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HomeMy WebLinkAbout23-15003 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-15003 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3 HIT&RUN ✓ CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 12 - 1-- 2023 2240 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK SUNSET BLVD NE M1000 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e NE 10TH ST 0 1 29 UNIT 01 VEHICLE MOTPI PEDAL-ORCYCLE ElDESA✓NHORESHOLDMET PHONE 1 4 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31 INITIAL STREET ❑ CITY ST 21P 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES NO YES No DRIVERS STATE SEX D '❑- 328 LICENSE MDYY❑ M 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 10❑ Pi ATNES# CGJ5651 sTAT WAu N# 5UXFE43578L000516 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# IR.. ro TRLR. YRLR. 5 1 33 12 0 0 VIN#' VIN# Rom 34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 13 2008 BMW X5 DAMAGE YES No �LII� RS TOWING YES❑ No✓ REGISTERED OWNER INFO JUAN GARCIA HERNANDEZ,JUAN 3419 NE 8TH ST RENTON WA 98056 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ ABILI V INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP vErIICE CHARGE 5 36 LECALLv YES❑NO❑ CITATION# 10 BOTTOM 15❑ STAIN,DIING 8 7 6 UNIT 02 VEHICCMOTOLE CYCLE ❑ PEDESTRIAN ❑ OWNER YES ❑ DYES✓ NO OLD MET PHONE 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET CITY' ST ZIP 37 17❑ NEW ADDRESS❑' 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t—T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YES I I No� YES t l NO❑ 19 LLIICENS # STATE I SEX U MMDDYY _ 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 9 CLASS 0 ❑ ❑ILICENSE 21❑ PLA E# AGE7152 TATe 41 WA VINt 1N4AL2AP4CN430436 4 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2012 MAKE NISS MODEL ALTIMA STYLE VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44 24❑ DAMAGE YES✓ NO BANKERS YES NO✓ REGISTERED OWNER INFO JOSE HERNANDEZ 1008 SUNSET BLVD NE RENTON WA D:4254432365 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE &POINSURGY#E CO STATE FARM 106 7685-C21-47BIN 1 9TOP 'E""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES $ ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 JAKE GALL 12617 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE36261 COLLISION REPORT III III III III III 111 1591972 CASE# 23-15003 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) CRAMER ANN (IAST FIRST, ADDRESS&PHONE# D O.B. 6196510466 SEX' F MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES �, POS. USE CLASS NAME '(LASTr FIRS' MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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. JAKE GALL 01-01-24 12:42 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 11112024 7:22:31 PM BADGE OR ID# 12617 ORI# WA0171300 TIME POLICE DISPATCHED! 10:43 PM TIME POLICE ARRIVED',10:51 PM PART I PAGE IT]OF TIME REPORT NO. EE36261 CASE# 23-15003 OF COLLISION12/31/23 22:40 NARRATIVE *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. * On 12/31/2023 at around 2243 hours, I was dispatched to a hit and run collision located near the intersection of Sunset Blvd NE and NE 10th ST. A witness called in saying that vehicle 1 had hit two parked vehicles at the above listed location. Upon arriving in the area, I located vehicle 1 that had been abandoned near Edmonds Ave NE and NE 9th ST. The vehicle was parked facing the wrong way (facing South in the Northbound lanes) and was partially blocking the roadway. Vehicle 1 had damage to its front passenger quarter panel. 1 opened the door and looked inside the unlocked vehicle. There was no ignition damage and had a push start ignition. Banker's towing was eventually called to take possession of the vehicle. The driver and male passenger had left in an unknown direction. The RP/Witness was also on scene where vehicle 1 was located. She did not know where the driver went. She advised that the driver was a Hispanic male, mid 30's and was balding. This does not match the description of the registered owner. I met with the victims at the crash scene at Sunset Blvd NE and NE 10th ST. Vehicle 2 was parked directly behind vehicle 3 on the East side of Sunset Blvd NE, 30 feet North of the intersection. Both vehicles were parked legally. Vehicle 1 was traveling North on Sunset Blvd NE at a high rate of speed and impacted vehicle 2's rear driver side quarter panel. This caused vehicle 2 to lunge forward and hit the trunk of vehicle 3. Vehicle 2 had to be towed away from the scene by Banker's towing. I collected all the necessary documents from the owners of vehicle 2 and vehicle 3 (owned by the same family). I photographed the scene and gave the victims my business card with the case number attached. While still on scene of the collision, the RO of vehicle 1 called in stating that their vehicle was stolen from 247 Garden Ave N. approximately 30 min ago. At this time, it is unknown if driver 1 was the RO or not. I called the RO and informed him of where his vehicle was towed too. At this time, 1 have no evidence supporting that he was the driver of vehicle 1. 1 provided him with the case number as well. 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 J. Gall/12617 12/31/23 at 2359 hours, Renton, Washington PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE36261 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT (CASE# 23-15003 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES IN 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnDRFSP� CITY RENTON ST ZIP 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No NTERLOCK YES❑N0� YES N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE B►T0591 TAr WA VIN# JH4CU2F69AC004197 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 O O VEH.YEAR MAKE MODEL STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1C P FROM TO 2010 ACUR TSX DAMAGE YES 'E YES NO REGISTERED OWNER INFOMARTA HERNANDEZ 1008 SUNSET BLVD NE RENTON WA 98056 D:4254432365 m 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# t 9 101? EHILLE o BarroM 34 13 LEGALLY YES N001 CITATION# CHARGE STANDING �} 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15F� I LAST NAME FIRST NAME INIMIDDLETIAL ❑ 36 ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES NO NTERLOCK YES NO 'YES NO ❑ 17 5 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ VIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ [441 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGAlly STANDING S 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JAKE GALL 01-01-24 12:42 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12617 O#I',WA0171300 APPROVED BY 111112024 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EE36261 CASE# 23-15003 DATE AND TIME 12/31/23 22:40 OF COLLISION Not to scal,e u PAGE 5 OF 5