HomeMy WebLinkAbout24-6969 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 2 27c
COLLISION REPOFIT 1591971
SASE 24-6969 2❑
INTERSTATE ❑ CITY STREET El
1❑
STATE ROUTE ❑ OTHER ❑ LOCAL AGENC 4Y00 3❑
CODING
COUNTY RD ❑ PRIVATE WAY ❑
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 07 - 1-- 2024 1411 17 ❑.= S 8 IN a 1070 3❑
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ ❑ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET ❑ S ❑ VV❑ OAKESDALE AVE SW
0 5 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:6026635182 0 7 30
6❑ LAST NAME HODSON FIRSTNAME KENNETH MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 241 BRISTLECONE CT CITY MONTROSE ST CO Zjp', 814030000 z❑
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3❑
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ LRIIVER # STATE CO 03 SEX'M MI B Y' - 05 1- 1954 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET I ICNLJAURY 1 NATURE OF INJURIES z❑
❑P1 ATE 14 DFC947 STATE CID VIN# YV1622FS3C2139986 3
10❑
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR. YRLR 3 3 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T/yj�)��p/ggY GOVT.VEHICLE J 9 34
13 2 2012 VDLV S6U DAMAGE YES NO �"-"--"TE YES❑ NO✓
REGISTERED OWNER INFO KENNETH HODSON.1 BRISTLECONE CT MONTROSE CO 814030000 D:6026635182 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE INSURANCE CO SAFECO Y8900489
IN EFFECT &POLICY# 9TOP
❑ LEGALLYE LE CHARGE I 5 36
15 2 YES❑No❑ clTAnoN# gg0361535 PROHIBITED U TURN o aorrob
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES 1/ NO
VEHICLE CYCLE OWNER
16❑
LAST NAME WE►LER FIRST NAME DAISHA MIDDLE I S
INITIAL
17❑ STREET ❑', 1203 N 10TH PL APT 1234 CITY' RENTON ST WA ZIP 980575472 37
NEW ADDRESS ❑
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑INOR INTERLOCK YEs It I NOF YES t t- l NOF
19❑ DRIVER # STATE WA SEX F M .C... 09 ❑_ 22 _ 1995 ❑ 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY[:I] STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I CEB5804 TATe WA vIN# SALYL2RV5JA760501
❑ 41
PLATE#
22❑ PLATE# STATE PLA 42
TE# STATE
❑
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE LNDR MODEL RANGE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO NATHANAEL VIEIRA 1205 N 10TH PL APT 2329 RENTONWA 98057 VEHICLE NO.2
SHADE IN DA GEbAREA
z Cdd
INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. I LEGAL25 GQ
LY YES❑ N❑
❑ s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF ❑❑
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE94139
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6969
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'
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 07-09-24 09:54 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 7/9/2024 1:24:14 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 2:13 PM TIME POLICE ARRIVED',2:14 PM
PART I PAGE IT]OF 4�
REPORT NO. EE94139 CASE# 24-6969 OF COLLISION
07/03/24 14:11
OF CbLLI510N
NARRATIVE
wht suv/Itl stop slv suv u turn
CC
Within the city limits of Renton/King/WA I responded to a 2 car crash near the intersection of SW
Grady Way at Oakesdale Ave SW. The crash initially came out as a blocking crash where both
drivers moved their cars from the roadway and canceled my response. Later calling me back. In that
amount of time unit 1 had already had his car removed from the area by a private tow company. He
remained on scene on foot.
I contacted the driver of unit 2 who told me she was stopped in the left turn lane about 1-2 car length
back from the intersection when unit 1 crashed into the side of her stopped car. She did not complain
of injury and damages did not require a tow truck.
I contacted the driver of unit 1 ID'd by matching picture CoDL/Hodson. Unit 1 told me he was visiting
from Colorado and told me he was attempting to make a U-turn from westbound lane 2 SW Grady
Way. He told me he was hit by unit 2 while attempting this illegal turn. He also told me he he was not
near the intersection and pointed to a location on the road, which did not align with debris left from the
impact between the two cars. Hodson/unit 1 did not complain of injury. His vehicle was towed prior
to my arrival.
I contacted unit 2 again and she assured me she was completely stopped when contacted by unit 1.
She also said she had been stopped for a moment and had not just come to a stop. She was
established in her lane lawful upon the roadway.
I cited unit 1 ref RCW 46.61.295 unlawful U-turn 2 car crash via complaint.
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 7/9/2024
PAGE 3 OF 4
REPORT NO. EE94139 CASE# ' 24-6969 DATE AND TIME 07/03/24 14:11
OF COLLISION
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