No preview available
HomeMy WebLinkAbout24-6167 j ITFC II IIIII III IIIII II IIII IIIII I . 27I OOLCERAF EE97366 COLLISION REPRT 1591971 CASE# 24-6167 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE LOL`CO A`GENC'Y. 4200 3 COUNTY RD INVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 03 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsloN' 06 - 12 - 2024 0845 17 =.= S 8 W e IN OF M ?070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION NE 4TH ST BLOCK NO. e 5301 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 170 00 FEET e✓ S 8 W e JERICHO AVE NE OF 4 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YES ✓NO O 1 30 6 LAST NAME LOPEZ LOPEZ FIRST NAME BRYAN MIDDLE N 1 1 2 31 INITIAL STREET E:1 312 MT BAKER PL NE CITY RENTON ST WA ZIP 980594890 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCKYEs No INTERLOCKYEs NO YES Nc 8 DCIENS # STATE WA SEX M MMDCSYY' 10 ❑ - 16 - 2003 1 2 32 9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS ? NAruRE of INJURIES 2 10 LICENSE ti� B58035Z STATE WA VN# 5TFUM5F?3EX050389 3 11[-j- TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# FROM TO TRLR TRLR 5 7 33 12 3 5 VIN# vI. ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v 7 3 GOVT VEHICLE 34 13 2 2014 TOYT TUNDR DAMAGE YES ONO MEYERS YEs_ No REGISTERED OWNER INFO BRYAN LOPEZ LOPEZ 312 MT BAKER PL NE RENTON WA 980594890 D:4252130527 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ INSURANCE CO 2 14 � IN EFFECT &POLICY# NATIONAL GENERAL 29742 9TOP VEHICLE CHARGE t 5 36 Lemur YES❑NO❑ CITATION# 7 o BOTTOM 15❑ sTINowH s 7 e III MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE r1wNFR YES 1/ NO D:3603206807 16� LAST NAME THOMPSON FIRST NAME KA/LYN MIDDLE' M INITIAL 17 F1 STREET ❑' ?8409 SE 263RD ST CITY COVINGTON ST, WA ZIP 980428437 37 NEW ADDRESS 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED 38 INTERLOCKYES Na jNTERLOCK YES DNo YEs NU' 19 DRIVER'S STATE WA SEX I F I D.O.B. 12 _ 04 1995 39 LICENSE# MMDDYY - 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40 USE CLASS CHEST INJURY 21 LICENSLATE E CFG0855 rarE WA vIN# JF2GTAEC6PH219203 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2Q23 MAKE SUBA MODEL CROSST STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYERS ves No�/ REGISTERED OWNER INFO KAILYN THOMPSON 1.09 SE 263RD ST COVINGTON WA 980428437 D:3603206807 VEHICLE NO.2 SHADE dN DAMAGED AREA 4� 3 4 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 958273557 IN EFFECT &POLICY# 9TOP LEE— ❑ ,.I—I CITATION# CHARGE tO BOTTOM VEHICLE YES N`[ 25 76 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EE97366 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6167 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL} HARRINGTON THOMASA (LAST,FIRST ADDRESS&PHONE# D(� 24977 SE 155TH PL ISSAQUAH WA 980278254 SEX' M MMDDYYYv 07 - 11 - 1954 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES Ej 3 POS. 1 2 4 1 USE 2 CLASS '1 'NAME LAsr F RST,MIDDLE INITIAL) HENDRICKS KILLIAN ADDRESS&PHONE# S ' U D.O EX .B.MDD -F L----------� MYYYY NATU PASSENGER �WITNESS UNIT# 3 POS.SEAT 9 AIRBAG 2 RESTR. 