HomeMy WebLinkAbout24-6755 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EE92378OLCERA
COLLISION REPORT 1591971
CASE# 24-6755 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-A`NG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 06 - 26 - 2024 1337 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
MAPLE VALLEY HWY
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------ 1.1 FEET e S 8 W e 131ST AVE SE
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2536325527 0 1 30
5 LAST NAME WILSON FIRST NAME KYE MIDDLE Y 1 1 2 31
INITIAL
STREET ] 25108 215TH P!SE CITY; MAPLE VALLEY ST I WA ZIP; 980388539 2
NEW ADDRESS
7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO INTERLOCKVEs NO YES NO
8 DCIENSE# STATE WA SEXI M MMDDYY' 04 - 16 - 1991 1 2 32
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2=
10 1� ai CENSTF E'' BGE3343 STATE WA V JHMES16572SO03217 3�
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM To
TRLR zRLR. 3 1 5 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2002 MAKE HOND MODEL CIVIC STYLE SD VEHICLE TOWED TO�iS46LIN TOWED By GOVT VEHICLE 7 $ 34
13� DAMAGE YES ✓ NO II_II YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 4
14 PROGRESSIVE 971329609
IN EFFECT &POLICY# <5,
TOPVEHICLE CHARGE 36
LE,,ALLY YES❑NO❑ CITATION# 0TFOM15 sTnNowc 6
11
MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES�/ NO D:2067074658
16�
LAST NAME SZABO FIRST NAME ISTVAN MIDDLE N
INITIAL
17 F1 STREET ❑❑ 19727 SE PETROVITSKY RD CITY MAPLE VALLEY ST, yyq ZIP 980386515 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES N5 YES NO
STATEWA19 DRIVER'S SEX M D.O.B. 12 09 1988 39
LICENSE# MMDDYY -
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE CHD9267 rare WA vIN# USE
41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2018 MAKE CHEV MODEL SUBURB STYLE VEHICLE TOWED TO i--
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO RACHELLEMCCARTY19727SEPETROVITSKYRD MAPLE VALLEY WA 98038 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 71024639
IN EFFECT &POLICY# t VEHICLE ❑ J-I CITATION11 CHARGEU,�o
L'-LY YES N
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE92378
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6755
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) KENNEDY KEVIN
ADDRESS&PHONE#
1055 S GRADY WAY RENTON WA 98055 4254307423 SEXi M MMDDDYBYYY —=—
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�; POS. USE CLASS ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I USE CLASS
NARRATIVE
On June 26th, 2024, at 1337 hours dispatch requested that I respond to a collision at the intersection
of Maple Valley Hwy and 131st Ave SE, in Renton.
Upon my arrival I spoke with the driver of unit 2 and he explained he was driving eastbound on Maple
Valley Hwy and approaching 131 st Ave SE when the collision occurred. As unit 2 neared the
intersection, unit 1 made a left turn in front of him. The driver of unit 2 attempted to stop, but his
vehicle was unable to stop, striking unit 1's right passenger doors.
I then spoke with the driver of unit 1 and he stated that he was facing westbound at the intersection of
Maple Valley Hwy and 131 st Ave SE. He had a yellow turn light. He proceeded through the
intersection but was subsequently hit by unit 2.
1 then spoke with a witness who was working on the traffic signals at the intersection. The witness
stated that unit 1 made a left turn in front of unit 2. Unit 2 tried stopping but was unable to.
Both vehicles were towed by Gene Meyers.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 07-02-24 12:50 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 71312024 7:57:45 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:39 PM TIME POLICE ARRIVED i 1:41 PM
PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3
REPORT NO. EE92378 CASE# 24-6755 DATE AND TIME 06/26/2413:37
OF COLLISION
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