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HomeMy WebLinkAbout24-10280 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF22188oc� RA COLLISION REPORT 1591971 CASE# 24-10280 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LDCAI-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# eaCL s o v' 10 - 01 - 2024 1637 17 =.[� S 8 W e OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SUNSET BL N BLOCK NO. e 353 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 6001.1 00 FEET e✓ S 8 W e NE 3RD ST 0 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4255450651 0 1 30 5 LAST NAME KAR FIRST NAME BARAN MIDDLE N 1 1 2 31 INITIAL STREET ❑ 3728 NE 5TH PL CITY; RENTON ST I WA ZIP 980563974 2 NEW ADDRESS 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKY No YES F NO 8❑ DCIENSE# STATE WA SEXI M MMDDYY' 09 - 05 - 1997 1 2 32 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 N UET SE LA SY 1 [NATURE of INJURIES 2 LICENSE, CKT8235 STATE WA VIN# 2HMZE2H52C001873 3 10 Fq I as ATP rt TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# ROM To TRLR TRLR 5 1 7 33 12 3 0 VIN#' vIN# FROM TO VEH.YEAR 2012 MAKE TOYT MODEL pRIUS STYLE VEHICLE TOWED TO fjBFI T�ff BY GOVT VEHICLE 1 5 34 13� DAMAGE YES ✓ NO II_II V t YESII_I) NO REGISTERED OWNER INFO 7SA KAR 3728 NE 5TH PL RENTON WA 98056 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE� INSURANCE CO SAME. IN EFFECT &POLICY# 9TOP _ srgNOLNG ❑ ❑ 4A0652686 CHARGE FA►L YIELD LEFT TURN MOTOR s taooTro�m z 36 Ves NO CITATION# 15 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ THR NO D:4258910056 16� LAST NAME UR►OSTEGUI BUSTAMANTE FIRST NAME LUIS MIDDLE N INITIAL 17 STREET ❑ 1100 SUNSET BLVD NE APT 6111 CITY' RENTON ST, WA ZIP 37 980562971 NEW ADDRESS I I I I I 1 ❑ 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38 INTERLOCKYEs No INTERLOCI£YES NOFYEs NO 19 DRIVER'S MMDDYYj I — HELMET INJURY: NATURE OF INJURIES 40 20❑ ON DUTY� STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICEN#LATE ID74370D rare WA vIN# 1 N6ED1 CM9NN666098 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2022 MAKE pJJ$$ MODEL FRONT/E STYLE VEHICLE TOWED✓ No BLIN BANKERS 24 REGISTERED OWNER INFO LUfS URtOSTEGUI BUSTAMANTE 1100 SUNSET BLVD NE APT 8111 RENTON WA 950562971 D:4258910056 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCE CO TBA 4106975351795 IN EFFECT &POLICY# 9TOP VEHICLE ❑ ,J—I CITATION# CHARGE 7060TTOM LEGnLLv YES N`[ 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF22188 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10280 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 CLASS ----� :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 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. M.LEVERTON 10-02-24 07:24 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 10/7/2024 12:34:32 PM BADGE OR ID# ; 2517 ORI# WA0171300 TIME POLICE DISPATCHED 4:40 Pry] TIME POLICE ARRIVED i 4:40 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF22188 CASE# 24-10280 DATE OF COLLI r�510NN + 10/01/24 16:37 L1 NARRATIVE grn trk lane 1 sb slv/2 left turn to enterprise CC Within the city limits of Renton/King/WA I responded to a 2 vehicle blocking crash at the 353 block of Sunset Blvd N. When I arrived I located a green truck/unit 2 facing southbound lane 1 with front end damage. A small sedan with pulled into a nearby parking lot. I contacted the driver of unit 2 who told me he was south in lane 1 Sunset Blvd N when unit 1 made a left turn across his lane without enough space to avoid contact. He did not complain of injury and damages did require a tow truck. I contacted the driver of unit 1 ID'd by non picture temp WADL. He told me he was making a left towards the parking lot when he vehicle remained with heavy damage to the passenger side. He mentioned he believed because the heavy traffic in lane 3 and 2 were stopped he was clear to go. He made his turn without clearing lane 1 as well causing the collision with unit 2. He did not complain of injury and damages required a tow truck. Unit 1 provided his own private tow. I cited unit 1 ref RCW 46.61.185 FTYROW Left turn two car crash via complaint. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 10/02/2024 PAGE 3 OF 4 REPORT NO. EF22188 CASE# 24-10280 DATE AND TIME 10/01/2416:37 OF COLLISION 4 S } r }4 4; ti x� i i j Sfr 4 4 S v W�rcavv _ fa1�'W _. PAGE 4 OF 4