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HomeMy WebLinkAbout24-5138 IT ' " . 27POLCERAFFO 1 c 1I1llI 111I II REPORT NO EE83089 COLLISION REP FIT 1591971 CASE 24-5138 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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# cowsloN 05 - 1-- 2024 1107 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BENSON DR S BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ VV e EAGLE RIDGE DR S 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2065146661 0 11 30 6� LAST NAME NSEREKO FIRSTNAME COLLINS MIDDLE N 1 1 2 31 INITIAL STREET ❑ 1300 EAGLE RIDGE DR S APT T11 CITY RENTON ST WA 2jp, 980553423 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 ATE 14 CJK8647 STATE WA VIN# 3KPF24AD7PE649941 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR. 3 5 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 5 1 34 13 2 2023 KIA FORTE DAMAGE vE5 0NO agW�MEYER vEs❑ No REGISTERED OWNER INFO PHEIBE NABATANZI 1300 EAGLE RIDGE DR S APT TII RENTONWA98055 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 4 14 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP LEGALE CHARGE to BOTTOM 5 36 LE—Lv res No CITATION# 4A0361497,4A0361497 FAIL YIELD LEFT TURN MOTOR 15❑ STANDING 6 MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2069399766 16 a LAST NAME SCHLEGEL FIRST NAME MIRA IN DOLE K IN MIDDLE 17❑ STREET ❑', 324 WILLIAMS AVE N CITY' RENTON ST WA ZIP 980575613 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOF INTERLOCK YEs It I NOF YES t t- l NO❑ 19 F] LDI IVEW # STATE WA ]SEX IF M DDY D.C.B. 03 �_ 10 _ 2004 El 39 WELMET INJURY NATURE OF INJURIES 4O 20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE I CGS1815 TATe WA VIN# KNDJT2A51C7463892 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2012 MAKE KIA MODEL SOUL STYLE VEHICLETOWED TO BLIN TOWEDBv GOV HI �44 24❑ DAMAGE YES NO GENE MEYER YES 11 REGISTERED OWNER INFO MIRA SCHLEGEL 324 WILL..AVE N RENTON WA 98057 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 INAEFFIECTTY NSURANCE INSU&POLICY#E CO SAME. 9TOP 5 VEwCLE ❑ ,J� CITATION# CHARGE io BOTTOM LEGALLY YES N`L J 25 ' e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE83089 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5138 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' 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. M.LEVERTON 05-14-24 12:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 6/3/2024 11:32:40 AM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 11:07 AM TIME POLICE ARRIVED 11:08 AM PART I PAGE IT]OF 4] REPORT NO. EE83089 CASE# 24-5138 OF COLLISION 05/14/24 11:07 OF CbLLI510N NARRATIVE blk sewn/1 It e to sb wht cude/2 nb CC Within the city limits of Renton/King/WA I responded to a 2 car blocking crash at the intersection of Benson Rd S at Eagle Ridge Dr S. I contacted the driver of unit 2 who told me she was northbound on Benson Rd S when unit 1 made a left turn in front of her vehicle from Eagle Ridge onto Benson. Unit 2 said there was no space to avoid unit 1 illegal turn. She did not complain of injury and damages required a tow truck. I contacted the driver of unit 1 ID'd by picture WADL. He told me he was making a left onto Benson Rd when he collided with unit 2. He told me he did not have insurance for his vehicle. He did not complain of injury and damages required a tow truck. I cited unit 1 ref RCW 46.61.185 FTYROW left turn 2 car crash and ref RCW 46.30.020 no valid proof of insurance via complaint. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 5/14/2024 PAGE 3 OF 4 REPORT NO. EE83089 CASE# ' 24-5138 DATE AND TIME 05/14/24 11:07 OF COLLISION ti ty t t t S>. t� PAGE 4 OF 4