HomeMy WebLinkAbout24-4505 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE79887 170
27
COLLISION REP FIT 1591971
CASE 24-4505 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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.. 04 - 1-- 2024 1511 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
N 6TH ST BLOCK e✓ 600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 600 00 FMILES N EET ❑ S ❑ E e LOGAN AVE N
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068777195 0 9 30
6� LAST NAME LAFRANCE FIRSTNAME JOSEPH MIDDLE P 1 2 31
INITIAL
STREET ❑, 539 N 67TH ST IF
SEATTLE WA
NEW ADDRESS ST ZIP 981035311 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES No YES No
8❑ LICENSE# STATE yyq SEX'M MM D Y' 12 — 25 — 1999 1 2 32
9 ON DUTY❑ STATUS AIRBAG 1 RESTR 2 EJECT 1 HE U EET RE 1 NATURE OF INJURIES z❑
3❑
10 9❑ P1 ATE 14 D94911D STATE WA uN# 1B7HW14T6FS625477
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. A'RLR. 1 3 33
12 0 0 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE J 9 34
13 1985 DODG W DAMAGE YES NO � '` RS YES❑ No✓
REGISTERED OWNER INFO JOSEPH LAFRANCE 539 N 67TH ST SEATTLE WA 981035311 D:2068777195 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 968164461
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 4A0361492 FAIL YIELD PRIVATE RD MOTOR I o aorrom
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:4255031903
16 a
LAST NAME NGUYEN FIRST NAME CHUONG MIDDLE M
INITIAL
17❑ STREET ❑', 14142 105TH AVE NE CITY KIRKLAND ST WA ZIP 980344470 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs❑NOF YES❑NO❑
19 LDIIVERS STATE WA SEX M M .C.B. 10 _ 30 _ 1953 39
20 ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES 40
USE CLASS UNK
21❑ LICENSE BQL8807 TATE WA vIN1i JTEBU5JR5K5694404
❑ 41
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2019 MAKE TOYT MODEL 4 STYLE VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO CHUONG NGUYEN 14142105TH AVE NE KIRKLAND WA 980344470 D:4255031903 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO ST FARM 1814868-A01-47BIN IUQ,
5IETILe CITATION# CHARGEYES N�25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 777T�NCY
26
M.LEVERTON 2517 0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE79887
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4505
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.
M.LEVERTON 04-25-24 04:24 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 5/23/2024 5:58:55 PM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 3:16 PM TIME POLICE ARRIVED]3:16 PM
PART I PAGE IT]OF 4�
REPORT NO. EE79887 CASE# 24-4505 OF COLLISION
04/25/24 15:11
OF CbLLI510N
NARRATIVE
slv suv stopped to go left gray truck/1 making left from boeing pl
CC
Within the city limits of Renton/King/WA I responded to an unknown if injury/blocking crash at about
the 600 block of N 6th St.
I contacted the driver of unit 2 in a Boeing Fire ambulance and used a Vietnamese person on scene
to help translate. Unit 2 said he was stopped for eastbound traffic waiting to make a left turn into
Boeing property when unit 1 made a left hitting the front of his suv. He was treated on scene by
Boeing Fire and taster transported to VMC-ED for further checks by Tri-Med. His vehicle was
impounded for damages.
I contacted the driver of unit 1 ID'd by picture WADL. He told me he was making a left turn from the
north parking lot and hit unit 2. He said it was like something broke off the front of his truck. A quick
checked showed his parts appeared intact. He did not complain of injury and damages required a
tow truck.
I cited unit 1 ref RCW 46.61.205 FTYROW when entering roadway from a private drive 2 vehicle
injury crash via complaint.
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 4/25/2024
PAGE 3 OF 4
REPORT NO. EE79887 CASE# ' 24-4505 DATE AND TIME 04/25/24 15:11
OF COLLISION
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