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HomeMy WebLinkAbout24-11184 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c
COLLISION REP FIT 1591971
CASE 24-11184 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 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'. 10 - 1-- 2024 1136 17 ❑.❑ S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAPLE VALLEY HWY BLOCK NO. e✓ 1800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
6❑ 375 00 FEET e S ❑ W e I-405
0 1 29
UNIT 01 VEHICLE
MOTZ PEDAL-ORCYCLE ElDESA✓NHORESHOLD MET PHONE 0 81
30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY RENTON ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES No�/
8❑ LICIENSE#
STA fE I
SEX u MMDOBYY -F 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 6 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10 1❑ P1 ATE 14 A 7598474 STATE WA VIN# KNDJP3AEXG7012914
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. ro
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR 2016 KIA SOUL SV D MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE
13 4 AMA GE YES NO �AWkkRS YES❑ J 9 34
No
REGISTERED OWNER INFO TERRELL CAMACK 8427 S 113TH ST SEATTLE WA 98178 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO
a ,/ D:2066500431
16
LAST NAME BOUVIER FIRST NAME CAROLINE MIDDLE I L
INITIAL
17 STREET I❑ 16645 157TH CT SE CITY RENTON ST WA ZIP 980588265 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/
19 LICENSE# STATE WA SEX F M D.C.B.
02 _ 08 _ 1960 0 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# AEL2232 TATE 41
WA VIN# JTEEP21A140054526 4
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2004 MAKE TOYT MODEL HIGHLAN STYLE SI/ VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO CAROLINE BOUVIER 16645157TH CTSE RENTON WA 98058 D:2066500431 VEHICLE NO.2
SHADEDAMAGEbAREA
s Cd
LIABILITY INSURANCE INSU&PORGY#ECO LIBERTY MUTUAL AOS-261-228513-90 4 9 STOP
IN EFFECT
VEHICLE CITATION# CHARGE
25❑ [AGENCY
to BOTTOM
LEGALLY YES NC[:]
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID#
26
ROBIN SMITH 12986 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF31534
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11184
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(IAST FIRST,MIDDLE INITIAL) UNKNOWN
ADDRESS&PHONE# D O.B.
SEATTLE SEX U MMDDYYYY -❑
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑, 1 POS. 11 9 9 9 USE 9 CLASS 0
NAME
(LP,ST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDDYYYV
PASSENGER ❑WITNESS❑ UNIT# SEAT I 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'
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.
ROBIN SMITH 10-28-24 02:50 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 111312024 2:03:27 PM
BADGE OR ID# 1Y988 OR]# WA0171300 TIME POLICE DISPATCHED; 11:38 AM TIME POLICE ARRIVED]11:41 AM
PART I PAGE IT]OF 5�
REPORT NO. EF31534 CASE# 24-11184 OF COLLISION
10/28/24 11:36
OF CbLLI510N
NARRATIVE
24-11184
On 10/28/2024 at approximately 1138 hours, I was dispatched to a blocking three vehicle hit and run
collision in the 1800 block of Maple Valley Highway, within the City Limits of Renton, County of King,
State of Washington.
While en route to the collision dispatch said the two occupants of Unit#1 exited the vehicle and ran
westbound on foot. The first occupant was described as a black male, 20 years old, hair styled in
braids, wearing a red sweatshirt, blue jeans or sweatpants, and black sneakers. The second
occupant was described as a white or Hispanic female, medium to heavy build, wearing a pink crop
top, white pants, and white shoes.
Officer Slinkman and Officer Cumming were on scene and had requested dispatch to contact the
registered owner of Unit#1 to see if they knew where their vehicle was. Guardian heard Renton's
radio traffic and offered their services to area check for the suspects. Officers on scene confirmed
there was reasonable suspicion for both subjects to be detained if located. A tow was called for Unit
#1 since it was found unoccupied at the scene of a collision and airbags had deployed.
