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HomeMy WebLinkAbout24-10648 �oLc RaiTFFiN 0 7 27c REPORT NO. EF25114
COLLISION REPC>F 1591971
'"*** CASE 24-10648 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 1 STATE ROUTE OTHER STOLEN
vEwcLE ❑ LOCALAGENC, 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN TS#OF 02 STRUCK' 1 8 2$
RESERVATION: 2
3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
coislon 10 - 11 - 2024 2145 17 �.= S NO
W e OF IN 8 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAPLE VALLEY HIGHWAY BLOCK 8 15400
4a MILEPOST
.�
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 FEET e SO W 8 154TH PL SE
0 1 29
MOTOR ✓ PEDAL- : DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE' YEs ,/No D:2066122848 0 8 30
6❑ LAST NAME MAHMOOD FIRST NAME ABDULA MIDDLE A 1 2 31
INITIAL
STREET [:] 25838 176TH PL SE CITY COVINGTON WA
NEW ADDRESS ST ZIP 98042 2
7❑ CDL fGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1NTERLOCKYEs No✓ INTERLOCK YEs No✓ rEs NOW
8 LDICEN # STATE WA SEX M MM08 07 - 14 - 2007 ' 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
T 2 INJURY
1 NATURE OF INJURIES 2=
�ci nTF# BW69999 srnr� WA uIN# 7�M57RSS4H1223826 3
10 1❑
11 0 0 STATE TRAILERSTATE FROM TO
TRAILER
PLATE# PLATE#
TRLR. TRLR. 3 7 33
12 0 VIN# VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT,VEHICLE 9 9 34
13 4 2017 MASS GH/BLI SD DAMAGE YES NO ✓ YE,[_]
NO✓
REGISTERED OWNER INFO 4LI..O.D2508I76THPLSE COVINGTON WA 98042 D:2064121535 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE CO STATEFARM 363 7982-C22.47E a
LIABILITY
EFFECT &POLICY# <1�3Q,
vtwa.t CHARGE ❑ 36
15 2 STAN INc Yes No CITATION# 4A0810436 FOLLOW VEHICLE TOO CLOSELY e
MOTOR PEDAL : PROPERTY DAM THR OLD MET PHONE
UNIT(� �✓ ❑ PEDESTRIAN ❑ ❑ D:2069028234
VEHICLE CYCLE OWNER YES✓ NO
16F1
LAST NAME BROUGHTON FIRST NAME TMIKE MIDDLE L
INITIAL
17❑ STREETEll 5108 NE 21ST ST CITY RENTON ST' WA ZIP 98059 4❑ 37
NEW ADDRESS
18� IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38
[COL
INTERLOCK YES No✓ INTERLOCK YES rya✓ YES No✓
DRIVER'S; STATE WA SEX M D.O.B. 05 15 1963 ❑ 39
19❑ LICENSE# MMDdYY —�_[-----� 3
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS
2 CLASS 1 NATURE OF INJURIES ❑ 40
❑21❑ LICENSE W0096A rArE WA viN# 41 1GNEK13T25J156285 1
PLATE#
42
22❑ PLATE# STAILER TATE PLATE#TRAILER STATE
23 4
TRLR RLft
UIN#. IN# 3
VEH.YEAR 200$ MAKE CHEV MODEL TAHOE STYLE ES VEHICLE TOWED TO BLIN
TOWED BY GO HI 44
24 DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADE IN DAMAGEAREA
LIABILITY INSURANCE INSURANCE CO STATEFARM 3179738-B13-47F 2 3
IN EFFECT &POLICY# i 4TOP
veeia.Lv YES N.1—] CITATION# CHARGE tOBOTTOM
FecnF
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
CHARLES DAVIS 11476 WA0171300
3000-345-159 FIR11/1M PAGE 01 OF
PART A
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF25114
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10648
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 NJURY NATURE OF INJURIES
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 CIASS ----�
: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 10/11/2024 at about 2147 hours, I was flagged down about a 2 car collision that occurred at the
intersection of Maple Valley Highway and 154th PI SE, in the City of Renton, King County, WA.
After getting both vehicles off the road I spoke to the driver of unit 2, identified by WADS as Mike
Broughton (DOB 5/15/1963), who explained the following: He was driving west on Maple Valley
Highway when he was stopped at the traffic light at the intersection with 154th PI SE. He was in the
right most lane, waiting to turn right. As he was waiting for the light to change his vehicle was struck
in the rear by Unit 1.
I then spoke to the driver of Unit 1, identified by WADS as Abdula Mahmood (DOB 7/14/2007), who
explained the following: He was driving westbound on Maple Valley Highway approaching the
intersection with 154th PI SE when he saw Unit 2 about 20 yards away. He then looked down to
change the music on his phone. When he looked up he saw that Unit 2 had not moved, so he slowed
down and then struck the rear of Unit 1 with the front of Unit 2, causing damage to both vehicles.
In this intersection there is a large, illuminated sign that portrays a right turn arrow with a slash
through it. This sign lights up when vehicles in the most right lane are prohibited to turn right. The
driver of Unit 2 stated that this light was illuminated, which is why he was stopped at the intersection,
but the driver of Unit 1 claims that the traffic light was green.
Based on the statements by both parties I issued Abdula citation #4A0810436 for following too
closely.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
This report was electronically signed by Officer C. Davis #11476, October 12, 2024, Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
CHARLES DAVIS 10-12-24 02:08 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 1011612024 4:27:10 PM
BADGE OR ID# 11476 ORI# WA0171300 TIME POLICE DISPATCHED; 9:47 PM TIME POLICE ARRIVED i 9:47 PM
PART B 8800-845.160(R1Vt8) PAGE 0 OF 37
REPORT NO. EF25114 CASE#', 24-10648 DATE AND TIME 10/11/2421:45
OF COLLISION
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