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HomeMy WebLinkAbout25-3047 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF82916oc� RA COLLISION REPORT 1591971 CASE# 25-3047 2 INTERSTATE CITY STREET El STATE ROUTE OTHER LOCALANG 4250 3 C©DINGCOUNTY RD PRIVATE WAY 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 04 - 04 - 2025 1845 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION BLO❑ BRONSON WAY N MILE POST e 1500 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1. FEET e S 8 W e FACTORYAVE N 0 1 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO O 1 30 6 LAST NAME UNKNOWN FIRST NAME MIDDLE 1 1 2 31 INITIAL STREET F� NEW ADDRESS CITY I NEWCASTLE ST ZIP 2 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NOW INTERLOCKY NO�/ YES NOW 8❑ LCEENSE# SRVERISTTATE SEX U MMDDYY' —�— 1 2 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES 2 USE CLASS UNKNOWN LICENSE, 318BHU STATE OR VIN# 1NXBR30E35Z377705 3 10 Fl I PI ATP rt TRAILER STATE TRAILER STATE ROM To 11 3 0 PLATE# PLATE# TRLR zRLR 5 1 33 12 3 O VIN#' vIN# FROM TO HICLE 13 2 VEH.YEAR2005 MAKE TOy. MODEL COROL STYLE SD VEHICLE TOYED NO�iS46LIN T� {� RSTOWING Ges❑VT ENo� 3 7 34 DAMAGE IIII._IIII REGISTERED OWNER INFO UNKNOWN NEWCASTLE VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14 2 LIABILITY INSURANCE ElNSURANCE CO -- IN EFFECT &POLICY# 9TOP 5 vEnicLE CHARGE 10 BOTTOM 36 LEGALLY yes❑NO❑ CITATION# 5 15❑ srANowG 1 1 7 6 MOTOR PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2062557543 16� LAST NAME AUSLER FIRST NAME CHRISTOPHER MIDDLE R INITIAL 17 F1 STREET ❑ ❑ 7023 123RD AVE SE CITY NEWCASTLE ST, WA ZIP 98056 g 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED' 38 INTERLOCK YEs CK YES R N.FVYES NO' 19 DRIVER'S STATE WA SEX M I D.O.B. 09 03 1969 E 39 LICENSE# MMDDYY - 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40 USE CLASS CO HIGH BLOOD PRESSURE 21 LICENSE I PATE# DV22189 rare WA vIN# KM8J3CA27HU506776 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2017 MAKE HYUN MODEL T(JCSDN STYLE UT VEHICLE TOWED✓ No BLIN LIFELINE TOWING ves No�/ 24 REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADFjy DA GE AREA LIABILITY INSURANCE INSURANCE CO UNKNOWN �$ IN EFFECT &POLICY# 6`dTOP VEHICLE LEGALLY YES❑ N,.I—J I CITATION# CHARGE ®BOTTOM `.L 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 J.KWAKE 12326 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF82916 COLLISION REPORT III III III III III 111 1591972 CASE# 25-3047 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) PAMON JUSTIN ADDRESS&PHONE 4259671981 SEXi M MMDDDYBYYY — C--------� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z POS. USE CLASS ----� :NAME (LAST EIRS7 MIDDLE INITIAL) { YORK DEESZ I ADDRESS&PHONE# 2064685845 SEX' U .MD D evr C-------� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ �✓ POS. USE INJURY ---� LASS :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ D.O.B. — MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE On 04/04/2025 at about 1850 hours I was dispatched to a two vehicle collision at the intersection of Bronson Way N & Factory Ave N. Dispatch advised one of the vehicle was resting on it's side in the middle of the roadway. I arrived on-scene and contacted the driver of Vehicle #2 who was out of his vehicle, and appeared to not be injured. This male was identified by a valid WA Driver's License, and stated he had exited the vehicle by climbing out the sunroof. This driver was shaken up but not reporting any specific injury. Due to the mechanism and how the vehicle had potentially rolled over, I requested aid to evaluate the driver. Other Officers on-scene stated they had located Vehicle #1 parked in the lot of a business nearby, and it appeared the driver was GOA. I confirmed with the driver of Vehicle #2 that he had never contacted the other driver, and this appeared to be a Hit & Run Collision. I contacted two witnesses who stated they had seen the collision and both stated the following: Vehicle #2 was traveling westbound on Bronson Way N with a solid green light. Vehicle #1 was traveling northbound on Houser Way N as it approaches the Bronson Way N intersection, and ran a red light striking Vehicle #2 and cuasing it to flip. The driver of Vehicle #1 was described as a Hispanic male with minimal details, and he was not located at or near the scene. Both vehicles were impounded and the driver of Vehicle #2 was transported to VMC due to having high blood pressure. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.KWAKE 04-14-25 10:59 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE CASEY PROCTER 12123 1 411512025 8:16:06 PM BADGE OR ID# 12326 ORI# WA0171300 TIME POLICE DISPATCHED 6:50 PM TIME POLICE ARRIVED i 6:53 PM PAST B 3 Da-lmx—attar(t 1Mff) PAGE 2�OF F3 REPORT NO. E F82916 CASE# 25-3047 DATE AND TIME 04/04/25 18:45 OF COLLISION i .5 tra rr M i i t t. tf x g C 1 tW ti�t W } r t t� s, "zt t `l�Ok4�yt���EHta t rr`q t iti� �A w T Y b YtpX4 F4 4, S t, a t w; PAGE 3 OF 3