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HomeMy WebLinkAbout24-6513 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-6513 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ RESERVATION STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 06 - 1-- 2024 2009 17 ❑.❑ S 8 W e IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SUNSET BLVD NE BLOCK NO. e ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e NE1405 0 4 29 UNIT MOTOR VEHICL Z CYCLE ElOYESA✓NOTHRESHOLDMET PHONE O 1 30 6❑ LAST NAME WEYERS FIRSTNAME JASON MIDDLE D 1 2 31 INITIAL STREET ❑, 16108 WESTWICK RD CITY SNOHOMISH ST WA 2jp, 98290 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'M MID -O B 04 1— 07 — 1990 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES z❑ 3 10 9❑ PI ATE 14 BF66614 STATE WA VIN#' 1 NXBR32E77Z805372 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM ro TRLR. TRLR. 5 7 33 12 0 0 VIN#' VIN#' FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 1 $ 34 13 3 2007 TOYT COROL SD DAMAGE YES NO MEYERS YES[:] NO✓ REGISTERED OWNER INFO JASON WEYERS 16108 WESTWICK RD SNOHOMISH WA 98290 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO NIA 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STAINDIING 6 UNIT U2 TFIR VEHIMOTOCLE CYCLE ❑ PEDESTRIAN ❑ OWNER PEDAL [:]EA. DYES NO ✓OLD MET PHONE 16 2 LAST NAME UNKNOWN FIRST NAME UNKNOWN MIDDLE INITIAL STREET CITY FEDERAL WAY ST ZIP 4 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NO INTERLOCK YEs I I NOF YES t l NOF,/ 19 LLIICENS # STATE SEX U MMDDYY —❑_ 39 WELMET INJURY NATURE OF INJURIES 4O 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 2 CLASS 1 ❑ LICENSE I ❑21❑ PLA E# CJY5766 TATe 41 WA VIN# 5N1ED28Y71C507425 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2001 MAKE NISS MODEL XTERRA STYLE 4D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO FRANCISCO ESTRADA 2102 SW 334TH PL FEDERAL WAY WA VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO N/A IN EFFECT &POLICY# 9TOP 5 VE. LE YES N� CITATION# NA CHARGE to BOTTOM LecALLY `L- 0( 25 ' e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JASON TURNER 12650 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF36290 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6513 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' Unit 1 was traveling north bound on Sunset BLVD NE and then made a left turn at the entrance to 1405. Unit 1 disregarded the yield sign and crossed into the south bound lanes of Sunset Blvd NE directly into the path of Unit 2, causing the vehicles to collide. Unit 1 had no injuries, unit 1's vehicle had extensive front end damage and was unable to drive under it's own power. Unit 1 was towed by Gene Meyers Towing. Unit 2 was no longer on scene but Unit 1 stated that the two had exchanged information. Unit 1 provided me the licence plate of Unit 2. Unit 1 could not provide me with the name or phone number of the driver but did provide the license plate of the vehicle. Unit 2 never contacted the police to make a report about the incident. There is no further information at this time. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by J. Turner 12650 on 11/16/2024 at 0333 hours. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JASON TURNER 11-16-24 03:34 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 1111712024 12:21:02 AM BADGE OR ID# 12650 ORI#' WA0171300 TIME POLICE DISPATCHED} 8:09 Pry TIME POLICE ARRIVED 8:15 PM PART I PAGE IT]OF REPORT NO. EF36290 CASE# 24-6513 DATE AND TIME 06/20/24 20:09 OF COLLISION +sr 3% is i PAGE 3 OF 3