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HomeMy WebLinkAbout24-6786 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EE92379OLCERA COLLISION REPORT 1591971 CASE# 24-6786 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LdCCOAGENCY 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E cDLLISION' 06 - 27 - 2024 1113 17 =.�� S W e OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK e 200 SUNSET BLVD NORTH .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �.� FEET e S 8 W e MAPLEVALLEYHWY 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064376559 0 4 30 5 LAST NAME YUMBIA FIRST NAME ESTHER MIDDLE I W 1 1 2 31 INITIAL STREET ❑ 985 RILEY DR E CITY; ENUMCLAW ST WA ZIP; 980225067 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCKYES No�/ INTERLt)CKYES NO�/ YES NO 8❑ DRIVER' # STATE WA SEXI F MMDDYY' 11 - 10 - 1982 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASSY 1 [NATURE of INJURIES 2 10 PI ENSttEI BON9299 STATE WA VIN# 5FNYF4H53AB027589 3 TRAILER 11 3 0 STATE TRAILER STATE ROM To PLATE# PLATE# TRLR zRLR. 1 1 5 33 12 3 0 VIN#' vIN# FROM TO VEH.YEAR 2010 MAKE yOND MODEL PILOT STYLE SV VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 1 3 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE NSURANCE CO AMERICAN FAMILY 41053-44451-61 IN EFFECT &POLICY# 9TOP _ sVEHICLE rgNo NG ❑NO❑ CITATION# 4A0344201 CHARGE IMPROPER LANE USAGE s I o¢orrofi 36 Yes 15 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR D:2064599525 16� LAST NAME MEANS FIRST NAME DENNIS MIDDLE' INITIAL 17 F1 STREET ❑❑ 709 143RD PL SE CITY BELLEVUE ST, WA ZIP 980076761 4 37 NEW ADDRESS 18❑ CDL ; IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 38 INTERLOCKYES NO INTERLOCK YES NO YES NO'✓ 19 DRIVERS ' STATE WA SEX M D.o.a. 01 24 1979 � 39 LICENSE# MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJURY 1 NATURE OF INJURIES 40 21 LICENSEPATE# CLASS C14245T rare WA vIN# 1H9AAGAC3K1674264 41 22❑ PLATE# STATE PLATE# STATE E 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2019 MAKE �.`�.`C MODEL LET2 STYLE GG VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO CGOR LLC 7343 E MARGINAL WAY S SEATTLE WA 98108 D:2064599525 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO EVEREST DENALMALLIANT INS.SERVICES CF1CA00333-241 IN EFFECT &POLICY# I STOP vewaE ❑ ,.I—I CITATION11 CHARGE to BOTTOM EEGnEEY YES N 25 e OFFICER'S NAME(PRINT) 26 OFFICER PHONE BADGE OR ID# JAGENCY MATTHEW NUGENT 11498 WA0171300 PART A PAGE 01 OF 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE92379 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6786 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) KIMILE MARYW ADDRESS&PHONE N, D� 2646 NE 131ST AVE VANCOUVER WA 986846431 2064376559 SEXi F M D,O B.Y 09 - 27 - 1988 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1 POS. 3 2 4 1 USE 2 CLASS 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) TODD MICHAEL S ADDRESS R PHONE* D O B 12429 14TH AVE S BURIEN WA 981682244 2064599525 SEX M MMDDYYvr 10 - 17 _ 1967 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# 2 POS. ' 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----� :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 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. MATTHEW NUGENT 07-01-24 02:55 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 7/3/2024 8:23;04 AM BADGE OR ID# j 11498 ORI# WA0171300 TIME POLICE DISPATCHED 11:15 AM TIME POLICE ARRIVED i 11:17 AM PAST B 3 Do-3mx-attar gt 1Mffp PAGE 2�OF REPORT NO. EE92379 CASE# 24-6786 DATE OF COLLI r�510NN + 06/27/24 11:13 L1 NARRATIVE 24-6786 On 06/27/2024 at approximately 1115 hours, I was dispatched to a non-injury and blocking vehicle collision at the intersection of Sunset Boulevard North and Maple Valley Highway, within the City Limits of Renton, County of King, State of Washington. While en route, Dispatch advised that both involved parties were blocking the intersection. Dispatch advised that the involved vehicles were a front loader garbage truck and a Honda SUV. Upon arrival, I confirmed there were no complaints of injury from either of the involved parties at the time of report. While on scene, I was able to collect each involved party's information and independent summary of their involvement. The driver of Unit#1 said that prior to the collision, she and her 6 passengers (1 adult, 5 juveniles) were traveling southbound in about the 200 block of Sunset Boulevard North approaching