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Home My WebLink About24-5984 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE86201 170 27 COLLISION REP FIT 1591971 SASE 24-5984 2 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 03 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cowsloN 06 - 1-- 2024 0920 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ NE 4TH ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ W e BREMERTON AVE NE 2 0 29 UNIT MOTOR VEHICL Z CYCLE ❑ DYESA✓NOESHOLD MET PHONE 0 1 30 6� LAST NAME WALKER FIRSTNAME DEBORAH MIDDLE L 1 2 31 INITIAL STREET ❑ 27015 NE 45TH ST CITy REDMOND ST WA 2jp, 980538749 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 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10 9❑ PI ATE SH21064 sTATI WAurN#' 1FMDE5BH4NLA92119 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 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34 13 2 2022 FORD BRONC DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO BRIAN WALKER 27015 NE 45TH ST REDMOND WA 98053 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI V INSURANCE INSURANCE CO ALLSTATE 817 214 486 3 4 IN EFFECT &POLICY# 9TOP vHICLe CHARGE 1 5 36 15❑ LEEGALLv YES�No D CITATION# 4A0361517 IMPROPER LANE USAGE )o eorrom STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE T VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES V NO D:4256980698 16 a LAST NAME SMITH FIRSTNAME SAMANTHA MIDDLE N INITIAL 17❑ STREET ❑', 1555 UNION AVE NE APT 67 CITY RENTON ST WA ZIP 98059 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK Y�EsI I I NOF YES t l No❑ 19 LICENSE# STATE WA SEX U Mr D.C.B. 04 O6 _ 1996 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CDV8583 TATe WA VIN# 1(B1ZU53846F287691 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2006 MAKE CHEV MODEL MALIBU STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO SAMANTHA SMITH 1555 UNION AVE NE APT 67 RENTON WA 98059 D:4256980698 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME I STOP 5 'E""LE ❑ N`LJ,J� CITATION# CHARGE LEG i o BOTTOM ALLY YES 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 M.LEVERTON 2517 [V7�ENCY A0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE86201 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5984 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (/AST 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 NJURY POS. NATURE OF INJURIES 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' Please see subsequent narrative pages I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 06-07-24 06:38 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOSS 1953 6/13/2024 7:36:51 AM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED; 9:20 AM TIME POLICE ARRIVED]9:26 AM PART I PAGE IT]OF 5� REPORT NO. EE86201 CASE# 24-5984 OF COLLISION 06/06/24 09:20 OF CbLLI510N NARRATIVE wht suv stopped Itl slv/2 lane 2 b;l suv Itl to lane to into unit 3 CC Within the city limits of Renton/King/Wa I responded to a 3 car blocking crash near the intersection of NE 4th St at Bremerton Ave NE. I contacted the driver of unit 3 who told me he was stopped for traffic in the 2WCLTL. He told me unit 1 crashed into the back of him but couldn't explain the mechanics of the crash. He did not complain of injury and damages required a tow truck. I contacted the driver of unit 2 who told me she was eastbound lane 2 when unit 1 pulled into her lane crashing into the side of her car. She said just after impact with her car unit 1 deflected off and hit unit 3. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 ID'd by her picture WADL. She told me she was stopped in the 2WCLTL and wanted to get over into lane 2 eastbound. When she did she hit unit 2 in the front driver side of her car and as a result turned/swerved her vehicle staking the back end of unit 3. She did not complain of injury and damages did not require a tow truck. She was very apologetic for causing the crash. I cited unit 1 ref RCW 46.61.140 improper lane use/3 car crash via complaint. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 6/7/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE86201 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-5984 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J CYCLE _) PEDESTRIAN � OWNER � YEs� NO D:4253267847 0 7 29 LAST NAME CASTILLO GURDIAN FIRST NAME : CARLOS MIDDLE L INITIAL STREET 30 NEW AnnRFrtP 2021 201 ST PL SE APT 409 CITY BOTHELL ST WA ZIP 980124305 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 08 - 08 - 1982 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BLZ2763 TAr WA VIN# JM3KE4BY7G0638607 PLATE# 9 [9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 0 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOVVE E T SABLI anvi vFH1C P FROM TO 2016 MAZD CX-5 TS�f° DAMAGE YES�NO YES NO CARLOS CASTILLO GURDIAN 375 UNION AVE SE UNIT 85 RENTONWA98059 J 9 33 12 REGISTERED OWNER INFO� SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO ALLSTATE 820522 771 q"i"Olx IN EFFECT &POLICY# 1 VEHICLE 34 13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE � OWNER YES DAMAGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STRE 16 NEW ETETnnR"� CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES NO NTERLOCK YES NO 'YES NO El 17 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE (CLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. X LEVERTON 06-07-24 06:38 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID 2517 O#I WA0171300 JACOBS 6113/2024 PAGE F OF 3000-345-013(R 11118) REPORT NO. EE86201 CASE# 24-5984 DATE AND TIME 06/06/24 09:20 OF COLLISION iJ r t � z „ Y e `3fi t i a Y 4�, i; PAGE 5 OF 5