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HomeMy WebLinkAbout24-9146 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SASE 24-9146 2 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# cowsloN 08 - 1-- 2024 1128 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ 108TH AVE SE BLOCK NO. e✓ 18100 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e SE 181ST ST 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4255477992 0 11 30 6� LAST NAME CHAU FIRSTNAME VO MIDDLE 1 2 31 INITIAL STREET ❑ 17731 110TH PL SE CITY RENTON ST WA ZIP 98055 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVERS STATE WA SEX'M MM DAY' 07 1- 30 - 1942 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� BMS2663 sTArI WAurN# 1HGCV1F18JA235778 TRAILER STATE TRAILER STATE 11 3 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 5 1 34 13 8 2018 HOND ACCOR SD DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO NHUT HUYNH 17731110TH PL SE RENTON WA 98055 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI V INSURANCE INSURANCE CO STATE FARM 560 3020-F06-47 4 IN EFFECT &POLICY# 9TOP ELE 1 5 36 LEGALGALLY YES❑NO❑ CITATION# 4A0672829 CHARGE FAIL YIELD LEFT TURN MOTOR L o aorroM 15❑ NDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2068989583 LAST NAME WILSON FIRST NAME TROY MIDDLE D INITIAL 17❑ STREET ❑', 22138 124TH AVE SE CITY KENT ST WA ZIP 98031 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LDICENS STATE WA SEX M M .C.B. 09 _ 22 _ 1962 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CLS8359 TAre WA vIN# 3GYFNBE33GS558769 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' TOWED BV Gov HI 44 VEH YEAR 2016 MAKE C/a DI MODEL $RX STYLE $D —FEHICLE TOWED✓ NOO BLIN GENE MEYER YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO USAA 03020 17 72G 7104 8IN 9TOP 5 'E""LE ❑ Nu,J CITATION# CHARGE LEGAL to BOTTOM LY YES 25 ' e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 R.ON/SHl 5738 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF10564 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9146 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' Unit 2 northbound in moderate traffic on 108th Ave SE, traveling in curb lane. Unit 1 waiting in 2-way left turn lane, southbound on 108th Ave SE to turn onto eastboune SE 181st St. Driver 1 Chau waited for opening in northbound traffic; when a gap appeared in number 2 lane, he started across, apparently not seeing unit 2 traveling at traffic speed in curb lane. Unit 2 struck unit 1, front end to passenger (right) side. Unit 1 right passenger airbags deployed, but no other airbag deployments. Driver 2 Wilson estimated his speed at 25 mph before collision. Driver 1 Chau cited for failing to yield right of way as a left-turning driver. I photographed both vehicles, and uploaded all photos into Evidence.com. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. R.ONISHI 08-31-24 12:40 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 91112024 8:30:29 AM BADGE OR ID# 5738 ORI#' i WA0171300 TIME POLICE DISPATCHED ?1:Y9 AM TIME POLICE ARRIVED',11:38 AM PART Ei PAGE IT]OF REPORT NO.! EF10564 CASE# ' 24-9146 DATE AND TIME 08/31/24 11:28 OF COLLISION t¢a ti 1 �b ri PAGE 3 OF 3