HomeMy WebLinkAbout24-202 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 3 27c
COLLISION REP FIT 1591971
❑ ✓❑ RESULTED ❑ CASE# z4-zo2 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 ❑28
TRIBAL UNITS 02 STRUCK' FENCE
RESERVATION
2
3❑ DArE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
GawsloN 01 - 1-- 2024 1802 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LOGAN AVE N BLOCK NO. e✓ 1000 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ w e N 10TH ST
0 1 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 30
6� LAST NAME SHELBY FIRSTNAME ELONZO MIDDLE 1 2 31
INITIAL
STREET ❑, 10635 SE 236TH PL CITY KENT ST WA 2jp, 98031 2=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ YES R No
8❑ LRIIVER #
ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 INJURYCLASS 6 SEIZUREF INJURIES 2❑
3
10❑ P1 ATE 14 CKE2324 STATE WAa VIN# 1 D8HB48N28F119344
TRAILER STATE TRAILERSTATE
11 3 5 PLATE# I PLATE# I I FROM TO
TRLR. TRLR. 3 7 33
12❑ VIN#j VIN#'
FROM
34
13� VEH.YEAR2008 MAKE DODG MODEL DURAN STYLE UT VEHICLE TOWEDNOOpLSABLIN TSIYYEp9vMEYERS vOs❑ENO✓
HICLE
DAMAGE IILLJJII (��IV6
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑ SHADE IN DAMAGED AREA ❑ 35
14 LIABILIT INSURANCE❑ INSURANCE CO UNK UNK
IN EFFECT &POLICY#
'C ve ❑ 36
LEGALLv res❑NO❑ CITATION# CHARGE BOTTOM
15❑ STANDING
�UITN 02 VE ICCLE ❑ CYCLE ❑ PEDESTRIAN ❑ OWNERRTY ✓❑ DYES✓ NO OLD MET PHONE
16❑
LAST NAME BOEING FIRST NAME MIDDLE
INITIAL
17 STREET I❑ 1000 LOGAN AVE N CITY RENTON ST WA ZIP 98057 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs It I NOF YES
t l NO❑
19 LLIICENS RIVERIS# STATE SEX U MMDDYY —❑_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TATE LICENSE vIN# 41
1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 9TOP 5
VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM
LEGALLY YES N
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
J.CARSTENSEN 11648 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE38049
COLLISION REPORT III III III III III 111
1591972 CASE# 24-202
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,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 FIRST 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'
On 1/6/24 at about 1805 hours I was working uniformed patrol in my unmarked patrol vehicle when I
was dispatched to collision at Logan Ave N/ N 10th ST in the City of Renton, King County, WA.
I arrived and contacted Unit 1. It appeared that Unit 1 was traveling westbound and broke through the
Boeing fence that is on the west side of the above intersection. Unit 1 appeared to have continued
westbound, crashing through other pedestrian fences, shrubbery, and trees before coming to a stop
on the Boeing railroad tracks. The driver of Unit 1 appeared to be the registered owner of the
Durango, Elonzo Shelby. I asked the driver if he was Elonzo Shelby, which he acknowledged that he
was. Elonzo kept repeating that his body hurt and was grabbing his chest. Elonzo was unable to
answer other questions I had. I did not have notice any signs of impairment.
I contacted a witness, Juan Folgar, who told me that Unit 1 was driving westbound on N 10th ST
approaching Logan Ave N. Unit 1 ran the red light and drove directly into the Boeing fence. There
was no apparent braking action from Unit 1.
Renton Fire arrived and got ahold of Elonzo's family, who said that Elonzo has epilepsy and has a
history of seizures. Elonzo was transported to VMC via Trilled.
Gene Meyers Towing arrived and towed Unit 1 away.
I gave Boeing security supervisor a business card with the case number.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.CARSTENSEN 01-06-24 07:30 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 11712024 4:35:09 PM
BADGE OR ID# 11648 ORI#' WA0171300 TIME POLICE DISPATCHED 8:02 Pry TIME POLICE ARRIVED 6:08 PM
PART I PAGE IT]OF 3�
REPORT NO. EE38049 CASE# ' 24-202 DATE AND TIME 01/06/24 18:02
OF COLLISION
IN
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