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HomeMy WebLinkAbout24-6155 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE86208 170 27 COLLISION REP FIT 1591971 CASE 24-6155 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I 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 RESERVATION STRUCK z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION'. 06 - 11 - 2024 1517 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW 43RD ST BLOCK NO. e✓ 330 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FEET MILES e S ❑ W e LIND AVE SW 2 0 29 MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 0 7 30 6� LAST NAME TO FIRSTNAME ERIC MIDDLE C 1 1 2 31 INITIAL STREET ❑ 19439 107TH AVE SE CITY RENTON ST WA ZIP 980557384 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 HELMETU E ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 ,OF P1 ATNES# BKU3029 sTAr WAV N# 4T18F1FK8FU945071 TRAILER STATE TRAILED STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 vIN#' 12 0 0 VIN# >;. FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 2 2015 TOYT CAMRY DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO SAM TO 19439117TH AVE SE RENTON WA 98055 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO SAME. 3 4 IN EFFECT &POLICY# 9TOP vErIICLE CHARGE 5 36 EGHALLY YES❑NO❑ CITATION# 4A0361523 IMPROPER LANE USAGE o aorrom 15❑ STANDING 7 6 UNIT a2 MOTOR PEDAL ❑ PEDESTRIAN ❑ PROPERTY ❑ DAM THR OLD MET PHONE VEHICLE CYCLE OWNER YES V NO 16 a LAST NAME SOTELO FIRST NAME ALEJANDRO MIDDLE D INITIAL 17❑ STREET ❑', 3428 MARYAVE CITY' STOCKTON ST CA ZIP 952060000 37 NEW ADDRESS ❑ 18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES t l NOF 19 DRIVER'S STATE CA SEX M I D.Q.B. 09 _ 16 _ 1992 39 LICENSE# MMDDYY HELMET I {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE I CGV6975 TAre WA vIN1 2TIBUHE9JC053014 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2018 MAKE TOYT MODEL COROLL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO ALEJANDRO SOTELO 3428 MARYAVE STOCKTON CA 952060000 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIAIN BILITY INSURANCE &POINSURGY#E CO ST FARM 448-0098-B28-55A STOP VE""LE CITATION# CHARGE 25 i o BOTTOM LEGALLY YES Nu ❑ s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE86208 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6155 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' 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 06-11-24 04:26 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 6/13/2024 7:16:01 AM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED; 3:18 PM TIME POLICE ARRIVED 3:22 PM PART I PAGE IT]OF 5� TIME REPORT NO. EE86208 CASE# 24-6155 OF COLLISION06/11/24 15:17 NARRATIVE slv/1 chng lanes stop stop CC Within the city of Renton/King/Wa I responded to 3 car blocking crash near the 330 block of SW 43rd St. I contacted the driver of unit 3 who told me he was stopped for traffic eastbound SW 43rd lane 2, when he was hit from behind. He did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 2 who told me he was also stopped behind unit 3 when he was hit from behind by unit 1, it pushed him into the back of unit 3. He did not complain of injury and damages required a tow truck. I contacted the driver of unit 1 ID'd by picture WADL. He told me he was changing lanes from lane 1 into lane two and drove into the back of unit 2 pushing him into unit 3. He did not complain of injury and damages did not require a tow truck. He told me he just wasnt paying close enough attention and hit unit 2. 1 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 6/11/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE86208 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-6155 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 DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ � PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ 0 7 29 LAST NAME HERR FIRST NAME GORDON MIDDLE' D INITIAL STREET 30 NEW AnnRFrtP 17906 50TH AVE S CITY SEA TAC ST WA ZIP 981884609 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES�NO� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 09 - 20 - 1955 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE D81264B [TAT WA VIN# 1N6ED1CL1PN626527 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2023 MAKE NISS I MODELFRONTIE STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1Ci P FROM TO DAMAGE YES NO ✓ YES NO ✓ 33 REGISTERED OWNER INFO.GENUINE PARTS COMPANY8441 S 180TH ST KENT WA 98032 SHADE IN DAMAGED AREA J 9 12 7 j FROM TO INSURANCE CO LIABILITY INSURANCE SAME. 1 1"01 m 34 IN EFFECT &POLICY# 13 ❑ LEGALLY LE ❑ CITATION# CHARGE 0 BOTTOM LEGALLY YES NO STANDING �} 8 7 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YES NO YEs NO El 17 37 LICENSE#RIVERS STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ 39 LICENSE VIN# PLATE# rnr 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 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv 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 06-11-24 04:26 PM 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�OF F 3000-345-013(R 11118) REPORT NO. EE86208 CASE# 24-6155 DATE AND TIME 06/11/2415:17 OF COLLISION z a i i?t t 3 t, a i , 4 .h w w PAGE 5 OF 5