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HomeMy WebLinkAbout24-8174 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF15861 170
27
COLLISION REP FIT 1591971
CASE 24-8174 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 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ 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 0832 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LOGAN AVE N BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e N 3RD ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2066040876 0 11
30
6� LAST NAME TUN FIRSTNAME MARA MIDDLE 1 2 31
INITIAL
STREET ❑ 10422 3RD AVE SW CITY RENTON ST WA ZIP 98146 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� BJW4766 sTArI WAvIN# JTHKD56HOE2186940
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FR.. ro
TRLR. "CRLR 1 3 33
12 3 0 VIN# VIN#:
FROM TO
❑ VEH.YEAR 2014 LEXS CT200H UT MAKE MODEL STYLE VEHICLE TOWED TO BLIN TLI I� RS GOVT.VEHICLE 5 1 34
13 4 DAMAGE YES No � YES[:] No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO TRAVELERS 6031789462031 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2064603937
16 2
LAST NAME ONTIEL-MARTWEZ FIRST NAME CATALINA MIDDLE
INITIAL
17 STREET NEW ADOREss❑' 856 CENTRAL AVE S CITY KENT ST WA ZIP 98032 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICALt-T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NoF YES t l NO❑
19 D IVEW #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ ILICENSE PLA E# AXD9768 TArE WA VIN 1 4S4WX97D884408054 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2008 MAKE SUBA MODEL TRIBECA STYLE UT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO CATALINA ONTIEL-MARTINEZ 856 CENTRAL AVE S KENT WA 98032 D:2064603937 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO I STOP 5
VE""LE ❑ N J
,J� CITATION# CHARGE
LEG i o BOTTOM
ALLY YES
-T
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.JACOBS 1953 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF15861
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8174
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) QUINONEZ RUTH S
(IAST FIRST,
ADDRESS&PHONE#
7834 S 130TH ST SEATTLE WA 98178 2063768169 SEXi F MMDDYyry 04 - 09 - 1984
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑, 2 POS, 3 2 4 1 USE 2 CLASS 1
NAME
LAST,FIRST MIDDLE INMAQ NISHIMURA NICOLE D
ADDRESS&PHONE# D O B
SEATTLE 2069727004 SEX IF MMDDYYYv 02 _ 17 _ 1985
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[]WITNESS POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On 8-4-24 at about 0851 1 arrived in the 300 block of Logan Ave N for a 2-vehicle collision. I
contacted all parties involved. Both drivers identified themselves via WADL. Driver 1, Mara Tun told
me;
He was waiting to turn left onto N 3rd street from southbound Logan Ave N.
He saw unit2 in the turn lane to go east on N 3rd so he thought it was clear for him to go.
He started his turn, and they collided in the intersection.
He was not injured.
I spoke to driver 2. Driver 2 told me;
She was driving northbound in lane 1 of Logan Ave N when Unit 1 suddenly turned into her vehicle.
She nor her passenger were injured.
Both drivers requested a private tow.
Driver 1's inattention is the proximate cause of the collision. I cited driver 1 via complaint for
inattentive driving.
The only witness available gave me a story supporting driver 2.
Both vehicles were towed at the drivers request.
This incident occurred in the city of Renton, County of King.
I declare under penalty of perjury under Washington state law that the foregoing is true and correct.
C. Jacobs/1953
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.JACOBS 09-02-24 10:41 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 911712024 2:13:19 PM
BADGE OR ID# 1953 OR]#' [ WA0171300 TIME POLICE DISPATCHED; 8:35 AM TIME POLICE ARRIVED',8:41 AM
PART I PAGE 2�OF❑
REPORT NO. EF15861 CASE# ' 24-8174 DATE AND TIME 08/05/24 08:32
OF COLLISION
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