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Home My WebLink About24-1442 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE54006 170 27 COLLISION REP FIT 1591971 CASE 24-1442 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 28 1 0 RESERVATION TRIBAL UNITS 02 STRUCK z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# Ct ELISION' 02 - 09 - 2024 1102 17 . N E IN� S 8 W H OF e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. EAST VALLEY RD e✓ --- ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e S 43RD ST 0 4 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YEs No ,/ D:2534575733 0 4 30 6� LAST NAME SINGH FIRSTNAME DALIP MIDDLE N 1 1 2 31 INITIAL STREET ❑ 27928 132ND CT SE CITY KENT ST WA ZIP, 980429012 z 'NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES No YES No 8❑ DRIVERS # STATE WA SEX'M I D-MIDI Y' 09 — 03 — 1992 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑ 3 LICENSE C19048W sTArI WAVrN# 3AKJGLBGOFSGS8448 10❑ PI ATE 14 [-_— TRAILER U878423 STATE TN TRAILER STATE 11 3 5 PLATE# PLATE# IR.. ro rRLR. TRLR. 1 3 33 12 3 5 VIN#' 145C402S1FL003589 VIN#' FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 3 34 13 2 2015 FRHT CASCA DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO SINGH TRUCKLINES LLC 7808 S 207TH CT KENT WA 98032 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE NSURANCE CO SAME. 3 4 IN EFFECT &POLICY# 9TOP LVEwcLE CHARGE 5 36 LECALLv YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES, No D:4255030316 16 a LAST NAME NGUYEN FIRST NAME MY MIDDLE T INITIAL 17❑ STREET ❑', 11209 SE 225TH ST CITY' KENT ST WA ZIP 980312626 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l NO❑ 19 DRIVER'S STATE WA ]SEX IF D.Q.B. 02 _ 15 _ 1976 0 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE BNY6628 TAre WA YIN# 4T1BF1FK3HU748943 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2017 MAKE TOYT MODEL CAMRY STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,� YES NO REGISTERED OWNER INFO TAN TRAN 11209 SE 225TH ST KENT WA 98031 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFIECTTY NSURANCE INSU&POLICY#E CO SAME. 1 9TOP 5 'E""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES $ ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE54006 COLLISION REPORT III III III III III 111 1591972 CASE# 24-1442 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME(/AST FIRST,MIDDLE INITIAL) UNKN ADDRESS&PHONE# D O.B. 2063962167 SEX' U MMDDYYYY -❑ PASSENGER WITNESS :UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY CLASS NATURE OF INJURIES ❑ ❑✓ POS. USE NAME '(LASTr FIRS' MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMD D0 V PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. 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. M.LEVERTON 02-14-24 08:18 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOSS 1953 2/26/2024 5:05:19 PM BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED', 11:03 AM TIME POLICE ARRIVED',11:09 AM PART I PAGE IT]OF 5� REPORT NO. EE54006 CASE# 24-1442 OF COLLISION 02/09/24 11:02 OF CbLLI510N NARRATIVE semi inside Itl sedan slv outside contact during turn RTF Information/Insurance only. Within the city limits of Renton/King/WA I responded to a semi truck/trailer vs car blocking crash at the intersection of East valley Rd at S 43rd St. The driver of unit 2 did not speak English and could only show me with her hands what happened. The driver of unit 1 did not identify the location of unit 2 in the proper position during contact. I gathered the following from a witness who did not provide a name. I called the witness who told me he was behind both unit 1 and 2 southbound EVR before the intersection. The wit said the semi truck was in the inside left turn lane/lane 4 of the 2 left turn lanes and that unit 2 was in the outside left turn lane, lane 3. He told me he watched both vehicle's make the left turn. He described both crossing into each others lane when contact occurred. As a CDL driver unit 1 should have know to be in the outside left turn lane. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 2/92/2024 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE554006 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-1442 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 1 USDOT 2498457 ICC# VEHICLE TYPE 1 4 CARGO BODY 2 ;TYPE 2 ❑ 1 28 CARRIER NAME SINGH TRUCKING ....... 3 CARRIER ADDRESS 7808 2 207TH CT CITY KENT ST WA ZIP'', 98032 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 3 AXLES 05 GI 80000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NFln+AnnRFs.� CITY'. ST 21P CDL IGNITION REDUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 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 ❑ TRLR TRLR 41 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 ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv 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. X LEVERTON 02-14-24 08:18 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 2517 O#I',WA0171300 JACOBS 2/26/2024 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EE54006 CASE# ' 24-1442 DATE AND TIME 02/09/24 11:02 OF COLLISION }U lk n Q� Fh c a ;t YS ceai a} a t 0 H �V Ya �$ C 6 rt 1 � F Y t PAGE 5 OF 5