately 0905 hours, I was dispatched to S 3rd St and Morris Ave S for a report of a blocking collision. I arrived and met with both drivers who advised they were ok. Driver 1 and Driver 2 provided a similar description of what had transpired. Driver 2 stated he was EB on S 3rd St traveling in lane 2, and Driver 1 was just ahead of him in lane 1. Driver 2 advised Driver 1 then tired to make a left hand turn onto Morris Ave S, crossing over and striking Vehicle 2. Driver 2 then advised he had tried to hit his brakes but they "did not work". Driver 2 then impacted into a tree JNO Morris Ave S o S 3rd St next to the Kings Chapel, causing slight damage to a metal fence. Driver 1 provided the same story, with the exception of him stating Driver 2 was traveling at a high rate of speed. Based off the story's provided, it appears Driver 1 made an improper left-hand turn, crossing into Driver 2's lane. There were no injuries. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JACOB WEBER 01-28-24 06:45 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.KORDEL 9676 1 113112024 3:58:22 PM BADGE OR ID# 12532 OR]# ': WA0171300 TIME POLICE DISPATCHED 9:05 AM TIME POLICE ARRIVED';9:13 AM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT NO. EE46167 r`I POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-1017 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r ICC# 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 DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES� NO D:4254307500 MIDDLE.. 29 LAST NAME RENTON FIRST NAME CITY OF INITIAL STREET _—] H 30 NEW AnDRFSP 1055 S GRADY WAY CITY RENTON ST WA ZIP 98057 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs No zERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX X M��DYSYv' —� 2 LICENSE 7F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO IIABiLITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREET"[—] ❑ 16 NEn+AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE ICLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 VEHICLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l C=DLv 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. JACOB WEBER 01-28-24 06:45 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12532 O#I',WA0171300 APPROVED BY 1%31/2024 PAGE OF F 3000-345-013 fR 11t18) REPORT NO. EE46167 CASE# ' 24-1017 DATE AND TIME 01/28/24 09:02 OF COLLISION f 4 r PAGE 4 OF 4