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HomeMy WebLinkAbout24-5843 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-5843 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 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'. 06 - 1-— 2024 2315 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAPLE VALLEY HWY BLOCK NO. e✓ 13400 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ w 131STAVESE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2535692715 0 11 30 6❑ LAST NAME MARTY FIRSTNAME JOSEPH MIDDLE C 1 1 2 31 INITIAL STREET ❑ 26628 159TH AVE SE CITY COVINGTON ST WA ZIP 980428250 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LDRIVER # STATE WA SEX'M MID LOB 11 1— 20 — 1983 2 32 9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 LICENSE CLE0830 sTArI WAurN# JTHCF5C28A5042022 10 F91 PI ATE i4 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR 2010 MAKE LEXS MODEL /S STYLE 4D VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13❑ DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14❑ LIABILIT INSURANCE INSURANCE CO FARMERS G0142779700 3 IN EFFECT &POLICY# 9TOP VEF" RGE 36 LEGALLv res❑NO❑ CITATION# CHA 1 o BOTTOM 15❑ STANDING 7 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2533342855 a LAST NAME CHANG FIRST NAME JOSHUA MIDDLE M INITIAL 17❑ STREET ❑', 16002 SE 156TH ST CITY' RENTON ST WA ZIP 980586315 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 DRIVER # INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CBW8265 TAre WA VIN1t 7SAYGDEF6NF323645 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE pLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2022 MAKE TESL MODEL MODEL Y STYLE UT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO YOON CHANG 3230108TH AVE SE BELLEVUEWA98004 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU8 PORGY#E CO FIRST NATIONAL H2221128IN STOP 5 VEHICLE YES[:] ,.I—I CITATION# CHARGE io BOTTOM LEGALLYN 25 a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 N.ODALOV/C 11628 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE84558 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5843 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' Both units were traveling straight on Maple Valley Hwy traveling from west to east. U2 was in lane 1 and U2 was in lane 1. There was significant water on the roadway due to recent rain fall. U2 hydroplaned and struck U1 somewhere east of 131st Ave SE. Both vehicles lost control, spun 360 degrees and came to a rest at approximately the 13400 block of Maple Valley Hwy. Debri stretched along this area. Both vehicles sustained damage all around the vehicles and struck the south barrier. U1's front airbag deployed but the driver stated he was not injured. Both units were towed by Bankers Towing. Both drivers were provided with the case number. I took photos of the scene which were later uploaded to evidence.com. During this incident I was equipped with body-worn camera which records both audio and video. Portions of the incident were recorded. This report is merely a summary of the incident and is not intended to be an exact transcription of the entire investigation or what may have been captured with the recording system. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. N.ODALOV/C 06-03-24 02:11 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 6/7/2024 9:02:28 PM BADGE OR ID# 11628 ORI#' WA0171300 TIME POLICE DISPATCHED 11:15 PM TIME POLICE ARRIVED 11:26 PM PART I PAGE IT]OF REPORT NO. EE84558 CASE# 24-5843 DATE AND TIME 06/02/24 23:15 OF COLLISION NOT TO SCALE G ,Y „ ��ik F?" # >�j� � SY fr �'�•tit'o.. �`��x��\ur PAGE 3 OF 3