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Home My WebLink About24-4515 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-4515 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ vFFilC;l F ❑ LOCAL AGENC 3 HIT 8 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# ❑ C{YLLISION O4 - 1-- 2024 1933 17 ❑.= S 8 W IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BENSON DR S BLOCK NO. e✓ 1600 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 300 00 FMILES EET e S B W e S PUGET DRIVE 0 1 29 UNIT 01 VEHICLE MOTZ PEDAL-ORCYCLE ElDESA✓NHORESHOLDMET PHONE 0 7 30 6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31 INITIAL STREET ❑ CITY Sr zIP z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNIT{ON : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES No YES No 8 DRIVER'S. STA"fE : SEX.U D.O.B. 1 1 2 32 ❑ :LICENSE# MMDDYY —= 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI vrN#' 10[ PI ATE# TRAILER TRAILER STAE STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR 5 1 33 12 0 0 vIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE J 9 34 13 4 TOYT PICKUP TR DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ABILI V INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICV# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 7 6 UNIT 02 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE ❑VEHICLE ❑ CYCLE ❑ OWNER ❑ YES No 1/ D:2535203467 16 a LAST NAME WOO FIRST NAME TOM MIDDLE W INITIAL 17❑ NEW STREETR 10321 S 7 E 210TH PL CITY KENT ST WA ZIP 98031 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INERLOCKYES❑NoF,/I I INTERLOCK YES❑NoF YES❑NO 19 DRIVER'S STATE WA SEX M I D.Q.B. 04 09 _ 1958 39 LICENSE# MMDDYY HELMET I {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ ❑ILICENSE 21❑ PLA E# ARP1418 TATe WA vIN# 41 4 42 22 [TRAILER T ❑ PLATE# STATE ILER PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. G VEH YEAR 200E MAKE 7'Oy7' MODEL SIENNA STYLE VN DAMAGE TOWED NOO✓ BLIN TOWED BY ov yES N HIO 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE INSU POLICY#E CO PEMCO CA1860999IN 9TOP VEHICLE CITATION# CHARGE 25❑ [AGENCY to BOTTOM LEGALLY YES NC] 7DADAM S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 1254 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. EE71549 COLLISION REPORT III III III III III 111 1591972 CASE# 24-4515 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' Vehicle 1 had been traveling northbound on Benson Drive in the number one lane. Vehicles 2, 3 and 4 had been stopped for traffic, also in the number 1 lane. Vehicle 1 struck the back of vehicle 2. Vehicle 2 subsequently hit vehicle 3 which in turn got pushed into vehicle 3. Vehicle 3 then struck the back of vehicle 4. Vehicle 1, described as a 90's, long bed green Toyota pickup truck with no license plates, then fled the scene of the accident northbound onto Talbot Road South. All remaining drivers were identified by WA Driver's licenses. Driver 4 did not have her license on her person but did have a valid DL that was confirmed thru WA DOL. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.ADAM 04-25-24 10:23 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 1 4/25/2024 10:53:14 PM BADGE OR ID# 1254 OR]#' WA0171300 TIME POLICE DISPATCHED 7:35 PM TIME POLICE ARRIVED 7:42 PM PART I PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. EE71549 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-4515 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 8 28 CARRIER NAME 3 CARRIER L 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 UNIT# 3 �✓ � PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ 0 7 29 LAST NAME HUNG FIRST NAME HONG MIDDLE' L INITIAL 0 9 30 STREET ❑ NFW AnnRFsP 3623 88TH AVE SE CITY MERCER ISLAND ST WA ZIP 98040 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs NO✓ zERLOCK YES❑NO❑✓ vES N ✓ DRIVER'S LICENSE STATE I WA SEX U MMDDYYv 11 TO] - 1945 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE 856WSH TAr WA VIN# 19UUA76567AO47033 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRIER 91 VIN.#. VIN.#. 11 0 0 VEH.YEAR2007 MAKE ACUR I MODEL TL STYLE VEHICLE TOWE E T SABLIN TOWED BY anvi vEH1O P FROM TO DAMAGE YES 'E ✓ YES NO ✓ REGISTERED OWNER INFOHONG HUNG 362388THAVESE MERCERISLAND WA 98040 J 9 33 12 SHADE IN DAMAGED AREA j FROM TO LIABILITY INSURANCE INSURANCE CO SAFECO H2O11645 TOP IN EFFECT &POLICY# 9 9 I—ELe 10 BOTTOM 34 4 CITATION# CHARGE 13 IEGnuv YES NO gg�@ STANDING ✓ l:9 7 DAMAGE THRESHOLD MET PHONE ❑ 35 14 UNIT# 4 MOTOR ❑✓ PEDAG ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO VEHICLE CYCLE OWNER ✓ D.2068235165 TORRES AUTUMN MIDDLE' S ❑ 36 15 LAST NAME FIRST NAME INITIAL 2 STREET 16 ❑ ❑; 10930 SE 186TH ST CITY RENTON ST WA ZIP 98055 NFln+AnntxFSS CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 17 ❑ INTERLOCK YES NO✓ INTERLOCK YEs NO✓ rEs NO;./ ❑ DRIVER'S D.O.B 4 37 LICENSE# STATE WA SEX U MMDDyYY' 10 - 21 - 2005 18 ❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR, 4 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES 38 USE CLASS 19 ❑ LICENSE ❑ PLATE# CDV0228 TAr WA v!N# JF1 SG65614H749066 39 20 ❑ TRAILER' STATE TRAILER ST ❑ 40 PLATE#< PLATE# ATE 21 ❑ ❑ 41 TRLR TRLR ViN# YIN#i 42 22 VEH.YEAR2004 MAKE SUBA MODEL FOREST STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 1 DAMAGE YES NO ✓ YES NO ✓ 23 ❑ REGISTERED OWNER INFOAUTUMN TORRES 10930 SE 186TH ST RENTON WA 98055 D:2068235165 SHADE IN DAMAGED AREA 43 z LIABILITY INSURANCE INSURANCE CO IN EFFECT & USAA 0152749737103 9'1'OP ❑ POLICY# 44 VEHICLE 24 LE ALE YESZ NO❑ CITATION# CHARGE i060TiOtvi LEGALLY F-1 STANDING 8 7 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.ADAM 04-25-24 10:23 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 1254 O#I',WA0171300 AP TRADER 4/25/2024 PAGE❑OF❑ 3000-345-013(R 11118) REPORT NO. EE71549 CASE# ' 24-4515 DATE AND TIME 04/25/24 19:33 OF COLLISION Rutmaftft 24,4616, to ) �t �114 �«dl JI� i \' x �`ti4 r' tdi•ii � urr �t h �1 t } w �u ; t PAGE 4 OF 4