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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
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