HomeMy WebLinkAbout23-10406 Redacted: Driver's license number redacted pursuant to 18 U.S. CODE 4 2721 - PROHIBITION ON RELEASE
AND USE OF CERTAIN PERSONAL INFORMATION FROM STATE MOTOR VEHICLE RECORDS; RCW
42.56.230(7);42.56.240(1); and 42.46.590(5) for safety and privacy. There is no legitimate public interest in knowing
the information.
Redacted: Social Security Number redacted pursuant to Title 5, Section 552(a) United States Regulations,
Annotated Secs 102, 301, 106(1);42 USC 405 (c) (vii) (1); RCW 42.56.050 and RCW 42.56.230 (5) and (7) for
safety and privacy. There is no legitimate public interest in knowing the information.
POLICE TEA I `� 11111111 1�111 1111111111111111111111111 REPORT No. D 8 127
C3LL�SION REPORT 1501971
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TREBAP UNITS 02 STRE
RESERVATION
�'. M M Q C Y Y Y Y TIME 12400) COUNTY# MfLES CITY
i ATE OI s� OF 1aae,
GGtLIS[G7N a9 _ - 08_.. - 2d}23 16 iT 17
4 ON(PRIMARY TRAFFICVVAY) INTERSECTION L..J NON INTERSECTION
�I S GRAQY VVAY BLOCK NC7. 1600
4a B MILE POST III
L�I
DISTANCE OF(REFERENCE OR CROSS STREET)
.m m
FEET S 1N�C
5 4t7a0 MILE N E v QAKSDALEAVE SW
m.
0 1 29
UNIT 0 taOTOR "E"AL ElD...... HR?ERH LOMET Ra�aNE � 1 FIacLE cvDLL YEs ✓NO Q:2064603404 f} 30
6 LAST NAME LEIATO
FIRST NriME AIDA MIDDLE 1 1 1 31
_.. _ _
E13IT,AL
STREET 30911 1ST AVE S,APT 214 _ -
NEth^dwDt71ZE5S CITY: EPQERAL WAY... ST WA. 2IP. 98003 2
7 CL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED i
INTERLVOCKVEs 40.V INTERLDCKYE No YEn s NO
-
8Li LLIICIENSE# STATE WA SEX P D.a.B. 04 - 15 _ 24a1 � t 1 2 32
M MDDb Y
9
CN DUTY STATUS AIRBAG 6 RES"TR 4 EJECT '..,1 H DSE T INJURY CLASS 1_- NATURE OF INJURIES '�. -- 2
CMP8472 w
10 f g I P9 ATE N $TATc WA VIN# 19UUAG6286AO56962
TRAILER STATE PLATE R
- FLATE# STATE
11 3 5 _
TRLR
vIN0 TRLR — 7 3 33
12
5 vN#
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VEH.YEAR _ kAAKE MODEL STYLE VEHICLE TOV.�E.D -TO RL�N tSN,�tF'�S GO VEHICLE � � �4..
