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HomeMy WebLinkAbout24-9913 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF22169 170
27
COLLISION REP FIT 1591971
CASE 24-9913 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 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#
COLLISION'. 09 - 1-— 2024 1648 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
FACTORYAVE N BLOCK NO. e✓ 310 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ w e N MAR/ON ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2065737135 0 11
30
6❑ LAST NAME STEWART FIRSTNAME CASHON MIDDLE A 1 1 2 31
INITIAL
STREET ❑, 10821 CRESTWOOD DR S CITY SEATTLE ST WA ZIP, 981783125 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs ,/ I NO NTERLOCKYEs NO Z YEs No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 09 1- 07 - 2006 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES z❑
USE CLASS COMPLAINED OF HEADPAIN/FIRE EVAL
3
LICENSE CJM0440 STATE WA VIN# 2C3CDXBGOCH119630
10[ PI ATE#
F_ TRAILER STATE TRAILER STATE
11 3 0 PLATE# I PLATE# I I FROM TO
TRLR. TRLR $ 7 33
12 3 0 TIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE $ 1 34
13 1 2012 DODG CHARG 4D DAMAGE YESNo YES[:] NO
REGISTERED OWNER INFO AH'LONNA PRESCOTT PO BOX 78458 SEATTLE WA 98178 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO GEICO 6131.03.37.37 3 4
IN EFFECT &POLICY# 9TOP
VEwcLe 1 5 36
LEGALLv res❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ TANDING 8
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2067187992
16 a
LAST NAME ZEDWICK FIRST NAME JOSHUA MIDDLE C
INITIAL
17 STREET I NEW ADDRE9' 515 RENTON AVE S CITY RENTON ST WA ZIP 98057 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO INTERLOCK vEs I I NOF YEs t l NOF,/
19� DRIVER'S STATE WA SEX M D.C... 10 27 1983 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 HEJ MET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# BZV8821 TATE 41
WA VIN# 1FMNU43S43ED46649 2
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2003 MAKE FORD MODEL EXCURSI STYLE SI/ VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO JOSH ZEDWICK 515 RENTON AVE S RENTON WA 98057 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEIC04161-84-66-31IN 1GQI
VE""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
7FI' NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MY ENGEL 1
13006 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF22169
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9913
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
PM 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.
JEREMY ENGEL 09-22-24 06:59 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIREE SCOTT 10272 101712024 11:33:41 AM
BADGE OR ID# 13006 OR]#' WA0171300 TIME POLICE DISPATCHED 4:50 PM TIME POLICE ARRIVED',4:53 PM
PART Ei PAGE IT]OF 4�
TIME
REPORT NO. EF22169 CASE# 24-9913 OF COLLISION09/21/24 16:48
NARRATIVE
On 09/21/2024 at approximately 1650 hours, I was dispatched to a vehicle collision with reports of
injury at 310 Factory PI N, City of Renton, County of King, Washington.
Upon my arrival, 1 observed both vehicles safely off the road not impeding traffic. The driver of Unit
#1, Cashon Stewart (09/07/2006) complained of head pain. Renton Regional Fire Authority
responded to the scene for evaluation. While on scene, I collected each of the involved party's driving
information and their independent recollection of the events leading up to the collision.
Stewart stated that he was the sole occupant of his vehicle and that prior to the collision he was
traveling North on Factory PI N in lane 3 of 4. Stewart did not see Unit#2 in his blind spot in lane 4 of
4 and attempted to turn left onto Marion St N. He traveled over to lane 4 and collided with Unit#2 on
the rear driver side of his vehicle and the front passenger side of Unit#1.
The driver of Unit#2, Joshua Zedwick (10/27/1983) stated he was the sole occupant of his vehicle
and was traveling north on Factory PI N in lane 4 of 4. Zedwick was proceeding forward and saw Unit
#1 ahead of him in lane 3 of 4. He stated that Unit#1 turned into his lane attempting to turn onto
Marion St N causing the front passenger side of his vehicle to collide with the rear driver side of Unit
#2.
Based on the above statements, 1 determined that the driver of Unit#1 (Stewart) is the proximate
cause for the collision do to not granting the right of way during a left turn causing a collision. The
driver of Unit#1 (Stewart) did not grant the right of way to Unit#2 traveling in the roadway which had
the right of way and was already underway.
Both involved vehicles had only minor damage and were able to be driven without any further
incident. An exchange of information was provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer J. Engel #13006 6:53 PM 9/22/2024 Renton, King County, WA.
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REPORT NO. EF22169 CASE# 24-9913 DATE AND TIME 09/21/2416:48
OF COLLISION
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