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HomeMy WebLinkAbout24-6020 IT ' " . 27POLCERAFFO 1 c REPORT NO EE86203 COLLISION REP FIT 1591971 INTERSTATE ❑ CITY STREET FIRE ❑ CASE 24-solo 2 RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28 UNITS RESERVATION I I STRUCK z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 06 - 1-- 2024 0952 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ MAIN AVE S BLOCK NO. e✓ 200 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FEET MILES ❑ S B W❑ S 2ND ST 2 0 29 UNIT MOTOR VEHICL ❑ CYCLE ElDDAMYESA✓NOESHOLD MET PHONE 0 11 30 6� LAST NAME FARRET-CRUZ FIRSTNAME KYLES MIDDLE M 1 2 31 INITIAL STREET El 5429 S 331ST ST CITY AUBURN ST WA ZIP 980013632 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 CLASS 7 HEADS OF INJURIES 2❑ 3❑ ,OF Pi ATNES# BD08397 sTAr WAuN# KL8CD6S91FC722447 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 5 33 12 3 5 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 $ 34 13 2 201$ CHEV SPARK DAMAGE vE5 0NO f �AWkkRS vEs❑ No REGISTERED OWNER INFO MARIAH ZALAT 1901 NE 85TH STAPT 111 SEATTLE WA 98115 D:2062940196 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 4 14 LIABILI INSURANCE INSURANCE CO PACIFIC STAR 5552382 IN EFFECT &POLICY# _ ❑ LEGALLY CHARGE 5 ❑ 36 15 2 res No clTAnoN# 4A0361519 IMPROPER LANE USAGE o aoTTob MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAMH TR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]FL YES 1/ No D:2067151365 16 a LAST NAME STECKLER FIRST NAME ELAINE MIDDLE L INITIAL 17❑ STREET ❑', 11823 SE 180TH ST CITY' RENTON ST WA ZIP 980586613 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs❑NOF YEs❑NO❑ 19 DRIVER # INJURY 7 NATURE OF INJURIES 40 20 F1 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 USE CLASS HEAD NECK ❑ 21❑ LICENSE BSV4769 TAre WA VIN# 5J6RW2H81KA020518 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2019 MAKE HOND MODEL CR-V STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES✓ NO BANKERS YES NO REGISTERED OWNER INFO BEATTYANDCOTTAMLLC155153RDAVESWSTEE BURIENWA98166 D:2067151365 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 INAEFFIECTTY NSURANCE INSU&POLICY#E CO SAME. 9TOP 5 VEwCLE ❑ Nu J ,J� CITATION# CHARGE LEG 25 to BOTTOM ALLY YES s � a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE86203 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6020 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME(LAST FIRST,MIDDLE INITIAL) MOCK DAN ADDRESS&PHONE# D O.B. 4255182614 SEX' U MMDDYYYY -❑ PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET CLASS NATURE OF INJURIES ❑✓ SOS. USE INJURY NAME (LAST,FIRST,MIDDLE INITIAL) NEWMAN KATIE ADDRESS&PHONE# D O B 7606134304 SEX U MMD D0 v PASSENGER []WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY POS. NATURE OF INJURIES USE CLASS NAME (LAST FIRST,MIDDLE INITIAL) RICK AppRESS&PHONE# 7178130198 V M _ SEX. -❑MDDYYYY 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 11:12 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 6/13/2024 7:36:24 AM BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED; 9:52 AM TIME POLICE ARRIVED i 9:56 AM PART I PAGE IT]OF 4] REPORT NO. EE86203 CASE# 24-6020 OF COLLISION 06/07/24 09:52 OF CbLLI510N NARRATIVE wht lane 2 sil lane one into lane/unit 2 CC Within the city limits of Renton/King/WA I responded to a 2 car blocking crash at the 200 block of Main Ave S. I arrived and found a car with damage blocking southbound lane 2 and a silver SUV behind it. The SUV was a Wit/Mock who told me unit 1 was in lane 1 and unit 2 was in lane 2. Mock said it looked like unit 1 was trying to make a left into a nearby parking lot and turned her car into the side of unit 2 almost rolling unit 2 over. He provided a phone number and left the area. I contacted the driver of unit 1, ID'd by her picture WADL. She was shaking and crying with her jaw chattering like she was freezing cold. She did not provide many details other than she thought she might have been changing lanes/turning and didnt see unit 2 crashing into her. Although she said she was wearing her seatbelt she claimed to a have hit her forehead on the windshield. She was checked and released on scene by Renton Fire. Damages required a tow truck. I contacted the driver of unit 2 who told me she was south on Main Ave S lane 2 when unit 1 turned into the side of her car almost rolling her over. She said she had a headache, maybe caused by the stress of the crash. Renton Fire checked and released her on scene. Damages required a tow truck. I cited unit 1 ref RCW 46.61.140 Unsafe lane usage 2 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 4 REPORT NO. EE86203 CASE# 24-6020 DATE AND TIME 06/07/24 09:52 OF COLLISION nts � n\4ia r E 4 3 ,t= � rr r at. S � if'xt 4.;. e.\�\4�c\r`i• �tII�jt�'it� t� �u'S'S � \�:� � xtt.; �. � .. PAGE 4 OF 4