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HomeMy WebLinkAbout24-5759 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-5759 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 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# cawsloN 05 - 1-- 2024 1351 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S RENTON VILLAGE PL BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e TALBOT RD S 0 1 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO ✓ D:2066888788 0 4 30 6� LAST NAME HUYNH FIRSTNAME VAN MIDDLE N 9 2 31 INITIAL STREET ❑ 924 E SANDSTROM PL CITy KENT ST WA 2jp, 980303700 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 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 LICENSE CGG9225 sTArI WAvIN# 5GZCZ63437S803743 10❑ PI ATE 94 IT STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR 2 5 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 1 34 13 2 2007 STRN VUE UT DAMAGE YES NO ✓ YES[:] NO✓ REGISTERED OWNER INFO VAN HUYNH 924 E SANDSTROM PL KENT WA 980303700 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO NATIONAL GENERAL 2017469107 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLv Yes❑NO❑ CITATION# 10 BOTTOM 15❑ STAIN,DIING 8 7 6 UNIT MOTOVEH OR CYCLE ❑ PEDESTRIAN ❑ OWNER RTY ❑ DYES✓ NO OLD MET PHONE 16 2 LAST NAME BAUMANN FIRST NAME HOLLI MIDDLE I j INITIAL 17❑ STREET ❑', 17620 SE 259TH CT CITY COVINGTON ST WA ZIP 980428368 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 D IVEW # STATE WA SEX F M .C.B. 01 21 1989 39 HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS ❑ 21❑ LICENSE BDW3886 TAre I WA vIN1i JM3KE4CY4G0881130 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2016 MAKE MAZp MODEL CX-5 STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YESfj NO✓ YES NO✓ REGISTERED OWNER INFO HOLLI BAUMANN 17620 SE 259TH CT COVINGTON WA 980428368 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#E CO GRANGE INSURANCE 5104440084792 I STOP 5 IN EFFECT vE""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES s a 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE83101 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5759 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 31, 2024, at 1351 hours dispatch requested that I respond to a collision at the intersection of Renton Village PI S and Talbot Rd S, in Renton. Upon my arrival I spoke with the driver of unit 2 and she explained that while making a left turn from Renton Village PI S, she saw unit 1 run a red light and strike her driver side doors. I then spoke with the driver of unit 1 and he explained that he thought he had a yellow traffic light, so went through the intersection. He was going southbound on Talbot Rd S from S Grady Way. Initially, he stated that the other driver struck him, but he recanted that and mentioned the sun blinded him. He believed he had a yellow light. Both vehicles sustained moderate damage, and both drivers were given an exchange of information. 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 05:18 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 6/3/2024 11:04:07 AM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 1:51 PM TIME POLICE ARRIVED'1:59 PM PART I PAGE IT]OF 3� REPORTNO.! EE83101 CASE# 24-5759 DATE AND TIME 05/31/2413:51 OF COLLISION Y t f�y i �,�, � ��a, •�Spa ts.?.� .��. i t �,� nym:,, �•t t �. �,� .�:" .,ate, .� x:Y y PAGE 3 OF 3