HomeMy WebLinkAbout24-949 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c
COLLISION REP FIT 1591971
❑ RESULTED ❑ CASE 24-949 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4250 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 01 - 1-- 2024 1051 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE PETROVITSKY RD BLOCK NO. e✓ 11000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTU '�01 VEHtOCLEZ PEAL-CYMLE. El �ESAGE NHORE✓LD MET PHONE 0 1 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY Sr ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES No YES No
8❑ LIRCIENSRE#
SrA fE I
SEX u MMDOBYY - 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES 2❑
3
LICENSE sTATI urN#'
10[9 PI ATE#
C7
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR 7 3. TRLR 33
12 0 0 VIN# VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE R 3 34
13 2 HYUN TUCSO UT DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LABILI INSURANCE❑ NSURANCE CO 3 4
IN EFFECT &POLICY# CHARGE 36
YES❑NO CITATION# UR
15❑ NDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2064465132
16 a
LAST NAME MAKSIMENKO FIRST NAME ALEXANDER MIDDLE
INITIAL
17❑ STREET
ADDRESS❑' 20918 124TH AVE SE CITY KENT ST WA ZIP 98031 37
❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs I I No� YES t l NO❑
19 D IVEW #
{NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
❑ 41
21❑ LICENSE I PLA E# CKP2616 TATE WA VIN# USE
4
42
22 [TRAILER T
❑ PLATE# STATE PLATE#ILER STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2005 MAKE TOYT MODEL RAV4 STYLE UT VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO AMIE SPARGUE 309 W 2ND ST CLE ELUM WA 98922 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY INSURANCE I PORGY#E CO GARRISON PROP.INSURANCE 05318 93 03R 71010 1 STOP 5
IN EFFECT
vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 7CATALAN
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 12007 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE46391
COLLISION REPORT III III III III III 111
1591972 CASE# 24-949
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SPRAGUE KRISTINA M
(I.P.ST FIRST,
ADDRESS&PHONE#
941 QUARTZ DR SW NORTH BEND WA 98045 SEXi F MMDDYyry 02 - 29 - 2004
PASSENGER Z WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES
USE 2 CLASS
11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
E MMDDVYYV
sd
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On January 26, 2024, at 1152 hours dispatch requested that I respond to a collision that occurred
near 110th Ave SE and SE Petrovitsky Rd, in the City of Renton, County of King, WA.
Upon my arrival I contacted the driver of unit 2, and they explained the following:
This incident stemmed from a road rage incident between unit 1 and unit 2.
Unit 2 honked their horn at unit 1. Later, unit 1 threw a cup of coffee at driver 2 while they argued with
each other. Coffee spilled all over driver 2 because their window was rolled down. Unit 1 fled the
scene, but unit 2 followed them across SE Petrovitsky and 108th Ave SE.
Unit 2 tried boxing in the vehicle near the 11000 block of SE Petrovitski Rd, but unit 1 pushed against
unit 2's right rear bumper.
Unit 1 commenced a pit maneuver which caused unit 2 to lose control of the vehicle and slide against
a stationary tree.
Unit 2 sustained moderate damage to the driver side doors and fenders. The vehicle is drivable but
sustained more than $1000 in damage.
Unit 1 fled the scene, and no vehicle information was gathered. The driver of unit 1 was described as
an Asian female possibly Polynesian having light brown hair with blonde tips.
Officers checked the area to see if they could locate the suspect female but after minutes of
searching eastbound on SE Petrovitsky Rd, no one was found.
I provided the driver of unit 1 my information and case number.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 01-26-24 04:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 21112024 2:54:01 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED` 10:55 AM TIME POLICE ARRIVED 11:02 AM
PART I PAGE IT]OF 3�
REPORT NO. EE46391 CASE# 24-949 DATE AND TIME 01/26/24 10:51
OF COLLISION
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