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HomeMy WebLinkAbout24-7525 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-7525 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 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 CITY#
COLLISION' 07 - 18 - 2024 1801 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW 43RD ST BLOCK NO. e✓ 200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e EAST VALLEYHWY
0 4 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES
No ,/ D:2085823153 0 11
30
6❑ LAST NAME YOW FIRSTNAME ISAAC MIDDLE T 1 1 2 31
INITIAL
STREET ❑ 888 WILLIAMS LAKE RD LOT B CITY COLVILLE ST WA ZIP 99114 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO,/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
LOB 11 1- 12 - 1998 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 5 1 CLASS NATURE OF INJURIES z❑
3
10 9❑ P1 ATE 14 CMA8277 STATE WA u N#
TRAILER TRAILER STATE
STATE
11 0 0 PLATE# PLATE# FROM To
TRLR. TRLR 3 5 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR1990 SUBA LEGSW 4H MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 3 TOWED By GOVT.VEHICLE 34
13 4 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VawcLe CHARGE 1 5 36
LE�ALLr re8 No CITATION# 4A0246135 OP MOT VEH W/OUT INSURANCE o aorrom
15❑ �STA""
G 8 7 6
MOTOR PEDAL- '..PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2069723845
16 a
LAST NAME TUGADE FIRST NAME AUSTIN MIDDLE R
INITIAL
17❑ STREET ❑' 6467 S 118TH ST CITY SEATTLE ST WA ZIP 98178 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LICENSE# STATE WA SEX M MMDDW 09 _ 22 _ 1990 0 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE 9 1
CLASS ❑
21❑ LICENSE A VN4986 TATe WA VIN# 4S3BMAA62E1028177
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
LE Y
TOWED eY GOV HI 44
VEH YEAR 2014 MAKE $(JB�Q MODEL LEGACY STYLE $D DAMAGE TO WED NOO✓ BLIN YES
NO,/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE I PORGY#E CO STATE FARM 378 6176-AO9-47BIN 1URVE"LE
❑ ,J� CITATION# CHARGELEGALYYES N
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
SITIVEN/TAMAIVENA 12812 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF02475
COLLISION REPORT III III III III III 111
1591972 CASE# 24-7525
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SANCHEZ JESSICA A
(/AST FIRST,
ADDRESS&PHONE# D O.B.
6467 S 118TH ST SEATTLE WA 98178 SEX' F MMDDYYYY 12 - 02 - 1991
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 2 POS. 3 2 9 1 USE 9 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) I TUGADE MARIETA E
ADDRESS&PHONE# D O B
6467 S 118TH ST SEATTLE WA 98718 SEX F MMDDYvvv 07 _ 13 _ 1961
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS. 9 AIRBAG 2 RESTR. 9 EJECT 1 USE 9 CLASS 1
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.
S/TIVENI TAMAIVENA 07-22-24 08:06 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 81512024 2:22:52 PM
BADGE OR ID# ! 12812 OR]# WA0171300 TIME POLICE DISPATCHED 6:05 PM TIME POLICE ARRIVED',6:15 PM
PART I PAGE IT]OF 4�
REPORT NO. EF02475 CASE# 24-7525 OF COLLISION
07/18/24 18:01
OF CbLLI510N
NARRATIVE
On 07/18/2024, at approximately 1801 hours, while employed as a uniformed Patrol Officer for the
City of Renton, I was dispatched to an accident at SW 43rd St and East Valley Hwy, within the City of
Renton, County of King, State of Washington
The Driver of Unit 2 is Tugade, Austin R (DOB 09-22-1990). Tugade is the registered owner of a 2014
Subaru Legacy with license plate WA/AVN4986.
The Driver of Unit 1 is Yow, Isacc T (DOB 11-12-1998). Yow is the registered owner of a 1990 Subaru
Legacy with license plate WA/CMA8277.
Unit 2 stated he was traveling on SW 43rd St, going eastbound in lane 1. While traveling eastbound,
he did not see the Unit 1 vehicle turning into the gas station from lane 4, which is the median lane. As
Unit 2 continued eastbound, Unit 1 struck his vehicle.
The driver of Unit 1 stated that he was in the median lane turning left into a gas station. He observed
two vehicles stopped in lane 2 and lane 3. He stated that a driver from lanes 2 or 3 gave him the
signal to cross them. While crossing lanes 2 and 3, he did not see Unit 2 traveling in Lane 1 and
struck Unit 2. Unit 1 stated that it was his fault. I advised Unit 1 that he must be aware when crossing
major streets because they have the right of way.
Unit 1 was cited for no insurance. He understood that he would receive his ticket by mail.
There were no injuries.
There was minimal damage to Unit 2 and Unit 1's vehicle.
My Axon camera was on for this call.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer Si. Tamaivena #12812,
July 22, 2024, at 1910 Renton, WA.
PAGE 3 OF 4
REPORT NO. EF02475 CASE# ' 24-7525 DATE AND TIME 07/18/24 18:01
OF COLLISION
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PAGE 4 OF 4