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HomeMy WebLinkAbout24-5569 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SASE 24-5569 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI 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 1113 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW GRADY WAY BLOCK NO. e✓ 300 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES❑ ❑ FEET e S ❑ W e MAPLE AVE SW 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2066180422 0 11 30 6� LAST NAME LUNA-COVARRUBIAS FIRSTNAME CAROLINA MIDDLE 1 2 31 INITIAL STREET ❑, 2057 S 116TH ST CITY SEATTLE ST WA 21p, 98168 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 H USEET 2 CLASS 1 NATURE OF INJURIES z❑ 3 ,OF Pi ATNES# BZL8643 sTAr WAv N# 7FARW2H70ME020389 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 1 33 12 0 0 VIN#' VIN#' >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34 13 r 2021 HOND CRV UT DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO CAROLINA LUNA-COVARRUBIAS 2057 S 116TH ST SEATTLE WA 98168 D:2066180422 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO SAFECO H2486079 3 4 IN EFFECT &POLICY# 9TOP VEHICLE 5 36 LEGALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ 16 a : OWNER ❑ YES 1/ NO D:3124783848 LAST NAME RENGE CASTILLO FIRST NAME VALERIA MIDDLE p INITIAL 17❑ STREET ❑', 1133 LAKE WASHINGTON BLVD N E309 CITY RENTON ST WA ZIP 98056 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 DRIVER'S STATE IL ]SEX IF I D.C.B. 03 _ 10 _ 2024 39 LICENSE# MMDDYY HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS ❑ 21❑ LICENSE EL55320 TAre 41 IL vIN1t USE ❑ PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2015 MAKE TOYT MODEL PRIUS STYLE 4H VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VALERIA RENGE CASTILLO 5600 N SHERIDAN RD CHICAGO 1L 60660 D:3124783848 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO 9TOP 5 VE""LE ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N J 25 e 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE83095 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5569 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 May 29, 2024, at 1113 hours dispatch requested that I respond to a collision at the intersection of Maple Ave SW and SW Grady Way, in the city of Renton, county of King, and state of Washington. Upon my arrival I spoke with the driver of unit 2. The driver explained that while going westbound on SW Grady Way she observed unit 1 make a left turn from the eastbound center turn lane. She believes that unit 1 failed to notice her vehicle because the other driver decided to cross the westbound lanes as she approached the intersection. When unit 1 crossed westbound lanes, she was unable to slow her vehicle down. Unit 2 struck unit 1 passenger side front bumper. I then spoke with the driver unit 1 and she explained a similar story. She was in the eastbound center turn lane attempting to make a left turn into Walmart when the collision occurred. She explained there was heavy traffic going westbound, butt one vehicle in the number 2 westbound lane created a gap for her to cross. She decided cross but failed to notice unit 2 driving in lane one. As she entered lane one, she was struck by unit 2 who was going westbound on southwest Grady way. After speaking with involved drivers, 1 provided them with an exchange of information. No one complained of any injuries, and no vehicles were towed from the scene. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 05-31-24 08:53 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 6/3/2024 11:11:03 AM BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 11:19 AM TIME POLICE ARRIVED;11:21 AM PART I PAGE IT]OF 3� REPORT NO. EE83095 CASE# ' 24-5569 DATE AND TIME 05/29/24 11:13 OF COLLISION t y . Si v � S d' r t i A v � PAGE 3 OF 3