HomeMy WebLinkAbout24-1225 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 24-1225 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 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. O2 - 1-— 2024 1616 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e✓ 700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S 7TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2064760820 0 11
30
6� LAST NAME DODGE FIRSTNAME KRISTAN MIDDLE T 1 1 2 31
INITIAL
STREET ❑ 23656 30TH AVE S TRLR 10 CITY KENT ST WA 2jp, 98032 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8 LRIIVERCENS # STATE SEX'M MDMDD 04 - 23 - 2007 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASRuY 1 NATURE OF INJURIES z❑
3
LICENSE CJM5488 sTArI WAvIN# 1FMEU73E96ZA28406
10❑ PI ATE 94
0 TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TPILF1 1 5 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2006 FORD EXPLOR UT DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO LESLIESCOFIELD 2365630THAVE S TRLR 10 KENT WA 98032 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 4
IN EFFECT &POLICY# 9TOP
vEHICLE CHARGE 5 36
LEGALLY Yes❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2067788768
16 a
LAST NAME MCGREGOR 77777771 FIRST NAME TERRY IN DOLE L
IN MIDDLE
17❑ STREET ❑' 1418 S 100TH ST CITY' SEATTLE ST' WA ZIP 98168 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES
t l NO❑
19 DRIVER #
{NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE BCM6527 TAre WA VIN# KNDJP3A52G7392265
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2016 MAKE KIA MODEL SOUL STYLE SO VEHICLE TOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO TERRY MCGREGOR 1418 S 100TH ST SEATTLE WA 98168 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO PROGRESSIVE 65288264IN 1 9TOP 5
VE""LE ❑ N`L J
,J� CITATION# CHARGE
LEG i o BOTTOM
ALLY YES
25 7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE50255
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1225
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 February 2nd, 2024, at 1616 hours dispatch requested that I respond to a collision at the
intersection of Rainier Ave S and S 7th St, in the City of Renton.
Upon my arrival I spoke with the driver of unit 2 and they explained favor driving southbound on
Rainier Ave S, approaching S 7th St when the collision occurred. Unit 2 was in the right turn lane
when suddenly unit 1 proceeded to merge, failing to see them, and striking their vehicle. Unit one
damaged unit twos driver side doors and the driver of unit 2 believes the total damage sustained will
cost over $1000.
I then spoke with the driver of unit 1 and they explained a similar story. They stated they failed notice
unit 2 in the right turn lane. They merged right from the number 1 lane to the right turn lane, but failed
to see the other vehicle.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 02-04-24 12:13 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 2/14/2024 10:49:09 AM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 4:99 Pry] TIME POLICE ARRIVED 4:35 PM
PART I PAGE IT]OF 3�
REPORT NCV EE50255 CASE# ' 24-1225 DATE AND TIME 02/02/24 16:16
OF COLLISION
a�
S '7th, St
RainierAve is
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