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HomeMy WebLinkAbout24-4522 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-4522 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3
HIT 8 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 0915 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD M4800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES❑ 50 00 FEET e S ❑ W e EL AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4257382038 0 6 30
6 LAST NAME ESCOTO LEIVA FIRST NAME HERMES MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 1518 JEFFERSON AVE NE CITY RENTON ST WA 2jp, 980563112 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 CLASS 1 NATURE OF INJURIES z❑
3
,OF
PI ATE 14 BZN5859 JBTATIJ WA u N# 2T18URHE9JC015685
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 2 2018 TOYT COROL DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO CRISTIAN VASQUEZ 1526 JEFFERSONAVENE RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE E CO THE GENERAL 53-WA 6620344 4
LI EFFECTIPOLICY# TOPVEHICL CHARGE 36
LECALLv Yes❑NO CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ cvcLE ❑ ❑ PROPSOWNER YES No ,/ D:7143364714
16 a
LAST NAME MERKEL FIRST NAME DYLAN MIDDLE R
INITIAL
17❑ STREET ❑', 905 N 33RD PL CITY RENTON ST WA ZIP 980561935 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER # STATE WA SEX M M D.C.B. 05 _ 04 2006 0 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS ❑
21❑ LICENSE BEL5406 TAre WA vIN# WDCGG5HB4FG415751
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2015 MAKE MERZ MODEL GLK STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO GLEN MERKEL 905 N 33RD PL RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU PORGY#ECO STATEFARM2324590-CO3-03BIN 1 9TOP
VE""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE82238
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4522
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'
On April 26, 2024, at 0915 hours dispatch requested that I respond to a collision that occurred at NE
Sunset Blvd and Elma Ave NE, in Renton.
Upon my arrival I spoke with the driver of unit 1 and he explained he was going eastbound on NE
Sunset Blvd from Duvall Ave NE when the collision occurred. While going eastbound, he noticed
traffic was beginning to congest. He failed to see unit 2 slowing down, so when he attempted to slow
his vehicle, his vehicle locked its wheels, but slid forward. He struck the back of unit 2's bumper
causing moderate damage to both vehicles.
I then spoke with the driver of unit 2 and he explained he was slowing down going eastbound on NE
Sunset Blvd when unit 1 struck the back of his bumper.
I provided an exchange of information to both drivers and neither of the two vehicles needed to be
towed away.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 04-27-24 12:31 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 5/23/2024 6:05:36 PM
BADGE OR ID# 1Y007 OR]# WA0171300 TIME POLICE DISPATCHED; 9:29 AM TIME POLICE ARRIVED 9:41 AM
PART I PAGE IT]OF
REPORT NO. EE82238 CASE# 24-4522 DATE AND TIME 04/26/24 09:15
OF COLLISION
aY t
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