HomeMy WebLinkAbout24-8059 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-8059 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I 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#
COLLISION' 08 - 01 - 2024 1001 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RENTON AVE S
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e S 130TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4253369427 0 11
30
6� LAST NAME CONNELL FIRSTNAME DELANEY MIDDLE B 1 1 2 31
INITIAL
STREET ❑ 912 SUNSET BLVD NE CITY RENTON ST WA 21p 980562905 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YEs NO
8❑ LRIIVERS STATE WA SEXI F MID
.O B 01 1— 09 — 2004 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CKB6638 sTArI WAurN# WDC0G4J68JV073750
10 F91 PI ATE#
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
DAMAGE YES NO 3 ] 34
13 2 2018 MERZ GLC YES❑ NO✓
REGISTERED OWNER INFO DELANEY CONNELL 912 SUNSETBLVD NE RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO FARMERS 517141355 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ NO D:2062807109
16 a
LAST NAME BROWN FIRST NAME JEFFREY MIDDLE I E
INITIAL
17❑ STREET ❑', 7614 S MISSION DR CITY SEATTLE ST WA ZIP 981783140 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 DRIVER #
{NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT '1 USE 2 CLASS ❑
21❑ LICENSE I B94584N TAre WA vIN# 5TENL42N93Z223218
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2003 MAKE TOYT MODEL PU STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JEFFREY BROWN 7614 S MISSION DR SEATTLEWA98178 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSU POLICY#E CO PEMCO CA 0359166IN CQl
'E""LE ❑ ,J� CITATION# CHARGE io
LEGALLY YES N`L J
25
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF03717
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8059
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CONNELL AVERYA
(LAST FIRST,
ADDRESS&PHONE#
912 SUNSET BLVD NE RENTON WA 980562905 SEXi F MMDDYyry 05 - O6 - 2005
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑, 1 POS. 3 6 4 1 USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On August 1, 2024, at 1001 hours dispatch requested that I respond to a collision that occurred at
Renton Ave S and S 130th St, in Renton.
Upon my arrival I spoke with the driver of unit 1 and they explained the following: They were making a
left turn from S 130th St to Renton Ave S to go southbound. As they prepared to make their left turn,
a vehicle in the number one lane made a right to from Renton Ave to S 130th St. She was unable to
see past the turning vehicle, so they proceeded forward. When crossed the roadway, they noticed
unit 2 going westbound on Renton Ave S. They attempted to stop, but still managed to strike unit 2's
passenger doors.
The collision disabled the two vehicles, and both needed to be removed by tows. Later, Bankers
Towing arrived to took custody of the vehicles.
I then spoke with the driver of unit 2 and they explained a similar story. They stated that they were
driving northbound on Renton Ave S and approaching S 130th St when the collision occurred. As
they crossed S 130th St, unit 1 struck the right side of his vehicle. He tried avoiding the collision but
was still struck by unit 1.
Both vehicles sustained damage over $1000, and no one was transported to the hospital.
After hearing the two statements made by the drivers, I believe unit 1 made an improper left turn. Unit
1's actions were the most predominant factors contributing to the cause of the collision.
An exchange of information was given to the two drivers.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 08-01-24 11:48 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 8/9/2024 10:49:17 AM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 10:06 AM TIME POLICE ARRIVED 10:13 AM
PART I PAGE IT]0F 3�
REPORT NO. EF03717 CASE# ' 24-8059 DATE AND TIME 08/01/24 10:01
OF COLLISION
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