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HomeMy WebLinkAbout24-2600 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
SASE 24-2600 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
COLLISION.. 03 - 08 - 2024 1645 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
OAKSDALE AVE SW BLOCK NO. e✓ 1600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 50 00 FEET MILES e S B W e SWGRADYWAY
0 1 29
MOTU '�01 VEHtOR Z CLE CYCCLE. El �ESAGE NHORE✓LD MET PHONE 0 $ 30
6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑, UNKNOWN CITY SEATTLE
NEW ADDRESS ST Zlp'. 2
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8 DRIVER'S. STATE SEX.M D.Q.E. 1 1 2 32
❑ LICENSE# I I MMDDYY
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 9 H USEET 9 CLAY 0 NATURE OF INJURIES z❑
3
10❑ P1 ATE 14 BTB8823 STATE WA VIN# 2FMDK3GC4EBA58742
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. ro
TRLR. YRLR. 5 1 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR 2014 FORD EDGE UT MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 9 34
13 4 DAMAGE YES NO YES❑ NO
REGISTERED OWNER INFO REBECCA GRANT 6610 S 127TH PL SEATTLE WA 98178 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO NONE NONE 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLv res❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2532779904
16 a
LAST NAME SPENCER FIRST NAME EID MIDDLE Y
INITIAL
17❑ STREET ❑', 10222 SE 222ND ST CITY KENT ST WA ZIP 98031 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK yEEsI I I NOF YES
t l NO�
19 DRIVER'S STATE WA ]SEX IF D.Q.B. 10 _ 07 1974 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I BBP9501 TATe I WA VIN# 4T1BF1FK4DU241074
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
Gov HI
VEH YEAR 2013 MAKE 7'Oy7' MODEL CAMRY STYLE 4D —FEHICLE
TOWED NOO✓ BLIN TOWED BY 44
fj
YES
NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&POLICY#E CO SAFECO X6383072IN 1 9TOP
—e E ES N CITATION# CHARGE
u i o BOTTOM
LEGALLY Y
25❑ s a
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE57691
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2600
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.
SHAWN CROW 03-09-24 04:10 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 311012024 12:15:41 AM
BADGE OR ID# 12618 OR]#' WA0171300 TIME POLICE DISPATCHED 10:09 AM TIME POLICE ARRIVED',10:09 AM
PART I PAGE IT]OF 4�
REPORT NO. EE57691 CASE# 24-2600 OF COLLISION
03/08/24 16:45
OF CbLLI510N
NARRATIVE
On 03/09/2024 at about 1009 hours I was working uniform marked patrol as 1 R15 when I was
dispatched to take a report by phone of a hit and run collision that occurred on 03/08/2024 at about
1645 hours on Oaksdale Ave SW just south of SW Grady Way. I called and spoke to Eid Y. Spencer
over the phone, and she explained what happened. Eid attempted to file a collision report online, but
her internet service was not working properly.
Eid (Driver 2) was driving her car (Unit 2-2013 Toyota Camry with Washington state license plate
BBP9501) northbound on Oaksdale Ave SW when she stopped for a traffic light (solid red) at SW
Grady Way. While stopped at the light her car was struck from behind by Unit 1 (white colored 2014
Ford Edge with Washington license plate BTB8823) which was driven by unidentified Driver 1. Both
drivers exited their vehicles, and Eid asked for Driver 1's registration and insurance information.
Driver 1 showed Eid the vehicle's registration and Eid took a photo of it using her cellphone. Eid also
took a photo of Unit 1's Washington state license plate (BTB8823) that was attached to the vehicle.
When Eid asked for Driver 1's insurance information he refused to give it to her. Driver 1 said he had
to go pickup his children and left without giving his name, telephone number, or insurance
information. Eid claimed she smelled alcohol on Driver 1's breath as he spoke to her. Eid was not
injured, and her car had damage to its rear end. Unit 2 was able to be driven from the scene. Unit 1
had damage to the front bumper, and it is unknown if Driver 1 was injured.
Eid was able to get a photo of Driver 1, but only of his backside. Eid described Driver 1 as follows:
white male, 30-40 years of age, between 5'-07" and 6'-00" in height, medium build, long blonde hair
pulled back in a ponytail, mustache, wearing a multi-colored sweater, and blue jeans. The registered
owner listed on Unit 1's registration was Rachel R. Grant out of Seattle, Washington. I sent Eid an
Axon link to upload all photos she took at the scene.
Driver 1 failed to give his name, address, or vehicle insurance information to Eid before leaving the
scene of the collision. The identity of Driver 1 is unknown.
I did not respond to the scene of the collision, but the drawn diagram was based on information
relayed to me from Eid.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Weather: UNKNOWN
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EE57691 CASE# ' 24-2600 DATE AND TIME 03/08/24 16:45
OF COLLISION
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PAGE 4 OF 4