HomeMy WebLinkAbout24-3080 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE62822 170
27
COLLISION REP FIT 1591971
CASE 24-3080 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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# ❑
cawsloN 03 - 1-- 2024 1156 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
DUVALL AVE NE BLOCK NO. e✓ 2400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES❑ ❑ FEET e S ❑ W e NE 24TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063979287 0 11
30
6� LAST NAME HUYNH FIRSTNAME LOI MIDDLE G 1 1 2 31
INITIAL
STREET ❑, 13319 SE 227TH ST CITY KENT ST WA 2jp, 980423290 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 01 1— 29 — 1975 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES z❑
3
10 P1 ATE 14 AWX2833 STATE WA VIN# JTMDFREVXED086023
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 7 1 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2014 TOYT RAV4 UT DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO LOI HUYNH 13319 SE 227TH ST KENT WA 98042 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE E CO STATEFARM 363 8443-C22.47A 4
LI EFFECTISUR N# TOPvEHICLE CHARGE 36
LECALLvYes❑NO CITATION# <1�3
OTTOM
15❑ NDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2068300974
16 a
LAST NAME WATKINS FIRST NAME ASLAN MIDDLE I D
INITIAL
17❑ STREET ❑', 12235 SE 60TH ST APT 1 CITY' BELLEVUE ST WA ZIP 980063831 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 .C.B. 04 23 _ 2004 0 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE CBL3419 TATe 41
WA VIN1 1C3CCBCGXDN514881
❑
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2013 MAKE CHRY MODEL 200 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO CHRISTOPHER WATKINS 12235 SE 60TH STAPT I BELLEVUE WA 98006 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSU8 PORGY#E CO ESURANCEPAWA-009424972IN 1GQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
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. EE62822
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3080
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'
On March 22nd, 2024, at 1156 hours dispatch requested that I respond to a collision near NE 24th St.
and Duvall Ave. NE, in the city of Renton, county of King, and state of Washington.
Upon my arrival I spoke with the driver of unit 1 and she explained she was facing eastbound on NE
24th St. and attempting to make a left turn to Duvall Ave. NE when the collision occurred. As she
proceeded to go northbound on Duvall, she failed the notice unit 2 going southbound on Duvall Ave.
NE. As she entered the roadway, she struck unit 1's passenger side front wheel and door.
I then spoke with the driver of unit 2 and he explained he was going south on Duvall Ave NE and
approaching NE 24th St when the collision occurred. He told me that he was driving in the number
one lane, but as he approached NE 24th St Unit 1 seemed to be crawling across the roadway. He
moved from the number 1 lane to the number 2 lane but could not go into oncoming traffic. He was
then sideswiped by unit 1 as he crossed NE 24th St.
Both vehicles sustained moderate damage, but unit 1 was towed away by Gene Meyers Towing.
An exchange of information was given to both drivers.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 03-22-24 11:16 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 3/26/2024 3:47:19 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED; 11:59 AM TIME POLICE ARRIVED'12:06 PM
PART I PAGE IT]OF
REPORT NO. EE62822 CASE# 24-3080 DATE AND TIME 03/21/2411:56
OF COLLISION
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