HomeMy WebLinkAbout24-12082 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
SASE 24-12082 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 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 1917 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S 4TH PL
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2064684582 0 11
30
6� LAST NAME ABDILAHI FIRSTNAME YUSUF MIDDLE C 1 1 2 31
INITIAL
STREET ❑ 4519 S ROSE ST CITY SEATTLE ST WA 21p, 98118 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aTES� CFE4560 sTArI WAvIN# JTDKN3DU4D1628703
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 5 VIN#j VIN#
FROM TO
❑ VEH.YEAR 2013 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 4 TOYT PRIUS 4D DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO AHMEDABD.DIR-ISMAEL 125 SW112TH STA616 SEATTLE WA 98146 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO CONNECT SX13591525 <�3
4
LI EFFECT &SUR N#VEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# TTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066972355
16 a
LAST NAME LE FIRST NAME DEVIN MIDDLE J
INITIAL
17 STREET❑ NEW ADDRESS❑' 7606 163RD ST CT E CITY PUYALLUP ST WA ZIP 98375 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19[—] D IVEW #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ PLATE# CGC20511 TArE WA VIN# 2HGES16513H540757 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2003 MAKE HOND MODEL CIVIC STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO DEVIN LE 7606163RD ST CTE PUYALLUP WA 98375 D:2066972355 VEHICLE NO.2
SHADE DA GEbAREA
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N J
25 s e
7TRADER
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 4553 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF38220
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12082
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) DANG T/NA M
(LAST FIRST,
ADDRESS&PHONE#
150 S 46TH ST TACOMA WA 98418 2532139864 SEXi F MMDDYyry 03 - 27 - 2005
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 2 POS, 3 2 4 1 USE 2 CLASS 1
NAME
'(LAST FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDDYVYV
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.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On 11-21-2024 at approximatley 1917 hours, I was driving EB on S 4th PL towards Rainier AVE S
from 485 Renton Center Way. I observed a two vehicle non injury collision that just occurred at the
intersection of S 4th PL and Rainier AVE S, in the City of Renton, County of King.
I activated my emergency lights and got out to speak with both drivers. All parties involved were
identified with a WA State ID card or license.
The driver of Unit 1 Abdilahi was driving vehicle license CFE4560 SB on Rainier AVE S and failed to
stop for the red traffic signal at S 4th PL. As Unit 1 proceeded through the intersection it collided with
Unit 2. The proximate cause for the collision was the driver of Unit 1 failing to stop for a traffic control
device.
The driver of Unit 2 confirmed he was driving WB on S 4th PL through the intersection on a green
signal and was truck by Unit 1 in the intersection.
Both vehicles were towed by theirprivate tow companies. There were no injuries.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.TRADER 11-21-24 09:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 1112112024 9:02:00 PM
BADGE OR ID# 4553 OR]#' I WA0171300 TIME POLICE DISPATCHED 7:97 Pry TIME POLICE ARRIVED',7:17 PM
PART I PAGE IT]OF 3�
REPORT NO. EF38220 CASE# 24-12082 DATE AND TIME 11/21/2419:17
OF COLLISION
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