4 EJECT 1 USE HELMET 2 INJURY RE OF INJURIES CLASS 1 ----� NAME MIDDLE INITIAL) MOLINA-BATRAS ISAI ',(LAST,FIRST, ADDRESS&PHONE# D.O. COVINGTON M _ SEX B.MMDD -F L----------� YYYY PASSENGER Z WITNESS UNIT# J 3 SEAT 9 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INURY 1 NATURE OF INJURIES Q POS. USE CASS NARRATIVE On June 13, 2024, at 0845 hours dispatch requested that I respond to a collision that occurred at Jericho and NE 4th St, in Renton. Upon my arrival I spoke with the driver of unit 3 and they explained that unit 1 was attempting to make a left turn from the Chevron to go westbound on NE 4th St. As unit 1 proceeded across the roadway, he was struck by unit 2, which then caused him to roll back. Unit 1 rolled across westbound lanes which also prevented unit 3 from coming to a complete stop. Unit 3 struck unit 1's left side truck bed. I then spoke with the driver of unit 1 and he explained a similar story. He stated he was making a left turn to go westbound on NE 4th St. Two vehicles in the number 1 lane going eastbound, stopped, and allowed him to cross. As he proceeded through, he failed to see unit 2 driving eastbound in the number 2 lane. Unit 2 struck unit 1 driver side doors. His vehicle spun around and was struck by unit 3. Unit 2 explained she was going eastbound on NE 4th St when unit 1 made a left turn the gas station. She was unable to stop her vehicle in time, hitting unit 1's passenger side doors. Unit 3 was unable to move under its own moving power, so a tow was arranged by (private) by school district employees. Unit 3 is the only vehicle that did not have its airbags deploy. Based on the information i gathered that the driver of unit 1 failed to yield the right of way when entering the roadway, causing the collision. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 06-13-24 01:49 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 7/19/2024 1:57:46 PM BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 8:46 AM TIME POLICE ARRIVED 8:55 AM PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 57 POLIICFETRAFFICN CORRECTION REPORT NO. EE97366 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6167 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME POTLARRJU MEDHA (LAST,FIRST MIDDLE INITIAL} ADDRESS&PHONE# D(?B SEX U MMDDYYYY [------------� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES Q Q 3 Sp EAT 9 2 12 1 USE 2 +CLASS ;1 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# S ' D.O EX .B.MMDD —F L----------� YYYY EAT HELMETNJURY URE OF PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS —_-- ----� NARRATIVE On June 13, 2024, at 0845 hours dispatch requested that I respond to a collision that occurred at Jericho and NE 4th St, in Renton. Upon my arrival I spoke with the driver of unit 3 and they explained that unit 1 was attempting to make a left turn from the Chevron to go westbound on NE 4th St. As unit 1 proceeded across the roadway, he was struck by unit 2, which then caused him to roll back. Unit 1 rolled across westbound lanes which also prevented unit 3 from coming to a complete stop. Unit 3 struck unit 1's left side truck bed. I then spoke with the driver of unit 1 and he explained a similar story. He stated he was making a left turn to go westbound on NE 4th St. Two vehicles in the number 1 lane going eastbound, stopped, and allowed him to cross. As he proceeded through, he failed to see unit 2 driving eastbound in the number 2 lane. Unit 2 struck unit 1 driver side doors. His vehicle spun around and was struck by unit 3. Unit 2 explained she was going eastbound on NE 4th St when unit 1 made a left turn the gas station. She was unable to stop her vehicle in time, hitting unit 1's passenger side doors. Unit 3 was unable to move under its own moving power, so a tow was arranged by (private) by school district employees. Unit 3 is the only vehicle that did not have its airbags deploy. Based on the information i gathered that the driver of unit 1 failed to yield the right of way when entering the roadway, causing the collision. