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Home My WebLink About24-3680 IT ' " . 27POLCERAFFO 1 c 1I1llI 111I II REPORT NO EE69010 COLLISION REP FIT 1591971 CASE 24-3680 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 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# COLLISION.. 04 - 1-- 2024 1605 17 ❑-= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINIER AVE N BLOCK NO. e✓ 0000 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e AIRPORT WAY 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2066872577 0 11 30 6� LAST NAME LOPEZ ZAMBRANO FIRSTNAME LEOMAR MIDDLE A 1 1 2 31 INITIAL STREET ❑I 2537 15TH AVE S APT 401 CITY SEATTLE ST WA 2jp 981445022 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES NO LRIIVER # STATE WA SEX'M I EL MI MIT Y 8❑ ' 07 — 25 — 1999 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10❑ Pi aT�S� A7073918 sTArI WAvIN# 1 HGCM66523A025098 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO 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 5 1 34 13 2 2003 HOND ACCOR SD DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO ..FERNANDEZ 16808101THAVE SE RENTON WA 98055 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VENICLE CHARGE 5 36 LEGALLv Yes❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ No D:2064519153 16 a LAST NAME TRUONG FIRST NAME DUNG MIDDLE K INITIAL 17❑ STREET ❑', 14432 28TH LN S CITY SEATAC ST WA ZIP 981684282 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 LDI IVEW # STATE WA SEX DDY M M .C... 11 � 1969 08 _ El 39 HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑ 21❑ LICENSE CJN3201 TAre 41 WA vIN# 4T1BF1FK7GU580545 ❑ PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2016 MAKE TOYT MODEL CAMRY STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO DUNG TRUONG 1443228TH LN S SEATAC WA 98168 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE 8 POINSURGY#E CO SAFECO H2549087IN STOP 5 VE""LE ❑ ,J CITATION# CHARGE i o BOTTOM LEGALLY YES Nu 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. EE69010 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3680 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) CAO HONG H (LAST FIRST, ADDRESS&PHONE# D O.B. ' 14432 28TH LN S SEATAC WA 981684282 SEXi F MMDDYyry 07 - 21 - 1977 PASSENGER Z WITNESS❑ UNIT# 2 POS 3 AIRBAG y RESTR. q EJECT ? HELMET INJURY NATURE OF INJURIES USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B sEd MMDDYVYY PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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 April 4, 2024, at 1605 hours dispatch requested that I respond to a collision that occurred at the intersection of Rainier Ave N and Airport Way. Upon my arrival I spoke with the driver of unit 1 and he explained that he collided with a vehicle while attempting to make a left turn from the Arco Gas Station, 251 Rainier Ave N. He exited the gas station from the east entrance, crossed the southbound lanes, and struck unit 2's rear passenger door while attempting to enter the northbound lane. He mentioned that he did not expect unit 2 to be driving northbound as fast as he did. I then spoke with the driver of unit 2, and he explained he was going northbound on Rainier Ave N when the collision occurred. He was just north of intersection when unit 2 crossed southbound lane and struck his vehicle. The impact made his vehicle do a 180-degree turn, striking unit 3 which was stopped for traffic in the southbound lanes. I then spoke with the driver of unit 3 and he explained a similar story as the driver of unit 2. He explained that unit 1 drove across the southbound lanes, striking unit 2's drivers side doors. The impact, made unit 2 fishtail 180 degrees, striking his vehicle. When unit 2 struck unit 3, it made his airbags deploy. After speaking with the involved parties, I went and assessed the damage on all the vehicles. All of vehicles sustained moderate damage and two vehicles needed to be towed away. Unit 1 was the vehicle that sustained the least amount of damage, so it was driven away by the registered owner. 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 04-04-24 05:54 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 411712024 2:09:43 PM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED; 4:08 Pry] TIME POLICE ARRIVED';4:18 PM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT NO. EE6901 O r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-3680 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:2069208503 0 9 29 LAST NAME MAXWELL FIRST NAME MICHAEL MIDDLE' ',, A INITIAL STREET 30 NEW AnDRE.P 3804 GREENBRIER LN CITY MERCER ISLAND ST WA ZIP 1 980403728 6 CDL IGNITION 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', 02 - 17 - 1963 7 ON DUTY� STATUS AIRBAG' g RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE 6719R55 TAr WA VIN# VCFlZBU27P0002637 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 0 0 VEH.YEAR2023 MAKE FSKR MODEL OCEAN I STYLE 4y I VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO LIABILITY INSURANCE INSURANCE CO SAFECO H2523324 q"i"Olx IN EFFECT &POLICY# EHICLE 34 CITATION# CHARGE 10 BOTTOM 13 LEGALLY YES NO STANDING �} 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE 36 ❑ STREET 16 NEWAET [_% CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN 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# 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE 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 04-04-24 05:54 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 � OR ID# 12007 O#I',WA0171300 APJACOBS 4117/2024 PAGE�OF 4 3000-345-013(R 11118) REPORT NO.! EE69010 CASE# ' 24-3680 DATE AND TIME 04/04/24 16:05 OF COLLISION c., h\ �C Z l PAGE 4 OF 4