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HomeMy WebLinkAbout24-6351 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 6 27c
COLLISION REP FIT 1591971
CASE 24-6351 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
i TRIBAL 1 02 STRUCK FENCE
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 06 - 1-- 2024 0845 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e✓ 5600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:4256281994 30
6❑ LAST NAME CLINE FIRSTNAME MATTHEW MIDDLE J 1 1 2 31
INITIAL
STREET ❑, 2100 LAKE WA BLVD N H102 CITY RENTON ST WA 2jp, 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICENSE# STATE WA SEX'M I D-MMDDYY 07 — 09 — 2000 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 ATNES# BVt 1101 sTAr WAv N# JTKDE167480248558
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12❑ vIN#' VIN#
2008 TOYT SCION SD pL FROM 34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE
13 4 DAMAGE YES NO �I YES[:] NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE INSURANCE CO GIECO 605 6415489 4
IN EFFECT &POLICY# 9TOP
v CHARGE 5 36
LECAIIvewCLE res❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY ✓ DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069928177
16❑
LAST NAME AUNG FIRST NAME TIN MIDDLE
INITIAL
17 STREET NEW ADDREs�' 5508 NE 3RD LN CITY' RENTON ST WA ZIP 98059 37
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t l NO❑
19 LLIICENS RIVERIS# STATE SEX U MMDDYY 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TArE 41
IN#LICENSE V 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ TRLR R 43
LR
VIN#. N I #.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP 5
VEHICLE ❑ C[:] CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES N
s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
MICAH BATTLE
26 12049 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE94141
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6351
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'
On 6/17/24 at 0847 hours, I was dispatched to a single vehicle non injury collision at 5600 NE 4th St,
City of Renton, County of King, Washington.
Upon arrival I contacted Unit 1 (U1), Matthew J. Cline (7/9/00) who was driving WA-BVL1101.
U1 stated he was traveling eastbound on NE 4th in the outside lane. When another vehicle pulled out
in front of him from a side street. He overcorrected to the left and then overcorrected to the right
causing him to spin into the southern shoulder 180 degree clockwise while his rear end struck the
fence of 5508 NE 3rd Ln.
I observed significant damage to the fence line, and moderate damage to the rear end of U1.
No observed or reported injuries.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MICAH BATTLE 07-02-24 07:38 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 7/9/2024 1:27.08 PM
BADGE OR ID# 12049 OR]#' WA0171300 TIME POLICE DISPATCHED; 8:48 AM TIME POLICE ARRIVED',8:54 AM
PART I PAGE IT]OF
REPORT NO. EE94141 CASE# 24-6351 DATE AND TIME 06/17/24 08:45
OF COLLISION
*Not to scale
AN
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