HomeMy WebLinkAbout24-12803 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF89240oc� RA
COLLISION REPORT 1591971
CASE# 24-12803 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOL`CODIGENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E
cDLLISION' 12 - 14 - 2024 1110 17 =.= S 8 W e INOF 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOSWGRADYWAY MILE POST
e 500 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00 FEET e✓ S 8 W e LIND AVE SW
2 0 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4254356568 0 1 30
5 LAST NAME KALA FIRST NAME RAVINDER MIDDLE P 1 1 2 31
INITIAL
STREET ❑ 1818 62ND CT SE CITY;AUBURN ST I WA ZIP; 980928009 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3
INTERLOCKYES N6�/ INTERLOCKVe Na�/ IYESCA No;I
8 DCIENSE# STATE WA SEXI M MMDDYY' 07 — 02 — 1971 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 LI ENSE 3725541 STATE IN VIN# 3AKJGLDR8HSHM5681 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM To
TRLR TRLR 7 1 3 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2017 MAKE FRET MODEL COVENT STYLE DS VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 7 $ 34
13� DAMAGE YES II_II NO `/ YESII_I) NO
REGISTERED OWNER INFO JB HUNT 9200 E 146TH ST NOBLESVILLE IN 46060 D:4254356586 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 2 3
14 ACE AMERICAN INSURANCE COMPANY XSAH10765t6A
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t 5 36
Lemur YES❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc s 7 e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:6047653892
16�
LAST NAME VALENZUELA FIRST NAME JOSHUA MIDDLE
INITIAL
17 F1 STREET ❑
❑ 6934 134 ST CITY SURREY ST BC ZIP V2W4S9 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38
INTERLOCKYEs NO INTERLOCKYEs No YEs Now
19[ LICENSE STATE BC SEX M D.OZe 12 21 1990 39
DRIVERS MMDDYY —
HELMET INJURY: NATURE OF INJURIES 4Q
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 2 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSLATE E RP051D TATE BC VIN WDDGJ4HB5CF793361 41
El
22 TAILER❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2012 MAKE MERZ MODEL C250 STYLE 2D VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO JOSHUA VALENZUELA 6934134 ST SURREY BC V2W4S9 D:6047653892 VEHICLE NO.2
SHADE IN DAMAGE,�,AREA
2 3 �k
LIABILITY INSURANCE INSURANCECO INSURANCE CORP BC 6X21B
IN EFFECT &POLICY# t STOP
L,EILY YES❑ NJ—I, CITATION11 CHARGE to BOTTOM
LEGALL
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.STEED 8770 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF89240
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12803
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) TORO DELICIA M
ADDRESS&PHONE# D O B
UNIT 231 COLOMBO HOUSE B16 HIGH ST SYNDNEYDC 0490872439 SEXi F MI MDDYYYY 06 IT
12 — 1999
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
2 POS. 3 2 4 1 USE 2 CLASS T,
----�
:NAME
(LAST 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
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. I USE CLASS
NARRATIVE
On 12/14/24 at about 1124 hrs I arrived in the 400 block of SW Grady Way for a Collision, in the City
of Renton, County of King, and State of Washington. The driver of Unit#2 advised he had been NB
on Lind Ave SW and turned EB on SW Grady Way. Driver#2 said he was in the outside lane traveling
side by side with Unit#1. He said he may have been in the blind spot of Unit#2 who started changing
lanes into his lane. Driver#2 said he honked his horn to get the attention of Driver#1 and ended up
hitting the curb trying to avoid the collision. I observed the passenger side wheels of Unit#1 had been
damaged from hitting the curb. The passenger in Unit#2 said she heard Driver#2 honk his horn and
when she saw Unit#1 changing lanes into them it made her scream. Driver#1 said he was EB on
SW Grady Way in the center lane when Unit#2 changed lanes into him. Driver#1 said he was going
to go SB on SR 167, which he would have needed to change into the outside lane to accomplish, but
he had not yet started to change lanes. There was minimal damage to Unit#1 and Unit#2 had
damage to the driver's side rear quarter panel. There were no injuries.
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. The video was uploaded to evidence.com.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically Signed by Officer Steed on 12/14/24 1301 hrs, Renton Washington
Cassidy Steed/8770
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.STEED 12-14-24 02:13 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 5/7/2025 9:02:25 AM
BADGE OR ID# ; 8770 ORI# WA0171300 TIME POLICE DISPATCHED 11:19 AM TIME POLICE ARRIVED i 11:24 AM
PAST B 3 aDa-3mx—attar(t 1Mff) PAGE 2�OF F3
REPORT NO. EF89240 CASE# 24-12803 DATE AND TIME 12/14/24 11:10
OF COLLISION
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