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HomeMy WebLinkAbout24-7519 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-7519 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28 UNITS RESERVATION I I STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 07 - 18 - 2024 1540 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ MAPLE VALLEY HWY BLOCK NO. e✓ 12900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 550 00 FEET e S B W e 131STAVESE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:2532220890 0 6 30 6� LAST NAME PARKINS FIRSTNAME JUDITH MIDDLE L 1 1 2 31 INITIAL STREET ❑, 24504 148TH LN SE CITY KENT ST WA 2jp, 980424139 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES z❑ USE CLASS COMPLAINT OF NECK AND BACK PAIN 3 10 9❑ Pi ATE 14 BZE6421 STATE WA VIN#' 1GKEK63UO3J333397 TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# Rom ro TRLR. TRLR 8 4 33 12 4 0 VIN#' VIN# >;.F oFROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE $ 4 34 13 2 2003 GMC YUKON DAMAGE vES 0NO f �AWkkRS vEs❑ No REGISTERED OWNER INFO CHARLES PARKINS...148TH LN SE KENT WA 98042 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ABILI V INSURANCE INSURANCE CO STATE FARM 200 0378-D22.47A 4 IN EFFECT &POLICY# TOP'E"CLE CHARGE36 LABILLv res❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2067698533 16 a LAST NAME MAGNO FIRST NAME REYNALDO MIDDLE O INITIAL 17❑ STREET ❑', 155 GLEN PL SE CITY' RENTON ST WA ZIP 980568888 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES F% NO❑ 19[—] DRIVER'S STATE WA SEX M D.O.B. 02 _ 17 1971 El 39 LICENSE# MMDDYY —NATURE OF INJURIES W USE LASS 7 Y COMPLAINT OF HEAD PAIN ❑ 40 20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 21❑ LICENSE I CBM2099 TATe WA VIN# 7SAXCBE51NF332935 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2022 MAKE TESL MODEL MODEL X STYLE VEHICLE TOWED TO BLIN TOWED By GOV HI 44 24❑ DAMAGE YES" NO BANKERS YES NO REGISTERED OWNER INFO REYNALDO MAGNO 720 N 10TH STREET RENTON WA 98057 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE &POLICY#E CO SAFECO H2514893IN 1 9TOP VEHICLE ES[:] C[:] CITATION# CHARGE i o BOTTOM LEGALLY YN 25 $ ' 7.FF1CJEO-S NAME(PRINT) OFFICER PHONE BADGE OR ID# ��A NCY 26 HNSON 0505 0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE99213 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7519 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MAGNO ROCHELLE G (LAST FIRST, ADDRESS&PHONE# D O.B. ' 155 GLENNWOOD PL SE RENTON WA 980568888 2063904255 SEXi F MMDOYyry 10 - 03 - 1980 SEAT HELMET INJURY NATURE OF INJURIES PASSENGERWITNESS❑'UNIT# 2 POS. 3 AIRBAG 2 RESTR. q EJECT 1 USE CLASS 17 COMPLAINT OFSTOMACHPAIN NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D 0.8 SEX MMDDYVYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. CO.JOHNSON 07-19-24 12:56 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 7/25/2024 3:36:30 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 3:45 PM TIME POLICE ARRIVED 3:45 PM PART I PAGE IT]OF 4� REPORT NO. EE99213 CASE# 24-7519 OF COLLISION 07/18/24 15:40 OF CbLLI510N NARRATIVE On 07-18-2024 at about 1543 hours, I was northbound in the 12900 block of Maple Valley Highway (SR 169) in the City of Renton, County of King, Washington State. I observed traffic stopped in the southbound lanes and what appeared to be a 2-vehicle collision in lane #1 (of 2). 1 activated my overhead emergency lights and conducted a U-turn in order to get behind the vehicles. The driver of Unit 02 was identified by WADL and seated in the driver seat of the vehicle. The driver said he was wearing a seatbelt and complained of head pain as a result of the collision. Unit 02 was southbound in lane #1 when he observed traffic ahead slowing and backing up due to a signal light. The driver applied his brakes and began slowing when his vehicle was struck from behind by Unit 01. The front passenger of Unit 02 was outside the vehicle and talking to dispatch when I approached the vehicle. The passenger said she was wearing her seatbelt and complained of stomach pain as a result of the collision. Both occupants of Unit 02 were evaluated by RRFD personnel at the scene and later transported by ambulance for additional medical treatment. The driver of Unit 01 was identified by WADL and seated in the driver seat of the vehicle. The front airbag of Unit 01 was deployed. The driver said she was wearing a seatbelt and complained of neck and back pain as a result of the collision. Unit 01 was southbound in lane #1 and following behind Unit 02. The driver of Unit 01 was unable to articulate what lead up to the collision. The driver of Unit 01 said she works near the collision location, regularly drives along Maple Valley Highway and knows that traffic can back up in the area. I observed extensive damage to the rear of Unit 02 and front of Unit 01. The vehicles were engaged with each other when I arrived and later separated after the tow trucks arrived. The damage to both vehicles was consistent with the information provided by both drivers. Both vehicles were towed by Bankers Towing. The proximate cause of the collision was the driver of Unit 01 failing to recognize traffic to the front slowing to a stop. The driver of Unit 01 drove in an inattentive manner with a lack of attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or traveling on, or entering the roadway in time to take appropriate action as circumstances require. Were it not for the actions of the driver of Unit 01, the collision would not have occurred. During this incident I was wearing a body camera and my patrol vehicle was equipped with an in-car video system with forward-facing camera and camera in the rear passenger compartment. Portions of this incident were recorded. This report is a summary of the incident and not intended to be an exact transcription of the investigation or what may have been captured with the recording systems. No citations or infractions issued. Report for information and insurance. PAGE 3 OF 4 REPORT NO. EE99213 CASE# ' 24-7519 DATE AND TIME 07/18/24 15:40 OF COLLISION v w 'S a n,. z PAGE 4 OF 4