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HomeMy WebLinkAbout24-7195 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-7195 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 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 - 10 - 2024 0553 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ e✓ --- ----� SB 1405 MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) BLOCK NO. 5❑ 100 00 FMILES EET e S ❑ W e N SOUTHPORT DR 0 3 29 R PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ,/No D:2532138903 0 3 30 6� LAST NAME SONG FIRSTNAME PETER MIDDLE Y 1 F 2 31 INITIAL STREET ❑, 706 137TH ST S CITY TACOMA ST WA 2jp, 984443432 z= 'NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVERSCENSE STATE WA SEX'M MI DAY' 05 - 23 - 1997 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� BRt4354 sTArI WAurN# 1HGCR2F31HA054477 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. RLR 1 7 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 7 34 13 1 2017 HOND ACCOR DAMAGE YES NO YES❑ No✓ REGISTERED OWNER INFO JOO SONG 706137TH ST S TACOMA WA 98444 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE NPOLICY E CO NATION WIDE 7246J 057718 4 LI EFFECT &POLICY# TOPVEHICLE CHARGE 36 LEGALL'YYes❑NO CITATION# <1�3 OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:4259197780 16 a LAST NAME CHAN FIRST NAME DANY MIDDLE N INITIAL 17❑ STREET ❑', 23911 3OTH DR SE CITY' BOTHELL ST WA ZIP 980216953 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOF INTERLOCK YEs It I NOF YES t t— l NO❑ 19 F] LDI IVER # STATE WA ]SEX IF M DDY D.C.B. O6 1_ 25 _ 1976 El 39 WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE BXE1900 TAre WA VIN1t USE ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2021 MAKE JEEP MODEL WRANGL STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO DANYCHAN2391130THDRSE BOTHELL WA98021 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU PORGY#E CO STATE FARM 554 9197780IN 1 9TOP VE""LE ❑ Nu,J CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES $ ' 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE97369 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7195 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' On July 10, 2024, at 0553 hours dispatch requested that I respond to a collision that occurred at the off ramp of N Southport Dr and 1405, in the city of Renton. Upon contact, I spoke with the driver of unit 2, a Jeep Wrangler (WA/BXE1900). The driver explained they were exiting the northbound offramp from i405 to N Southport Dr. While they attempted to merge left from the number one lane on N Southport Dr, they began to slow down in the traffic lane. While they slowed and waited for traffic in the number 2 lane to pass by, they were rearended by unit 1. Unit 2 sustained minor damage to their rear bumper. The hanging rear tire on the back of the vehicle took most of the damage. I then spoke with the driver of unit 1 and they explained they were also exiting i405 to N Southport Dr. The driver failed to see unit 2 stopped in their lane, hitting the back of the other vehicle. Unit 1 sustained moderate damage because the radiator, front bumper, and hood were pushed in towards the center of the vehicle. Unit 1 was towed away by Bankers Towing. Based on the information above, I believe unit 1 was either distracted by something, or he was following to closely. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 07-19-24 12:18 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 711912024 2:05:19 PM BADGE OR ID# 12007 OR]# WA0171300 TIME POLICE DISPATCHED', 5:57 AM TIME POLICE ARRIVED',6:03 AM PART I PAGE IT]OF REPORT NO. EE97369 CASE# 24-7195 DATE AND TIME 07/10/24 05:53 OF COLLISION r 14 t � M, c,.:�, 3 PAGE 3 OF 3