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HomeMy WebLinkAbout24-8782 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 SASE 24-8782 2 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 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION.. OS - 1-- 2024 1435 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ LOGAN AVE N BLOCK NO. e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e N 6TH ST 0 6 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:3014376988 0 81 30 6� LAST NAME GODO FIRSTNAME NKEDI MIDDLE N 1 1 2 31 INITIAL STREET ❑ 17701 17TH AVE E CITY SPANAWAY ST WA 2jp, 983871941 z 'NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑ 3 LICENSE CKM6698 sTArI WAvIN# 1HGCR3F88HA000787 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM ro TRLR. TRLR. 5 1 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 9 9 34 13 2 2017 HOND ACCOR DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO NKEDI GODO 1770117THAVEE SPANAWAYWA 98387 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO AMERICAN FAMILY 41097-11136.69 4 IN EFFECT &POLICY# 9TOP VE—LE CHARGE 5 36 LEGALLY, YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDIN 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:3663596586 16 a LAST NAME PRATT FIRST NAME AMY MIDDLE R INITIAL 17❑ STREET ❑', 23337 114TH PL SE CITY KENT ST WA ZIP 980313430 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NO❑ 19 D IVEW # {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE I CGK9962 TAre WA vIN1t 3FA6POLU5LR135859 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2020 MAKE FORD MODEL FUSION STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO AILEEN PRATT 23337114TH PL SEKENTWA98031 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE I PORGY#ECO STATE FARM 5509081-F11-47-001 1 9TOP IN EFFECT V'""LE ❑ ,J� CITATION# CHARGE 25 i o BOTTOM LEGALLY YES N $ ' 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF10931 COLLISION REPORT III III III III III 111 1591972 CASE# 24-8782 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 POS. 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' On August 20, 2024, at 1335 hours, dispatch requested that I respond to a collision that occurred at Logan Ave N and N 6th St, in the city of Renton. Upon my arrival I spoke with the driver of unit 2 and he explained he was going northbound on Logan Ave N when another vehicle in front of him came to an abrupt stop. The driver of unit 2 managed to bring their vehicle to a stop but was subsequently struck from behind by unit 1. I then spoke with the driver of unit 1, and he explained he was going northbound on Logan Ave N. He was following unit 2. They mentioned that unit 2 and another vehicle came to an abrupt stop. Unit 1 locked his wheels to avoid a collision but still slid forward. He tried moving to the right turn lane, but his vehicle only tilted right and continued to slide. In doing so, he struck unit 3 which was already in the right turn lane. Unit 1 also struck unit 2's rear bumper. I then spoke with the driver of unit 3 and they collaborated the same story. They mentioned that all the vehicles in the through lane came to an abrupt stop. Unit 3 was in the right turn lane, approaching N 6th St when the collision occurred. As they neared N 6th St, unit 1 struck the side of their vehicle. All the vehicles sustained moderate damage, so an exchange of information was given to all the drivers. I believe that unit 1 was following too closely which was a contributing factor to the collision. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 08-27-24 08:29 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 9/2/2024 12:14:46 PM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED; 2:38 Pry TIME POLICE ARRIVED',2:48 PM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT NO. EF10931 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-8782 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES� NO D:2532248684 0 1 29 LAST NAME MAM FIRST NAME CHANMOLY MIDDLE' N INITIAL STREET 30 NEW AnDRFSP 36237 23RD PL S CITY FEDERAL WAY ST WA ZIP 1 980038369 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES�NO� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 09 - 27 - 1995 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE AWE0172 TAr Wq VIN# 1N4AL3AP2DC903219 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2013 MAKE NISS I MODELALTIMA STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1Ci E FROM TO DAMAGE YES NO YES NO 33 REGISTERED OWNER INFO CHANNY MAM 3623723RD PL S FEDERAL WAY WA 98003 rj 1 12 SHADE IN DAMAGED AREA 7GQ j4 FROM TO LIABILITY INSURANCE INSURANCE CO ALL STATE 820 800 720 IN EFFECT &POLICY#VEHICLE 34 CITATION# CHARGE 13 IEGnuv YES NO STANDING �} 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIAL 36 MIDDLE ❑ STREET"[-] 16 NEW nnR CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK 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 (CLASS 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 ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv 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. C.CATALAN 08-27-24 08:29 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12007 O#I WA0171300 JACOBS 9/2/2024 PAGE F OF 4 3000-345-013(R 11118) REPORT NO.! EF10931 CASE# ' 24-8782 DATE AND TIME 08/20/24 14:35 OF COLLISION qt; i, PAGE 4 OF 4