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HomeMy WebLinkAbout24-8909 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SASE 24-8909 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3 HIT&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.. OS - 1-- 2024 0019 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ ROUSER WAYN BLOCK NO. e✓ 138 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 MOTU '�01 VEHtOR PI CLE CYDCLE. El �ESAGE NHORE✓LD MET PHONE 0 7 30 6� INITIAL LAST NAME RODRIGUEZPRADO FIRSTNAME MARCELINO MIDDLE 1 1 2 31 STREET ❑, 411 CARDINAL PL CITY UMATILLA ST OR 2jp, 97882 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/ ❑ DRIVER'S STATE OR SEX M MDM-OBDD 06 - 09 - 1989 1 2 32 8 LICENSE# 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELM U EET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ PI ATE 14 3442019 STATE IN VIN#' 1XPBA48X7JD477449 TRAILER P337188 STATE IN TRAILER P778130 STATE IN 11 2 5 PLATE# I PLATE# FROM To rRLR. TRLR 5 1 33 12 2 5 VIN#j VIN#' VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 A 2018 PTRB 579 SE DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO FEDEX FREIGHT INC 7306 N BAKER RD FREMONT IN 46737 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO LIBERTY MUTUAL 016227418 3 4 IN EFFECT &POLICY# CQ, LEGA LE CHARGE 36 LEGALLY YEs NO CITATION# 4A0359609 FOLLOW VEHICLE TOO CLOSELY 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM TH ME R OLD T PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:3095855784 16 a LAST NAME KALKUNDRI FIRST NAME ANAND MIDDLE M INITIAL 17❑ NEW STREETREs7 3035 SOUTHWICK DR CITY' CUMMING ST GA ZIP 30041 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NO � 19 DRIVER'S STATE GA SEX M I D.C... 12 _ 11 1971 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ 41 21❑ PLA E# A06176R TATE AL VIN 1t 3GNAXKEG6RS240717 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2024 MAKE CHEV MODEL EQUINOX STYLE 1 T VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44 24❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO EAN HOLDINGS LLC 3410 SOUTH MCKENZIE STREET FOLEYAL36535 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#E CO ALLSTATE 845168232IN 1 GD LEGALLY YES Nu 25❑ s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.ARNOLD 12509 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF08426 COLLISION REPORT III III III III III 111 1591972 CASE# 24-8909 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' 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. C.ARNOLD 08-24-24 02:36 AM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 8/25/2024 10:54:10 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 12:21 AM TIME POLICE ARRIVED',12:28 AM PART I PAGE 2�OF 4� REPORT NO. EF08426 CASE# 24-8909 OF COLLISION 08/24/24 00:19 OF CbLLI510N NARRATIVE On 8/24/2024 at 0021 hours, I was dispatched to a motor vehicle collision at around the 100 block of Houser Way N. Pre-Collision Unit 1's driver stated that he was traveling North on Houser Way N in the #2 lane and slowing for traffic as there was heavy traffic. Unit 2's driver stated that he was traveling North in the #2 lane and was stopped for heavy traffic. Collision Unit 1's driver stated that as he was coming to s stop, he timed it incorrectly and the front bumper of Unit 1 made contact with the rear bumper and hatch of Unit 2, causing damage. Unit 2's driver stated that while stopped for traffic in the #2 lane, the front bumper of Unit 1 made contact with the rear bumper and hatch of Unit 2. Injuries Neither driver complained of injuries. Vehicle dispositions Both vehicles were able to be driven from the scene. Proximate Cause If Unit 1 had not been following too closely to Unit 2, he would have had time to stop and this collision would not have happened. Final disposition Unit 1's driver was cited for follow vehicle too closely (RCW 46.61.145.1). 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 Officer C. Arnold #12509 on 8/24/2024 at 02:29 hours in the City of Renton. PAGE 3 OF 4 REPORT NO. EF08426 CASE# ' 24-8909 DATE AND TIME 08/24/24 00:19 OF COLLISION vw S PAGE 4 OF 4