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Home My WebLink About24-7259 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 24-7259 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&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# cawsloN 07 - 11 - 2024 1851 17 �. S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW 43RD ST BLOCK NO. e✓ 1100 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e OAKSDALEAVE SW 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2063318165 0 81 30 6� LAST NAME SURAPISITCHAT FIRSTNAME RAMPAI MIDDLE 1 2 31 INITIAL STREET ❑ 14600 SE 176TH ST UNIT M1 CITy RENTON ST WA 2jp, 980588920 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ PI ATE S� AJU8838 sTArI WAvIN# KMHCU5AE9DU074620 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR 2013 HYUN ACCENT 4D MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR YMEYERS GO VT.VEHICLE 9 9 34 13 4 DAMAGE YES NO � YES❑ NO✓ REGISTERED OWNER INFO MANOP SURAPISITCHAT 14600 SE 176TH ST UNIT MI RENTON WA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ABILI V INSURANCE INSURANCE CO STATEFARM 0677952E24471 3 4 IN EFFECT &POLICY# 9TOP VEHCLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# W24011652 INATTENTIVE DRIVING I o eorrom 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN : PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO DD 2066129657 16 a LAST NAME CALMET LEON FIRST NAME ALFREDO MIDDLE I A INITIAL 17❑ STREET ❑', 17677 134TH LN SE CITY' RENTON ST WA ZIP 980586817 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LDI IVER # STATE WA SEX M MMDDW 10 _ 01 1969 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE BST3068 TAre WA vIN# 5J8TC2H65LL013307 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2020 MAKE ACUR MODEL RDX STYLE SV VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO GENE MEYERS YES NO REGISTERED OWNER INFO ALFREDO CALMET LEON 17677134TH LN SE RENTON WA 98058 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE &POINSURGY#E CO SAFECO INSURANCE H2161257IN I STOP 'E""LE CITATION If CHARGE LEG 25 i o BOTTOM ALLY YES N� ❑ s =UGENT PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 11498 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE97374 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7259 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. MATTHEW NUGENT 07-18-24 06:53 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 711912024 2:45:57 PM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 6:53 PM TIME POLICE ARRIVED',7:00 PM PART I PAGE IT]OF 4� TIME REPORT NO. EE97374 CASE# 24-7259 OF COLLISION07/11/24 18:51 NARRATIVE 24-7259 On 07/11/2024 at approximately 1853 hours, I was dispatched to an unknown-if-injury and blocking two-vehicle collision at the intersection of SW 43rd Street and Oakesdale Ave SW, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring immediate medical response at the time of report. There, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit#1 (SURAPISITCHAT) said she and her two passengers were traveling westbound in about the 1100 block of SW 43rd Street just east of the intersection of Oakesdale Ave SW. The driver of Unit#1 stated she was traveling directly behind Unit#2 and saw as Unit#2 was coming to a stop at the intersection. The driver of Unit#1 stated that she attempted to stop her vehicle in time but was unable to and subsequently collided with the rear of Unit#2 causing significant damage to the front of Unit#1. The driver of Unit#2 (CALMET LEON) said he was the sole occupant of his vehicle and also traveling westbound in about the 1100 block of SW 43rd Street just east of the intersection of Oakesdale Ave SW. The driver of Unit#2 stated he had come to a stop at the intersection. While Unit#2 was stopped, Unit#1 collided with the rear of Unit#2 causing moderate damage. Based on the above statements, 1 determined that the Driver of Unit#1 (SURAPISITCHAT) is the proximate cause for the collision due to inattention causing a collision. SURAPISITCHAT should have been paying closer attention to the movement of traffic in front of her. I issued SURAPISITCHAT a written warning for Inattention. Both Unit#1 and Unit#2 had to be towed due to extensive damage. An exchange of information was provided to all involved parties. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer F. LAST#11111 7/18/2024 6:38 PM Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EE97374 CASE# 24-7259 DATE AND TIME 07/11/2418:51 OF COLLISION 44 ' s n z re�' � r PAGE 4 OF 4