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HomeMy WebLinkAbout25-1491 IT �iNII I IIII �� I I III I I IIII IIIII I 27c REPORT NO.STATE OF COLLISION REPORT 1591971 CASE# 25-1491 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOC CODING 4250 3 HIT&RUN ✓ C©DING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 28 TRIBAL i UNITS 02 STRUCK UTILITY POLE RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN eDL�ISION' 02 - 16 - 2025 0319 17 =.= S 8 W H OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ IN 6TH ST BLOCK NO. e 1100 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 15 1.1 FEET e✓ S 8 W e✓ PARK AVE N 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 30 5 LAST NAME MCINTOSH FIRST NAME MICHAEL MIDDLE t 1 2 31 INITIAL STREET ❑ 24005 63RD WAYS 301 CITY; KENT ST WA ZIP; 98032 2 NEW ADDRESS 7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCICvEs NO YES NO DCIENSE# STATE WA SEX I M MMD4YY' 02 — 09 — 2001 32 8❑ VERS 9 ON DUTY STATUS' AIRBAG 6 RESTR 9 EJECT 1 H USEET 2 CLASSY 1 NATURE of INJURIES 2 LICENSE, CJS4722 STATE WA VIN If WDCOJ4KB2KF660103 3 10 F1 PI ATF tt TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# 3 ROM TRLR rRLR 7 3 33 12 VIN#' VIN# : FROM TO VEH.YEAR 2019 MAKE MERZ MODEL GLC STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE m 34 13� DAMAGE YES II_II NO ✓ YESII_I) NO✓ REGISTERED OWNER INFO SOFIA SCHNEIDER 21800 PACIFIC HWY S C404 DES MOINES WA 98198 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14 LIABILITY INSURANCE ElNSURANCE CO IN EFFECT &POLICY# 4TOP 5 VEn" CHARGE IOBOTTOM 36 15 Lrn Lyc YES❑NO❑ CITATION# 5A0209498,5AO209498, RECKLESS DRIVING,HIT/RUN $ 7 MOTOR PEDAL-:. PROpERTY DAM THR OLD MET PHONE UNIT 02 ❑ ❑ PEDESTRIAN ✓ PHONE 4252555049 VEHICLE CYCLE nWNFR YES✓ NO 16❑ LAST NAME AUTO SERVICE FIRST NAME LANDING MIDDLE INITIAL 17 F1 STREET ❑ ❑ 541 PARK AVE N Din RENTON ST, WA ZIP 98056 g 37 NEW ADDRESS 1$❑ IGNITION REQUIREfl tGN[TION PRESENT MEDICAL TRANSPORTED' ❑ 38 CDL INTERLOCKYES No INTERLOCK YES No YES NO 19 LICENS# STATE SEX U MMDDYY —= 39 HELMET INJURY NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG RESTR EJECT USE CLASSLICENSE ❑ 21 PLATE# TATE VIN# 41 22 [TILER TAILER ❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP 1-1— ❑ ,.I—I CITATION# CHARGE to BOTTOM EEGnEEY YES NC 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 K.LANE 10008 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. COLLISION REPORT III III III III III 111 1591972 CASE# 25-1491 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) WILSON DANIELLE C ADDRESS&PHONE# D� 1440 N LOCUST GROVE RD 16B MERIDIAN ID 83642 SEXi F MMDDYYYY 07 — 02 — 2004 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z 1 POS. 3 9 4 1 USE 2 CLASS '1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS R PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE Unit 1 was exiting a parking lot on the south side of N 6th ST in the 1100 blk to turn right onto eastbound N 6th ST in an attempt to avoid contact by Security and Police. Unit 1 was accelerating heavily in this right turn and lost control causing it to travel up and onto the south sidewalk of N 6th ST. Unit 2 (Business Landing Auto Sales) is located at the corner of N 6th ST and Park AVE N. Unit 1 struck an approximately 4 ft metal pole near the corner of the business at N 6th ST and Park AVE N which was serving as a fence post for this business completely flattening and damaging it. This collision caused airbag deployment and damage to the front passenger side of Unit 1. Unit 1 fled the scene of this collision continuing east on N 6th ST, running a red light at Park AVE N, before becoming disabled in the 500 blk of Garden AVE N. Driver 1's reckless driving in accelerating heavily causing the vehicle to lose control and subsequently strike the pole was the proximate cause of the collsion. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K.LANE 02-16-25 05:56 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 211712025 10:57:14 AM BADGE OR ID# j 10008 ORI# WA0171300 TIME POLICE DISPATCHED 3:19 AM TIME POLICE ARRIVED i 3:19 AM PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3 REPORT NO. CASE# 25-1491 DATE AND TIME 02/16/25 03:19 OF COLLISION �r r v4 4 i r g t i III. PAGE 3 OF 3