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HomeMy WebLinkAbout24-8317 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF06204 170
27
COLLISION REP FIT 1591971
CASE 24-8317 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
0 5
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 08 - 07 - 2024 1654 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e✓ 4800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 120 00 FMILES NEET e S ❑ E e DUVALL AVE NE
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:3609683159 1 2 30
6 LAST NAME GASPAR ESTEBAN FIRST NAME JORGE MIDDLE H 1 1 2 31
INITIAL
STREET ❑, 661141ST AVE NW CITY OLYMPIA ST WA ZIP 98502 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE C76133U sTArI WAVIN# 187MC33W1XJ605384
10 F91 PI ATE#
[-j-� TRAILER AR3048 STATE WA TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR TRLR 3 7 33
12 3 5 VIN# YIN#'
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 3 34
13 4 1999 DODG RAM PK DAMAGE YES NO YES
❑ NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4252555505
16 a
LAST NAME MCCLINTOCK FIRST NAME TERRY MIDDLE R
INITIAL
17❑ NEW STREETR 16123 S
7 E 146TH PL CITY RENTON ST WA ZIP 98059 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19� DRIVER'S STATE WA SEX M D.C.B. 09 08 _ 1947 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑LICENSE I 21❑ PLA E# CGW0206 TArE 41
WA VIN# 3CZRZ2H30PM744285 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BV Gov HI 44
VEH YEAR 2023 MAKE HOND MODEL yRr/ STYLE P4 -TEHICLE
TOWED✓ NOO BLIN GENE MEYER TOWING YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSU&PORGY#E CO PROGRESSIVE CASUALTY 945818934 1UR
IN EFFECT'E""LE ❑ ,J� CITATION# CHARGELEGALYYES N
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF06204
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8317
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
POS. 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'
24-8317 COLL
On 8/7/2024 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a two-vehicle collision with no injuries and was not
blocking in the 4800 block of NE 4th St Renton/King/WA.
I arrived on scene and located a silver 1999 Dodge Ram 3500 WA/C76133U parked off the roadway.
The truck had damage to the front driver side quarter panel and headlight. The driver, Jorge Gaspar
Esteban, was nearby. He advised that he was not injured. Jorge told me that he was driving west and
had just pulled into the center turn lane so he could turn south onto Duvall Ave NE. Jorge was
approximately 120 feet away from the intersection when the other vehicle pulled in front of him. Jorge
said he was not able to stop in time because he had a fully loaded trailer attached at the time of the
collision. I confirmed the trailer was loaded with dirt.
I then spoke with the driver of the 2023 Honda HR-V WA/CGW0206, Terry Mcclintock. Terry was not
injured and the damage to the HR-V was on the driver side door and rear driver side door. Terry said
that he pulled out of the QFC parking lot and was pulling into the center turn lane to merge into
westbound traffic. He said that as he entered the center turn lane he was struck by the Ram. Gene
Meyer Towing removed the HR-V from the scene.
The damage was consistent with both accounts of events.
Nothing further.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 08-07-24 11:10 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 811812024 9:49:50 PM
BADGE OR ID# ! 12421 ORI#' WA0171300 TIME POLICE DISPATCHED 4:56 PM TIME POLICE ARRIVED I 5:05 PM
PART I PAGE IT]OF 3�
REPORT NO. EF06204 CASE# ' 24-8317 DATE AND TIME 08/07/24 16:54
OF COLLISION
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