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HomeMy WebLinkAbout24-1977 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-1977 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 7 28 TRIBAL UNITS OZ RESERVATION STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# Ct ELISION' 02 - 1-- 2024 0900 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. OAKESDALE AVE SW e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e SWGRADYWAY 0 4 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YEs No ,/ D:5039535408 0 4 30 6� LAST NAME QUEEN FIRSTNAME HUNTER MIDDLE q INITIAL 1 2 31 STREET ❑ 16504 64TH ST E CITY SUMNER ST WA ZIP' 983903003 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO 8❑ LRIIVERS STATE WA SEX'M MM DAY' 06 1- 14 - 2000 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� 2824331 sTArI IN vrN# 3AKJGEDR3LSLP1904 TRAILER HS588475 STATE OR TRAILER STATE 11 3 5 PLATE# PLATE# ROM To nTRLR TREK 5 7 33 12 3 5 vIN# SDN16322536000644 vIN#' ROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 7 34 13 2 2020 FRHT CONVE DAMAGE YES NO ✓ ves❑ No✓ REGISTERED OWNER INFO PENSKE LEASING CO L P 2675 MORGANTOWN RD READING PA 196070000 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO SAME. 3 4 IN EFFECT &POLICY#VEwcLE CHARGE 36 LEGALLvres❑NO❑ CITATION# EQ, 15❑ STAIN.D'ING 8 7 6 UNIT VEHIMOTCLE CYCLE ❑ PEDESTRIAN ❑ OWNER YES ❑ DYES,/ H OLDMET PHONE 16 a LAST NAME MC KNIGHT FIRST NAME DANIEL MIDDLE I,/ INITIAL 17❑ STREET ❑', 32208 5TH AVE CITY' BLACK DIAMOND ST WA ZIP 980100000 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 LICENSE# STATE WA SEX M M D.O.B. 02 _ 05 _ 1960 El 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE D37472C rare.WA vIN1t 1FAVCWFB5NHNU2361 ❑ 41 PLATE# 42 22❑ PLATE# STATE TILER PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2022 MAKE FRHT MODEL M2106 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO,� YES NO✓ REGISTERED OWNER INFO TRANSCO LEASING CO INC 750 NE COLUMBIA BLVD PORTLAND OR 97211 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. 9TOP 5 'E""LE ❑ Nu,J CITATION# CHARGE LEG 25 to BOTTOM ALLY YES ' e 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. EE59093 COLLISION REPORT III III III III III 111 1591972 CASE# 24-1977 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 02-23-24 01:52 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 311412024 12:59:17 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 9:04 AM TIME POLICE ARRIVED',9:08 AM PART I PAGE IT]OF 5� REPORT NO. EE59093 CASE# 24-1977 OF COLLISION 02/23/24 09:00 OF CbLLI510N NARRATIVE hi cude inside trct trailer outside hucube stopped for car in eb-nb Itl middle of trailer/hood RTF Within the city limits of Renton/King/WA I responded to a 2 truck blocking crash at the intersection of Oaksedale Ave SW at SW Grady Way. Both the high cube and truck/trailer pulled onto lane one westbound SW Grady Way. I contacted the driver of unit 2 who told me he was in the inside left turn lane from south Oakesdale to west Grady. While making his left turn there was a car that stopped proud of the stop bar left turn lane east Grady to north Oakesdale Ave SW. He said unit 1 was in the outside left turn lane and the middle of his trailer made contact with the front of his truck while he was stopped to avoid contact with the unknown vehicle. He did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 who told me he was also making the same left turn from the outside left turn lane. He described the same issue with the car in LTL stopping beyond the stop bar. He said unit 2 had stopped and he made contact with unit 2 front end. He did not complain of injury and damages were minor to his trailer. There were no witnesses to explain lane position of either vehicle. There are not traffic cameras to be reviewed and no debris field to locate POI showing lane position(s). Information/Insurance only. 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 2/23/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE559093 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-1977 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE G UNIT# 1 USDOT 2893904 ICC# VEHICLE TYPE 4 CARGO BODY 9 TYPE 2 ❑ 1 28 CARRIER NAME RUGBY ....... 3 CARRIER ADDRESS 1 PILLSBURY ST#302 CITY CONCORD ST NH ZIP 03301 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 05 GI80000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER �'. YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} MOTOR 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYCLE OWNER RTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NFln+AnntxFs.� CITY'. ST 21P CDL IGNITION REDUIRED IGNITION 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 (CLASS 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 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM 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. X LEVERTON 02-23-24 01:52 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID 2517 O#I',WA0171300 JACOBS 3/14/2024 PAGE�OF F 3000-345-013(R 11118) REPORT NO. EE59093 CASE# 24-1977 DATE AND TIME 02/23/24 09:00 OF COLLISION t'# � s � } i i y i PAGE 5 OF 5