Loading...
HomeMy WebLinkAbout25-6398 j TFCII IIIII III IIIII II IIII IIIII I . 27I 5 OOLICERAF EG144 COLLISION REPRT 1591971 CASE# 25-6398 2 INTERSTATE CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`NG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TRIBAL UNITS#OF 04 TRUCK EARTH BANK OR LEDGE 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coLLISION' 07 - 25 - 2025 1523 17 =.= S 8 W e IN OF 8 1070 a 4� ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION BRONSONPLNE BLOCK ST e 500 .� 4a 3❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 1 9 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHON UNIT 01 E VEHICLE ❑ CYCLE ❑ YES An No D:3478283505 1 4 30 g LAST NAME KUMAR FIRST NAME JATINDER MIDDLE t 0 1 31 INITIAL STREET ❑ 9748 201 ST STREET CT E CITY GRAHAM ST WA ZIP 983386589 2 NEW ADDRESS 7 CDL : IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3 INTERLOCK YES No�/ INTERLOCKYE! Nd�/ YES NoF,/ 8 LICIENSE#RVER' STATE WA SEX M MMDO DrYY' 08 32 9 ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 HELMET USE CLASS 2 INJURY 7 NAruRE of INJURIES 2 COMPLAINT ARM PAIN 10 LI ENSE! D95866G STATE WA VrN# 516M1D9B6CH214128 3 TRAILER STATE TRAILER ,STATE 11 2 5 PLATE# PLATE# ROM To rRLR TRLR 1 5 33 12 0 Q VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 v GOVT VEHICLE m 34 13 2 2012 AUTO SWEEP SS DAMAGE YES ONO � �MEYER YEs No REGISTERED OWNER INFO LLC OLSON BROTHERS PRO-VAC 10314TH AVE N KENT WA 98032 D:8885655665 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE� INSURANCE CO ZURICH BAP9702723-02 IN EFFECT &POLICY# �__TO_P_ VEHICLE CHARGE ❑ 36 ecnur YES❑NO❑ CITATION# BOTTOM 15❑ owc UNIT OZ MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE. nWNFR YES NO 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE' INITIAL 17❑ STREET ❑ CITY KENT ST ZIP ❑ 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT NEDICALTRANSPORTED: 38 INTERLOCKYEs No INTERLOCK YES 0-001 XEs No 19 LICIENSE# STATE SEX U MMDDYY -� ❑ 39 HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS' AIRBAG g RESTR g EJECT 1 USE 9 CLASS 0 ❑ 21 LICENSLATE E BYM4575 TATE WA VIN# 1GNSKBKCOFR616699 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2015 MAKE CHEV MODEL TAHOE STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO BILLY GALLOWAY 561 BRONSON PL NE RENTON WA 98056 D:2064277748 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO ALLSTATE 807308501 IN EFFECT &POLICY# t 9TOP V IAI e ❑ ,J—I CITATION# CHARGE tO BOTTOM LecALLY YES N`[_ 25 s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 K.LANE 10008 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG14453 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6398 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '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 (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. — L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : 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 �____ ----J NARRATIVE Unit 1, a commercial street sweeper, was traveling northbound in the 500 blk of Bronson PL NE. This area is a large hill with a steep grade and Unit 1 was traveling up-hill. Driver 1 states that he came to a stop with the engine running, but that the vehicle began to roll downhill uncontrollably as the brakes were seemingly ineffective. Unit 1 backed uncontrolled across the roadway (east to west) and struck Unit 2 which was parked unoccupied in the driveway of 561 Bronson PL NE which is on the west side of the roadway. Unit 2 sustained damage to the rear driver's side