HomeMy WebLinkAbout24-2920 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE60692 170
27
COLLISION REP FIT 1591971
SASE 24-2920 2
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 1 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# ❑
ctLusloN 03 - 1-- 2024 2047 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE SUNSET BL BLOCK NO. e✓ 4000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00 FEET e S ❑ W e UNION AVE NE❑
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:7027691112 0 11
30
5� LAST NAME JOHNSTON FIRSTNAME URIAH MIDDLE J 1 1 2 31
INITIAL
STREET ❑, 656 237TH PL SE CITY SAMMAMISH ST WA ZIP' 98074 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
LRIIVER # STATE WA SEXI M MI MIT Y
8❑ ' 08 - 18 - 2005 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ Pi aT�S� CFX9413 sTArI WAVIN# JTHBE262095021881
TRAILER STATE PLATE
TRAILER
STATE
11 3 5 PLATE# PLATEE# FROM To
TRLR. TRLR 5 7 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR 2009 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 LEXS IS-F SD DAMAGE YES NO ✓ YES[:] No✓
REGISTERED OWNER INFO URIAH JOHNSTON 616237TH PL SE SAMMAMISH WA 98074 D:7027691112 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE z INSURANCE CO ALLSTATE 920578090 4
LI EFFECT I POLICY# TOPVEHICLE CHARGE 36
LEGALLv res❑NO❑ CITATION# <1�3
OTTOM
15❑ STA''ING 7 6
UNIT VE IMOTOOLE CYCLE ❑ PEDESTRIAN ❑ OWN ARTY ❑ DYES✓ NO OLDMET PHONE
16 a
LAST NAME GUARDUNO FIRST NAME CORIA MIDDLE IS
INITIAL
STREET
17❑ NEW ADDRESS❑' 1417 EDMONDS AVE NE 1 CITY RENTON ST WA ZIP 98056 37
18❑ CDL #GNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19[-] D IVEW # STATE WA SEX M M .C... 09 _ 19 _ 1967 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CLR4749 TArE WA VIN I 41
WVGBV95N39W518516 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2009 MAKE VOLK MODEL TIGUAN S STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO CORIA GUARDUNO 1417 EDMONDS AVE NE I RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE
#E CO NATIONAL GENERAL 2022215457 STOP 5
IN EFFECT0(
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N`L J
25 ' a
7TRADER
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 4553 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE60692
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2920
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MEYER HALLE J
(LAST FIRST,
ADDRESS&PHONE#
26212 NE 27TH DR REDMOND WA 98053 4258372737 SEX i U MMDDYyry 12 - 11 - 2005
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
L�!1 ❑ POS, i S 2 4 1 USE 2 CLASS ;1
NAME
(LAST,FIRST,MIDDLE INITIAL) : QUALE TERESA A
ADDRESS&PHONE# DOB
3806 NE 22ND ST RENTON WA 98056 4252280163 SEX F MMD D0.Y, 05 _ 29 _ 1949
PASSENGER WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.0.8.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
At 2052 hours, I was dispatched to a two vehicle collision at NE Sunset BL and Union AVE NE, in the
City of Renton, County of King.
I spoke with Witness Quale and she told me Unit 1 exited the parking lot from the south side of NE
Sunset BL driving between three lanes of traffic and crossed a double yellow line making a left turn
onto WB lanes of NE Susnset BL colliding with Unit 2.
1 spoke with the driver of Unit 1 and he confirmed Quale's account of the collision. I asked if he
realized he couldn't cross a double yellow line and he said he did not know that.
Officer Bowie spoke with the driver of Unit 2 and there were no injuries but there was a language
barrier as he speaks Spanish.
Unit 1 was the proximate cause for the collision for crossing a double yellow line colliding with Unit 2
who was legally standing.
Unit 1 was towed from the scene by a private tow.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.TRADER 03-19-24 05:08 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 311912024 7:49:24 PM
BADGE OR ID# 4553 OR]#' WA0171300 TIME POLICE DISPATCHED! 8:82 Pry TIME POLICE ARRIVED 8:55 PM
PART I PAGE IT]OF 3�
REPORT NO. EE60692 CASE# 24-2920 DATE AND TIME 03/17/24 20:47
OF COLLISION
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