HomeMy WebLinkAbout24-5337 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-5337 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'. 05 - 1-— 2024 1042 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ 2600
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2065011632 0 6 30
g LAST NAME PEREZ MARROQUIN FIRST NAME JORGE MIDDLE E 1 2 31
INITIAL
STREET ❑ 2307 NE 4TH ST APTC202 CITY RENTON ST WA Zjp, 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� C369092 sTAr� WAvIN# 1 GCUYDED4NZ113451
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR 2022 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 4 CHEV SILVER 4C DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 944788789 3 4
IN EFFECT &POLICY# 9TOP
vECALLv HIa.E 5 36
Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ LE STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2068506896
16 a
LAST NAME LE FIRST NAME THI MIDDLE C
INITIAL
17❑ STREET ❑', 1827 DU AVE NE CITY RENTON ST WA ZIP 98059 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑NOR INTERLOCK Y�EsI I I NOF YES
t l NO❑
19 D IVEW # STATE WA SEX F M D.C.B. 08 _ 10 _ 1973 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE ANJ7105 TAre WA vIN# 4T1BK1E87DU040203
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
GoI
VEH YEAR 2013 MAKE 7'Qy7' MODEL AVALON STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY v HYES NO 44
24❑ fj
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO ALLSTATE 964216625IN IG'E""LE
TOP
❑ ,J� CITATION# CHARGE OTTOM
LEGALLY YES N`L J
25
=Kl
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12598 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE79422
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5337
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TORRES CARLOS
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
2307 NE 4TH ST APTC202 RENTON WA 98056 SEX M MMDDYyry 02 - 20 - 1994
PASSENGER I�I WITNESS E] UNIT# 1 pO 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET LASS NAruRE of INJURIEs
L`!1 USE .CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) CHIEU-HOANG LINH
ADDRESS&PHONE# DOB
3300 S JUNUAU ST SEATTLE WA 98118 SEX IF MMDDYvvv 08 _ 05 _ 1965
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.Q.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On Monday, May 20, 2024 at 1048 hours, I was dispatched to a two-vehicle collision in the area of
the 2600 block of NE Sunset Blvd.
The following occurred within the City of Renton, King County; Unit 1 - WA/ C36909Z was being
driven by Jorge Perez Marroquin and headed east on NE Sunset Blvd in the 2600 block. Unit 2 - WA/
ANJ7105 was driven by Thi Le and was traveling eastbound on NE Sunset Blvd in the 2600 block.
Jorge stated he was driving eastbound on NE Sunset Blvd when he was approaching the intersection
of Harrington Ave NE when the light turned yellow and the vehicle in front of him abruptly applied the
brakes very quickly. Jorge stated he was anticipating the vehicle to continue through the recently
turned light but they did not and he ultimately collided with Unit 2. The front bumper of Unit 1 crashed
into the rear bumper of Unit 2 causing minimal damage to Unit 2 and no damage to Unit 1.
Thi relayed she was driving eastbound and observed the light turn yellow. Thi stated Unit 1 struck the
rear portion of her vehicle cause minimal damage.
Based on both statements, I was unable to determine who was at fault.
Only Unit 2 sustained minimal damage and neither vehicle needed to be towed.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.WISN/EWSKI 05-20-24 12:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 5/22/2024 1:18:30 PM
BADGE OR ID# 12598 OR]# WA0171300 TIME POLICE DISPATCHED 10:48 AM TIME POLICE ARRIVED';10:50 AM
PART I PAGE IT]OF
REPORT NO. EE79422 CASE# ' 24-5337 DATE AND TIME 05/20/24 10:42
OF COLLISION
4 .
S
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