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HomeMy WebLinkAbout24-6508 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SAS 24-6508 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4100 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# CowsloN 06 - 1-- 2024 1809 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MEADOW AVE N BLOCK NO. e ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e N 3RD ST 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2537098556 0 11 30 6� LAST NAME GARRETT FIRSTNAME MANUEL MIDDLE A 1 1 2 31 INITIAL STREET ❑ 4750 AUBURN WAY N APT Q101 CITY AUBURN ST WA 2jp, 98002 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� CKX0523 sTATI WAurN# KL47LCE21RB027897 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. YRLR. 5 3 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 3 3 34 13 1 2024 BUIC ENVIST SD DAMAGE YES NO ves❑ No REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14� LIABILITY INSURANCE� INSURANCE CO PROGRESSIVE 958092015 <1�3 4 IN EFFECT &POLICY# TOPVEHICLE CHARGE 36 LEGALLv YEs❑NO CITATION# 4A0529620 INATTENTIVE DRIVINGorrom 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:3602232348 LAST NAME O'HARA FIRST NAME JAMES MIDDLE IC INITIAL 17 STREET ITON AVE S CITY RENTON ST' WA ZIP 98118 4❑ 37 NEW ADOREs�' 9205 REN 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO INTERLOCK vEs I I NOF YEs t l NOF,/ 19 LICENSE# STATE WA SEX M M .O.B. 05 _ 07 1974 39 F—NATURE OF INJURIES 20❑ ON DUTY STATUS AIRBAG 2 RESTR 1 EJECT 3 H EET 5 iN ASSY 6 FACIAL BLEEDING FLUNG OFF MOTORCYCLE ❑ 40 ❑ILICENSE 21❑ PLATE# SG1792 TATE WA VIN11 JS1VY52A052107251 41 1 42 22❑ PLATILER E# STATE pLATE# STATE 23❑ TRLR R 43 LR VIN#. N I #. TOWED By Gov HI 44 VEH YEAR 2005 MAKE S(JNIC MODEL C90 STYLE MT DAMAGE TOWED NOO✓ BLIN YES NO 1/ 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#ECO AMERICAN FAMILY INSURANCE 410666975808 1UR IN EFFECTVE."Le ❑ ,J� CITATION# CHARGELGALYES N 25 =TURNER NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12650 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE92051 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6508 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 2 was traveling east bound on N 3rd ST in the left most lane approaching the intersection of Meadow Ave N and N 3rd ST. Unit 1 was stopped at a stop sign on Meadow Ave N facing northbound attempting to make a right turn onto N 3rd ST to proceed eastbound. As Unit 2 was approaching the above intersection Unit 1 pulled out in front of Unit 2. This caused Unit 2 to collide with the front of bumper of Unit 1, launching the driver of Unit 2 off of his motorcycle. Unit 2 had a minor cut on his chin as well as scrapes and bruises on his body. There may be further injuries as he went to urgent care directly after the collision. Unit 1 reported no injuries. Unit 2 had minor cosmetic damage to their motorcycle and the vehicle still appeared driveable. Unit 1 significant damage to the front bumper of the vehicle and was no longer driveable. The proximate cause of the collision was Unit 1 failing to provide right of way to Unit 2, as he directly turned into Unit 2s path of travel. Unit 1 was cited for Inattention for failure to pay attention to Unit 2's path of travel. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JASON TURNER 06-25-24 12:46 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 71212024 9:09:54 AM BADGE OR ID# 12650 ORI# WA0171300 TIME POLICE DISPATCHED; 6:11 PM TIME POLICE ARRIVED',6:15 PM PART Ei PAGE IT]OF REPORT NO. EE92051 CASE# ' 24-6508 DATE AND TIME 06/20/24 18:09 OF COLLISION s ti e, PAGE 3 OF 3