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HomeMy WebLinkAbout24-10174 iiTFi " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF19933oc� RA
COLLISION REPORT 1591971
CASE# 24-10174 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s on' 09 - 29 - 2024 0452 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAIN AVE S BLOCK NO. e 300 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e S 3RD ST
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2533293560 0 3 30
5 LAST NAME HTWAY FIRST NAME SA AUNG MIDDLE M 1 2 31
INITIAL
STREET ❑ 2815 V CT SE CITY;AUBURN ST WA ZIP; 98002 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs N6 I/ INTERLOCKYEs Nd�/ YES NO�/
8 DCIENSE# STATE WA SEXI M MMDDYY' 09 — 02 — 1985 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY',1 [NATURE of INJURIES 2
10 LI ENSE', BTN4017 STATE WA VIN# 2GNFLEEKOF6153994 3
5 TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM TO
TRLR TRLR. 5 1 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2015 MAKE CHEV MODEL EQUINO STYLE UT VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE g 3 34
13� DAMAGE YES�NO� YES❑ NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE NSURANCE CO PROGRESSIVE 94983135
IN EFFECT &POLICY# Q�Ql
ICE ❑ ❑ 4A0672834 CHARGE FA►L TO OBEY TRAFFIC CONTROL 36
YES NO CITATION#
15
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ nWNRR vEs�/ No D:4254458904
16�
LAST NAME VIDELL FIRST NAME LEE MIDDLE A
INITIAL
17 F1 STREET ❑
❑ 536 BURNETT AVE N CITY' RENTON ST, WA ZIP 98057 37
NEW ADDRESS
1$❑ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
CDL INTERLOCKYES NO INTERLOCK YES
Fc DL Wo YES ND
19 DRIVER'S STATE WA SEX M I D.O.B. 10 08 1979 39
LICENSE# MMDDYY -
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSE BAX6904 rarE WA vIN# 5NPDH4AE9FH614889 41
I El
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2015 MAKE HYUN MODEL ELANTRA STYLE 4p VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO NO
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE
N0.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE INSURANCE CO GEIC04456-53.83.56
IN EFFECT &POLICY# 9TOP
veHICLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
LEGALLY YES No
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
R.ONISHI 5738 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF19933
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10174
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CIASS ----�
: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 northbound in the curb lane of Main Ave S approaching S 3rd St. Unit 2 northbound in the
second lane of Main Ave S approaching S 3rd St. At S 3rd St, curb lane is right turn only, second lane
is right turn and straight forward. Unit 2 turned right, unit 1 attempted to go straight north through
intersection. Unit 1 left front struck unit 2 right side. Driver 2 Htway confirmed that he was attempting
to go straight through intersection; Htway said that he saw a police car travelling ahead of him
proceed straight north, and thought that this was allowed. I saw that there was a sign on the approach
to the intersection showing that the right lane was right turn only, as well as two sets of pavement
markings showing the same. Htway cited for Failing to Obey Traffic Control Device.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ON/SH/ 09-29-24 06:10 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 913012024 11:55:02 AM
BADGE OR ID# 5738 ORI# WA0171300 TIME POLICE DISPATCHED 4:58 AM TIME POLICE ARRIVED i 5:04 AM
PAST B a Da-3m5-attar(txIMR) PAGE 2�OF F3
REPORTNO. EF19933 CASE# 24-10174 DATE AND TIME 09/29/2404:52
OF COLLISION
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