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HomeMy WebLinkAbout24-12048 IT �i " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF39574OLCERA COLLISION REPORT 1591971 CASE# 24-12048 2 INTERSTATE CITY STREET FIRE I RESULTEDSTATE ROUTE OTHER STOLEN vEwCLE LOCALANG 3 HIT&RUN C©DIN6 COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E eDUISION' 11 - 21 - 2024 0430 17 =.�� S W OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINIER AVE S BLOCK NO. e 0 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1.1 FMILES EET e S 8 W e RAINIER AVE EXT 0 1 29 MOTOR PEDAL- DAM G THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES'Vl No D:2539271784 0 1 30 5 LAST NAME JOYNER FIRST NAME MARY MIDDLE K 1 1 2 31 INITIAL STREET ] 4301 NORPOINT WAY NE APT 4A CITY; TACOMA ST I WA ZIP; 984221595 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO W/ INTERLOCK YEs NO�/ YES N,D,/ 8❑ DRIVER # STATE WA SEXI F MMDDYY' 04 — 05 — 1939 1 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 N USEET INJUR CLASSY 14 1 NATURE of INJURES 2 10 LI ENSE' ANW8742 STATE WA VIN# 5NPDH4AEODH412553 3 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR zRLR 5 1 33 12 3 5 VIN# vIN# FROM TO 13 2 VEH.YEAR2013 MAKE HYUN MODEL ELANTR STYLE 4D VEHICLE TOYED NO�iS46LIN Tl� {J RSTOW►NG Ges❑ENICLE o� 7 3 34 DAMAGE IIII._IIII REGISTERED OWNER INFO MARYJOYNER4301 NORPOINTWAYNE TACOMA WA 98422 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 2 LIABILITY INSURANCE INSURANCE CO 2 3 4 14 PROGRESSIVE INSURANCE 65171716 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE S 36 LEGALLY yes❑NO❑ CITATION# 7 0 80TTOM 15❑ sTANowc 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE PROPSnWNr YES�/ NO D:2066123061 16� LAST NAME TRAN FIRST NAME ALEXANDER MIDDLE N INITIAL 17 F1 STREET ❑❑ 37 701 S 38TH CT CITY RENTON ST, WA ZIP 980555893 4 NEW ADDRESS 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 CDL INTERLOCKYES No INTERLOCI£YES NO YEs No 19 DRIVERS STATE WA SEXI M I D.O.B. 09 30 1989 � 39 LICENSE# MMDDYY HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 3 RESTR 9 EJECT 1 USE CLASS 6 HEADACHE AND SORE LEFT SHOULDER ❑ 21 LICENSLATE E CMS4445 TATE WA VIN# SHHEP33582U310538 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# VEH.YEAR 2002 MAKE HOND MODEL CIVIC STYLE HB VEHICLE TOWED TO BLIN TOWED BY GOV HI �44 24 DAMAGE YES �/ No BANKERS TOWING REGISTERED OWNER INFO ALEXANDER TRAN 701 S38TH CT RENTON WA 98055 VEHICLE NO.2 SHADEY DAMAGEDAREA $� 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP 1-ICLE CITATION# 4A0598504 CHARGE OP MOT VEH W/OUT INSURANCE io aorroM EEGAEEY YES❑ NC❑ 25 s 6 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JESSE VANDERHOEK 11631 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF39574 COLLISION REPORT III III III III III 111 1591972 CASE# 24-12048 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,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 It should be noted it was dark outside, the power was out due to a recent storm, all street lights were off, and the traffic signals at the intersection were off. Vehicle #1 was traveling northbound on Rainier Ave S, approaching Renton Ave Extension. Vehicle #2 was traveling eastbound on Renton Ave Extension approaching Rainier Ave S. The driver of vehicle #1 indicated to me she did not see the traffic signals that had no power, and did not stop before proceeding northbound through the intersection. The driver of vehicle #2 advised he stopped at the stop line before proceeding eastbound through the intersection. The front left corner of vehicle #1 collided with the front right corner of vehicle #2. Due to the totality of the circumstances, it appreared the driver of vehicle #1 caused this collision. RTF I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JESSE VANDERHOEK 11-25-24 08:26 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 11/26/2024 4:02:37 AM BADGE OR ID# j 11631 ORI# WA0171300 TIME POLICE DISPATCHED 4:32 AM TIME POLICE ARRIVED i 4:35 AM PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3 REPORT NO. E F39574 CASE# 24-12048 DATE AND TIME 11/21/24 04:30 OF COLLISION i c iq 6 4 WS�� 4Ffi 1 + ' 9t i is p a r S 6 1 v p y 3 PAGE 3 OF 3