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HomeMy WebLinkAbout24-9655 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-9655 z 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 2 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.. 09 - 1-- 2024 0818 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NE SUNSET BLVD M4000 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:3302771259 0 11 30 6� LAST NAME KUPEC FIRSTNAME DUANE MIDDLE A 1 1 2 31 INITIAL STREET ❑ 1815 S 264TH PL CITY DES MOINES ST WA ZIP 98198 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YEs NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 LICENSE C30056C sTArI WAurN# 3D7MX38A28G151205 10 F91 PI ATE i4 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR. TRLR 7 3 33 12 3 5 VIN# VIN# i:.... FROM TO ❑ VEH.YEAR 2008 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 DODG RAM PK DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO USSA 013348601U 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062653710 16 a LAST NAME GEOHAGEN FIRST NAME CARDETT MIDDLE JE INITIAL 17❑ STREET ❑', 1923 REDMOND AVE NE CITY RENTON ST WA ZIP 98056 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCK YES❑NOR INTERLOCK YEs It I NOF YES t t- l NO❑ 19[-] LICENSE# STATE WA SEX F MMDDW 10 _ 08 _ 1959 El 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CCF0083 TAre WA vIN# 3GNCJPS64LL309034 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED BY GOV HI 44 VEH YEAR 2020 MAKE CHEV MODEL TRAX LS STYLE (/T DAMAGE TOWED TOO✓ BLIN YES NO 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU PORGY#E CO ALLSTATE 817871991IN 1 9TOP 'E""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES $ ' =KI (PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12598 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF16152 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9655 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' On Saturday, September 14, 2024 at 0821 hours, I was dispatched to a two-vehicle collision in the area of the Union Ave NE and NE Sunset Blvd. The following occurred within the City of Renton, King County; Unit 1 - WA/ C30056C was being driven by Duane Kupec and headed east in lane 2 on NE Sunset Blvd in the 4000 block. Unit 2 - WA/CCF0083 was driving east on NE Sunset Blvd in lane 2. Duane stated he was driving eastbound when he observed the vehicle (Unit 2) in front of him enter the left turn lane, he anticipated passing the vehicle, when Unit 2 swerved back into lane 2 and began to brake approximately 100 feet before the intersection, that was when the front bumper of Unit 1 struck the rear bumper area of Unit 2. Duane stated the signal was green at the time of the collision. Cardett stated was driving home and headed east on NE Sunset Blvd. Cardett stated she normally turns left at Union Ave NE but remembered she needed to pick up groceries at Albertsons and then continued on NE Sunset Blvd. Cardett stated she started to brake at before the intersection because it was red. That was when the front bumper of Unit 1 struck the rear bumper area of Unit 2 causing significant damage to Unit 2. Based on both statements I am unable to determine which Unit caused the collision. Both involved sustained damage, and neither vehicle needed to be towed. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.WISN/EWSKI 09-14-24 09:52 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 9/18/2024 4:08:48 PM BADGE OR ID# 12598 OR]# WA0171300 TIME POLICE DISPATCHED 8:29 AM TIME POLICE ARRIVED';8:Y7 AM PART I PAGE IT]OF REPORT NO.! EF16152 CASE# ' 24-9655 DATE AND TIME 09/14/24 08:18 OF COLLISION tftkt s�#taw , �A ( y �q 3 v � PAGE 3 OF 3