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HomeMy WebLinkAbout24-6235 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 INTERSTATE ❑ CITY STREET ❑ FIRE ❑ CASE#r` 24-6235 2 RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28 UNITS RESERVATION I I STRUCK 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION'. 06 - 1-- 2024 1709 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 715 N LANDING WAY BLOCK NO. e✓ --- ----� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 100 00 FEET MILES e S ❑ W e LOGAN AVE N 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2066986180 1 51 30 6� LAST NAME PALESTINO FIRSTNAME JAVIER MIDDLE 1 2 31 INITIAL STREET ❑, 15040 MACADAM RD S APT F1 CITY TUKWILA ST WA 2jp, 98188 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10 9❑ Pi aT�S� CGY0624 sTAr1 WAvIN# 1N46t4CW8PN343343 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 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 O 34 13 2 2023 NISS ALTIMA SD DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 820309594 3 4 IN EFFECT &POLICY# 9TOP VE"'CLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# BOTTOM 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:8175013073 16 2 LAST NAME AKINBORO FIRST NAME AKINBOBOLA MIDDLE / INITIAL 17❑ STREET NEW ADDREs7 9308 57TH AVE S CITY SEATTLE ST WA ZIP 98118 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INERLOCKYEs❑No� INTERLOCK YEsF-j No� YES NDF 19 D IVERI # STATE WA SEX M MMDDYY 02 _ 04 1993 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 LICENSE ❑21❑ PLA E# CKV9451 TArE WA VIN# 41 SALWR2RUOKA868216 1 42 22❑ PLATE# STATE TILER PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2019 MAKE LRV MODEL RANG STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO AKINBOBOLA AKINBORO 930857TH AVE S SEATTLE WA 98118 D:8175013073 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU&PORGY#E CO PROGRESSIVE 942523644IN I STOP VEHICLE ❑ C[ CITATION# CHARGE i o BOTTOM LEGALLY YES N 25 s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 KEV/N PETERSON 12808 WA0171300 PAGE 01 OF PART A 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE92201 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6235 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' I was dispatched to a collision on 06/13/24 at 1715 hours at 715 N Landing Way , in city Renton, King County WA. Unit 1 CGY0624 Driver: Javier Palestino (DOB 02/18/2004) Unit 2 CKV9451 Driver: Akinbobola L. Akinboro (02/04/1993) Unit 2 stated he was driving North on N Landing Way when he slightly turned left to back into a parking stall at LA Fitness. As he went to back into the parking space Unit 1 then drove around the back of his vehicle and the parking stall and both vehicles collided. Unit 1 stated they both were traveling North on N Landing Way when Unit 2 appeared to be pulling into a parking spot in one of the West side of N Landing way. Unit 1 then pulled to the back side of Unit 2 to go around him, and Unit 2 backed into the driver side of the vehicle. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. KEVIN PETERSON 06-14-24 12:56 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 888 1 71212024 4:47.03 PM BADGE OR ID# ! 9Y808 ORI#' WA0171300 TIME POLICE DISPATCHED 5:15 PM TIME POLICE ARRIVED 5:21 PM PART I PAGE IT]OF 3� REPORT NO. EE92201 CASE# ' 24-6235 DATE AND TIME 06/13/24 17:09 OF COLLISION � 4 Unit 1 �M.r oYe =f { } t i 1 Y PAGE 3 OF 3