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HomeMy WebLinkAbout24-5419 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-5419 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4250 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 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# COLLISION'. 05 - 1-— 2024 0500 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BENSON DR S BLOCK NO. e✓ 10700 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV a BENSON RD S 0 1 29 UNIT MOTOR VEHICL Z CYYLE ElDDAMYESA✓NOESHOLDMET PHONE 0 11 30 6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY Sr ZIP 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3 :NTERLOCKYE3 NO INTERLOCK YES NO YES No 8 DRIVER'S. STATE SEX.U D.O.B. 1 1 2 32 ❑ :LICENSE# MMDDYY —❑ 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI urN#' 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM ro TRLR 5 1. TRLR 33 12 3 5 vIN# VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 4 DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO UNKNOWN UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ABILI INSURANCE❑ INSURANCE CO 4 IN EFFECT &POLICV# 9TOP vewcLe CHARGE 1 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 8 6 UNIT 02 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2063269128 N:2536394366 16 a LAST NAME BROWN FIRST NAME CLYDE MIDDLE R INITIAL 17 STREET I❑ 22734 135TH AVE SE CITY KENT ST WA ZIP 980423730 37 NEW ADDRESS❑' 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED ❑ 38 INTERLOCK YES❑No� INTERLOCK YES It1 I NoF t l YES NO V/ 19[—] DRIVER'S STATE WA SEX M I D.O.B. 08 _ 27 1959 El 39 LICENSE# MMDDYY WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS 1 ❑ ❑21❑ PLATE# BGL0164 TATE WA vIN 41 # JN8AF5MV5HT754130 4 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. YEAR 2017 MAKE NISS MODEL JUKE STYLE 4H VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 VEH L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO CLYDE BROWN 22734135TH AVE SE KENT WA 98042 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU PORGY#E CO STATE FARM 1449714EO447DIN I STOP 5 —e E YES❑ N J ,J� CITATION# CHARGE i o BOTTOM LEGALLY 25 7SHA NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 CROW 12618 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE79631 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5419 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 05/18/2024 at about 0508 hours I was working uniform marked patrol as 1 R15 when I came upon a vehicle (Unit 2) parked off the roadway near the intersection of Benson Dr S/Benson Rd S. The driver of Unit 2 (Clyde R. Brown) flagged me down and reported that another vehicle just struck him near the intersection, and then it took off northbound on Benson Dr S. Clyde said his vehicle was blocking the roadway, so he decided to drive his car up off the road and wait for police. Clyde went on to explain what happened in the hit and run collision. Unit 2 was traveling northbound in the outer lane (nearest the curb) of Benson Dr S as it approached the intersection at Benson Rd S. Unit 1 was traveling northbound in the inner lane of Benson Dr S before traveling outside of its lane striking the driver side of Unit 2 with the passenger side of Unit 1. Unit 1 continued northbound on Benson Dr S without stopping to contact the driver of Unit 2. The collision caused Unit 2 to spin out of control before coming to a stop at the intersection of Benson Dr S/Benson Rd S. Unit 2 had damage to a majority of the driver side area of the vehicle, but it was able to be driven from the scene. Clyde did not report any injuries. The collision happened quickly, and Clyde was unable to get much of a description of Unit 1 other than it was a sedan possibly dark in color. As a result of the collision Unit 1 would have damage to the passenger side area of the vehicle. Clyde did not get a look at the driver of Unit 1 or whether or not there were any additional occupants inside. I took photos of Unit 2 and uploaded those photos to Axon. Unit 1 was not located. No witnesses came forward. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. SHAWN CROW 05-22-24 08:06 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 1 5/23/2024 4:00:52 AM BADGE OR ID# 12618 ORI# WA0171300 TIME POLICE DISPATCHED! 5:08 AM TIME POLICE ARRIVED f 5:08 AM PART I PAGE IT]OF 3� REPORT NO. EE79631 CASE# 24-5419 DATE AND TIME 05/22/24 05:00 OF COLLISION r„sttt�s c jiiiSti^^^h5>SS""il� f ties sstf a 4(> i PAGE 3 OF 3