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Home My WebLink About23-144 ITFF' " ll� . 571 27POLCERA c III II COLLISION REP FIT 1591971 ❑ ❑ 23-144 2 RESULTED ❑ CASE INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL ': UNITS 04 STRUCK RESERVATION' 2 3 DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 01 - 04 - 2023 0720 17 =.= S IN 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ MAPLE VALLEY HWY BLOCK NO. e✓ Y200 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ FEET e S ❑ W e OF, 1 29 MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE NIT 01 VEHICLE ❑ CYCLE. ❑ YES NO F D:2065502602 0 7 30 6 LAST NAME NAMKUNG FIRSTNAME SUSANNE MIDDLE L 1 1 2 31 INITIAL STREET ❑ 13215 SE 166TH PL CITY RENTON ST WA ZIP 980586926 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R No�/ 8❑ LDRIVER # STATE WA SEX'F MID .O B 04 — 07 — 1969 1 2 32 9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES 2 3 10 9❑ P1 aT�S� C65596X sTArI WAVrN# 1FTFW1EF1CFC44964 TRAILER STATE TRAILER STATE11 4 0 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 4 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT.VEHICLE g 9 34 13 2 2012 FORD F150 DAMAGE vEsNo � �MEYER YES[:] No REGISTERED OWNER INFO STEVEN NAMKUNG 13215 SE 166TH PL RENTON WA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 rI 3 4 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 901438792 14 IN EFFECT &POLICY#vE FFE CHARGE 36 LEGALLY YEs❑No CITATION# 3AO087426 INATTENTIVE DRIVING <�Q, 15❑ STANDING 8 7 6 'j MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:4699519355 16 a LAST NAME DHINGRA FIRST NAME GAURAV MIDDLE INITIAL 17❑ STREET � 16640 SE 165TH WAY CITY RENTON ST WA ZIP 98058 37 NEW ADDRESS 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—TRANSPORTED 38 INTERLOCK YEs❑NOR INTERLOCK v�Esl I I NOF YES t l No� 19 DRIVERS # STATE WA SEX M Mr D.C.B. 01 29 _ 1992 39 HELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE I CBP2265 TAre WA VIN# WINOG8E69MF922458 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED BV Gov HI 44 VEH YEAR 2021 MAKE MERZ MODEL GLC STYLE —FEHICLE TOWED✓ NOO BLIN GENE MEYER YES No�/ 24 REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO pROGRESSIVE 954043567IN VEHICLE CITATION# CHARGE <E�� LEGALLY YES[Z NCE 25❑ JAGENCY s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 K.LANE 10008 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. ED21835 COLLISION REPORT III III III III III 111 1591972 CASE# 23-144 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 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' Unit 4, Unit 3, and Unit 2 were stopped for traffic northbound (facing west) in the 2200 blk of Maple Valley HWY backed up from the onramp to 1-405. Unit 4 was first in the line, Unit 3 behind Unit 4, and Unit 2 behind Unit 3. Unit 1 was approaching these Units and the stopped traffic traveling northbound (west) on Maple Valley HWY. For unknown reasons, Driver 1 did not recognize that traffic was stopped and was unable to stop in time to avoid the collision. The front end of Unit 1 struck the rear end of Unit 2. The force of this collision sent Unit 2 forward and the front end of Unit 2 struck the rear end of Unit 3. The force of that collision sent Unit 3 forward and the front end of Unit 3 struck the rear end of Unit 4. Unit 1 sustained heavy front-end damage, Unit 2 sustained moderate front and rear end damage, Unit 3 sustained moderate front and rear end damage disabling the vehicle, and Unit 4 sustained light/moderate rear end damage. Unit 1, 2, and 3 were towed by Gene Meyer. Driver 1 cited for Inattentive Driving by not driving with due care and caution in monitoring the roadway to recognize stopped traffic which was the proximate cause of the collision. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K.LANE 01-04-23 08:50 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1/4/2023 12:49:04 PM BADGE OR ID# 10008 OR]# WA0171300 TIME POLICE DISPATCHED; 7:24 AM TIME POLICE ARRIVED 7:Y8 AM PART B PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. ED21835 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-144 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE ❑ 1 1 8 28 2 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 DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:4252418659 OF 7 29 LAST NAME GONZALEZ FIRST NAME : GABRIEL MIDDLE INITIAL 0 7 30 STREET NFW AnORFSP' 17818 SE 196TH DR CITY RENTON ST WA ZIP 1 980589620 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 03 - 22 - 1973 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE 008PPR TAr WA VIN# WBAEW53463PG20279 PLATE# 9 [9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR 91 VIN.#. VIN.#. 11 4 U VEH.YEAR2003 MAKE BMW MODEL330 STYLE VEHICLE TOWE ET W,6'•ER GnVT VFHIGP FROM TO DAMAGE Y SABLIES NO YES NO REGISTERED OWNER INFOGASRIEL GONZALEZ 17818 SE 196TH DR RENTON WA 98058 g g 33 12 t} 0 SHADE IN DAMAGED AREA 3 4 FROM TO LIABILITY INSURANCE INSURANCE CO SAFECO H2O55022 IN EFFECT &POLICY# C�� 9 9 34 13 ❑ VEHICLE ❑ CITATION# CHARGE LEGALLY YES NO STANDING 8 7 6 DAMAGE THRESHOLD MET PHONE El35 14 UNIT# 4 MdT{7R O PECAE ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO VEHICLE CYCLE OWNER �/ D:2062718787 36 15 ❑ LAST NAME NARTEA FIRST NAME ASHLEY MIDDLE N ❑ INITIAL 2 S 16 ❑ STREETtxFS❑ 17800 SE 188TH PL CITY RENTON ST WA NFn+Ann Z!P 980580310 CDL IGNITION REdUIRED IGNITION PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YES No INTERLOCK YEs NC7 rEs No�/ EDRIVER'S STATE WA SEX F D.O.B 37 LICENSE# MMDDYYY` O6 - 30 - 1989 18 ❑ E ON DUTY STATUS' AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES 38 USE CLASS 19 ❑ LICENSE ❑ PLATE# BRG3084 Tnr WA vIN# SALCT2BG8HH658276 39 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41❑ ViN# YIN#i 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 2017 LNDR DISCOV DAMAGE YES NO YES NOZI 23 ❑ REGISTEREDOWNER INFOASHLEYNARTEA 17100SE188THPL RENTON WA 98058 SHADE IN DAMAGED AREA 43 z 3 4 LIABILITY INSURANCE INSURANCE CO GEICO 0328-71-45-06 9'1'OP ❑ EFFECT &POLICY# VEHICLE 44 24 LE ALE YES[Z NO❑ CITATION# CHARGE iq 60TiOM LE ALLY STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K.LANE 01-04-23 08:50 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 10008 O#IL WA0171300 JOHNSON 1/4/2023 PAGE❑OF❑ 3000-345-013(R 11118) REPORT NO. ED21835 CASE# 23-144 DATE AND TIME 01/04/2307:20 OF COLLISION y IL ***NOT TO ,GALE*** 2200 blk MAPLE VALLEY HWY' PAGE 4 OF 4