HomeMy WebLinkAbout22-13843 ITFF' "POLCERA II I !�� I III I III I IIII III II I . $ 27c
COLLISION REP FIT 1591971
CASE 22-13843 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 12 - 1-- 2022 2230 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW SUNSET BLVD BLOCK NO. e✓ 200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ OF HARDIEAVESW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2069928431 0 11
30
6� LAST NAME FREEMAN FIRSTNAME TYRONE MIDDLE R 1 1 2 31
INITIAL
STREET ❑ 14815 SE 179TH ST APT 176 CITY RENTON ST WA ZIP' 980585608 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10[1PI ATE 14 97818C sTAT WAV N# 5FYH5YU05A6038424
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 2 5 VIN If VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2010 NEW BUS BU DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO KING DOT TRANSI15004THAVE SEATTLE WA 98104 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO KING COUNTY RISK MANAGEMENT SELF INSURED 3 4
IN EFFECT &POLICY# 9TOP
VEHIC LEGALLvLE 5 36
Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066613973
16 a
LAST NAME BA DE FIRST NAME BUBAKARR MIDDLE
INITIAL
17 STREET I❑ s❑' 3051 S 188TH ST APT 223 CITY' SEATAC ST WA ZIP 981885218 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 02 _ 01 1970 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# CFH9212 TATE 41
WA VIN1 5TDABRCH2PS562994 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2023 MAKE TOYT MODEL HIGHLAN STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO BUBAKARRBALDE305l Sl88THSTAPT223 SEATACWA98188 VEHICLE NO.2
SHADE IN DA GEbAREA
z Cdd
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 6042-18-12-94IN 1G"'LE
TOP❑ ,.I— CITATION# CHARGE OTTOM
LEGALLY YES N`LJ
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# TAGENCY
26
GREGORY BILLS 12495 WA0171300
1
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED19973
COLLISION REPORT III III III III III 111
1591972 CASE# 22-13843
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
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
GREGORY BILLS 12-29-22 01:24 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 12/29/2022 4:04:41 PM
BADGE OR ID# 12495 ORI# WA0171300 TIME POLICE DISPATCHED; 10:32 PM TIME POLICE ARRIVED',10:36 PM
PART I PAGE IT]OF 4�
REPORT NO. ED19973 CASE# 22-13843 OF COLLISION
12/28/22 22:30
OF CbLLI510N
NARRATIVE
On 12/28/2022 at 2232 hours I was dispatched to Hardie Ave SW/ SW Sunset Blvd, in the City of
Renton, King County, Washington. I was responding to a call of a vehicle collision.
While en route, dispatch advised the following: vehicle vs. metro bus, blocking the intersection, no
injuries.
In this report, Unit 1 refers to a King County Metro Bus (WA/XMT97818C) driven by Tyrone R.
Freeman (DOB 07/25/1961, WA DL). Unit 2 refers to a black 2023 Toyota Highlander (WA/CFH9212)
driven by Bubakarr Balde (DOB 02/01/1970, WA DL).
At approximately 2236 hours, I arrived and found Unit 2 parked across Hardie Ave SW, south of the
intersection, with damage to the rear passenger side and rear bumper. Unit 1 was stopped in the
intersection with damage to the front bike rack.
I interviewed both drivers, who gave the same account. Unit 2 had a green light to travel south
through the intersection. As Unit 2 was proceeding south on Hardie Ave SW, Unit 1 entered the
intersection from the west on SW Sunset Blvd and struck the rear passenger side of Unit 2. The rear
passenger wheel of Unit 2 was damaged and came to a rest at an angle. Balde did not feel
comfortable driving the car, so Bankers towing towed the car for him. There were no injuries. A metro
supervisor provided Balde with the County's insurance information.
I provided Balde a business card with the case number.
This concludes my involvement in this case.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Gregory Bills #12495, 12/29/2022 at 0109 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO.! ED19973 CASE# 22-13843 DATE AND TIME 12/28/22 22:30
OF COLLISION
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Impact
SW Sunset Blvd � Hardie Ave SIN
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Unit ,
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Unit 2
PAGE 4 OF 4