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 06-13-24 01:49 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 7/19/2024 1:57:46 PM BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:46 AM TIME POLICE ARRIVED 8:55 AM PART B 3aaa-345-,aa(R11Y1s) PAGE 37OF 57 SUPPLEMENTAL REPORT NO. EE97366 POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE#+ 24-6167 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ UNIT# 3 USDOT ICC# VEHICLE TYPE q TYPE CARGO BODY 1 CARRIER 2 ❑ 1 28 NAME ISSAQUAH SCHOOL DISTRICT 3 CARRIER L ADDRESS 565 NW HOLLY ST CITY ISSAQUAH ST WA ZIP 1 98027 4 ❑ NAME # PLACARD NAME IF NO NUMBER SOURCE 3 AXLES 02 GwvR 9000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ PEDESTRIAN �' ves✓ No D:4254455805 5 VEHICLE CYCLE OWNER 0 1 29 LAST NAME ONEAL FIRST NAME KIMBERLY MIDDLE; M INITIAL STREET 30 NEW ADDRFS, 17845 SE 266TH PL CITY COVINGTON ST WA ZIP 980424928 6 CDL -$ GNITION REQUIRED PRESENT MEDICAL TANSPORTED 1 1 2 31 I 'IGNITION INTERLOCK YES. NO :INTERLOCK YEs No YES N . DRIVERS STATE WA SEX P D'O'B 07 - 13 - 1971 G LICENSE I MMDDY 7 ON DUTY STATUS: AIRBAG 2 RESTR. ¢ EJEG7 1 HELMET 2 INJURY 1 NAruREofINJURIES USE CLASS 8 ❑ 1 32 LICENSE C2669C TAT WA VIN# 1GB6GUBGXH1203320 PLATE# 9 TRAILER TRAILER 2 PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR .VIN.#. .VIN.#. 11 3 5 VEH.YEAR2017 MAKE CHEV MODELEXPRESS STYLE BU VEHICLE TOWE�/ E T ABLIYL TOW GOVT vEHlcl E ROM To D YES NO ✓ REGISTERED OWNER INFOISSAQUAH SCHOOL DISTRICT565 NW HOLLYST ISSAQUAH WA 98027 AMAGE YES NO SHADE IN DAMAGED AREA 3 7 33 12 3 4 INSURANCE CO FROM TO LIABILITY INSURANCE WASHINGTON SCHOOLS RISK MANAGEMENT SELF INSURED ❑ IN EFFECT 0 &POLICY# 9 TOV _ m 34 2 1n 13 vewc�e YES N0[jj CITATION# CHARGE xoTrom ecauv s-rnNoiNc � L 6 MOTOR PDAL_ ' 1:1P OPE El DAMAGE THRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYECLE PEDESTRIAN OWNERRTY YES NO 15 LAST NAME FIRST NAME INITIAL E ❑ 36 16 ❑ STREET CITY ST ZIP NFW AODRESa GDL IGNI719N REZIUIRED 1ONITION PRESENT MEDICALTANSPORTED INTERLOCK YES[]No INTERLOCK YES N(5 YES NO: ❑ 17 37 LLIICENSE# SEX MDDD 8 Y' -= C----� 18 ❑ HELMET ❑ INJURY NATURE OF INJURIES 38 ON DUTY STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ LICENSE TAT viN ❑ 39 PLATE# # 20 ❑ TRAILER TRAILER ❑ 40 PLATE#, STATE PLATE# - STATE 21 ❑ TRLR TRLR 41 VIN#�. VIN#; 42 22 VEH.YEAR MAKE I MODEL I STYLE VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO. SHADE IN DAMAGED AREA 43 2 3 4 LIABILITY INSURANCE INSURANCE CO IN EFFECT I &POLICY# tK-99 5 44 vewc�e ❑ ❑ CITATION# CHARGE 24 IEGALLY VES NOSTIWDING3 3 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.CATALAN 06-13-24 01:49 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 BADGE 1 OR DD# 12007 O#RI WA0171300 APJOHNSON 7/119/2024 PAGE OF� 3000-345-013(R 11/18) REPORT NO. EE97366 CASE# 24-6167 DATE AND TIME 06/12/24 08:45 OF COLLISION _. t 7 a e< PAGE 5 OF 5