2006 ACUR TL -0Q p MAGE vE5 V Nn FE, ND
13 REGISTERED OWNER INFO
AI:JA o..t'InTO 3091 i tSTAVE S.aA..RT 114 FEDERAL Nt..Y WA saslaa D aaASUraaaaa VEHICLE NO. 1 -
( SRADE IN D.A,MAGEO AREA
14�' IABU-, 0NSURANCL INSURANCECaa t A 35
�--� FF 4T. - S POLO Y9
vec�l.._ING( GP3'FTI4Np CHARGE � p Fva€?^.�rtDko
L_I L __ _�__ {
i5t �UNIT
36 02 MOTOR PFRAL- � PEIICSTR- � PROaERra taAnt TFada ry 3LDMET Pxa E
VEH4GLE GrCLE.. OWNER YES v"" NO Q:20629D2337
16
EAST NAME GIESE FIRST NAME ALICE MIDDLE
C
INITIAL
17 STREET imil 10TH ST SE„AFT 1 CITY AUBURN ST WA 21P 98Da2 I4 t 3Z
NEwEE RLSs E 1
18
COE IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
ZERLCNCKYE yr INTERLOCKYcs
19I p' DRIVERS
WA SEX F M DID r' 09 �'_ 13 - 1996 I 6 39
20 �I��� ON DUTY� STATUS kIRRAG 2 REST R q EJECT 1 HELMET INJURY NATURE OFINIU'-Ra11ES 40
11��11 USE CLASS 1 - �� 3
21 LICENSE BHR4351
PLATE# 3eAT.WANa lTh1ZQ32V166af0516 i I 4'1
—. E
-
- - 42
22 TRAILER TRAILER
PLATE# STATE PLATE# ST 1i E
23
TftL33, _ Rt.R —_._. _ 93
VEH YEAiY 2006 MAKE TOYT MODEL RAV4 STYLE UT 7EHICLETC74'JE.Lt To E#L4N TC55'ED13Y _-- _� GO -HI LF 4
24 aaNa,cE Es✓ n BANKERS YES ND
s ECISTERE3 aux^NERINFC awTED YnzIVER VEHICLE NO.2
SHADE INRA%QGE.ARL:A
[ IE I vk"ia11F{Ah4�E �yI 4'OLJINSURANCECO USA.A 0321[1tl3 1, -
pN - •_.5
[s YC' a C§YA TICSN# CHARGE:
25'
OFFICERS NAME IP/?kFfTi _. _-. 6FFICER PHONE CSA17GE 4R ID# -.. AC ENCY
26 IAStON JCINES 1635 WAa1a13aa
FART A PAGE 01 OF 13
SEiC«tT 34=-t�a9 ifY d If}LY3
STATE OF WASHINGTON
COLLISION
CORRECTION REPORT NO.
COLLISION REPORT 11111111111111111111111111 Ek���
1591972 1,c ASE -23-1114w Correct C/N is 23-10406
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/0 8 WITNESSES QNLn
TIAQ
DRESS&PHONEm :H � = =
L1 SENCER[:]VFTNESS UNIT I SEAT AIMPAr. FCT HELMET INJURY
X- PO& USE CLASS
ADDRESS&PHONE
E,. D 0-11
PASSENGER MTNESSE1 UNrr# SOT
Ps-
NAME
(LAST.(TROT.NTODLE INITIAL)
ADDRESS&PHOKE; FSEX D,0.13�
Or, yy�
PASSLNGEH[-�WITNESSO UNIT# SEAT HE
POS. AIR9A(4 RESM. EJECT HSIET I rN JAUSRSy
NARRATIVE
On 9-8-23, at about 1649 hours, I was dispatched to a collision that occurred in about the 1600 block
of SW Grady Way.
Upon I arrival, I observed Unit 1 with major damage to the front driver's side and Unit 2 to have major
damage all over the driver's side. Both Unit 1 and Unit 2 required a tow.
I contacted the driver of Unit 1 who stated they were not injured, but evaluated by the fire department
due to airbag deployment: The driver of Unit 1 stated she was traveling east on SW Grady Way,
attempted to slow by using the brake, lost control (possibly a mechanical defect), entered Unit 2's
lane of travel, and stuck Unit 2 which was traveling west on SW Grady Way.
I contacted the driver of Unit 2 who also stated they were not injured. They also confirmed the above
events.
The driver of Unit 1 did not have insurance and their license was suspended in the 2nd degree. They
were given a citation for both.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAM OF THE STATE OF WASHINGTON THAT THE FOREGOING M TRUE ANO CORRECT
JASONJONES 09-08-23 06 06 PM
INVES11C, ING OFFICER'S StGNATURE UNIT OR DIST DE-7 -
E:ATM PLACE S GNED
FP FEC IET
9114/2023 11 37:51 PM
M
PART PAGE 2 OF
REPORT NO, ED98 86 GASP# DATE ANDTIME 09/08/23 16 7
Correct CIN is 24-10406 OFCOLLISION
PAGE 3, OF 3