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HomeMy WebLinkAbout24-12290 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF43960 170 27 COLLISION REP FIT 1591971 SASE 24-12290 2 INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I 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 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 11 - 1-- 2024 1328 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BENSON RD S BLOCK NO. e✓ ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ VV e EAGLE RIDGE DR 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:7734054569 0 11 30 6� LAST NAME SMITH FIRSTNAME HEATHER MIDDLE N 1 1 2 31 INITIAL STREET ❑ 4285 148TH AVE NE APT I103 CITY BELLEVUE ST WA 2jp, 980078109 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YEs NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10 9❑ PI ATE BTS1019 sTArI WAurN# JTKKT624650103278 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR. 3 5 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T VgyENp/(g GOVT.VEHICLE 5 1 34 13 2 ZOOS TOYT SCION DAMAGE YES NO """- RS YES[:] NO✓ REGISTERED OWNER INFO HEATHERSMITH4285148THAVENEAPTH03 BELLEVUE WA 980078109 D:7734054569 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 4 14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 9358 821 144 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 1 5 36 LEGALLY YES❑NO❑ CITATION# 4A0765738 FAIL YIELD LEFT TURN MOTOR 1 o aorrom 15❑ STANDING 7 6 MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE UNIT�2 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:4253959712 VEHICLE CYCLE OWNER YES�/ NO 16 a LAST NAME ARNETT FIRST NAME KIMBERLY MIDDLE M INITIAL 17❑ STREET ❑', 1133 LAKE WASHINGTON BLVD N U F202 CITY RENTON ST WA ZIP 980566488 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs❑NOF YES ❑NO❑ 19 LDI IVEW # STATE WA SEX F M DDY .C... 10 � 1964_ 05 _ El 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CNW1127 TAre WA vIN1t 5YF64MDE3PP023024 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN 43 TIN##. IN RLR ' #. VEH YEAR 2023 MAKE TOYT MODEL COROLL STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO✓ REGISTERED OWNER INFO EAN HOLDINGS LLC 14002 E 21ST ST STE 1500 TULSA OK 74134 VEHICLE NO.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO USAA 01963 10 32C 7103 0IN 1GQI 'E""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF43960 COLLISION REPORT III III III III III 111 1591972 CASE# 24-12290 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (/AST 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' slv/2 nb wht/1 sb It CC Within the city limits of Renton/King/Wa I responded to a 2 vehicle blocking crash at the intersection of Benson Rd S at Eagle Ridge Dr. I contacted the driver of unit 2 who told me she was northbound on Benson Rd S when unit 1 made a left turn across her path from Eagle Ridge Dr. She did not complain of injury and damages did not require a tow truck. I contacted the driver of unit 1 ID'd by picture WADL. She said, "Its my fault, I turned left and didnt see the other car." She did not complain of injury and damages did require a tow truck. (Bankers) I did cite unit 1 ref RCW 46.61.185 FTYROW-Left Turn 2 car collision via complaint. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 11/27/2024 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. M.LEVERTON 11-27-24 02:24 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 12/9/2024 12:43:45 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED; 1:28 Pry TIME POLICE ARRIVED'1:50 PM PART I PAGE IT]OF 3� REPORT NO. EF43960 CASE# ' 24-12290 DATE AND TIME 11/27/24 13:28 OF COLLISION � s 2 \l a\ t r �r 1 E PAGE 3 OF 3