HomeMy WebLinkAbout24-3418 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE65041 170
27
COLLISION REP FIT 1591971
CASE 24-3418 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I 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#
COLLISION.. 03 - 1-- 2024 1305 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
e✓ --- ----� ❑
N 4TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET) BLOCK NO.
5❑ 1.❑ FEET e S ❑ W e PARKAVEN
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:5203091653 0 11
30
6� LAST NAME ESCALANTE FIRSTNAME REGINA MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 2820 WHITWORTH AVE S CITY RENTON ST WA ZIP 980555007 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 U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� CHM9721 sTArI WAurN# 2T3YFREV4FW204380
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 5 33
12 2 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 1 2015 TOYT RAV4 DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO REGINA ESCALANTE 2820 WHITWORTH AVE S RENTON WA 980555007 D:5203091653 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO ALLSTATE 987701461 3 4
IN EFFECT &POLICY# 9TOP
VE—L' CHARGE 1 5 36
LEGALLY YES No CITATION# 4A0078062 PROH/IMPROPER TURN 1 o eorrom
15❑ STANDING 7 6
�/
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ El ❑ El YESNO D:4256792189
VEHICLE CYCLE OWNER
16 a
LAST NAME CHEN FIRST NAME MEIFANG MIDDLE N
INITIAL
17❑ STREET ❑', 4312 NE 6TH CT CITY' RENTON ST WA ZIP 980594713 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑
19 LICENSE# STATE WA SEX F M D.O.B. 07 22 _ 1975 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE BKT1914 TAre WA VIN# 5UXTR9C57JLD66117
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE BMW MODEL X3 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO MEIFANG CHEN 4312 NE 6TH CT RENTON WA 980594713 D:4256792189 VEHICLE NO.2
SHADE DA GEbAREA
LIABILITY
INSURANCE INSU&POLICY#E CO SAFECO H2437894IN 1GQI
'E""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. EE65041
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3418
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'
red suv lane 3 wb It into blue suv/2 lane 4 straight
CC
Within the city limits of Renton/King/WA I responded to a 2 car crash at the intersection of N 4th St at
Park Ave N.
I contacted the driver of unit 1 who told me she was west on N 4th St in lane 3 and attempted to turn
left onto Park Ave N across lane 4 which was occupied by unit 2. Unit 1 contacted unit 2 during her
turn. She did not complain of injury and damages did not require a tow truck.
I contacted the driver of unit 2 who confirmed she was merely driving west when unit 1 ran into the
side of her car. She did not complain of injury and damages did not require a tow truck, although
significant damage occurred to unit 2.
1 cited unit 1 via complaint ref RCW 46.61.290 Fail to turn from proper lane 2 car crash.
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 3/29/2024
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 03-29-24 01:50 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 4/3/2024 5:46:59 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 4:05 Pry] TIME POLICE ARRIVED 1:13 PM
PART I PAGE IT]OF 3�
REPORT NO. EE65041 CASE# ' 24-3418 DATE AND TIME 03/29/24 13:05
OF COLLISION
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