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HomeMy WebLinkAbout24-4625 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-4625 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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 1906 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NE SUNSET BLVD MILEPOST ST e✓ 3100 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2108579203 0 11 30 6� LAST NAME RODRIGUEZ FIRSTNAME DALTON MIDDLE W 1 1 2 31 INITIAL STREET ❑✓ 4311 NE 5TH ST F104 CITY RENTON ST WA 2jp, 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ DRIVERS # STATE WA SEX'M I D-MIDI Y' 08 - 18 - 1994 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USE CLASS 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10 99 P1 ATES# BLX7721 sTAT WAv N# 5YFBURHEOFP360045 5 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 1 33 12 3 5 VIN#' VIN# FROM TO VEH.YEAR 2015 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34 13 4 TOYT COROL SD DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO JESSICA DELA CRUZ4311 NE5TH STAPTF104 RENTON WA 98059 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 INSURANCE CO 3 4 14 LIABILITY INSURANCE z PROGRESSIVE 971280101 IN EFFECT &POLICY# STOP 36 LLE to BOTTOM 5 VEGAH'C Y YES❑NO❑ CITATION# 4A0359583 CHARGE FAIL YIELD LEFT TURN MOTOR 5 15❑ NDING 8 6 MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:4252606973 16 a LAST NAME NCIS FIRST NAME KELLY MIDDLE E INITIAL 17 STREET I❑ NEW ADDRESS❑' 1712 HARRINGTON AVE NE CITY RENTON ST WA ZIP 98056 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 D IVEW # ❑ ON DUTY STATUS I AIRBAG 3 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑21❑ PLATE# BYP1471 TATE 41 WA VIN1 5XYRGDLC6M0008698 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2029 MAKE KIA MODEL SORENT STYLE SI/ VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO DAVID FRANCIS 1712 HARRINGTON AVE NE RENTON WA 98056 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU PORGY#E CO PROGRESSIVE 909646251IN CQ'E""LE ❑ ,J� CITATION# CHARGE i o LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.ARNOLD 12509 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE74263 COLLISION REPORT III III III III III 111 1591972 CASE# 24-4625 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) FRANCS EMMA L (LAST FIRST, ADDRESS&PHONE# D O.B. ' 1712 HARRINGTON AVE NE RENTON WA 98056 4256528576 SEXi F MMDOYyry 09 - 19 - 2006 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 2 POS, 3 3 9 1 USE 2 CLASS 1 NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYVYV PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R 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. C.ARNOLD 04-29-24 08:51 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.MOYNIHAN 1128E 1 51512024 6:55:03 PM BADGE OR ID# 112509 ORI#' WA0171300 TIME POLICE DISPATCHED 7:15 PM TIME POLICE ARRIVED',7:17 PM PART I PAGE IT]OF 4� REPORT NO. EE74263 CASE# 24-4625 OF COLLISION 04/29/24 19:06 OF CbLLI510N NARRATIVE On 04/29/2024 at 1915 hours I was dispatched to a non-injury collision near the 3100 block of NE Sunset Blvd. Unit 1 was traveling East on NE Sunset Blvd and entered the two-way center turn lane to turn left into a parking lot at around the 3100 block. Unit 2 was traveling West in the number 1 lane approaching the 3100 block. Unit 1 stated that he attempted to perform a lefthand turn into the parking lot, and did not see that Unit 2 was traveling towards him due to traffic being backed up. Unit 1's driver stated that the front bumper of Unit 2 made contact with the right front tire/wheel well of Unit 1. Unit 2's driver stated that she was traveling in the number 1 lane approaching the 3100 block and saw that traffic was backed up in the number 2 lane. Unit 2's driver stated that as she approached the 3100 block, Unit 1 attempted to perform a lefthand turn into the parking lot near the 3100 block. Unit 2's driver stated that she did not have time to come to a stop to avoid the collision and the front bumper of Unit 2 made contact with the passenger side wheel well/tire of Unit 1. I was able to see scuff marks on the roadway indicating where Unit 1 was at when it was struck. It should be noted that there is no traffic control devices/signs at the area in which this collision occurred. The roadway markings coincided with the story that was provided by both Unit 1 and Unit 2's drivers. All parties involved refused medical treatment/assessment. Unit 2's front and passenger side airbags deployed. Unit 1's front right tire was bent inwards and was rendered inoperable/unsafe to drive. Unit 1 was towed at the owners request from the private property where it stopped at. Proximate cause: If Unit 1 had yielded to the right of way of oncoming traffic, then this collision would not have occurred. Driver 1 was cited for failing to yield to the right of way. PAGE 3 OF 4 REPORT NO. EE74263 CASE# ' 24-4625 DATE AND TIME 04/29/24 19:06 OF COLLISION AN v x T TO SCALE----ft u PAGE 4 OF 4