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HomeMy WebLinkAbout24-10457 ("7— STATECETRAFFicNREPORT NO. EF22176 5 127 ,one COLLISION REP F 1591971 CASE# 24-10457 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[� HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$ RESERVATION 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# LOLL s ON 10 - 07 - 2024 0958 17 a. e W 8 OF IN 8 1070 3 S 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NONINTERSECTION ❑ TALBOT RD S BLOCK NO. 4a❑ MILE POST 8 DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1.= FEET e S e W B S TON VILLAGE PL 0 1 29 MOTOR PEDAL- DAM E THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE YEs ,/NO D:2062003959 N:2062913000 0 11 30 6 LAST NAME : STEWART FIRST NAME PATRICK MIDDLE W 1 2 31 INITIAL STREET E:1 11215 SE 192ND ST CITY KENT WA NEW ADDRESS S7 ZIP 98031 z 7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES NO,/ INTERLOCKYES NOW vEs Na,/ DRIVE STATE WA SEX'M MM flYY 04 - 30 - 1987 1 2 32 8❑ L 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 CLASS 7 NECKAND HEAD PAIN 2 LICENSE D82887A srArE WA WIN# 3FTTW8F99NRA78638 10 1❑ PI 3 11 3 5 PLATE# STATE TRAIPLATE# STATE ROM To TRLR TRLR. 1 5 33 12 3 5 VIN#' VIN# FROM TO 13 4 VEH.YEAR 2022 MAKE FORD MODEL MAVERI STYLE pK VEHICLETOWEED2NOn fBLIN tIHNK RS GOVT,VENIOCL✓ 3 7 34 ❑ DAMAGE II1I._IIII tlAlVt(t ccJllu—'II REGISTERED OWNER INFO CORPORATION SCMNOLER ELEVATOR 15413 NE 95 ST REDMOND WA 98052 D:2062913000 VEHICLE NO. 1 ❑ SHADE 1N DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 4 14 WILLIS TOWERS WATSON BAP 6445436 33 IN EFFECT &POLICY# VEHICLE CHARGE 5 ❑ 36 EGALI V YES❑NO❑ CITATION# 14 BOTTOM 15❑ srAnomc a 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE', ❑ ❑ OWNFR ves,/ NO D:2063938890 16� LAST NAME MINDAYE FIRST NAME YAKOB MIDDLE T INITIAL 17❑ STREET El 22692 129 PL SE CITY KENT I ST WA ZIP 98031 4 NEW ADDRESS ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 WTERLOCKvss ND INTERLOCK Es N YES No,� 19 F DRIVER'# —NATURE OF INJURIES 20 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HE USEE7 2 CLASSY 7 HEAD AND NECK PAIN 40 ❑21❑ LICENSE gRJ1925 41 TATf'WA vIN# JTDKARFU2H3533725 1 PLATE# 42 22 PLATE#TRAILER STATE PLATE TRAILER STATE 23 43 TRLR RLR VIN#. '[N#, TOWED BY GO HI 44 VEH.YEAR 2017 MAKE TDYT MODEL PR/US STYLE P4 DAMIAGE TOWED✓ NOO BLIN BANKERS YES NO�/ 24 REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO.2 SHADE IN DAMAGED AREA LIABILITY INSURANCE INSURANCE CO PROGRESIVE 986954604 3 4 IN EFFECT &POLICY# 4TOP 5 VEHICLE ❑ .1-1 CITATION# CHARGE tOBOTTOM LEGALLY YES N`E:l 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 DESIREE SCOTT 10272 WA0171300 PART A . PAGE 01 OF 9000-345-159(R 11(181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF22176 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10457 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. - MMDDYYYY PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES 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 On 10/07/24 around 0958 hours I was dispatched to the intersection of S. Renton Village PL/Talbot RD S (City of Renton, County of King, and State of Washington) due to a report of a vehicle collision. Upon arrival I contacted driver#1 who stated he was headed South bound in lane #2, driving Vehicle #1, when he noticed some items on his front passenger seat had shifted. Driver#1 looked down to reached over to put the stuff back on the passenger seat and when he looked up, he realized he was in the process of running a red light and he did not have time to stop. Vehicle #1 struck Vehicle #2. Driver#2 stated he had a green light going west bound on S. Renton Village PL and as he was going through the intersection Vehicle #1 ran the red light and struck Vehicle #2. Driver#1 and Driver#2 complained of neck and head pain. Renton Fire Authority arrived to address any injuries. Neither driver wanted to go to the hospital. Vehicle #1 had damage to its front passenger bumper, quarter panel and hood. Vehicle #2 had damage to its front bumper, quarter panel, hood and driver's side door. Both vehicles were towed by Banker's towing. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. DESIREE SCOTT 10-07-24 11:28 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVEQ BY DATE DESIREE SCOTT 10272 10/7/2024 11:33:31 AM BADGE OR ID# 10272 ORI# WA0171300 TIME POLICE DISPATCHED 10:00 AM TIME POLICE ARRIVED 10:03 AM PART B 3000-345.160(R1Vt8) PAGE 0 OF F3 REPORT NO. EF22176 CASE# 24-10457 DATE AND TIME 10/07/2409:58 OF COLLISION t q i s„ t t 3"t, { 2 @ �t:a L t ti PAGE 3 OF 3