The URL can be used to link to this page

Home My WebLink About24-1325 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-1325 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICCI F ❑ LOCAL AOENC 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION 02 - 1-- 2024 0650 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE PETROVITYSKY RD BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e 110TH LN SE 0 1 29 MOTUNIT U1 VEHICR Z PEDAL-CLE CYCLE ElYESA,G/ENHORESHOLDMET PHONE 0 7 30 6� LAST NAME RODRIGUEZ FIRSTNAME ALEX MIDDLE D 1 1 2 31 INITIAL STREET ❑ 17333 121 ST LN SE APT 11-303 CITY RENTON ST WA 2jp, 98058 z NEW ADDRESS ]❑ 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 z❑ 3 LICENSE CFF0985 sTArI WAurN# WVWHD7AJ4EW007853 10 F91 PI ATE# TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE J 9 34 13 2 2014 VOLK GTI DAMAGE vEs ONO agW�MEYER vEs❑ No REGISTERED OWNER INFO ALEX RODRIGUEZ 17333121ST LN SE APT II-303 RENTON WA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 4 14 2 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP VE—LE CHARGE to BOTTOM 5 36 LEGALLY YES NO CITATION# 4A0078013,4A0078013, FOLLOW VEHICLE TOO CLOSELY,OP 15❑ STANDING 7 6 �UITN 02 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ OWNFRRTY ❑ DYES�/ NO OLD MET PHONE 16 a LAST NAME MANTILLA FIRST NAME MONINA MIDDLE I L INITIAL 17❑ STREET ❑', 17515 118TH AVE SE APT B5 CITY RENTON ST WA ZIP 980586098 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOF INTERLOCK YEs It I NOF YES t t— l NO❑ 19F] DRIVER'S STATE WA SEX F D.Q.B. O6 �_ 08 _ 1937 39 LICENSE# MMDDYY WELMET INJURY NATURE OF INJURIES 4O 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE I CDL0746 TAre WA VIN# 19UUA66247A025578 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2007 MAKE ACUR MODEL TL STYLE VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44 24❑ DAMAGE YES NO GENE MEYER YES NO REGISTERED OWNER INFO MONINA MANTILLA 17511118THAVESEAPT85 RENTON WA 98058 D:4259992728 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE INSU POLICY#E CO SAME.IN 9TOP VE"'LE CITATION# CHARGE YES N 25 to BOTTOM LEGALLY u ❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE50264 COLLISION REPORT III III III III III 111 1591972 CASE# 24-1325 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' 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 02-06-24 11:02 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 2/14/2024 10:45:16 AM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED', 6:51 AM TIME POLICE ARRIVED',6:56 AM PART I PAGE IT]OF 5� REPORT NO. EE50264 CASE# 24-1325 OF COLLISION 02/06/24 06:50 OF CbLLI510N NARRATIVE blk 1 rear stopped slv 2 slv 3 CC On 2/6/2024 at about 0650 hours within the city limits of Renton/King/WA I responded to a 3 car blocking crash at SE Petrovitsky Rd and 110th Ave SE. I contacted the driver of unit 3 who told me he was stopped westbound lane 1 when he was hit from behind. He did not complain of injury and damages to his truck appeared unremarkable. I contacted the driver of unit 2 who told me she was stopped behind unit 3 when she was hit from behind by unit 1 and that shoved her into unit 3. She did not complain of injury and damages did require a tow truck. I contacted the driver of unit 1 verbally ID'd as Rodriguez, Alex D 05262003. A WACIC/DOL check revealed unit 1 was DWLS 3rd. He did not provide any form of ID. DOL picture matched. He was unable to provide insurance for his vehicle. He told me he could not stop in time and crashed into the back of unit 2 pushing her into unit 3. He did not complain of injury and damages did require a tow truck. I cited Rodriguez/unit 1 ref RCW 46.61.145 Following too close 3 car crash, RCW 46.20.017 Fail to carry ID on person, RCW 46.30.020 No valid proof of insurance and RCW 46.20.342 Driving While Suspended Third Degree 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 2/6/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE550264 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-1325 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ � PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ 0 7 29 LAST NAME DANYLUK FIRST NAME JOHN MIDDLE' ',, D INITIAL STREET 30 NEW AnDRFSP' 17310 158TH AVE SE CITY RENTON ST WA ZIP 980589157 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES�NO� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 06 TO] - 1961 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE D08574D [TAT WA VIN# 3TMDZ5BN4PM152660 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2023 MAKE TOYT MODELTACOMA STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1G P FROM TO DAMAGE YES NO ✓ YES NO ✓ 33 REGISTERED OWNER INFOJOHN DANYLUK 17310158TH AVE SE RENTON WA 98058 D:4695149845 J 9 SHADE IN DAMAGED AREA 12 7 j 4 FROM TO INSURANCE CO ((ABILITY INSURANCE SAME. 34 IN EFFECT &POLICY#13VEHICLE ❑ CITATION# CHARGE GQO LEGALLY YES NO STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNER YE YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK 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 (CLASS 19 ❑ 39 LICENSE VIN# PLATE# rnr 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 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 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LERICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGAtty 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. X LEVERTON 02-06-24 11:02 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE,.. O#I' APPROVED % ORID# 2517 WA0171300 BS 2 FOF26 3000-345-013(R 11118) REPORT NO. EE50264 CASE# 24-1325 DATE AND TIME 02/06/24 06:50 OF COLLISION Y 1 v4 2 r; �v Y tt; L., {y 1 VI PAGE 5 OF 5