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HomeMy WebLinkAbout24-6826 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SAS 24-6826 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HIT& F ❑ LOCAL AOENC 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 - 1-- 2024 0106 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINIER AVE S BLOCK NO. e 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e SWGRADYWAY 1 9 29 UNIT 01 MOTOOR Z PEDDAL ❑ YESAGE NHORE✓LDMET PHONE O 1 30 6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY RENTON ST ZIP 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYES NO INTERLOCK YES NO YES No 8 DRIVER'S STATE SEX U D Q.B. 2 32 ❑ LICENSE# MMDDYY -� 1 9 ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 9 H USE 9 CLAY 0 NATURE OF INJURIES z❑ 3 10❑ PI ATpS� UNKNOWN sTATI WA VIN# TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM TO rRLR. TRLR. 1 5 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13❑ DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO UNKNOWN RENTON WA 98057 VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14❑ LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEwcLE 5 36 LECALLv Yes❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:4259193778 16 a LAST NAME LIQUIDO FIRST NAME RICARDO MIDDLE A INITIAL 17❑ STREET ❑', 1204 N 10TH PL APT 2549 CITY' RENTON ST WA ZIP 98057 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCK YES❑NO� INTERLOCK YEs❑NoF-] YES❑NO 19[—] DRIVER'S STATE WA SEX M I D.O.B. 04 19 _ 1963 39 LICENSE# MMDDYY HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS' AIRBAG 9 RESTR 9 EJECT ''9 USE 9 CLASS 1 ❑ 21❑ LICENSE I BPE7948 TATe WA VIN. 5TDDK3DC2CS037618 ❑ 41 PLATE# 42 22 [TRAILER T ❑ PLATE# STATE PLATE#ILER STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2012 MAKE TOy7- MODEL SIENNA STYLE VN VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO RICARDO LIQUIDO 1204 N 10TH PL APT 2549 RENTON WA 98057 D:4259193778 VEHICLE NO.2 SHADE DAGED AREA 4 LIABILITY INSURANCE INSURANCE #E CO GEICO 6132-84-53-11IN IGQVE"LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 =TAMAIVENA AME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 12812 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. EE94137 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6826 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 southbound on Rainier Ave S in lane 2, approaching SW Grady Way. They stopped at a red light, and an unknown pickup truck struck the vehicle's passenger side. Unit 2 stated that the suspect's vehicle was in lane 1 and attempted to turn into lane 2 because lane 1 is only a right turn onto SW Grady Way. Unit 1 pulled over before entering 167 going southbound when the unknown suspect turned into Highway 405. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. S/TIVENI TAMAIVENA 06-30-24 01:46 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 7/3/2024 11:41:56 PM BADGE OR ID# 12812 ORI# WA0171300 TIME POLICE DISPATCHED'; 1:12 AM TIME POLICE ARRIVED',4:20 AM PART I PAGE IT]OF REPORT NO. EE94137 CASE# 24-6826 DATE AND TIME 06/29/24 01:06 OF COLLISION Y a,u � fit, fit, ry� j .......... 12 "mollyan¢1cuxia, '" p r� U z a t � a PAGE 3 OF 3