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HomeMy WebLinkAbout24-7654 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF00344 170 27 COLLISION REP FIT 1591971 CASE 24-7654 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 07 - 1-- 2024 1320 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ DUVALL AVE NE BLOCK NO. e✓ 800 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2063315372 0 11 30 6� LAST NAME TRAN FIRSTNAME TAN MIDDLE 1 2 31 INITIAL STREET ❑, 627 RACHAEL PL CITY KENT ST 2jp, 98032 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10� P1 aT�S� BYX0777 sTATI WAurN# 3CZRU6H14MM741874 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 5 33 12 3 5 VIN#j VIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 1 $ 34 13 4 2021 HOND HR-V UT DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 1 5 36 LEGALLY YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4258025305 16 a LAST NAME QUAN FIRST NAME ADRIENNE MIDDLE Y INITIAL 17❑ STREET ❑', 4825 225TH AVE NE CITY REDMOND ST WA ZIP 98053 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19[—] LDI IVEW # STATE WA SEX F MMDDW 05 _ 10 _ 2001 0 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE AJW7888 TATe WA VIN# JTDKDT637C1020010 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. GoI VEH YEAR 2012 MAKE 7'Dy7' MODEL pRIUS C STYLE 4H —FEHICLE TOWED NOO✓ BLIN TOWED BY v HyES NO 44 24❑ fj REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE DAGED AREA 4 LIABILITY INSURANCE I POLICY#E CO PEMCO CA1889648IN IGQ'E""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 =Kl (PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12598 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF00344 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7654 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 POS. 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' On Saturday, July 20, 2024 at 1324 hours, I was dispatched to a two-vehicle collision in the area of the Duvall Ave NE and NE 7th St. The following occurred within the City of Renton, King County; Unit 1 - WA/ BYX0777was being driven by Tan Tran and headed south on Duvall Ave NE in the 800 block. Unit 2 - WA/AJW7888 was driven by Adrienne Quan and was traveling southbound on Duvall Ave NE in the 800 block. Tan stated he was driving southbound on Duvall Ave NE when he changed lanes and was struck by Unit 2. When asked for proof of vehicle insurance Tan was unable to provided proof of any kind at the time of the collision. Unit 2 was driving south in lane 2 when she observed the vehicle in front of Unit 1 slow to turn then Unit 1 swerved into lane 2 from lane 1 and collided with the front passenger side fender causing significant damage to both Unit 1 and Unit 2. Both involved sustained significant damage but, neither vehicle needed to be towed. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.WISNIEWSKI 07-20-24 03:07 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE PHILIP DAVIS 12018 7/30/2024 4:37:47 AM BADGE OR ID# 12598 ORI# WA0171300 TIME POLICE DISPATCHED! 1i24 PM TIME POLICE ARRIVED f 1:30 PM PART I PAGE IT]OF 3� REPORT NO. EF00344 CASE# ' 24-7654 DATE AND TIME 07/20/24 13:20 OF COLLISION i t gg� ) PAGE 3 OF 3