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HomeMy WebLinkAbout24-10391 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF31954 170 27 COLLISION REP FIT 1591971 CASE 24-10391 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 RESERVATION STRUCK z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION'. 10 - 1-- 2024 1328 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW SUNSET BLVD BLOCK e✓ 200 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 150 00 FMILES EET e S B E e MAPLE AVE SW 2 0 29 MOTUNIT O1 VEHIOR Z PEDAL-CLE CYCLE ElYYESA�NO THRESHOLD MET PHONE 0 11 30 6� LAST NAME SLONE FIRSTNAME JESSICA MIDDLE M 1 1 2 31 INITIAL STREET ❑1 1205 GRANT AVE S APT R202 CITY RENTON ST WA ZIP 980556034 z NEW ADDRESS ]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO LRIIVER # STATE WA SEX'F MM D Y' 09 8❑ — 24 — 1983 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� BfU5773 sTArI WAurN# KMHDH4AHXFU379608 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FR.. ro TRLR. YRLR. 5 1 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 2015 HYUN ELANTR DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO JESSICA SLONE 1205 GRANTAVE S APTR202 RENTON WA 980556034 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 914997724 4 IN EFFECT &POLICY# 9TOP LEHICLE CHARGE 5 36 LECALLv YES No CITATION# 4A0765710 IMPROPER LANE USAGE )o eorroM 15❑ STANDING 7 6 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ NO D:2068998843 16 a LAST NAME NGUYEN FIRST NAME HANG-NGA MIDDLE I D INITIAL 17❑ STREET ❑', 407 RAYMOND PL SW CITY' RENTON ST WA ZIP 980572202 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 D IVEW # INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE BGK9191 TAre WA VIN# JTMRFREV9HD203455 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2017 MAKE TOYT MODEL RAV4 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO THANH NGUYEN 407 RAYMOND PL SW RENTON WA 98057 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. IUR'E""LE ❑ ,J� CITATION# CHARGELEGALLYYES N`LJ 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF31954 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10391 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (/AST 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. M.LEVERTON 10-04-24 02:47 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 111412024 1:48:07 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 1:41 PM TIME POLICE ARRIVED',Y:02 Pry PART I PAGE IT]OF 5� REPORT NO. EF31954 CASE# 24-10391 OF COLLISION 10/04/24 13:28 OF CbLLI510N NARRATIVE wht 1/ In 2 into In 1 huts blue unit 2 bounces off hits slv unit 3 in In 2 CC Within the city limits of Renton/King/WA I responded to a 3 vehicle blocking crash at about the 200 block of SW Sunset Blvd. I contacted the driver of unit 2 who told me she was northbound Sunset in lane one when unit 1 changes lanes into the side of her. Unit 1 then drove into the side/back of unit 3. Unit 2 told me she was not injured and damages did not require a tow truck. I contacted the driver of unit 3 who told me she was northbound lane 2 on Sunset blvd when she was hit from the side and back by unit 1 after she had hit a blue car/unit 2. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 ID'd by matching picture WADL. She told me she was northbound on Sunset and was making a lane change from lane 2 into lane 1 when she believed it was clear. However, lane one was occupied by unit 2 which during her lane change unit 1 hit. Unit 1 then told me that she 'ricocheted" off unit 2 and hit unit 3 in lane 2. She did not complain of injury and damages did not require a tow truck. I cited unit 1 ref RCW 46.61.140-unsafe/improper lane use 3 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 10/04/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF31954 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-10391 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES� NO 0 1 29 LAST NAME LIN FIRST NAME KUEI MIDDLE L INITIAL STREET[6 II 30 NFW AnnRFSP 7038 RAVENNA AVE NE CITY SEATTLE ST WA ZIP 981155840 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YES NO NTERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 03 - 16 - 1953 7 ON DUTYl STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE AQG3332 [TAT WA VIN# JT2BF22K5Y0266460 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2000 MAKE TOYT MODEL CAM4D I STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH11' P FROM TO DAMAGE YES NO YES NO 33 REGISTERED OWNER INFOMORGAN LIN 7038 RAVENNA AVE NE SEATTLE WA 98115 SHADE IN DAMAGED AREA rj 1 12 7 FROM TO INSURANCE CO LIABILITY INSURANCE❑ SAME. i - "` S 0 34 IN EFFECT &POLICY# 4 TCSP 13 LEGALLYL 01 CITATION# CHARGE 000 Y)M STANDING YES NO STANDING �} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STR 16 NFlEETEETFs.Fl CITY ST ZIP AnnRCDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES No NTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE ICLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# i 970P - S 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGAlly E:l STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K LEVERTON 10-04-24 02:47 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OBADGE R IID# 2517 O#I',WA0171300 APJACOBS 111412024 PAGE�OF F 3000-345-013(R 11118) REPORT NO. EF31954 CASE# ' 24-10391 DATE AND TIME 10/04/24 13:28 OF COLLISION 7 ,t z t ( Z �1 o, i � t i a Y h?f S4 1,33 t l l 0 PAGE 5 OF 5