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Home My WebLink About24-7090 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 SASE 24aoso 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CtLLISION' 07 - 1-- 2024 074U 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ QUEEN AVE NE BLOCK NO. e✓ 530 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 500 00 FEET MILES e S B W e NE 6TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:4255248571 1 4 30 6❑ LAST NAME ULLOA CARTUCHE FIRST NAME HENRRY MIDDLE F 1 0 5 31 INITIAL STREET ❑ 654 QUEEN AVE NE CITY RENTON ST WA 2jp, 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ YEs No✓ 8❑ LICENSE# STATE Wq SEX'M M LOB 06 - 18 - 1995 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 P1 ATE 14 D78624E sTAT WAV N# 1 FTRW125X7F653156 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 5 1 33 12 0 0 VIN#' VIN# FROM 34 13� VEH.YEAR 2007 MAKE FORD MODEL F150 STYLE PK VEHICLE TOWED NE pLSABLIN TQyYEA9YTE YOES❑ENO✓ DAMAGE IILLJJII YYCIVA REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 ABILI V INSURANCE❑ IN CO NONE 3 IN EFFECT &POLICY# vewcLE CHARGE1013 5 36 res No clTAnoN# NO VALID OPER LICENSE WITH o aOTT06 15❑ STAIN,DIING 7 6 UNIT U2 VEHIMOTCCLE CYCLE ❑ PEDESTRIAN ❑ OWNERRTY [:]I DYES✓ NO THROLD MET PHONE 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET CITY' ST ZIP 4❑ 37 17❑ NEW ADDRESS❑' 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NoF,/ 19 LLIICENS RIVER# SEX U MMDDYY 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑ ❑21❑ PLATE# BGJ3088 TATe 41 WA VIN# STDDGRFH1HS031619 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2017 MAKE TOYT MODEL HIGHLAN STYLE SV VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO YORDANOS GEBREMARIAM 9221 WOODLAWN AVE N SEATTLEWA98103 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ I POLICY#E CO UNKNOWNIN I STOP 5 VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM LEGALLY YES N 25 7,L CER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY LI M RIDGEWAY 12500 WA0171300 A 26 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE95095 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7090 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' 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. W/LLIAM RIDGEWAY 07-07-24 10:39 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 711212024 1:38:10 PM BADGE OR ID# 12500 OR]4f WA0171300 TIME POLICE DISPATCHED; 8:02 AM TIME POLICE ARRIVED',8:07 AM PART I PAGE IT]OF REPORT NO. EE95095 CASE# 24-7090 OF COLLISION 07/07/24 07:40 OF CbLLI510N NARRATIVE 24-7090 At about 0802, 1 was dispatched to a blocking accident that occurred at Queen Ave NE and NE 6th St. in the City of Renton, King County, Washington. This was related to an earlier crash notification that was cancelled (RP240037313), where dispatch was able to contact the driver who stated his tire was loose and did not need help. Upon arrival, I met with the driver of a black Ford F150 (Unit 1) (D78624E/WA), Henrry F. Ulloa- Cartuche (DOB:06/18/1995-verified by WAID photo). Henrry spoke Spanish. Using Language Line Spanish, Henrry was told he would be recorded. The following is a summary of our conversation: Henrry said he had no injuries. Henrry lived at 654 Queen Ave NE and was driving northbound Queen at about the 500 block, when his rear passenger's side tire became loose and he lost control of his vehicle, crashing into Unit 2. The impact caused his front driver's side tire to break off and roll down Queen Ave NE. Henrry was wearing his seatbelt and said he was going about 20mph. When asked where Henrry was coming from, he said a gas station and was on his way home. I did not observe any signs of intoxication or impairment. When asked if Henrry was under the influence of any drugs or alcohol, he answered no. When asked for Henrry's license, registration, and proof of insurance, Henrry provided a valid WA ID card and said he was going to get insurance on Monday. I told Henry he would be receiving tickets in the mail for no valid operator's license with valid ID and operating a motor vehicle without insurance. He said he understood. He was provided a business card with case number and had a private tow relocate his vehicle. Photos were taken of Unit 1. Unit 2 was a silver 2017 Toyota Highlander (BGJ3088/WA). It was parked in front of 533 Queen Ave NE. Unit 2 had extensive damage along the entire driver's side of the vehicle. Photos were taken. There was no answer at 533 Queen and nearby neighbors did not know who Unit 2 belonged to. Unit 2 was registered to Yordanos Gebremariam (DOB:09/09/1984) out of Seattle. 