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Home My WebLink About24-10701 j ITFC II IIIII III IIIII II IIII IIIII I . 27I OOLCERAF EF25117 COLLISION REPRT 1591971 CASE# 24-10701 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4100 3 COUNTY RD NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E cDLLISION' 10 - 13 - 2024 1902 17 =.�� S WE IN OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION NE SUNSET BLVD BLOCK ST e 4a MILE POST 3100 .� ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 150 00 FEET e✓ S 8 W e NE 12 ST 0 4 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:7812981345 0 1 30 6 LAST NAME YU FIRST NAME YAOLIN MIDDLE 1 1 2 31 INITIAL STREET 5932 28TH AVE S CITY SEATTLE ST WA ZIP 98108 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYES ND�/ INTERLOCKYEs Na�/ YES NO�/ 8 DRIVECEN # STATE MA SEX M MMOCSYY' 04 — 27 — 1977 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEET CLASS 1 NAruRE of INJURIES 2 LICENSE, CGS0823 srarE WA vN# 1C4RJFCTXCC287590 3 10� PI ATP rt TRAILER STATE TRAILER ..STATE 11 3 5 PLATE# PLATE# FRON TO TRLR TRLR 5 7 33 12 3 5 VIN# VN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GO VT,VEHICLE 1 5 34 13 4 2012 JEEP GRAND SV DAMAGE ves ✓ No � �MEYER ves� No REGISTERED OWNER INFO YAOLIN YU 20524124TH STREET CTE BONNEY LAKE WA 98391 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ INSURANCE CO 4 14 STATE FARM 5444715B2747A IN EFFECT &POLICY# 9TOP CHARGE 5 36 Lemur yes❑NO❑ CITATION# 7 0 80TTOM 15❑ STM ING s 7 e III MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT Q2 VEHICLE CYCLE OWNER YES,/ NO D:2064780817 16� LAST NAME BUEZO LEIVA FIRST NAME RAUL MIDDLE' INITIAL STREET ❑ 37 17� NEW ADORE SS'❑ 755 VASHON PL NE CITY I RENTON ST, Wq ZIP 980594714 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs No INTERLOCK YES No YEs No 19 DRIVER # STATE WA SEx,M MD.MDDIY 08 07 1976 ❑ 39 HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICEN LATE� BCW8483 rarE WA vIN# 2HNYD2H22BH526146 41 22❑ TILER PLATE# STATE TILER PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2011 MAKE ACUR MODEL MDX STYLE SV VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE vEs�/ No GENE MEYER REGISTERED OWNER INFO RAUL BUEZO LEIVA 755 VASHON PL NE RENTON WA 98059 VEHICLE NO,2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO NONE IN EFFECT &POLICY# 4TOP veeioLe CITATION# 4A0452430 CHARGE OP MOT VEH W/OUT INSURANCE �o eorTom LEGnLLr YES❑ NC❑ 25 a OFFICER'S NAME(PRINT) OFFICER PHONE TADGEOR ID# AGENCY 26 HANSEN HSU 651 WA0171300 PART A PAGE 01 OF 3000-345-159(R 11/181 POLIICFETRAFFICN CORRECTION REPORT NO. EF25117 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10701 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL} MONTTERO VEGA CHRISTOPHER (LAST,FIRST ADDRESS&PHONE# DOB 755 VASHON PL NE RENTON WA 98059 SEX' M MMDDYYYv 02 — 15 — 2010 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES El 2 POS. 7 1 4 1 USE CLASS '1 ---� 'NAME LAsr F RST,MIDDLE INITIAL) BUEZO DANIEL ADDRESS&PHONE# 755 VASHON PL NE RENTON WA 98059 SEX' M MMDDYYYY _ 23 _ 2010 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER z WITNESS UNIT# 2 POS. 8 AIRBAG 1 RESTR. 2 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) TOBAR MOMSERRATH ',(LAST,FIRST, AQQREss&PHONE# 755 VASHON PL NE RENTON WA 98059 SEX M 01 _ 29 _ 2008 D.O.B. MMDDYYYY PASSENGER Z WITNESS UNIT# 2 SEAT 9 AIRBAG 1 RESTR. 4 EJECT 1 HELMET NJURY 1 NATURE OF INJURIES Q POS. USE CLASS NARRATIVE Unit 1 traveling north along 3100 block of NE Sunset Blvd, in center turn lane making left turn into private driveway. Unit 2 traveling south along 3100 block of NE Sunset Blvd. Unit 1 fails to yield right of way left turn to Unit 2 causing reportable disabling front end damage to both vehicles, No injuries reported save for the front passenger of Unit 2 who complain of chest pain and was treated on scene by Renton Fire. Unit 1 driver reported that Unit 2 driver did not have his headlights illuminated during hours of darkness and hence did not see Unit 2. Unit 2 driver asserts he did have his headlights illuminated. No persons not involved with the collision actually witnessed said collision. Unit 1 remains proximate cause of collision. Unit 2 driver was only cited for no proof of valid vehicle insurance. Both vehicles privately impounded from scene. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. HANSEN HSU 10-13-24 08:19 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE 10/16/2024 4:26:59 PM P.SUMMERS 8887 BADGE OR ID# 12651 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:08 PM TIME POLICE ARRIVED 7:11 PM PART B 3 Da-3m5-,aa(R11raa) PAGE 27 OF 47 POLIICFETRAFFICN CORRECTION REPORT NO. EF25117 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10701 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL} LOPEZLEVERON ELDEMA (LAST,FIRST ADDRESS&PHONE# DOB 755 VASHON PL NE RENTON WA 98059 SEX' F MMDDYY'Y 11 — 12 — 1974 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER�WITNESS UNIT# 2 POS. 3 AIRBAG 6 RESTR. 4 EJECT 1 USE CLASS '7 CHESTPAIN 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. — L----------� MMDDYYYY PASSENGER F]WITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M —T L----------� MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q' POS. USE CLASS r— ----� NARRATIVE Unit 1 traveling north along 3100 block of NE Sunset Blvd, in center turn lane making left turn into private driveway. Unit 2 traveling south along 3100 block of NE Sunset Blvd. Unit 1 fails to yield right of way left turn to Unit 2 causing reportable disabling front end damage to both vehicles, No injuries reported save for the front passenger of Unit 2 who complain of chest pain and was treated on scene by Renton Fire. Unit 1 driver reported that Unit 2 driver did not have his headlights illuminated during hours of darkness and hence did not see Unit 2. Unit 2 driver asserts he did have his headlights illuminated. No persons not involved with the collision actually witnessed said collision. Unit 1 remains proximate cause of collision. Unit 2 driver was only cited for no proof of valid vehicle insurance. Both vehicles privately impounded from scene. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. HANSEN HSU 10-13-24 08:19 PM INVESTIGATING OFFICER'S SIGNATURE UNIT ORDISTDET DATED PLACESIGNED APPROVED BY DATE 10/16/2024 4:26:59 PM P.SUMMERS 8887 BADGE OR ID# 12651 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:08 Pry TIME POLICE ARRIVED 7:11 PM PART IS 3aaa-345-,aa(R11Y1s) PAGE 37OF 47 REPORT NO. EF25117 CASE# 24-10701 DATE AND TIME 10/13/24 19:02 OF COLLISION r v # v v tq 1w 4 t PAGE 4 OF 4