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HomeMy WebLinkAbout24-7742 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-7742 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICCI 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# ❑
cowsloN 07 - 1-- 2024 0945 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BENSON RD S BLOCK NO. e✓ 2600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET ❑ S ❑ W e S 26TH ST
0 1 29
MOTUNIT O1 VEHICR Z PEDAL-CLE CYCLE ElYESA,G/E NHORES] MET PHONE 0 81
30
LAST NAME ESPEJO MUEVECELA FIRST NAME KEVIN MIDDLE A
6 INITIAL 0 1 31
STREET ❑ 2624 NE 9TH PL APT 8 CITY RENTON ST WA 2jp, 980563060 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
❑10[1P1 ATNES# CKT6283 sTAr WWAu N# KMHEC4A426A002833 3
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE J 9 34
13 2 2011 HYUN SONATA DAMAGE vE8 0NO agW�MEYER ves❑ No
REGISTERED OWNER INFO KEVIN ESPEJO MUEVECELA 2624 NE 9TH PL APT 8 RENTON WA 980563060 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 2 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
LEGALE CHARGE to BOTTOM 5 36
LE—Lv YEs No clTAnoN# 4A0361553,4A0361553 DEFECTIVE BRAKES,OP MOT VEH
15❑ STANDING 6
1.� MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ ❑ PEDESTRIAN ❑ ❑
VEHICLE CYCLE OWNER YES NO �/
16 a
LAST NAME CHAMBERLAIN FIRST NAME DYLAN MIDDLE I L
INITIAL
17❑ STREET ❑', 817 HAMELIN LN SE CITY' OLYMPIA ST WA ZIP 985136628 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYES�NOF INTERLOCK YEs❑NOF YES
❑NO❑
19 F] LDI IVEW # STATE WA SEX M M D.C.B. 05 _ 05 _ 1999 El 39
WELMET INJURY NATURE OF INJURIES 4O
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE I CLASS 1 ❑
41
21❑ LICENSE D56250D TAre WA VIN1t 54DCDW1D3PS210866
❑
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2023 MAKE CHEV MODEL 4500 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO HERC RENTAL50 1THAVES TILE WA 98134 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE 8 POINSURGY#E CO NATION UNION 976-75-01IN I STOP
VE""LE CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES N�
❑ s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE99217
COLLISION REPORT III III III III III 111
1591972 CASE# 24-7742
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'
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.
M.LEVERTON 07-23-24 11:32 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1
7/25/2024 3:40:55 PM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED; 10:08 AM TIME POLICE ARRIVED]10:09 AM
PART I PAGE IT]OF 4�
REPORT NO. EE99217 CASE# 24-7742 OF COLLISION
07/23/24 09:45
OF CbLLI510N
NARRATIVE
box stop nb rear no pedal
CC
Within the city limits of Renton/King/WA I responded to a 2 vehicle blocking at the intersection of
Benson Rd S at S 26th St.
I contacted the driver of unit 2 who told me he was completely stopped northbound Benson Rd S and
had been for a minute or so when he was hit from behind by unit 1. He did not complain of injury and
damages did not require a tow truck.
Another officer had contacted unit 1 and was using language line for Spanish. During the translation
it was discovered that unit 1 was having issued with his brakes which is why he crashed into the back
of unit 2. He also said he did not have insurance for his vehicle. He did not complain of injury and
heavy front end damage required a tow truck.
I saw tire marked leading to the POI from unit 1. These marks were about 90-100 feet long. So it
appeared unit 1 brakes did lock up and skid leaving tire marks. When I pressed the brake pedal it
went to the floor with almost no resistance. I pumped the pedal several times and the pedal remained
very soft and continued to go to the floor.
I cited unit 1 ref RCW 46.37.360 Defective Brakes and ref RCW 46.30.020 No valid proof of
insurance via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 7/23/2024
PAGE 3 OF 4
REPORT NO. EE99217 CASE# 24-7742 DATE AND TIME 07/23/24 09:45
OF COLLISION
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PAGE 4 OF 4