1 left a business card and case number on the windshield. Unit 3 was a silver 2007 Honda Accord. I met with the owner Thuc C. Do (DOB:01/30/1996 -verified by WADL photo). He was provided with a business card and case number. I observed minor cosmetic damage on the driver's side of Unit 3, caused by the free rolling tire from Unit 1. Photos were taken. Insurance information was collected. Unit 4 was a white 2019 Toyota Camry (BRG7340/WA). The vehicle was registered to Ming Xiao, but her daughter had possession of the vehicle at 519 Queen Ave NE. I met with the daughter, Crystal Singh (DOB:09/09/1998 -verified by WADL photo). She was provided with a business card and case number. I observed minor cosmetic damage on the rear driver's side corner bumper area, caused by the free rolling tire from Unit 1. Photos were taken. Insurance information was collected. The free rolling tire was found just south of 500 Queen Ave NE. All photos were uploaded to the case. This concludes my involvement in this case. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by W. Ridgeway#12500 on 07/07/2024 at 1028 hours in Renton, Washington. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE9550955 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-7090 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 8 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 DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN :. YES IN ✓ 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL 1 4 30 STREET CITY ST ZIP NEW AnnRFSP'. 6 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES NO✓ zERLOCK YES❑N0 f✓ vES N ✓ DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE I CLX8624 [TAT WA VIN# 1HGCM72747AO16762 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2007 MAKE HOND MODELACCORD STYLE 3P I VEHICLE TOWS E T SABLIN TOWED BY anvi vFHIC P FROM TO DAMAGE YES 'E ✓ YES NO ✓ REGISTERED OWNER INFO.THUC DO 517 QUEEN AVE NERENTONWA98056 0:2068397927 m 33 12 SHADE IN DAMAGED AREA 7GQ j4 FROM TO LIABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# tVEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING 4 MOT{7R �✓ PEDAG PROPERTY a G DAMAGE THRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# : VEHICLE : CYCLE PEDESTRIAN1:1 OWNER YES NO ✓ D:2063078844 15 ❑ SINGH CRYSTAL MIDDLE ❑ 36 LAST NAME FIRST NAME INITIAL 16 ❑ STREET ❑; 519 QUEEN AVE NE CITY RENTON ST WA ZIP 98056 NEW AnnRFS.9 CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YES NO✓ INTERLOCK YES NC7✓ YEs No�/ DRIVER'S D.O.B E 37 STATE WA SEX F M 18 LICENSE# MDDyYY' 09 - 09 - 1998 ON DUTY STATUS AIRBAG 2 1 RESTR, 1 EJECT I 1 HELMET 2 INJURY 1 NATURE OF INJURIES 38 USE (CLASS 19 ❑ LICENSE BRG7340 TAr WA vIN# 4T1B11HKXKU750885 39 PLATE# 20 ❑ TRAILER I TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ [441 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR2019 MAKE 1,OY,I, MODEL CAMRY STYLE 4D VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 1 DAMAGE YES NO ✓ YES NO ✓ 23 REGISTERED OWNER INFORgINGXIAO6001NE4THPL RENTON WA 98059 SHADE IN DAMAGED AREA 43 z s 4 LIABILITY INSURANCE INSURANCE CO AMERICAN FAMILYINSURANCE 4f002-48602-53 9'1'OP VEHICLE EFFECT &POLICY# i _'.''_ 4 44 24 LEwcLE YES❑ NO CITATION# CHARGE i060TiOM LecALLv F-1 STANDING 8 7 Cl I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. WILLIAM RIDGEWAY 07-07-24 10:39 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 � OI BADGE 12500 O#II,WA0171300 APPROVED BY 7/112/2024 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EE95095 CASE# 24-7090 DATE AND TIME 07/07/24 07:40 OF COLLISION k i. PAGE 5 OF 5