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HomeMy WebLinkAbout24-2844 ITFF' "POLCERA II I !�� I III I III I IIII III II I . $ 27c COLLISION REP FIT 1591971 CASE 24-2844 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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# cowsloN 03 - 1-- 2024 1315 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S RENTON VILLIAGE BLOCK NO. e✓ 700 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e TALBOT RD S 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2067552947 0 4 30 6� LAST NAME CISLER FIRSTNAME DOUGLAS MIDDLE A 1 2 31 INITIAL STREET ❑ 726 S 38TH CT CITY RENTON ST WA ZIP 980555894 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 6 RESTR 4 EJECT 1 H USEET 2 1 INJURY CLASS 7 I [NATURE OF INJURIES NECK AND HEAD INJURY z❑ 3 10❑ P1 ATNES# BFF0705 sTAr WAu N# KNDPRCA60H7258241 IT STATE TRAILER STATE 11 0 0 PLATE# I PLATE# I I FROM TO TRLR. TRLR. $ 1 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 $ 34 13 2 2017 KIA SPORTA UT DAMAGE YES NO ✓ YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO USAA 00869 59 86C 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STAIN,DIING 7 6 UNIT U2 VEHIMOTCCLE CYCLE ❑ PEDESTRIAN ❑ OWN A PEDAL RTY [:]EA. ✓ NO OLD MET PHONE 16 a LAST NAME ECKER FIRST NAME TINA MIDDLE I,l INITIAL 17❑ STREET ❑', 14438 196TH AVE SE CITY RENTON ST WA ZIP 980597821 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'S STATE WA ]SEX IF D.O.B. 11 03 _ 1970 39 LICENSE# MMDDYY WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE 2 CLASS 5 NECK INJURY ❑ 21❑ LICENSE I C61209W TAre WA vlNft 3N6CMOKN3KK701487 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2019 MAKE NISS MODEL NV200 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO UYETA LANDSCAPE AND MAINTENAN 21113143RD AVE SE KENT WA 98042 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE 8 POINSURGY#E CO MIDDLESEX INSURANCE 23434IN STOP 5 VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N 6 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. EE60143 COLLISION REPORT III III III III III 111 1591972 CASE# 24-2844 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) BARBEN JACK G (LAST FIRST, ADDRESS&PHONE# 242 STANFORD AVE KENS/NGTON CA 94708 SEX M MMDDYyry 08 - 07 - 1980 PASSENGER WITNESS❑'I UNIT# 3 POST 3 AIRBAG 2 RESTR. 4 EJECT ? HELMET INJURY NATURE OF INJURIES USE 1 2 CLASS !1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIRST 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' On March 15, 2024, at 1315 hours dispatch requested that I respond to a collision at the intersection of S Renton Village PI and Talbot Rd S, in the city of Renton, County of King, and State of Washington. Upon my arrival I spoke with the driver of unit 1 and he explained he was going northbound on Talbot Rd S when the collision occurred. As he went underneath underpass, he tried placing his sunglass on, but failed to notice the red traffic light coming up ahead. When he finally looked up, he locked his brakes but was unable to bring his vehicle to a complete stop. He struck unit 2's driver side door. Unit 1 and 2 were heavily damaged and required a tow to be removed from the location. I then spoke with the driver of unit 3 and he explained he was proceeding through green light and making a left turn when the collision occurred. He was making a left turn from the 1405 off ramp to Talbot Rd S. He planned to go southbound on Talbot Rd S. As the driver of unit 3 proceeded forward, unit 2 was struck by unit 1, which then pushed unit 2 into unit 3. Unit 3 sustained moderate damage and needed to be towed away as well. The driver of unit 2 sustained a neck injury and was transported to Valley Medical Center for care. Later, I spoke with the driver of unit 2 and she provided a similar story as to the driver of unit 3. She planned on making a left turn from 1405 to Talbot Rd S when the collision occurred. The driver of unit 2 stated that while she proceeded forward, unit 1 ran the red light striking her vehicle. She did not see the vehicle and was unable to react properly due to time and proximity of unit 1. I provided all the drivers with an exchange of information. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 03-15-24 03:26 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 311812024 12:04:45 PM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED'; 1:15 PM TIME POLICE ARRIVED',1:15 PM PART I PAGE IT]OF 4� SUPPLEMENTAL REPORT No. EE60143 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-2844 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2069541026 0 4 29 LAST NAME PEARSON FIRST NAME KEVIN MIDDLE' ',, D INITIAL STREET 30 NEW AnDRFSP' 16617 MARINE VIEW DR SW CITY BURIEN ST WA ZIP 981663209 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 11 TV] - 1961 7 ON DUTY� STATUS AIRBAG' 1 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE CJH6617 TAr WA VIN# WA17AAF47PA064921 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2023 MAKE AUDI MODELA4 STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vFH1G P FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFO.THOMAS KENISON 16617 MARINE VIEW DR SW BURIENWA98166 3 5 33 12 SHADE IN DAMAGED AREA 7GQ j4 FROM TO LIABILITY INSURANCE INSURANCE CO SAFECOX5070053 IN EFFECT &POLICY# 1EHICLE 34 13LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING S} 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME NII7 aL ❑ 36 ET STRE 16 NEW ETnnR"F] CITY ST ZIP 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 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE If 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 ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv 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. C.CATALAN 03-15-24 03:26 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12007 O#I,WA0171300 JACOBS 3/18/2024 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. EE60143 CASE# ' 24-2844 DATE AND TIME 03/15/24 13:15 OF COLLISION NTS 5, \ I I ... 'Talbof Rd S PAGE 4 OF 4