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HomeMy WebLinkAbout24-6392 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-6392 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3 HIT 8 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# COLLISION'. 06 - 18 - 2024 0836 17 ❑-= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ S 132ND ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e RENTON AVE S 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YES �/No D:2539510175 0 11 30 6� LAST NAME GARZA FIRSTNAME JAYDEN MIDDLE M 1 1 2 31 INITIAL STREET ❑ 1400 LAKE WASHINGTON BLVD N CITy RENTON ST WA ZIP' 980562599 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ PI ATE CNB1475 sTArI WAurN#' JT8BF12G1T0165890 IT STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM TO rRLR TRLR 3 5 33 12 0 0 VIN#' VIN# ;. FROM TO VEH.YEAR 1996 MAKE LEXS MODEL ES STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34 13 3 DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO ,JAYDEN GA.1400 LAKE WASHINGTON BLVD N A RENTON WA 98056 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITYINSURANCE INSURANCE CO PATRIOT INSURANCE 114 094 869 29 3 IN EFFECT &POLICY# 9TOP vewcLE CHARGE 5 36 LECALLv YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 7 6UNIT MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:4252745108 16 a LAST NAME PIRIS FIRST NAME CHRISTOPHER MIDDLE I J INITIAL 17❑ STREET ❑', 11302 205TH AVE E CITY BONNEY LAKE ST WA ZIP 983917718 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 DRIVER'S STATE WA SEX M D.O.B. 10 _ 26 _ 1978 39 LICENSE# MMDDYY HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑ 21❑ LICENSE B34750Y TAre WA VIN# 4TAVL52N9WZ174328 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR 'I RLR UIN#. N#. VEH YEAR 1998 MAKE TOYT MODEL TACOMA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI �44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO DESIGN WEST MANAGEMENT LLC 2900 S KING ST APT B SEATTLEWA98144 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU8 PORGY#E CO TRAVELERS BA-9172L636-24-SELIN STOP 5 VE""LE ❑ ,J CITATION# CHARGE io BOTTOM LEGALLY YES Nu 25 ' a 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE89712 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6392 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 June 18, 2024 at 0836 hours dispatch requested that I respond to a collision at Renton Ave S and S 132nd St, in Renton. Upon my arrival I spoke with the driver of unit 2 and he explained that he was going eastbound on S 132nd St. As he approached Renton Ave S, he witnessed unit 1 make a left turn Renton Ave S to S 132nd St. Unit 1 made a left turn without yielding, causing unit 2 to strike unit 1's rear right wheel. Unit 2 sustained moderate damage and needed to be towed away by Bankers Towing. I then spoke with the driver of unit 1 and he explained he made a left turn in front of unit 2. He said he was going westbound on Renton Ave S and attempted to make a left turn onto S 132nd St. He said it was his fault. An exchange of information was given to both drivers. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 06-18-24 10:49 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 6/24/2024 12:17:26 PM BADGE OR ID# 1Y007 OR]#' ' WA0171300 TIME POLICE DISPATCHED! 8:41 AM TIME POLICE ARRIVED',9:02 AM PART I PAGE IT]OF 3� REPORT NO. EE89712 CASE# 24-6392 DATE AND TIME 06/18/24 08:36 OF COLLISION 1 i 1 t , e PAGE 3 OF 3