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Home My WebLink About23-8487 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED85545 170 27 COLLISION REP FIT 1591971 CASE 23-8487 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 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# GawsloN 07 - 1-- 2023 1424 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ OAKESDALEAVE SW BLOCK NO. e ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e SWGRADYWAY 0 4 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YEs NO ,/ D:2067330425 0 4 30 6 LAST NAME MONTANO ARAUJO FIRST NAME MARIO MIDDLE A 1 1 2 31 INITIAL STREET ❑✓ 6003 45TH AVE CT E CITY TACOMA ST WA ZIP, 98443 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YEs No�/ 8❑ LRIIVER # STATE WA SEX'M MI D Y' 12 - 31 - 1990 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 2 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� C14667X sTATI WAVrN# 3AKBCYFE4JDJT7641 TRAILER 04504AH STATE WA TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR. TRLR 5 7 33 12 3 5 vIN#'3H3V532C1CT081004 vIN# i:... FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN I TOWED BY GOVT.VEHICLE 5 ] 34 13 2 2018 FRHT M2-106 DAMAGE YES fn TO YES[:] H REGISTERED OWNER INFO SEA TAC EXPRESS INC.330 SW43RD ST STE K329 RENTON WA 98057 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO NORTHLAND INSURANCE WFOO9621 3 4 IN EFFECT &POLICY# Q VeNICE CHARGE 5 36 LEGALLv Yes❑NO❑ CITATION# 1 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OL PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ D MET NO O 2063699086 16 a LAST NAME POPKY FIRST NAME JUDITH MIDDLE K INITIAL 17❑ STREET ❑', 6950 31 ST AVE SW CITY SEATTLE ST WA ZIP 981264205 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I No� YES t l NOF,-/] 19 DRIVER'S STATE WA ]SEX IF D.O.B. 04 26 _ 1970 0 39 LICENSE# MMDDYY HELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE POPOVER TATe WA vIN1t USE ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN It 'IN#. VEH YEAR 2023 MAKE TESL MODEL MODEL Y STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES�/ NO BANKERS YES NO REGISTERED OWNER INFO JUDITH POPKY695031STAVE SW SEATTLE WA 98126 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO ENCOMPASS INDEMNITY CO US282244438 1UQ, 5IN EFFECTVEHICLE ❑ ,.II CITATION# CHARGELEGALLY YES N25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 K.LANE 10008 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED85545 COLLISION REPORT III III III III III 111 1591972 CASE# 23-8487 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (/AST 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 1 (a semi-truck with trailer) was stopped at a red light in the center of 3 northbound lanes of Oakesdale AVE SW at the intersection with SW Grady Way. Unit 2 was in the left of 3 northbound lanes of Oakesdale AVE SW also at the intersection with SW Grady Way. Unit 3 was stopped for a red light in the inside left turn lane of eastbound SW Grady Way at Oakesdale AVE SW. The lane Unit 1 was in is a left turn or straight-ahead option lane and Unit 1 was planning to turn left onto westbound SW Grady Way. Unit 2 was in a left turn only lane also planning to turn left onto westbound SW Grady Way. When the light turned green, Unit 1 and Unit 2 proceeded forward to make their left turns into their respective lanes. Due to Unit 1's configuration (towing a full-size semi- trailer), as Unit 1 completed the left turn, the trailer drifted inward into the lane Unit 2 occupied. The trailer tires of Unit 1 impacted front passenger side of Unit 2 forcing it inwards towards the center line. This impact forced Unit 2 into the side of Unit 3 which was waiting at the stop light. The front driver's side of Unit 2 impacted the driver's side of Unit 3. Unit 1 sustained minor damage to the trailer tires on the driver's side. Unit 2 sustained moderate heavy damage to the front passenger side and minor damage to the driver's side. This damage required Unit 2 to be towed from the scene as it was disabled. Unit 3 sustained minor driver's side damage and as able to leave under its own power. This report is to document the circumstances 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 07-25-23 09:07 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 8/2/2023 1:06:11 PM BADGE OR ID# 10008 OR]# WA0171300 TIME POLICE DISPATCHED 2:29 Pry TIME POLICE ARRIVED 2:32 PM PART I PAGE IT]OF 4] SUPPLEMENTAL REPORT No. ED85545 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-8487 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 1 USDOT 568382 ICC# VEHICLE TYPE 6 CARGO BODY 2 TYPE 2 ❑ 1 28 CARRIER NAME SEA TAC EXPRESS INC ....... 3 CARRIER ADDRESS 330 SW 43RD ST STE K329 CITY RENTON ST WA ZIP'', 98057 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 03 GI54000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- �`"'j PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO ✓ D:6142094187 0 8 29 LAST NAME HABANE FIRST NAME IFRAH MIDDLE' M INITIAL STREET 30 NFW AnDRFrtP 11452 4TH PL SW CITY SEATTLE ST WA ZIP 981462200 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YES NO NTERLOCK YES�NO� YEs N ✓ DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 07 - 10 - 1981 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE CGK1156 TAr Wq VIN# 4T1BF1FKXCU627934 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2012 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWED DUE T SABLIN TOWED BY anvi vEHlci F FROM TO DAMAGE YES NO ✓ YES NO ✓ 33 REGISTERED OWNER INFOIFRAH HABANE 114524TH PL SW SEATTLE WA 98146 J 9 12 SHADE IN DAMAGED AREA 7 j 4 FROM TO LIABILITY INSURANCE INSURANCE CO GEICO 4510000344 q"i"Olx IN EFFECT &POLICY# VEHICLE 34 13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE 10 BOTTOM STANDING �} MOTOR � 7 6 14 ❑ UNIT Tr Vd I RE O CYCLE � OWNERRTY � DASMMNOHRESHOLDMET PHONE ❑ 35 El PEDESTRIAN YE 36 15 LAST NAME FIRST NAME NII7 AL ❑ STRE 16 NFW ETETnnR"� CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYSYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE ICLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41 ViN# YIN#i 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' IN EFFECT &POLICY# i 97OP - 4 44 VE 24 VEHICLE YES NO❑ CITATION# CHARGE iq 6OTiOM LEGALLY E:l STANDING 8 7 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K.LANE 07-25-23 09:07 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 10008 O#IL WA0171300 JOHNSON 8/2/2023 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. ED85545 CASE# ' 23-8487 DATE AND TIME 07/24/23 14:24 OF COLLISION SW GRAD'WAY" I IIIII uiiiiuu m ..... SW GRADY WAY d. .. eeee.. ........ N. cn *,**N JT TO SCALE*** w J w y I PAGE 4 OF 4