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Home My WebLink About24-9089 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF10563 170 27 COLLISION REP FIT 1591971 SASE 24-9089 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 2$ TRIBAL UNITS 01 STRUCK' WOOD SIGN POST RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN ✓ CITY# ❑ C{YLLISION O8 - 1-— 2024 1428 17 ❑.= S 8 W IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ 133RD AVE SE BLOCK NO. e✓ 14900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 149THAVESE 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO ✓ I D:9999999999 30 6❑ LAST NAME SOPER FIRSTNAME MATTHEW MIDDLE H 1 1 2 31 INITIAL STREET ❑ 7533 S 129TH PL TTLE WA 'NEWADDRESS ST ZIP 98178 z CITY SEA 7❑ CDL I ✓ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO NTERLOCKYEs NO✓ YES No 8❑ LDRIVER # STATE WA SEX'M MID -O B 08 — 23 — 1962 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 ATE 14 D2172C sTAT GOV vN# 18ABNBSA3PF389259 IT STATE TRAILER STATE 11 2 5 PLATE# PLATE# Rom ro rRLR. TR 7 5 LR 33 12❑ VIN# VIN# FROM 23 BLB BU pL 20 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY T.VEHICLE 13 2 DAMAGE YES NO ✓ YES❑ NO 34 REGISTERED OWNER INFO RENTONSCHOOL DISTRICT 300 SW 7TH ST RENTON WA 98057 D:9999999999 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 4 14 LIABILI VINSURANCE INSURANCE CO SCHOOL INSURANCE ASSOCIATION OF INA#SIAW232434033 IN EFFECT &POLICY# 9TOP_ VE—LE CHARGE 5 36 ECALLv ❑NO❑ CITATION# 10 BOTTOM 15❑ L STANDING YES 8 7 6 UNIT VE IOOMOTR PEDAL- PROPE❑ CYCLE ❑ PEDESTRIAN ❑ OWNFRRTY [:]I DYES NO OLDMET PHONE 16❑ LAST NAME FIRST NAME MIDDLE INITIAL STREET CITY' ST ZIP 4❑ 37 17❑ NEW ADDRESS❑' 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 INTERLOCK YEs❑NOR INTERLOCK YEs❑NOF YEs❑NO❑ 19 LLIRIVEWSTICENS # STATE SEX MMDDYY —�_ 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ TATE LICENSE vIN# 41 1 PLATE# 42 22❑ PIR TRAILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP 5 —e E ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N J 25 s e 7JAWEBER NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 12532 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF10563 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9089 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) NGUYEN THI (LAST FIRST, ADDRESS&PHONE# RENTON SEX i U MMDDYYYY 10 -Di] 04 - 2009 ------------------------- PASSENGER Z WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' H USE ET 2 CCLASS 1 NATURE OF INJURIES ' Lr 1 �; 1 POS. 10 1 1 1 NAME (LAST,FIRST,MIDDLE INITIAL) JACKSON AMIYAH ADDRESS&PHONE# D O B RENTON SEX: U MMDOYYYY 07 _ 11 _ 2008 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS UNIT# 1 POS. 10 AIRBAG 1 RESTR. 1 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) MOCHACHE JABEZ AppREss&PHONE# RENTON U M OB 22 _ 2010 SEX. MDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 10 AIRBAG 1 RESTR. 1 EJECT 1 HELMET 2 NJURY 1 NATURE OF INJURIES ❑ POS. USE CLASS ----� NARRATIVE' Driver 1 stated he was attempting to make a right hand turn onto 133rd Ave SE from SE 149th ST when he cut the corner too short, striking the city street sign. Driver 1 stated he was going under 5mph, and there were no injuries reported. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Seat Position (Passenger THI NGUYEN): SIDE SEAT Seat Position (Passenger AMIYAH JACKSON): SIDE SEAT Seat Position (Passenger JABEZ MOCHACHE): SIDE SEAT Seat Position (Passenger LINH NGUYEN): SIDE SEAT Seat Position (Passenger ARA LEWIS): SIDE SEAT Seat Position (Passenger WESTON SKIPPER): SIDE SEAT Seat Position (Passenger ANNA BERFIELD): SIDE SEAT Seat Position (Passenger JAVIER GARRIDO MARTINEZ): SIDE SEAT Seat Position (Passenger DYLAN WALKER): SIDE SEAT Seat Position (Passenger VINCENT JENSEN): SIDE SEAT **** END OF AUTO-POPULATED SECTION **** I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JACOB WEBER 08-29-24 05:10 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 91112024 8:30:33 AM BADGE OR ID# 12532 ORI#' i WA0171300 TIME POLICE DISPATCHED 2:29 PM TIME POLICE ARRIVED',2:38 PM PART I PAGE IT]OF STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF10563 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9089 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) NGUYEN LINH (LAST FIRST, ADDRESS&PHONE# RENTON SEX U MMDDYYYY 09 - 21 - 2008 ------------------------- PASSENGER Z WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' H USE ET 2 CCLASS 1 NATURE OF INJURIES ' Lr 1 �; 1 POS. 10 1 1 1 NAME (LAST,FIRST,MIDDLE INITIAL) LEWIS ARA ADDRESS&PHONE# D O B RENTON SEX: U MMnDYVYY 01 _ 22 _ 2009 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS UNIT# 1 POS. 10 AIRBAG 1 RESTR. 1 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) SKIPPER WESTON AppRESS&PHONE# RENTON SEX U 1U 03 _ 2008 . D.O.B.M _ MDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 10 AIRBAG 1 RESTR. 