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HomeMy WebLinkAbout24-7120 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c COLLISION REP FIT 1591971 CASE 24-7120 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� TOTAL#OF OBJECT 1 �2$ TRIBAL UNITS 01 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ Ct ELISION' 07 - 08 - 2024 0226 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BENSON RD S BLOCK NO. e✓ 1500 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 2❑ 2000 .= MILES FEET e S B W e EAGLE RIDGE DR S 0 1 29 R PEDAL- DAMAGE MOTO THRESHOLD MET PHONE UNIT 01 UEICLE ❑ CYCLE ❑ YES NO F/ I D:2069409869 30 6� LAST NAME RITCHIE FIRSTNAME KEVIN MIDDLE A 1 F 11 31 INITIAL STREET 01 1425 S PUGET DR 201 CITY RENTON ST WA ZIP 98055 z= NEW ADDRESS ❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 7 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES 1/ NO 8❑ LRIIVER # ON DUTY❑ STATUS' AIRBAG 2 RESTR 1 . EJECT 1 H USE 5 1 INJURY CLASS 6 [NATURE OF INJURIES SCRAPES AND ARM PAIN z❑ 3 LICENSE 9G3339 sTArI WAurN# JH2PC2132FM302470 10❑ PI ATE# ----� TRAILER STATE TRAILER STATE 11 3 5 PLATE# I PLATE# I FRom To TRLR. TRLR m 33 12❑ VIN# VIN# 1996 HOND VT600C MT pL�a �34 ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE 13 2 DAMAGE YES NO �/ YES[:] HI REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14❑ LIABILITY INSURANCE❑ INSURANCE CO 4 IN EFFECT &POLICY# 9TOP LEGA LE CHARGE 5 36 LECALLv res❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 8 7 6 UNIT a2 VEHICLEMOTOR ❑ CYCLE ❑ PEDESTRIAN ❑ OWNER PEDAL- P RTY ❑ DYES NO OLD MET PHONE 16❑ LAST NAME FIRST NAME MIDDLE INITIAL STREET CITY' ST ZIP 4❑ 37 17❑ NEW ADDRESS❑' 18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38 INTERLOCKYES�NOF INTERLOCK YEs I I NOF YEs t l NO❑ 19 LLIICENS # STATE SEX MMODYY —�_ 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ TArE 41 IN#LICENSE V 1 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO 1 9TOP 5 VE—LE ❑ ,D CITATION# CHARGE io BOTTOM LEGALLY YES N J 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 STEVEN FAJARILLO 12847 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE93554 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7120 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 PM 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. STEVEN FAJARILLO 07-08-24 03:21 AM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.THIELMAN 11462 7/8/2024 4:55:16 AM BADGE OR ID# ( 12847 ORI# WA0171300 TIME POLICE DISPATCHED! 2:27 AM TIME POLICE ARRIVED',2:28 AM PART I PAGE IT]OF 4� REPORT NO. EE93554 CASE# 24-7120 OF COLLISION 07/08/24 02:26 OF CbLLI510N NARRATIVE 24-7120 This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 07-08-2024 1 was working as a police officer in the city of Renton. At approximately 0227 hours I was dispatched to the report of a collision on Benson Rd S at the 405 intersection, City of Renton, County of King, WA. This incident was captured on my department issued Axon body camera. According to the notes in the call, there was a one motorcycle collision and the rider had arm pain. I arrived on scene and contacted the reporting party and rider, Kevin A Ritchie (DOB: 04-24-1967). He was the registered owner of the involved motorcycle, a black 1996 Honda VT600 (WA/9G3339). Kevin explained he was riding south on Benson Rd S when he lost control and fell. Kevin advised there were no distractions, road hazards, or other vehicles that caused him to lose control. There was minor damage to the right side of the motorcycle. I photographed the scene and motorcycle and uploaded the pictures to Evidence.com. Kevin had scrapes on his extremities and right arm pain. He was transported to the hospital by ambulance. Kevin requested we leave the motorcycle where it was located, and he would arrange to pick it up later. The ambulance was moved to the sidewalk where it was not impeding vehicle traffic. I provided Kevin with a case number. There was no crime. There is no further information. I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Electronically signed by S. Fajarillo #12847 on 07/08/2024 a@ 0313 hours in Renton WA. PAGE 3 OF 4 REPORT NO. EE93554 CASE# 24-7120 DATE AND TIME 07/08/24 02:26 OF COLLISION Ae t t A w as* U PAGE 4 OF 4