HomeMy WebLinkAbout24-5919 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EE85813oc� RA
COLLISION REPORT 1591971
CASE�# 24-5919 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3
COUNTY RD ❑ NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 06 - 04 - 2024 1107 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
S CARR RD MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S 8 W e SMITHERS AVE S
0 4 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2539512851 0 1 30
5 LAST NAME UPTON FIRST NAME TAMESHA MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 15612 8TH AVE SW#105 CITY BURIEN ST WA ZIP 98166 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES ND INTERLOCKYES NO YES D NO
8� LICIENS# STATE WA SEX F MMoCSYY' 05 - 07 - 1981 1 2 32
9 ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 H ELM USE
C JAUSRSY 1 NAruRE of INJURIES 2
10 LICENSE ti� BUW2005 STATE WA VN# 5N1AT2MK6FC904599 3
TRAILER STATE TRAILER ,STATE
11 3 5 PLATE# PLATE# ROM TO
rRLR TRLR 3 5 33
1 3
( FROM TO
2 5 VIN# vI.
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOVT VEHICLE
13 2 2015 NISS ROGUE DAMAGE YES DNO ✓ YEs❑ No 7 3 34
REGISTERED OWNER INFO TAMESHA UPTON 156128TH A VE SW#105 BURIEN WA 98166 D:2539512851 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ NSURANCE CO 4
IN EFFECT &POLICY# 9TOP _
srgNOLNG ❑ ❑ 4A0361514 CHARGE FAIL YIELD LEFT TURN MOTOR s 7 0¢oTrob 36
Yes NO CITATION#
15
rL� MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ nWNFR D:5027599858
16�
LAST NAME ELISAGIL FIRST NAME KIBAR MIDDLEI N
INITIAL
STREET ❑ 37
17 '❑ 10912 SE 254TH PL APT B102 CITY KENT ST, WA ZIP 980306831
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES NO YEs No
19[ DRIVER'S STATE WA SEX M I D.O.B. 07 08 1994 ❑ 39
LICENSE# MMDDYY —
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICANS E CLF4392 rarE WA vIN# UHMGK5H5XGX026286 41
22❑ PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q16 MAKE HOND MODEL FIT STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO GOGO LLC RENTALS 13404 NEWCASTLE COMMONS DR#216 NEWMAN LAKE WA 98059 D:4254992050 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 981238209
IN EFFECT &POLICY# 9TOP
vewaE ❑ CITATION# CHARGE t080TTOM
LEGnlly YES N`[
25 __J
e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EE85813
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5919
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME BADGER LINDA
(LAST,FIRST,MIDDLE INITIAL}
ADDRESS&PHONE#
2067158488 SEX U MDOB MDDYYYY [----------�
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
' D.O.B.
SEX MMDD - 1
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q' POS USE CLASS r— ----�
NARRATIVE
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 06-04-24 01:21 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 6/5/2024 7:55:31 AM
BADGE OR ID# 2517 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:07 AM TIME POLICE ARRIVED 11:13 AM
PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47
REPORT NO.` EE85813 CASE# 24-5919 O COLLI COLLISION TIME
OF 06/04/24 11:07
COLLI
NARRATIVE
wht/2 lane 2 eb red suv 1 left turn wit said her light was red during crash
CC
Within the city limits of Renton/King/WA I responded to a 2 car blocking crash at the intersection of S
Carr Rd and Smithers Ave S.
I contacted the driver of unit 2 and with the help from a translator was told that he was eastbound S
Carr Rd, lane 2, on his green light when unit 1 turned left in front of him. He was unable to avoid
contact with unit 1. He did not complain of injury and damages required a tow truck.
I contacted the driver of unit 1 ID'd by her picture WADL. She told me both her light was turning red
while she was making her left turn. She said unit 2 was slowing and then suddenly sped up crashing
into her car. She walked me over to a witness. She did not complain of injury and she chose to
leave her vehicle in the parking lot where it was parked.
I contacted the Witness/Badger. She told me she was stopped on her red NB on Smithers. She was
a little confused on the directions either unit 1 or unit 2 were going or how the crash happened. She
was sure that while the crash happened and cars were sliding around and towards her that her light
was still solid red.
I cited unit 1 ref RCW 46.61.185 FTYROW-left turn 2 car crash via complaint. Unit 1 provided a new
address in Burien.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 6/4/2024
PAGE 3 OF 4
REPORT NO. EE85813 CASE# 24-5919 DATE AND TIME i 06/04/24 11:07
OF COLLISION
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PAGE 4 OF 4
