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HomeMy WebLinkAbout24-12025 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-12025 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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'. 11 - 1-- 2024 1446 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ SW 7TH ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV a LIND AVE SW 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El No ,/ I D:4253241878 0 11 30 6� LAST NAME DICKSON FIRSTNAME DARDEN MIDDLE H 1 2 31 INITIAL STREET ❑ 314 WILLIAMS AVE S UNIT 1824 CITY RENTON ST WA 2jp, 980579820 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVERS STATE WA SEX'M MM DAY' 01 1- 26 - 1939 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑ 3 10 9❑ PI ATE14 AMF9076 STATE WA uN#' 1P4GP44R8VB467989 11[-j- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# IRM ro TRLR. TRLR. 5 3 33 12 3 5 VIN#j VIN# FROM TO VEH.YEAR 997 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 2 1 PLYM GRAND DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO DARDEN DI 01 PO BOX 1824 RENTON WA 98057 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO <53 4IN EFFECT &POLICY# TOPVEHICLE CHARGE 36 LEGALLv res❑NO CITATION# OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES,/ NO D:2069481371 16 a LAST NAME WASHINGTON FIRST NAME MARCELLA MIDDLE I D INITIAL 17❑ STREET ❑', 7108 44TH AVE S CITY SEATTLE ST WA ZIP 981183810 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 LICENSE# STATE WA ]SEX IF M .C.B. 10 _ 11 1945 0 39 WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE I BMV0502 TATe WA VIN1t 1C4PJMC67KD213636 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE pLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2019 MAKE JEEP MODEL CHEROK STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI �44 L4❑ DAMAGE YES NO,� YES NO REGISTERED OWNER INFO MARCELLA WASHINGTON 710844TH AVE S SEATTLE WA 98118 VEHICLE NO.2 SHADE IN DAGELLAREA z Cdd LIABILITY INSURANCE I PORGY#E CO AARP 55PHB730088IN IGQVE""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 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. EF38003 COLLISION REPORT III III III III III 111 1591972 CASE# 24-12025 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MONTALVO JUAN M (LAST FIRST, ADDRESS&PHONE# 13008 210TH AVE CT E BONNEYlAKE WA 98391 5595455390 SEX M MMDOYyry 01 - 26 - 1985 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELIVIET INJURY NATURE OF INJURIES ❑ POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB E MMDDYYYY PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES 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' 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. C.CATALAN 11-20-24 03:40 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 1112112024 10:05:37 AM BADGE OR ID# 92007 ORI# WA0171300 TIME POLICE DISPATCHED; 2:46 PM TIME POLICE ARRIVED',2:46 PM PART I PAGE IT]OF 4� REPORT NO. EF38003 CASE# 24-12025 OF COLLISION 11/20/24 14:46 OF CbLLI510N NARRATIVE On November 20, 2024, at approximately 1533 hours, I was dispatched to a blocking vehicle collision at the intersection of SW 7th St and Lind Ave SW, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I confirmed the collision was non-injury and was able to have both involved vehicles move off the roadway. There, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit 1 said he was traveling northbound in about the 650 block of Lind Ave SW and approaching SW 7th St. The driver of Unit 1 stated he stopped at the intersection in the right turn lane. The driver of Unit 1 stated he intended to make a right turn to continue eastbound on SW 7th St. The driver of Unit 1 proceeded to make his right turn, but Unit 1 and Unit 2 collided in the roadway in the number 2 eastbound lane. The driver of Unit 1 stated he was unable to see unit 2 going eastbound on SW 7th St. The driver of Unit 2 said she was the sole occupant of her vehicle and was also at the intersection of Lind Ave SW and SW 7th St. She was in the number 2 eastbound lane. The driver of Unit 2 stated she was intending to continue towards the intersection of Rainier Ave S. Upon Unit 2 approaching where Unit 1 was located at, Unit 2 saw Unit 1 had turned into her lane of travel. The driver of Unit 2 was unable to avoid the collision and subsequently collided with Unit 1. Unit 2 suffered damage to the passenger side doors. A witness confirmed that Unit 1 was turning turned into unit 2. Based on the above statements, 1 determined that the driver of Unit 1 is the proximate cause for the collision as the driver violated RCW 46.61.290 which covers right turns and stated that "both the approach for a right turn and a right turn shall be made as close as practicable to the right-hand curb or edge of the roadway." An exchange of information was provided to all involved parties. PAGE 3 OF 4 REPORT NO. EF38003 CASE# ' 24-12025 DATE AND TIME 11/20/24 14:46 OF COLLISION ik +�u i UPI � t � s, x yam` v6' f 1 3 n 4 Y s v d � PAGE 4 OF 4