HomeMy WebLinkAbout24-1329 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-1329 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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 02 - 1-- 2024 0727 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW SUNSET BLV BLOCK NO. e✓ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e S 135TH ST
0 4 29
UNIT MOTOR
VEHICL Z CYCLE ElDDAMYESA✓THRESHOLD PHONE 0 1 30
6� LAST NAME SONIER FIRSTNAME BRENT MIDDLE A 1 2 31
INITIAL
STREET ❑ 5027 15TH AVE NE APT 203 CITY SEATTLE ST WA 2jp, 981054350 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8 LICIENSE# STATE WA SEX'M MM ovY' 09 - 08 - 1988 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U SE INJURY -, [NATURE
CLASS 7 CHEST OF INJURIES 2❑
3
10 9❑ Pi aT�S� CFP1450 sTArI WAVrN# 2B3LJ54T39H594184
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM ro
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 1 $ 34
13 2 2009 DODO CHALLE DAMAGE YES NOBS YES : No✓
REGISTERED OWNER INFO BRENT SONIER 2101 SW SUNSET BLVD APT F203 RENTONWA98057 D:2062932482 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO SAME. 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGA LE CHARGE 5 36
15 2 VEH N re6 No clTAnoN# 4A0078015 FAIL YIELD PRIVATE RD MOTOR o aorrob
MOTOR PEDAL- 'PEDESTfiIAN PRdPERTY DAM THR OLD MET PHONE
T VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES V NO D:2068250695
16 a
LAST NAME HENRY FIRST NAME CATRINA MIDDLE R
INITIAL
17❑ STREET ❑', 7311 COAL CREEK PKWY SE APT B CITY NEWCASTLE ST WA ZIP 980593057 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l No❑
19 DRIVER'S STATE WA ]SEX IF D.Q.B. 07 12 _ 1974 0 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS L HAND
21❑ LICENSE I CHD5874 TArE WA VIN# LRBFZNR4XPD086244
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2023 MAKE BUIC MODEL ENVISION STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO EAN HOLDINGS LLC 14002 E 21ST ST STE 1500 TULSAOK74134 VEHICLE NO.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO FARMERS 787362817IN STOP 5
'E""LE ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N`L J
25 ' a
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. EE50265
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1329
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) NEWTON EMTRALD M
(LAST FIRST,
ADDRESS&PHONE#
7311 COAL CREEK PKWY SE APT B NEWCASTLE WA 980593057 SEXi F MMDOYyry 06 - 29 - 2009
SEAT + HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS, 3 AIRBAG 6 RESTR. 12 EJECT 1 USE CLASS !7 YES
NAME
'(LAST FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDDYVYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
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'
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 10:45:49 AM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED', 7:28 AM TIME POLICE ARRIVED',7:33 AM
PART I PAGE IT]OF 4�
REPORT NO. EE50265 CASE# 24-1329 OF COLLISION
02/06/24 07:27
OF CbLLI510N
NARRATIVE
maroon It from 2101 wht suv ? couldnt avoid
CC
Within the city limits of Renton/King/Wa I responded to a 2 car blocking injury crash at SW Sunset
Blvd and 135th Ave SE.
I contacted the driver of unit 2 in the back of an ambulance being treated by Renton Fire. She told
me she couldn't remember what lane she was in but headed south when unit 1 turned out of a
driveway across her lane. Damages required a tow truck. Unit 2 driver and her passenger were
transported by Ambulance to VMC-ED for additional care.
I contacted the driver of unit 1 ID'd by picture WADL. He told me he was making a left turn out of the
apartment complex parking lot and crossed the path of unit 2. He complained of chest pain related to
impact and damages to his vehicle required a tow truck.
I cited unit 1 ref RCW 46.61.205 FTYROW-from private drive 2 car injury 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 2/6/2024
PAGE 3 OF 4
REPORT NO. EE50265 CASE# 24-1329 DATE AND TIME 02/06/24 07:27
OF COLLISION
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