Upon arrival, Officer Cumming handed the involved parties information to me for processing and
relayed what the driver of Unit#2 and Unit#3 stated about what happened leading up to the
collision. The Renton Regional Fire Authority was on scene contacting the involved parties.
The driver of Unit#2 said she was stopped at a red light facing Westbound in lane 4 in the 1800 block
of Maple Valley Highway. While she was stopped at the light, her vehicle was rear-ended by Unit#1,
forcing her vehicle to slide forward and collide with Unit#3. She was the sole occupant in her vehicle
and did not sustain any injuries. Unit#2 has rear and front-end damage.
The driver of Unit#3 stated she was stopped at a red light facing Westbound in lane 4 in the 1800
block of Maple Valley Highway. While she was stopped at the light, her vehicle was rear-ended by
Unit#2. Unit#3 sustained damage to the rear. The driver of Unit#3 stated she had neck pain and
had requested Renton Regional Fire Authority to evaluate her for injuries. She was medically cleared
at the scene and did not require transport to a medical facility.
The driver of Unit#2 stated that after Unit#1 collided into her, she saw the two occupants exit the
vehicle and run westbound away from the scene. She was able to take a photo of them. She thinks
she saw the male exit from the driver side, but was not completely sure. I provided her with an Axon
link so the photos would be uploaded.
Bankers towing arrived to collect Unit#1. Dispatch advised that King County Sheriffs Office was
unable to contact the registered owner. I filled out a tow impound form and emailed that to Bankers
towing.
Based on the above statements, 1 determined that the driver of Unit#1 was the predominant factor for
the collision. The driver of Unit#1 violated RCW 46.52.020 Hit and Run Attended, which states: By
being involved in an accident with another vehicle, which is attended, and failing to stop and remain
at the scene until fulfilling all statutory duties (provide name, address, insurance company, policy,
vehicle license, exhibit driver's license and render reasonable assistance to any person injured).
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EF31534
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-11184
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70T !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
UNIT# 3 �✓ � PEDESTRIAN YES NO
5 VEHICLE CYCLE OWNER ✓ D:4259854131
0 8 29
LAST NAME RAUCH FIRST NAME THERESA MIDDLE' ',, U
INITIAL
STREET 30
NEW AnDRFrtP 15768 1421VD PL SE CITY RENTON ST WA ZIP 980586319
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED
INTERLOCK YEs NO✓ NTERLOCK YES�NO� YEs N ✓
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 11 - 30 - 1972
7
HELMET :INJURY' NATURE OF INJURIES
ON DUTY STATUS AIRBAG'' 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 NECKPAIN
8 ❑ 1 32
LICENSE CAS0030 TAr WA VIN# JTNC4MBE4N3154455
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2022 MAKE TOYT MODEL COROLL STYLE 4y I VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1I' P FROM TO
DAMAGE YES NO ✓ YES NO ✓
REGISTERED OWNER INFODAVID RAUCH 15768 142ND PL SE RENTON INA 98058 J 9 33
12 � SHADE IN DAMAGED AREA
7 j FROM TO
LIABILITY INSURANCE INSURANCE CO yETNA W0692 65581 grOp
IN EFFECT &POLICY# 1
ewCLe 34
13 4 LTAGFlG YES NO❑ CITATION# CHARGE 0 BOTTUM
STANDING }EGALLY
7
14 ❑ UNIT Tr Vd I RE O FEDDAL OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
El PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
ET
16 STRETRE "F1' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No NTERLOCK YEs NO YEs NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE TAT 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 TOWED 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 LEHIcLE 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.
ROBIN SMITH 10-28-24 02:50 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 ORID# 12986 O#I',WA0171300 APPROVED BY
111312024 PAGE F OF 5
3000-345-013(R 11118)
REPORT NO. EF31534 CASE# ' 24-11184 DATE AND TIME 10/28/24 11:36
OF COLLISION
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PAGE 5 OF 5