HomeMy WebLinkAbout24-10110 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-10110 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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#
COLLISION.. 09 - 1-- 2024 0634 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ 3000 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ W e K/RKLAND AVE NE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4259858787 0 11
30
6� LAST NAME ZHENDONG FIRSTNAME LIU MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 22042 SE 269TH PL CITY MAPLE VALLEY ST WA ZIP 980387426 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� CKW7296 sTATI WAurN# WDDNG71X17A062152
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 2 2007 MERZ S500 P4 DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP 5
❑ LEGALLY CHARGE 10BOTTOM 36
15 2 VE"'C NG re6 No clTAnoN# 4A0608438 FAILURE TO STOP/STOP SIGN,NO
MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4254427797
16 a
LAST NAME AMADOR FIRST NAME ADRIAN MIDDLE I j
INITIAL
17❑ STREET ❑', 1555 ANACORTES AVE NE APT A20 CITY RENTON ST WA ZIP 980593978 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 04 16 _ 2000 39
LICENSE# MMDDYY
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE I CHN1884 TATe WA vIN# 3KPC24A33JE018007
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE HYUN MODEL ACCENT STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO ADRIAN AMADOR 1555 ANACORTES AVE NE APTA20 RENTON WA 98059 D:4254427797 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSURANCE
#E CO FARMERS 548406747IN 1 9TOP 5
VEHICLE ,.I—I CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES❑ N
'
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# [AGENCY
26
QU/NT TIBEAU 07691 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF19929
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10110
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(/AST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM 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.
QUINT TIBEAU 09-27-24 05:47 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 9/30/2024 11:55:24 AM
BADGE OR ID# ! 07691 OR]# WA0171300 TIME POLICE DISPATCHED! 6:40 AM TIME POLICE ARRIVED',7:03 AM
PART I PAGE IT]OF 4�
REPORT NO. EF19929 CASE# 24-10110 OF COLLISION
09/27/24 06:34
OF CbLLI510N
NARRATIVE
24-10110
Narrative
The following occurred in the City of Renton, County of King, State of Washington.
On 09/27/24 at about 0640 hours I was dispatched to a non-injury collision at NE 12th ST and NE
Sunset Blvd. I arrived at about 0703 hours and saw that V-2, a red Hyundai was partially blocking the
#1 lane of westbound NE Sunset Blvd at Kirkland Ave NE. The driver of V-1 identified himself as
Zhendong, Liu with his WADL. Via a friend and Google Translate he stated that he was turning left
from southbound Kirkland Ave NE onto eastbound NE Sunset Blvd when he collided with V-2. Liu
claimed to have just purchased the vehicle and showed a title date 08/30/24. The vehicle still shows
registered to a Huan Liu out of Renton. Liu stated that he does not have insurance. The driver of V-2
identified himself as Adrian Amador with his WADL. He stated that he was westbound in the #1 lane
of NE Sunset Blvd when V-2 pulled out in front of him causing the collision. Neither driver reported
injuries. V-2 was towed by Gene Meyer Towing. V-1 was parked on private property with a bent rear
wheel/axle. I advised Liu against driving it. I took digital photographs of the vehicles and later
uploaded them to evidence.com.
This incident was captured on my Axon body worn video camera. This report is a summary of events
that occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
Nothing further at this time.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Q. Tibeau #07691 09/27/2024 1323 hours, Renton, WA.
PAGE 3 OF 4
REPORT NO.! EF19929 CASE# 24-10110 DATE AND TIME 09/27/24 06:34
OF COLLISION
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