No preview available
HomeMy WebLinkAbout24-6030 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE91676 170 27 COLLISION REP FIT 1591971 CASE 24-6030 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4150 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# ❑ cawsloN 06 - 1-- 2024 1548 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ TALBOT RD S BLOCK NO. e✓ 3800 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 1 2 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:3109820225 0 11 30 6❑ LAST NAME MEHERALLY FIRSTNAME NAHID MIDDLE S 1 1 2 31 INITIAL STREET 01 717 S 26TH P! TON WA NEW ADDRESS ST zlp', 98055 2 CITY REN 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'F MID .O B 08 1— 14 — 1955 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aTES� BRW4069 sTArI WAVIN# 5NMS5CAA2LH163482 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 5 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 1 34 13 4 2020 HYUN SONATA SD DAMAGE YES YES[:] NO ❑ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14� LIABILI INSURANCE INSURANCE GO ALLSTATE 807 820 524 3 4 IN EFFECT &POLICY# 9TOP EEGALLYrIICLE Yes CHARGE 5 36 L ❑NO❑ CITATION# 1 o BOTTOM 15❑ v STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES 1/ NO D:2063071604 16 a LAST NAME LEFT FIRST NAME CHRISTOPHER MIDDLE C INITIAL 17 NEW STREETREs7' 537 UNION AVE NE CITY RENTON ST WA ZIP 98059 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑NO� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LDI IVE STATE WA SEX M M D.O.B. 09 _ 13 _ 1985 39 20 ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 H EET 2 NJAU SY 7 [NATURE OF INJURIES MINOR CUTS ON RIGHT HAND 40 ❑21❑ PLATE# BYS9654 TArE WA VIN 41 ML32A3HJ9KH015060 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. TOWED eY Gov HI 44 VEH YEAR 2019 MAKE �lijJ'j-$ MODEL MIRAGE STYLE $D DAMAGE TOWED✓ NOO BLIN BANKERS YES NO�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE &POINSURGY#E CO STATE FARM 448 2829-FOI-47A IN ®TOP VEHICLE ❑ ,.I—I CITATION# CHARGE 25 i o BOTTOM LEGALLY YES N s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MICAH BATTLE 12049 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE91676 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6030 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' Unit 1 was identified as Nahid S. Meherally (8/14/55) who was driving WA-BRW4069. Unit 2 was identified as Christopher C. feet (9/13/85) who was driving WA-BYS9654. Unit 1 stated she was at the stop sign preparing to enter Talbot Rd S from S 38th ST. turned left onto Talbot Rd S when she struck Unit 2 with her front end. Unit 2 stated he was traveling northbound on Talbot Rd S when he was suddenly struck on his rear passenger side. He stated he over corrected and in combination of being struck and overturning he flipped his compact car onto its roof. I observed substantial damage to Unit 2 roof and windshield, 1 also observed paint transfer marks on the rear passenger quarter panel of Unit 2. Unit 2's vehicle was towed by Banker's towing. Unit 1 had minor damage to their front end. Unit 2 had minor cuts on his right hand, he was medically evaluated by the Renton Fire Authority and transported to Valley Medical Hospital as a precaution. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. MICAH BATTLE 06-08-24 08:33 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 71112024 8:21:16 AM BADGE OR ID# 12049 ORI# i WA0171300 TIME POLICE DISPATCHED; 3:49 PM TIME POLICE ARRIVED',3:53 PM PART I PAGE IT]OF REPORT NO. EE91676 CASE# ' 24-6030 DATE AND TIME 06/07/24 15:48 OF COLLISION *Not drawn to scale co PAGE 3 OF 3