HomeMy WebLinkAbout25-80612 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG62822OLCERA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 25-80612 2
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOL`CODICENC'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
eDL�ISION' 12 - 11 - 2025 1823 17 =.= S 8 W E INOF 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE SUNSET BLVD BLOCK ST e
4a MILE POST Y800 .�
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 100 00 FEET e✓ S 8 W e NE 10TH ST
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:6177975949 0 1 30
6 LAST NAME MALHI FIRST NAME KIRANDEEP MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 2911 2ND AVE UNIT 506 CITY; SEATTLE ST WA ZIP; 981213050 2
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3
INTERLOCKYES NO✓ INTERLOCKYEs NO✓ YES NO✓
8❑ DRIVER # STATE WA SEXI F MMDDYY' 02 — 07 — 1979 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 LI ENSE BSU4313 STATE WA VIN# 5UXUJ5C53KLJ64183 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR zRLR 1 1 3 33
12 3 5 VIN# vIN#
FROM TO
VEH.YEAR 2019 MAKE BMW MODEL X4 STYLE P4 VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34
13 DAMAGE YES II_II NO YESII_] NO✓
REGISTERED OWNER INFO KIRANDEEP MALHI8932137TH PL SE NEWCASTLE WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 2
14 STATE FARM 4981453816478
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 70¢OTTOM 36
Lemur YES❑NO❑ CITATION# 5
15❑ sTnNowc s 7 a
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2068773017
16�
LAST NAME LEWIS FIRST NAME GREGORY MIDDLE' A
INITIAL
17 F1 STREET ❑❑ 8501 S 114TH ST CITY SEATTLE ST, WA ZIP 981783323 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 38
INTERLOCKYES No✓ INTERLOCK YES NO✓ ves No✓
19� DRIVERS ' STATE WA SEX M D.0.6. 10 06 2006 � 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U ET 2 INJURY
1 NATURE OF INJURIES 40
21 LICENSEPATE# CRK6626 rarE WA vIN# 4T1 BF28B6YU084625 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2000 MAKE TOYT MODEL AVALON STYLE p4 VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO GREGORY LEWIS 8501 S 114TH ST SEATTLE WA 98178 VEHICLE NO.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 864311201
IN EFFECT &POLICY# 9TOP
VEHICLE
❑ ,J—I CITATION# CHARGE t080TTOM
LEGn��Y YES N`[
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MARIA FERNANDES 12848 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG62822
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80612
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ; HELMET NJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I USE CLASS
NARRATIVE
Vehicle 2 was driving northbound on NE Sunset Blvd in the 2800 block and Vehicle 1 was driving
southbound on NE Sunset Blvd in the 2800 block. Driver 1 pulled into the center turn lane before
attempting to take a lefthand (eastbound) turn into a business parking lot. Driver 1 advised that she
observed a red light at the intersection of NE 10TH ST and NE Sunset Blvd for the southbound lanes.
She was unable to see the light signal for the northbound lanes on NE Sunset Blvd, but believed they
also had a red light. Driver 1 made her left turn, and Vehicle 2 struck her vehicle after she believed he
possibly ran a red light.
Driver 2 advised that the light was green and he passed through the intersection driving nortbound at
normal speeds before Driver 1 turned left in front of his vehicle. Driver 2 was unable to stop in time
and struck the right rear quarter panel of Vehicle 1 with his front bumper. There was moderate
damage to Vehicle 2's front bumper and Vehicle 1's right rear quarter panel. There were no injuries
and both parties took photographs. 1 facilitated an exchange of information. Both vehicles were
driveable and were not impounded.
It should be noted that while 1 was on scene, 1 observed a red light at intersection of NE 10TH ST and
NE Sunset Blvd for the southbound lanes, while the light was green for the northbound lanes,
consistent with Driver 2's statement.
This ended my involvement in this case.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MARIA FERNANDES 12-20-25 06:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
M.BRAUN 2194 1 1212612025 12:21:31 AM
BADGE OR ID# 12848 ORI# WA0171300 TIME POLICE DISPATCHED 1 6:34 PM TIME POLICE ARRIVED i 6:46 PM
PAST B 3 Da-3mx—attar(t 1Mff) PAGE 2�OF F3
REPORT NO. EG62822 CASE# 2510612 DATE AND TIME 12/11/2518:23
OF COLLISION
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