corner of the vehicle. Unit 1 continued backwards striking Unit 3 which was a "lending library" small mailbox style structure as well as the fence line between 561 and 557 Bronson PL NE. As Unit 1 continued back, it went into the yard of 561 Bronson PL NE (Unit 4) which had a large earth ledge, rockery and was at a lower elevation than the roadway. Unit 1 rolled backwards and now down this further steep drop into the yard of 561 Bronson PL NE striking a unbuilt box with contents for a shed inside. Unit 1 came to rest on a large tree with heavy damage to the cab and sweeper container of the vehicle. Driver 1 stated he was relatively uninjured with only arm pain. Unit 1 sustained a large level of damage with the cab crushed inward on the passenger side and the rear sweeper apparatus damaged. Unit 1 towed by Bankers tow. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Action Code: UNCONTROLLED BACKING **** END OF AUTO-POPULATED SECTION **** I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K.LANE 07-26-25 02:45 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 7/30/2025 12:07:18 PM BADGE OR ID# 10008 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 3:25 PM TIME POLICE ARRIVED 3:30 PM PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 47 SUPPLEMENTAL REPORT No. EG14453POLICE TRAFFIC 1 27 ... °`f COLLISION REPORT CASE# 25-6398 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ UNIT# 1 USDOT 1 1011468 ICC# VEHICLE TYPE 2 1 CARGO BODY 9 TYPE 2 ❑ 1 28 CARRIER NAME. OLSON BROTHERS PRO-VAC ILL 3 CARRIER L ADDRESS 1031 4TH AVE N CITY KENT ST WA ZIP 98032 4 NAME # PLACARD -� NAME IF NO NUMBER SOURCE' 3 AXLES 02 lWVR 1000 + 4a F] ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE }j� PEDESTRIAN ✓ D:2064277748 5 UNIT vT 3 VEHICLE CI CYCLE '. C) C� OWNER '�✓ YES NO MIDDLE 29 LAST NAME RIVISTO FIRST NAME GINA INITIAL STREET 30 NFW ADDRF. 561 BRONSON PL NE CITY PI I RENTON ST WA ZIP 980563666 6 [2 E]I PRESENT MEDICALT#NSPORTED: 1 31 CDL IGM710N REQUIRED IGNi710N INTERLOCK YES. NO INTERLOCK YES NO YES N G DRIVER'S STATE I SEX F MDDDYB1 01 - O6 - 1981 ❑ LICENSE 1 7 ON DUTY STATUS: AIRBAG RESTR. EJECT HELMET I INJURY NATUREOFINJURIES USE CLASS 8 ❑ #LICENSE vtN 1 32 PLATE# rAr 9 TRAILER TRAILER 2 PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO DAMAGE YES NO YES NO m 33 REGISTERED OWNER INFO.� SHADE IN DAMAGED AREA 12 LIABILITY INSURANCE❑ INSURANCE CO 4 FROM TO TO IN EFFECT &POLICY# 34 13 YES NO CITATION# CHARGE 10 8C)1`l OM ecauv sTANoiNc 4 MOTOR ❑ PEDAL- ❑ PROPERTY T.. L .. DAMAGE THRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES✓ NO D:4086370122 36 L 15 ❑ SEREESATHIEN SIRIWAN MIDDLE ❑AST NAME FIRST NAME INITIAL 16 ❑ STREET ❑ 557 BRONSON PL NE CITY RENTON ST WA ZIP 98056 NFW ADDRESS" GDL IGNITION REQUIRED 10NI71ON PRESENT MEDICAL TANSPORTED 17 INTERLOCK YES NO INTERLOCK YES NO 1YES NO DRIVER'S STATE SEX F D.O.B 37 18 LICENSE MMDDY 12 - 24 - 1997 HELMET INJURY NATURE OF INJURIES ❑ 38 ON DUTY❑ STATUS AIRBAG RESTR. EJECT USE CLASS 19 ❑ LICENSE rAT vIN ❑ 39 PLATE# # 20 ❑ TRAILER TRAILER ❑ 40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41 UIN# 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 &POLICY# t.K-99 5 44 vFHic�F ❑ ❑ 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. K.LANE 07-26-25 02:45 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OR ID# 10008 O#RI WA0171300 APJACOBS 7133012025 PAGE�OF 3000-345-013(R 11l18) REPORT NO. EG 14453 CASE# 25-6398 DATE AND TIME 07/25/25 15:23 OF COLLISION t, ss� i t 1 y F s r - r.' s j „M `s „ � F PAGE 4 OF 4