the intersection of Maple Valley Highway in what she believed to be was lane 4 of 5. The driver of Unit#1 stated that she had intended to continue south towards the on-ramp to 1-405 southbound. The driver of Unit#1 stated that upon receiving a green light, Unit#1 proceeded straight forward. As Unit#1 entered the intersection, Unit#1 was met by Unit#2 which was traveling in the adjacent lane. According to the driver of Unit#1, Unit#2 had turn into her vehicle causing moderate damage to the passenger doors of The driver of Unit#2 said that prior to the collision, he and his adult passenger (co-worker) were operating a Commercial Garbage truck and were also traveling southbound in about the 200 block of Sunset Boulevard North in what he believed to be lane 4 of 5. The driver of Unit#2 stated he was intending to make an eastbound (left) turn onto Maple Valley Highway. The driver of Unit#2 stated that Unit#1 was not in lane 4 of 5 but actually in lane 5 of 5 which is a left-turn lane only. When the light changed to green, Unit#2 proceeded forward to make a left turn. According to the driver of Unit #2, Unit #1 proceeded straight ahead which would have been an illegal movement within the intersection as the traffic control legend indicated left-turn only for lane 5 of 5. Both vehicles made contact in the intersection causing minor damage to the front diver's side quarter panel and door of Unit#2. The occupants of Unit#2 stated that their company has several dash cameras installed on their Commercial Garbage truck vehicles. At the time of this writing, the footage has not been provided therefore I am not able to determine who the predominant factor for this collision was without knowing which lane each vehicle was in. Each driver claims they were in the proper lane (lane 4 of 5) and believes the other involved vehicle turned into them. Both Unit#1 and Unit#2 were able to be driven away without further incident. An exchange of information was provided to all involved parties. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer M. Nugent#11498 11:45 AM 7/1/2024 Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EE92379POLICE TRAFFIC 1 27 ... ^'� COLLISION REPORT CASE#i 24-6786 t113197 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ UNIT# 2 USDOT 2067700 ICC# VEHICLE TYPE 1 3 1 CARGO BODY 8 3 TYPE 2 ❑ 1 28 CARRIER NAME. CGOR LLC ..: 3 ❑ CARRIER ADDRESS 7343 E MARGINAL WAYS L CITY SEATTLE I ST, WA 71P', 98108 4 ❑ NAME I # PLACARD NAME IF NO NUMBER SOURCE 4 AXLES 03 GWVR 70000 + 4a ❑ ADDITIONAL UNITS UNIT MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ lJ VEHICLE CI ( CYCLE C) PEDESTRIAN C OWNER I_]ID FsF—1 NO MIDDLE; 29 LAST NAME FIRST NAME INITIAL STREET 30 NEW AnnRFSJ—jl CITY ST ZiP 6 1 CDL GNITION REQUIRED 1{iNi7iON PRESENT MEDICALTANSPORTED'. 1 31 I :: INTERLOCK YES NO INTERLOCK YES No YES N LICENSE STATE I SEX MMDDY Y' -C- 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NAruREofINJURIES USE CLASS 8 ❑ 1 32 LICENSE TAT UIN. PLATE# 9 TRAILER I I TRAILER L PLATE# STATE PLATE# STATE 0 10 ❑ TRLR TRLR VIN.#. VIN#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVr.VFHIOI F FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 � SHADE IN DAMAGED AREA 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO TOP IN EFFECT &POLICY# _..__`-'_.S m 34 13 vewc�e YES NO[jI CITATION# CHARGE 1080TTOM ecauv sTANoiNc MOTOR PEDAL_ ' PROPER' DAMAGE THRESHOLD MET PHONE 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO 36 15 LAST NAME FIRST NAME IN L 16 ❑ STREET �' CITY ST ZIP NFW AODREsa CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED. INTERLOCK YES NO INTERLOCK YES No :YES NO ❑ 17 37 LLIICENSE# STATE SEX MMID g - C-----� 18 ❑ ❑ HELMET INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS. 19 ❑ ❑ 39 LICENSE TAT vIN# PLATE# 20 TRAILER TRAILER 40 PLATE#. STATE PLATE# STATE ❑ 21 ❑ TRLR TRLR 41 VIN#�, VIN#:: 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUET ABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAC ED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# 7c;Q S. 44 vewc�e ❑ ❑ CITATION# CHARGE 24 I..EGALLY YES NO STIWDING 8 3 G 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. MATTHEW NUGENT 07-01-24 02:55 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR ID# 11498 O#RI WA0171300 APPROVED BY 713312024 PAGE�OF 3000-345-013(R 11/18) REPORT NO. EE92379 CASE# 24-6786 DATE AND TIME 06/27/2411:13 OF COLLISION M'. y u PAGE 5 OF 5