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HomeMy WebLinkAbout24-7932 IT �iNII I IIII �� I I III I I IIII IIIII I 27c REPORT NO.
POLICE
COLLISION REPORT 1591971
CASE# 24-7932 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 3
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL UNITS TOTAL#OF 02 SO TRUCK BJECT 28
0 5
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulSloN' 07 - 28 - 2024 1603 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION [Z NON INTERSECTION ❑
N 4TH ST BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�. FEET H S 8 W e PELLYAVE N
0 1 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE ❑ YES No �/ D:2068535925 0 1 30
5❑ LAST NAME ALEXANDER FIRST NAME KEITH MIDDLE E 1 2 31
INITIAL
STREET ❑' 20250 SE 152ND ST CITY RENTON ST I WA ZIP 98059 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES ND INTERLOCKYEs Na YES F NO
8� LICIENS# STATE WA SEX M MMDr YY' 11 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, C23768H STATE WA VN# 1FTEW1EG6GKF54481 3
10 PI ATF#
11[-j— TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR rRLR 3 7 33
12 0 0 VIN# VIN#
FROM TO
VERYEAR 2016 MAKE FORD MODEL F150 STYLE pK VEHICLE TOWED,DLt�TO BLIN TOWED By GOVT VEHICLE g 1 34
13 DAMAGE YES II_II NO YESII-1) NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE� INSU&POLIRANCECY# CO ALLSTATE 976535517 3 4
IN EFFECT 4TOP
vEnic�E CHARGE 5 36
Lemur YES❑NO❑ CITATION# 7 0 80TTOM
15❑ STM ING 7 e
UN# MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 T 02 VEHICLE CYCLE. OWNER YES NO
16�
LAST NAME LIU FIRST NAME CHAO MIDDLE'
INITIAL
17 F1 STREET ❑
'❑ 157 ROY ST CITY I SEATTLE ST, WA ZIP 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES N.Fj es NO'
19� DRIVER'S STATE WA IIj
SEXM D.O,e. 02 21 1986 39
LICENSE# MMDDYY -
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 5 HELMET INJURY NATURE OF INJURIES ❑ 40
USE CLASS RIB PAIN
21 LICENSLATE E 0947799 TATE OR IVIN# JTDKB20UX53004824 El 41
22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR r RLR 43
UIN#. 'IN#.
VEH.YEAR 2005 MAKE TOYT MODEL PR/US STYLE $D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO CHAO LIU 157 ROY ST SEATTLE WA VEHICLE NO,2
SHADE DAGAREA
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 984490614
IN EFFECT &POLICY# I STOP 5
vewae YES❑ N J,.I—I CITATION# CHARGE t080TTOM
�ECA��r
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
N.ODALOVIC 11628 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO.
COLLISION REPORT III III III III III 111
1591972 CASE# 24-7932
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET N NATURE OF INJURIES
Ej POS. USE CLASS LASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.
N.ODALOVIC 07-31-24 03:23 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
DAT
J.CHRISTIANSEN 10437 713112024 8:14:39 PM
BADGE OR ID# 11628 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 4:03 PM TIME POLICE ARRIVED 4:03 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT NO. CASE# 24-7932 OF COLLI ION 07/28/24 16:03
OI;COLLISICiN
NARRATIVE
24-7932
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 07-28-2024 at approximately 1609 hours I was dispatched to a collision at N 4th St/ Pelly Ave N.
I arrived at approximately 1615 hours. I contacted both drivers who had already attempted to
exchange information, but one driver's primary language was Mandarin Chinese.
Unit 1 (F150/Alexander) stated he was traveling westbound on N 4th St when Unit 2 entered the
roadway and collided with his vehicle. Both vehicles pulled over on the northside of the intersection. I
observed Unit 1 to have damage to the front bumper. Unit 2 had damage to the right side of the
vehicle.
Unit 2 (Prius/Chao) and I spoke utilizing Language Line Solutions for Mandarin Chinese. Chao stated
he had rib pain from the collision. Renton Fire Authority arrived and evaluated Chao. Chao did not
need to be transported to a hospital. Chao stated he stopped at the stop sign on the south side of the
intersection, was stopped for approximately three seconds, looked both directions, and Unit 1 "came
out of nowhere" "too fast".
Unit 2 did not honor the right of way of Unit 1, however, without witnesses or video I am unable to
determine the at fault unit.
Unit 1 stated he had a vehicle camera of the incident, which Ofc Catalan later provided a link for
upload.
I took photos of the scene which I uploaded to evidence.com.
Both drivers were able to drive both vehicles away. There was no airbag deployment. No citations
were issued.
During this incident I was equipped with body-worn camera which records both audio and video.
Portions of the incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system.
PAGE 3 OF 4
REPORT NO. CASE# 24-7932 DATE AND TIME i 07/28/24 16:03
OF COLLISION
NOT TO SCALE
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PAGE 4 OF 4