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HomeMy WebLinkAbout24-11656 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF35258oc� RA COLLISION REPORT 1591971 ASE# ; 24-11656 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE LOCCO A`GENC'Y 4200 3 COUNTY RD INVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E COLLISION' 11 - 09 - 2024 1732 17 =.= S 8 W E IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION BLOCK NO. SW SUNSET BLVD 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FEET e✓ S 8 W e OAKESDALE AVE SW 0 1 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YES ✓NO D:2067050120 1 9 30 6 LAST NAME RODRIGUEZ FIRST NAME SOPHIA MIDDLE I t 1 2 31 INITIAL STREET 10506 55TH AVE S NEW ADDRESS CITY SEATTLE ST WA ZIP 981782207 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO�/ INTERLOCKYEs E �/ YES ND�/ 8❑ DRIVER # STATE WA SEX F MMDCSYY' O6 - 26 - 2008 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS 1 NATURE OF INJURIES 2 LICENSE, CCL6032 STATE WA VN# JMlBJ2225YO295897 3 10[9� PI ATP rt 11[-j- TRAILER STATE TRAILER ,STATE ROM TO 11 3 5 PLATE# PLATE# rRLR rRLR 7 3 33 12 3 5 VIN# vI. ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyENIZ GOVT VEHICLE 7 $ 34 13 4 2000 MAZD PROTE SD DAMAGE YES NO " "'"' RS YES NO REGISTERED OWNER INFO CINDY YANG 1091925TH AVE SW SEATTLE WA 98146 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ NSURANCE CO NA IQ IN EFFECT &POLICY# CHARGE 5 36 LecnLLY YES❑NO CITATION# 711 15❑ STM ING III MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES NO �/ D:2064963686 16� LAST NAME BANHAM FIRST NAME STEVEN MIDDLE J INITIAL 37 17 STREET'O 50TH ST E CITY FIFE ST, WA ZIP 984242147 4 NEW AbORESS 21 35 ❑ 18 CDL ...; IGNITION REQUIRED IGNTION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs NO jNTERLOGKYES NO yES Na 19 DRIVER'S STATE WA SEXI M I D.O.e. 02 09 1983 39 LICENSE# MMDDYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H UET 2 SE CLA1 Y NATURE OF INJURIES 40 SS 21 LICENSLATE E C0344C TaTE WA VIN# 5FYH8YU07GC050634 41 22❑ PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2016 MAKE IyEyI/ MODEL XCELSIO STYLE $U VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO STEVEN BANHAM3811181ST ST E TACO.WA 98446 D:2064963686 VEHICLE NO.2 SHADE IN DAMAGAREA 2 3 LIABILITY INSURANCE INSURANCECO KING COUNTY RISK MANAGMENT IN EFFECT &POLICY# t 9TOP vewaE ❑ CITATION# CHARGE to BOTTOM EEGnEEv YES N`[ 25 a ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 KEVIN PETERSON 12808 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF35258 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11656 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. — [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# S ' D.O EX .B.MMDD -F L----------� YYYY EAT HELMETNJURY URE OF PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j NARRATIVE Please see subsequent narrative pages I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. KEVIN PETERSON 11-09-24 08:25 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 11/13/2024 4:22:03 PM BADGE OR ID# 12808 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:37 PM TIME POLICE ARRIVED 5:42 Pfl1 PART B 3oDo-345-,ao(Rtrras) PAGE 27 OF 47 REPORT NO. EF35258 CASE# 24-11656 OF COLLISIONS 11/09/24 17:32 OI;COLLISICiN NARRATIVE I was dispatched to a collision on 11/09/24 at 1737 hours at SW Sunset Blvd and Oakesdale Ave SW, in city Renton, King County WA. Unit 1 CCL6032 Driver: Sophia I. Rodriguez (DOB 06/26/2008) Unit 2 C0344C Driver: Steven J. Banham (DOB 02/09/1983) Unit 2 was stopping at a bus stop on SW Sunset Blvd when the bus had stopped and the door open to let off a passenger Unit 1 then rear ended Unit 2. Unit 2 had approximately 12 passengers on the bus. All passengers had departed off the bus prior to my arrival 1 passenger gave her information incase she was hurt. I attempted to call the passenger got no answer her name and phone number is Carter Leevonnie (435-479-8712). Unit 1 told me she was heading East on SW Sunset Blvd when she noticed the bus was stopped to late and could not change lanes. Unit 1 attempted to stop but was unable to stop and hit the back of the bus. Both drivers stated no injuries. I gave all parties an information exchange. Unit 1's driver Rodriguez was unable to provide proof of insurance upon request and was cited for driving a motor vehicle with no proof of insurance. Rodriguez was also cited for violating her instructors permit by not having a licensed driver with her while operating a motor vehicle on the roadway. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed: Officer Kevin L. Peterson Date and Place: 11/09/2024, 2016 hours at Renton, WA **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 2 Action Code: STOPPING AT A BUS STOP **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 4 REPORT NO. EF35258 CASE# 24-11656 DATE AND TIME i 11/09/24 17:32 OF COLLISION t�� `StSt� t s E_ t�#S s t l�tL� i S mi u t* 11 �tl�t`e•�SJ, 4 IN h � st r � t s tlU t q�: 's T s � S th� PAGE 4 OF 4