HomeMy WebLinkAbout24-1449 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE54005 170
27
COLLISION REP FIT 1591971
CASE 24-1449 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.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 02 RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
COLLISION'. 02 - 09 - 2024 1403 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET ❑ S ❑ W❑ S 7TH ST
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4252320878 0 11
30
6� LAST NAME MCKINNEY FIRSTNAME CARL MIDDLE S 1 2 31
INITIAL
STREET ❑ 18203 SMOKEY POINT BLVD APT A CITY ARLINGTON ST WA ZIP 982234754 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3❑
10 9❑ P1ATE14 AXW2069 STATE WA uN# 1GNDT13S532145952
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IRM ro
TRLR. A'RLR. 1 5 33
12 3 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2003 CHEV TRAILS DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO ALANNA ST GEORGE LEWIS 18203 SMOKEY POINT BLVD APTA ARLINGTON WA 98223 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 2 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9ToP 5
VEHCLE CHARGE 10 BOTTOM 36
LEGALLY YES❑NO CITATION# 4A0078023,4AO078023 IMPROPER LANE USAGE,OP MOT
15❑ NDING 8 7 6
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2063066339
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME FARAH FIRST NAME ABDULLAHI MIDDLE A
INITIAL
17❑ STREET ❑', 10929 SE 220TH PL CITY KENT ST WA ZIP 980312196 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs❑NOF YES
❑NO❑
19 DRIVER #
INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 12 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I CES6915 TATE AZ VIN1 2HGFC2F73JH504400
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ TRLR R 43
LR
VIN#. N I #.
VEH YEAR 201E MAKE HOND MODEL CIVIC STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO LAYLA CABULLAHI 705 W QUEEN CREEK RD#2228 CHANDLER AZ 85248 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEIC04025843006IN 1U�VE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE54005
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1449
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 02-14-24 08:18 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOSS 1953 2/26/2024 5:05:53 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED', 2:04 Pry TIME POLICE ARRIVED',Y:04 PM
PART I PAGE IT]OF 4]
REPORT NO. EE54005 CASE# 24-1449 OF COLLISION
02/09/24 14:03
OF CbLLI510N
NARRATIVE
blk sedan lane 1 blue suv/unit 1 changing lanes no insurance
CC
Within the city limits of Renton/King/Wa I responded to a 2 car crash near the 700 block of Rainier
Ave S.
I contacted the driver of unit 2 who told me he had made a right turn from SW 7th St to southbound
Rainer Ave s and remained in lane 1 because he was going to make another right turn towards local
businesses when he was hit by unit 1 who had changed lanes into the side of him. He did not
complain of injury and damages did not require a tow truck.
I contacted the driver of unit 1 ID'd by picture WADL. He told me he was merging/changing lanes
from lane 2 into lane 1 southbound Rainier Ave S. He told me that unit 1 must have been speeding
because it was clear when he attempted his lane change. He said that his front bumper was pulled
out because of unit 2 speed. He tried to show me a faint picture of what appeared to be an insurance
brochure/pamphlet as his proof of insurance. He did not complain of injury and damages did not
require a tow truck.
When I made as request for actual proof of insurance unit 1 could not provide it and later confirmed
verbally he did not have insurance. His front bumper was not pulled out more than a couple of
retention clips. It was not "pulled out" hanging off or even had significant damages. The damages
appeared unit 1 hit unit 2 near the back of unit 2 and pushed damage down the length of unit 2
vehicle. Also unit 2 statement of POI was disputed by unit 2. Unit 1 said it happened as unit 2 was
merging from 7 onto RAS. However, unit 2 disputed this and said he was hit closed to the driveway
of Super Supplements because after contact unit 1 pulled immediately into the same parking lot and
unit 2 had to circle the block.
I cited unit 1 ref RCW 46.61.140 improper lane use 2 car crash and ref RCW 46.30.020 No valid proof
of insurance 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 2/14/2024
PAGE 3 OF 4
REPORT NO. EE54005 CASE# ' 24-1449 DATE AND TIME 02/09/24 14:03
OF COLLISION
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