1 EJECT 1 HELMET 2 NJURY 1 NATURE OF INJURIES ❑ POS. USE CLASS ----� NARRATIVE' Driver 1 stated he was attempting to make a right hand turn onto 133rd Ave SE from SE 149th ST when he cut the corner too short, striking the city street sign. Driver 1 stated he was going under 5mph, and there were no injuries reported. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Seat Position (Passenger THI NGUYEN): SIDE SEAT Seat Position (Passenger AMIYAH JACKSON): SIDE SEAT Seat Position (Passenger JABEZ MOCHACHE): SIDE SEAT Seat Position (Passenger LINH NGUYEN): SIDE SEAT Seat Position (Passenger ARA LEWIS): SIDE SEAT Seat Position (Passenger WESTON SKIPPER): SIDE SEAT Seat Position (Passenger ANNA BERFIELD): SIDE SEAT Seat Position (Passenger JAVIER GARRIDO MARTINEZ): SIDE SEAT Seat Position (Passenger DYLAN WALKER): SIDE SEAT Seat Position (Passenger VINCENT JENSEN): SIDE SEAT **** END OF AUTO-POPULATED SECTION **** I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JACOB WEBER 08-29-24 05:10 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 91112024 8:30:33 AM BADGE OR ID# 12532 ORI#' i WA0171300 TIME POLICE DISPATCHED 2:29 Pry/ TIME POLICE ARRIVED',2:38 PM PART I PAGE IT]OF STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF10563 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9089 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) BERF►ELD ANNA (LAST FIRST, ADDRESS&PHONE# D O.B. RENTON SEX U MMDDYYYY 04 - O6 - 2010 PASSENGER Z WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' H USE ET 2 CCLASS 1 NATURE OF INJURIES ' Lr 1 �; 1 POS. 10 1 1 1 NAME (LAST,FIRST MIDDLE INITIAW GARRIDO MARTINEZ ✓A V/ER ADDRESS&PHONE# D O B RENTON SEX: U MMnDYVYY 04 _ 28 _ 2009 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS UNIT# 1 POS. 10 AIRBAG 1 RESTR. 1 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) WALKER DYLAN AppREss&PHONE# RENTON U 12 28 _ 2008 SEX. MMDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 10 AIRBAG 1 RESTR. 1 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES ❑ POS. USE CLASS ----� NARRATIVE' Driver 1 stated he was attempting to make a right hand turn onto 133rd Ave SE from SE 149th ST when he cut the corner too short, striking the city street sign. Driver 1 stated he was going under 5mph, and there were no injuries reported. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Seat Position (Passenger THI NGUYEN): SIDE SEAT Seat Position (Passenger AMIYAH JACKSON): SIDE SEAT Seat Position (Passenger JABEZ MOCHACHE): SIDE SEAT Seat Position (Passenger LINH NGUYEN): SIDE SEAT Seat Position (Passenger ARA LEWIS): SIDE SEAT Seat Position (Passenger WESTON SKIPPER): SIDE SEAT Seat Position (Passenger ANNA BERFIELD): SIDE SEAT Seat Position (Passenger JAVIER GARRIDO MARTINEZ): SIDE SEAT Seat Position (Passenger DYLAN WALKER): SIDE SEAT Seat Position (Passenger VINCENT JENSEN): SIDE SEAT **** END OF AUTO-POPULATED SECTION **** I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JACOB WEBER 08-29-24 05:10 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 91112024 8:30:33 AM BADGE OR ID# 12532 ORI#' i WA0171300 TIME POLICE DISPATCHED 2:29 PM TIME POLICE ARRIVED',2:38 PM PART I PAGE IT]OF STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF10563 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9089 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) JENSEN VINCENT (LAST FIRST, ADDRESS&PHONE# D O.B. RENTON SEX U MMDDYYYY 11 - 26 - 2008 PASSENGER Z WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' H USE ET 2 CCLASS 1 NATURE OF INJURIES ' Lr 1 �; 1 POS. 10 1 1 1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX' MMDDYYYY PASSENGER [:]WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' Driver 1 stated he was attempting to make a right hand turn onto 133rd Ave SE from SE 149th ST when he cut the corner too short, striking the city street sign. Driver 1 stated he was going under 5mph, and there were no injuries reported. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Seat Position (Passenger THI NGUYEN): SIDE SEAT Seat Position (Passenger AMIYAH JACKSON): SIDE SEAT Seat Position (Passenger JABEZ MOCHACHE): SIDE SEAT Seat Position (Passenger LINH NGUYEN): SIDE SEAT Seat Position (Passenger ARA LEWIS): SIDE SEAT Seat Position (Passenger WESTON SKIPPER): SIDE SEAT Seat Position (Passenger ANNA BERFIELD): SIDE SEAT Seat Position (Passenger JAVIER GARRIDO MARTINEZ): SIDE SEAT Seat Position (Passenger DYLAN WALKER): SIDE SEAT Seat Position (Passenger VINCENT JENSEN): SIDE SEAT **** END OF AUTO-POPULATED SECTION **** I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JACOB WEBER 08-29-24 05:10 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 91112024 8:30:33 AM BADGE OR ID# 12532 ORI#' i WA0171300 TIME POLICE DISPATCHED 2:29 Pry TIME POLICE ARRIVED',2:38 PM PART I PAGE IT]OF REPORT NO.! EF10563 CASE# ' 24-9089 DATE AND TIME 08/29/24 14:28 OF COLLISION �4a, 17s i i c PAGE 6 OF 6