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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 r., awk r s n i., y ✓SS\' s A t' ..:: ^,•. ���, i fi it tSY S v � t 3" i .: rtrt�tu�•t� � ��f ` ^� 's, t� as" � ;V. Ct� �,.,: ,y *5,'.•�:.SS ;��`�„'�4`�;L. ,'a'��Y��a .. ,aaA�u�h4�,t�«..,.a`b �. � 'ic ':. � „a` ra.��ztvu;uT�aza atu�uU�a+.er..a��u r,xa;�`��.„�7 ';t v'a'�.�6�,,��v,�a�mS.`vira, nar�`:�•mu�et�;u� ..ac ss�af<' PAGE 4 OF 4