HomeMy WebLinkAbout24-4554 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-4554 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 ❑28
TRIBAL UNITS 01 STRUCK' GUARDRAIL
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
GawsloN 04 - 1-- 2024 0025 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
68TH AVE S BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV a BEACON COALMINE RD S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2065523696 30
6❑ LAST NAME PRASAD FIRSTNAME JUSTIN MIDDLE S 1 1 2 31
INITIAL
STREET ❑ 12633 64TH AVE S CITY SEATTLE ST WA 2jp, 98178 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
LOB 11 — 11 — 1988 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
LICENSE CFZ4566 sTArI WAvIN# 5UXCR6C0XP9N78340
10❑ PI ATE i4
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12❑ vIN#' VIN#
FROM
34
13❑ VEH.YEAR 2O23 MAKE BMW MODEL X5 STYLE UT IV
AMAGE TOWED NOO pLSABLIN TSIYYEp9vMEYER VEHICLE�
DAMAGE IILLJJII (��IV6
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑
14❑ LIABILITY INSURANCE� INSURANCE CO STATE FARM 4813690F0647A 35
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 7 6
UNIT MOTORVEHIC
❑ CYCLE PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ DYES H OLD MET PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 4❑ 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LLIICENS # STATE SEX MMDDYY —❑_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TArE 41
IN#LICENSE V 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1GQ
VEHICLE ❑ C[:] CITATION# CHARGE
LEGALLY YES N`LJ
25 s � e
O
F
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
EDIGER 12807 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE75205
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4554
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'
24-4554
On 04/27/2024 at approximately 0030 hours I was dispatched to a blocking accident at the
intersection of 68th Ave S and Beacon Coal Mine Rd S, in the City of Renton, King County, WA.
I identified Unit 1 as a 2023 BMW X5 (WA/Lic: CFZ4566 Vin# 5UXCR6COXP9N78340). I identified
the driver and only occupant of Unit 1 as Justin S Prasad (DOB 11/11/1988) by his WADOL photo.
This was a single vehicle collision.
Unit 1 had minor front end and passenger side damage along with full airbag deployment. Unit 1 was
towed by Gene Meyer towing. Justin was evaluated and cleared by the fire department with no
apparent injuries.
Justin advised that he was traveling northbound on 68th Ave S, approaching Beacon Coal Mine Rd S.
When he approached the intersection for unknown reasons, he lost control of the vehicle and crossed
over the center line, hitting the guard rail on the west side of the roadway. When Unit 1 hit the guard
rail it did a full 180 degree turn and ended up facing southbound on 68th Ave S.
The guard rail had significant damage with part of it uprooted from the ground and hanging off down
the hill.
The proximate cause of this collision was Unit 1 traveling too fast for the wet road conditions.
I did not observe any signs of impairment on Justin.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
TYLER EDIGER 04-27-24 02:21 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 51812024 10:47:48 AM
BADGE OR ID# 12807 ORI#' WA0171300 TIME POLICE DISPATCHED 12:30 AM TIME POLICE ARRIVED'12:36 AM
PART I PAGE IT]OF
REPORT NO. EE75205 CASE# 24-4554 DATE AND TIME 04/27/24 00:25
OF COLLISION
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