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HomeMy WebLinkAbout24-7716 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE99549 170 27 COLLISION REP FIT 1591971 CASE 24-7716 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.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 N E IN CITY# cawsloN 07 - 1-- 2024 1214 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 3RD ST BLOCK NO. e✓ 1000 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e HOUSER WAYS 2 0 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2065861881 0 11 30 6� LAST NAME QUEZADA FIRSTNAME MIGUEL MIDDLE INITIAL 1 2 31 STREET ❑ 3723 S 180TH ST B23 CITY SEATAC ST WA 2jp, 98188 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 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� CHU6326 sTArI WAVIN# 2D8HN44E19R532394 IT STATE TRAILER STATE 11 0 0 PLATE# I PLATE# FROM ro TRLR. TRLR 7 3 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR 2009 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 DODO CARAVA VN DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO MIGUEL QUEZADA 3723 S 180TH ST B23 SEA TAC WA 98188 D:2065861881 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 950146934 IN EFFECT &POLICY# 9TOP VEHICL' 15❑ EC 1 5 36 LALLv YES❑NO❑ CITATION# CHARGE 1 o BOTTOM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:4255771173 16 2 LAST NAME MANAEA FIRST NAME TATIANA MIDDLE M INITIAL 17❑ STREET I47TH PL SE CITY' RENTON ST WA ZIP 98059 4❑ 37 NEW ADOREs�' 14224 1 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INERLOCKYEs❑No� INTERLOCK ves No� YEs NDF 19 DRIVERS# {NJURY 6 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 USE 2 CLASS SORE HIP AND NECK ❑ILICENSE 21❑ PLA E# BTF4635 TAre 41 WA VIN1 WDDHF8J87G6189332 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2016 MAKE MERZ MODEL E CLASS STYLE SO VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO TATIANA MANAEA 14224147THPL SE RENTON WA 98059 D:4255771173 VEHICLE NO.2 SHADE DA GEbAREA LIABILITY INSURANCE INSU&PORGY#E CO ALL STATE 807 609 554IN I 5 VE LEGwcLE ❑ ,J� CITATION# CHARGE 25 GQ ALLY YES N`L J s � e =RSE PRINT) OFFICER PHONE BADGE OR ID# 771�NCY 26 12994 0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. EE99549 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7716 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SERRATO MARIELA (LAST FIRST, ADDRESS&PHONE# D O.B. ' 3723 S 180TH ST B23 SEATAC WA 98188 2065861881 SEXi F MMDDYyry 09 - 03 - 1993 PASSENGER Z WITNESS UNIT# j 1 SEA 3 AIRBAG 12 RESTR. 4 EJECT ? 1 HELMET LASS NATURE OF INJURIES USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) :: SERRATO MARCELA ADDRESS&PHONE# DOB 3723 S 180TH ST B23 SEATAC WA 98188 SEX: F MM 0-:vB v 11 _ 02 _ 2021 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 1 POS 9 AIRBAG 2 RESTR. 10 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) SERRATO ISAIAS ADDREss PHONE# 3723 S 180TH ST B23 SEATAC WA 98188 SEX M 11 02 _ 2021 . D.O.B.M _ MDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 7 AIRBAG 2 RESTR. 10 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES ❑ POS. USE GLASS NARRATIVE' On 07-22-2024 at 1215 hours I was dispatched to a collision at S 3rd St and Houser Way S in the city of Renton, King County WA. I arrived on scene and spoke with the driver of unit 1, Miguel Quezada who told me the following: Quezada was driving eastbound when he changed lanes. One of his kids in the back seat threw something up front which distracted him. As Quezada changed lanes he collided with unit 2. Nobody in his vehicle was injured. I spoke with the driver of unit 2, Tatiana Manaea who stated she was also traveling eastbound. She was driving straight ahead when unit 1 changed lanes into her causing the collision. Based on the statements from both parties Quezada caused the collision by changing lanes when it was not safe to do so causing the vehicles to collide. My Axon camera was on for this call. Both parties were given the case number. 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 Phillips 11649, July 22nd, 2024, Renton, WA. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JAMAAL KEARSE 07-22-24 06:03 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE TIM GUMMING 11488 1 7/26/2024 3:26:40 PM BADGE OR ID# 12994 OR]#' I WA0171300 TIME POLICE DISPATCHED 12:15 PM TIME POLICE ARRIVED]12:22 PM PART I PAGE IT]OF 3� REPORT NO. EE99549 CASE# ' 24-7716 DATE AND TIME 07/22/24 12:14 OF COLLISION }r Y r � r � I 1k r K tiy� x i - 11 t it q 11 PAGE 3 OF 3