HomeMy WebLinkAbout24-9921 POLICETRAFF'c" III !111 IIIllI111IN II II I REPORT NO. EF17225 07,
27
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE# 24-9921 2 0 4
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4250 3 6 5
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. 09 — 21 — 2024 2045 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
GARDEN AVE N BLOCK NO. e✓ 900 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N 10TH ST
0 1 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 0 81
30
6� LAST NAME TARDIF FIRSTNAME MATTHEW MIDDLE D 1 1 2 31
INITIAL
STREET ❑ 1800 GRANT AVE S#E2 CITY RENTON ST WA ZIP 98055 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NOZINTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 9 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ Pi aT�S� BZZ9097 sTArI WAVrN# JTEBU5JR5G5376516
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FR.. ro
TRLR. TRLR. 1 3 33
12 0 0 VIN#' VIN#'
FROM TO
VEH.YEAR MAKE ODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 9
M 34
13 4 2016 TOYT 4 UT DAMAGE YES NO �LII� RS TOWING YES[:] No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP
VEHicLe CHARGE 10 BOTTOM 5 36
LEGALLY YEs❑NO❑ CITATION# 4A0328748,4A0328748, HIT AND RUN ATTENDED VEHICLE,
15❑ STANDING 6
Uk1IT MOTOR PEDAL-: ❑ PEDESTRIAN ❑ PROPERTY ❑ DAM THR OLD MET PHONE
i�l 02 VEHICLE CYCLE OWNER YES�/ NO
16 2
LAST NAME AYALA FIRST NAME RANULFO MIDDLE D
INITIAL
17 STREET❑ NEW ADOREss❑' 300 VUEMONT PL NE R102 CITY RENTON ST WA ZIP 98056 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVERS
# STATE WA SEX M Mr D.C.B. O6 _ 16 _ 1993 39
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HE 2 INJURY 6 NATURE of INJURIES ❑ 40
USE CLASS BACK PAIN
LICENSE I ❑21❑ PLA E# CEP4877 TArE WA VIN# 41
STDJZRFH7KS702280 2
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2019 MAKE 7'Oy7' MODEL HIGHLAN STYLE (IT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS TOWING YES No�/
REGISTERED OWNER INFO LILLYAN SORIANO 903142ND AVE SE BELLEVUE WA 98007 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU POLICY#E CO UNKNOWNIN STOP 5
VE""LE CITATION# CHARGE i o BOTTOM
LEGALLY YES N�
25❑ Ja
7.1110EL-LI NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
IVER 10540 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF17225
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9921
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MCDONALD AZZ/A A
(LAST FIRST,
ADDRESS&PHONE# D O.B.
435 OLD VINE LN CHELAN WA 98816 SEX F MMDDYyYv 05 - 11 - 2000
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ �' POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D O B
MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Unit 1 (U1) was traveling south on Garden Ave N in the #2 (left) travel lane at a high rate of speed,
approaching the intersection of N 10th St which was controlled by a green traffic signal. Unit 2 (1-12)
was traveling north on Garden Ave N in the left turn lane approaching the intersection of N 10th St,
stopped at the red traffic signal.
As U1 crossed the intersection, the front end collided with the front end of U2. The force of the
collision caused U2 to travel backwards approximately 25 feet from where he was stopped in the
northbound left turn lane, coming to final rest upright. U1 continued south, coming to final rest on the
west sidewalk facing south, upright. U1 sustained moderate front end damage while U2 sustained
disabling front end damage.
Witnesses on the scene stated the driver of U1 walked away from the scene. Witness Azzia was
inside of a vehicle that was traveling south on Garden Ave N when she saw U1 pass, traveling in the
left turn lane and continued straight across the intersection instead of turning left. The front end of U1
then struck the front end of U2. Witness Azzia believes U1 was traveling at least 50 mph. After the
collision, Witness Azzia saw the driver exit U1 and appeared intoxicated. For further information, refer
to any supplemental reports under this case number.
While I was on scene, the driver of U1 returned but fled from officers when they attempted to contact
him. The driver was subsequently taken into custody and booked into SCORE Jail for Hit and Run-
Attended, Reckless Driving, DUI, and Obstructing a Law Enforcement Officer.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.TOLLIVER 09-22-24 03:33 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 9/22/2024 6:15:40 PM
BADGE OR ID# 10540 ORI#' WA0171300 TIME POLICE DISPATCHED! 8:50 PM TIME POLICE ARRIVED',8:52 PM
PART I PAGE 2�OF❑
REPORT NO.! EF17225 CASE# 24-9921 DATE AND TIME 09/21/24 20:45
OF COLLISION
i
1
PAGE 3 OF 3