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HomeMy WebLinkAbout24-12138 �oLce RaiTFFi " II (II IIII I III I I IIII III II I 0 7 27c REPORT NO. EF39185
COLLISION REP F 1591971
CASE 24-12138 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 2 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
COAT sloN 11 - 23 - 2024 1049 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 43RD ST BLOCK NO. 8✓ 400 .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 400 00 FEET e✓ S e W 8 TALBOT RD S
OF11
29
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VE"IT LE CYCLE YES No F,/ D:2533631231 0 6 30
5 LAST NAME BARNETT FIRST NAME ELIZABETH MIDDLE' M [; 2 31
INITIAL
STREET E:1' 7716 156TH STREET CT E CITY PUYALLUP
NEW ADDRESS I I
S7 WA ZIP 98375 z
7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL-1 NOFORTED 3
IN7ERLOCKYEs No,/ INTERLOCKYEs NO YES Na,/
8❑ LDRIVE STATE WA SEX'F MMDDYY 11 - 09 - 2000 1 1 2 32
9 F] ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 CLASS 1 NATURE OF INJURIES 2
LIC NSE CGX3137 STATE
WA WIN# 1G1ZE5ST6HF240202 3
10 9❑
11 3 5 PLATE# STATE PLATRAITE# STATE ROM To
RA
TRLR TRLR. 7 3 33
12 3 5 VIN#' VIN#
FROM TO
13 3 VEH.YEAR2017 MAKE CHEV MODEL MALIBU STYLE 4D VEHICLDAMAGE TOWED Ft1 T02fBLIN TOWED BY GOVT.VEHIICLNO✓ 7 3 34
❑ REGISTERED OWNER INFO OWNEDBYDRIVER II—ll VEHICLE cNO.
II 1
SHADE 1N DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 817714321 4
IN EFFECT &POLICY# STOP _
vtwc�t CHARGE i 5 ❑ 36
YES❑NO CITATION# 4AO886319 FOLLOW VEHICLE TOO CLOSELY a BOTTOM
15❑ sT-- a 7 6
l� MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE' OWNER YES 1/ NO D:2064731525
16�
LAST NAME VU FIRST NAME DUC MIDDLE V
INITIAL
17 F1 STREET El 9331 S 200TH ST CITY KENT ST', WA ZIP 98031 37
NEW ADDRESS I I I ❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
W7ERLOCKvs No INTERLOCK Es N- YES No,�
19 DRIVER'#
ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM ET INJU SS
1 NATURE of INJURIES 40
21❑ LICENSE I CAS1021 rare;WA vIN KMHLN4AJ2NU014104
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN#. '[N#,
VEH.YEAR 2022 MAKE HYUN MODEL ELANTRA STYLE 4D DAMIAGE TOWED NOO✓ BLIN TOWED BY GO yES N HI 44
O
24
REGISTERED OWNER INFO BUU TRUONG 9331S200TH ST KENT WA 98031 VEHICLE NQ.2
SHADE IN DAMAGED AREA
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 965444879 2 3 4
IN EFFECT &POLICY# t 4TOP 5
venue ❑ .1-1 CITATION# CHARGE tOBOTTOM
�ecn��v YES N J
25 B
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
R.ONISHI 5738 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF39185
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12138
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) UNKNOWN TAY
ADDRESS&PHONE
2533166356 SEX M
MMDDDYBYYY
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z ❑' 1 POS. : 3 2 4 1 USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CJURY TSS
--�
:NAME
:.(L4ST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. I USE CLASS
NARRATIVE
Unit 2 eastbound in the 400 block of S 43rd St in lane 1, unit 1 following directly behind. Unit 3
(unknown information, dark colored vehicle) attempted to cross from right (south) side of S 43rd St to
left turn lane. Unit 3 cut off unit 2, which braked to avoid collision. Unit 1 struck unit 2 from behind.
Unit 3 left north on Talbot Rd S without stopping. Driver 1 Barnett stopped, but left without
exchanging information. Driver 2 Vu called 911 after Barnett drove away; Vu showed me photos of
unit 1, Barnett, and her passenger. I was able to reach Barnett by phone, and later met with her.
Barnett told me that she thought that unit 2 had impacted her car while cutting across her lane, and
she had to get to work and thought she could file report later on line. Barnett told me that she only
knew her passenger as "Tay". I gave Barnett a notice of infraction for Following Too Closely For
Conditions, under SECTOR citation 4A0886319, and gave her a verbal warning for her expired
registration. 1 sent Vu an upload link to submit his photos into Evidence.com. I pulled traffic camera
footage of the collision, took photos of both vehicles, and submitted those into Evidence.com.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
R.ONISHI 11-23-24 07:06 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 1112512024 3:47:28 AM
BADGE OR ID# 5738 ORI# WA0171300 TIME POLICE DISPATCHED 10:52 AM TIME POLICE ARRIVED 10:59 AM
PART B 30e0-345.160(R1Vt8) PAGE 0 OF F3
REPORT NO. EF39185 CASE# 24-12138 DATE AND TIME 11/23/2410:49
OF COLLISION
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