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Home My WebLink About24-3729 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-3729 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 2 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 1814 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 3RD ST BLOCK NO. e✓ 1900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:5033091116 0 11 30 6� LAST NAME DO FIRSTNAME KY MIDDLE A 1 2 31 INITIAL STREET ❑, 5166 S CRESTON ST CITY SEATTLE ST WA ZIP 981782110 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ pl ATFBit BWW8628 sTATe WA urN# JTDBU4EE8AJ062685 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR 2010 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 3 34 13 4 TOYT COROL SD DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 INSURANCE CO 3 4 14 IN EF IT INSURANCE USAA 0563312507101 IN EFFECT &POLICY# 9TOP vEHla.e LECALLv Yes❑NO❑ CITATION# 10 BOTTOM CHARGE 36 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2063836062 16 a LAST NAME HUANG FIRST NAME SHAO MIDDLE lz INITIAL 17 STREET❑ NEW ADDREss❑' 6607 SE 2ND PL CITY RENTON ST WA ZIP 980597075 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YES❑NOR INTERLOCK YEs It I NOF YES t l NO❑ 19 LICENSE# STATE WA SEX F M .C.B. 01 10 _ 1955 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR g EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑21❑ PLA E# CKG0192 TATE 41 WA VIN 1 7MUDAABG9PV070852 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. GoI VEH YEAR 2023 MAKE 7'Oy7' MODEL CORO!! STYLE $V DAMAGE TOWED NOO✓ BLIN TOWED BY v HyES NO 1/ 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#ECO STATE FARM 3681864AO847DIN IG'E""LE TOP ❑ ,J� CITATION# CHARGE OTTOM LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.ARNOLD 12509 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE65893 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3729 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 PM 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' Please see subsequent narrative pages I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 04-05-24 07:11 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 4/6/2024 4:23:47 PM BADGE OR ID# ! 12509 OR]# WA0171300 TIME POLICE DISPATCHED; 6:21 PM TIME POLICE ARRIVED',6:24 PM PART I PAGE IT]OF 5� REPORT NO. EE65893 CASE# 24-3729 OF COLLISION 04/05/24 18:14 OF CbLLI510N NARRATIVE On 04/05/2024 at 1821 hours I was dispatched to a blocking collision near the 1900 block of NE 3rd St involving 3 vehicles. Unit 1 stated that he was traveling East on NE 3rd St approaching a red light in the number 2 lane, Unit 2 stated that she was traveling East on NE 3rd St approaching the 1900 block in front of Unit 1 in the number 2 lane. Unit 3 stated that she was traveling East on NE 3rd St approaching the 1900 block behind Unit 1 in the number 2 lane. Unit 1's driver stated that while going straight ahead approaching the red light at Monterey Dr NE and slowing to a stop. Unit 1 stated that Unit 3's front bumper made contact with the rear bumper of Unit 1 causing the rear bumper to become detached. Unit 2 stated that while going straight ahead at around the 1900 block, Unit 1's front bumper made contact with the rear bumper of Unit 2. Unit 3 stated that she was traveling East on NE 3rd St approaching the 1900 block when Unit 1 suddenly braked, causing Unit 3's front bumper to make contact with the rear bumper of Unit 1. All vehicles were operational and were driven away by their respective drivers. No drivers complained of injury and all denied medical evaluation. This report is to document the statements made by the involved parties involved in this collision. Notably, the drivers of Units 2 and 3 gave a different story as to where this collision occurred. The only outlier being Unit 1 stating that the collision happened at the intersection of Monterey Dr NE and NE 3rd St. Based on the location the vehicles were found, and the debris on the ground, I determined that this collision occurred at around the 1900 block of NE 3rd St rather than at the intersection of NE 3rd St and Monterey Dr NE. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE655893 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-3729 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:2064965114 0 1 29 LAST NAME BEERS FIRST NAME CHELSEA MIDDLE' ',, N INITIAL STREET 30 NEW AnnRFSP 4322 NE 5TH CT UNIT 102 CITY RENTON ST WA ZIP 1 980595776 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 F MMDDYYv 09 - 15 - 1983 7 ON DUTY� STATUS AIRBAG' 2 RESTR. g EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BME7663 TAr Wq VIN# 4T4BF1FK4GR527890 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 3 5 VEH.YEAR2016 MAKE TOYT MODEL CAMRY I STYLE SD I VEHICLE TOWE E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER ] 3 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO ((ABILITY INSURANCE INSURANCE CO GEIC04341954396 q"i"Olx IN EFFECT &POLICY# EHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE 0 BOTTOM STANDING S} 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNER RTY YES[—]AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME NID AL ❑ 36 STREET 16F-I NEW AnnREET"� CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YES NO E 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR 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 VEHICLE 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.ARNOLD 04-05-24 07:11 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 12509 O#I,WA0171300 SUMMERS 4/6/2024 PAGE�OF 3000-345-013(R 11118) REPORT NO. EE65893 CASE# ' 24-3729 DATE AND TIME 04/05/24 18:14 OF COLLISION r*NOTTO C ..,a.. PAGE 5 OF 5