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HomeMy WebLinkAbout24-8099 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 24-8099 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;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'. 0E - 1-— 2024 1658 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ TALBOT RD S BLOCK NO. e✓ 19600 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 15 00 FEET MILES e S B W e S 196TH PL 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:2065307269 0 11 30 6� LAST NAME OCAMPO-HERNANDEZ FIRSTNAME JULIO MIDDLE D 1 1 2 31 INITIAL STREET ❑✓ 9417 S 200TH ST CITY KENT ST I WA 2jp, 98031 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑ 3 10 9❑ pjATE14 CGL6400 STATE WA uN# 1G1FB1RS5HO181079 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM ro TRLR. A'RLR. 1 5 33 12 0 0 VIN#' VIN# :: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 r 2017 CHEV CAMAR DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO JULIO OCAMPO-HERNANDEZ 9417 S 200TH ST KENT WA 98031 D:2065307269 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 3 4 14 2 LIABILI INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP vewcLE CHARGE 10 BOTTOM 5 36 LEGHALLY YES❑NO CITATION# 4A0327037,4A0327037 OP MOT VEH W/OUT INSURANCE, 15❑ NDING 8 6 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES NO ,/ D:2062905952 VEHICLE CYCLE OWNER 16 a LAST NAME KABIGTING FIRST NAME MATTHEW MIDDLE I C INITIAL 17❑ STREET NEW ADORE57 23609 112TH AVE SE APT C202 CITY KENT ST WA ZIP 980315404 37 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 DRIVER # ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ 41 21❑ ILICENSE PLA E# BVA3684 TATE WA VIN# 2C3CCAEG2JH168076 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 201E MAKE CHRY MODEL 300 STYLE VEHICLETOWED TOWEDBY GOV HI 44 24❑ DAMAGE YES NOTO,/ BLIN YES NO REGISTERED OWNER INFO MATTHEW KABIGTING 23609112TH AVE SE APT C202 KENTWA980315404 D:2062905952 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY# 25 E CO PROGRESSIVE 940579727 1 9TOP VEwGLE ❑ ,J� CITATION# CHARGEIN i o BOTTOM LEGALLY YES N`L J s � e 7S1;S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12225 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF07468 COLLISION REPORT III III III III III 111 1591972 CASE# 24-8099 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST 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. E.SIMS 08-02-24 06:48 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 8/22/2024 12:27:08 PM BADGE OR ID# 12225 OR]# WA0171300 TIME POLICE DISPATCHED; 5:24 PM TIME POLICE ARRIVED',5:39 PM PART I PAGE IT]OF 4� REPORT NO. EF07468 CASE# 24-8099 OF COLLISION 08/02/24 16:58 OF CbLLI510N NARRATIVE Renton Case #24-8099 On 08/02/2024 at approximately 1724 hours, I was dispatched to Talbot RD S and S 196th PL, in the City of Renton, King County, Washington, for a non-injury non-blocking vehicle collision. Upon arrival I identified unit 1, a 2017 Chevrolet Camaro WA license plate #CGL6400, with very minor dents and scratches to the front bumper. I identified the driver of unit 1 via his WA DOL photo as Julio Daniel Ocampo-Hernandez (DOB 04/02/2002). Julio handed me a WADL, and I ran his name through WACIC and NCIC. Julio came back with no license but eligible. I asked Julio if he was aware he did not have a drivers license and he stated he was not aware. Julio told me he was not injured and when 1 asked him what happened he stated he was driving southbound on Talbot RD S stuck in traffic when he fell asleep, and his vehicle bumped into unit 2. 1 observed no signs of impairment from Julio, and he stated the vehicle was nearly stopped during the collision. Julio also told me he did not have insurance for his vehicle. I observed unit 2, a 2018 Chrysler 300 bearing WA license plate #BVA3684. Unit 2 sustained two minor scratches to the rear bumper. I identified the driver of unit 2 via his WADL as Matthew C M Kabigting (DOB 05/27/1991). Matthew stated he was not injured. Matthew stated he was driving southbound on Talbot RD S stuck in traffic when he was hit from behind by unit 1. I provided Matthew with my card containing the case number on it and he left the scene. Julio called his brother to pick up the vehicle and he was advised he was at the at fault driver and he would receive a citation in the male for inattentive driving and for driving without insurance. I provided Julio with the case number, and he left the area. I then cleared the location. This ends my report. 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 E. Sims on 08/02/2024 at 1837 hours, In the City of Renton, WA. PAGE 3 OF 4 REPORT NO. EF07468 CASE# ' 24-8099 DATE AND TIME 08/02/24 16:58 OF COLLISION c �Zvi c,< { y, �lal r1 PAGE 4 OF 4