HomeMy WebLinkAbout23-3947 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-3947 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
0 5
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 04 - 07 - 2023 1727 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
156TH AVE SE BLOCK NO. e✓ 12800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 25 00 FEET MILES e S B W e S 128TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:4083750259 30
6❑ LAST NAME NGUYEN FIRSTNAME DARREN MIDDLE T 1 2 31
INITIAL
STREET ❑ 12036 156TH AVE SE CITY RENTON ST WA ZIP 98059 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'M MID
LOB 04 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE C31956Y sTATe WAvrN#' 1C6RD7PT9CS288864
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR. TRLR. 5 1 33
12❑ VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13❑2 2012 RAM 1500 PK DAMAGE YES NO YES[:] ✓No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO SAFECO 2493814 3 4
IN EFFECT &POLICY# 9TOP
15❑ LE
vECALLv HICLe 1 5 36
res❑NO❑ CITATION# CHARGE 10 BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN ✓ PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES,/ NO D:2063841546
16 a
LAST NAME PETRI FIRST NAME ANNA MIDDLE
INITIAL
17❑ STREET ❑', 15608 SE 128TH ST CITY' RENTON ST WA ZIP 98059 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 DRIVE # STATE SEX F M .C.B. 04 08 _ 2010 39
ON DUTY STATUS 3 AIRBAG RESTR EJECT I H U SE
2 NJAURSY 0 NATURE ABRASIONS TO FACE.UNKNOWN FURTHER 40
❑21❑ TATE LICENSE vIN1 41
PLATE#
42
22❑ PR TRAILER LATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
24 1 Q DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
D.LAMOTHE 11677 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED49500
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3947
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PETRI SAMUEL
(LAST FIRST,
ADDRESS&PHONE#
15608 SE 128TH ST RENTON WA 98059 2063841546 SEX M MMDOYyvv 09 - 26 - 2006
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ✓❑ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) PETRI CAMELIA
ADDRESS&PHONE# D O B
15608 SE 128TH ST RENTON WA 98059 2063841546 SEX: F MMDovvvv 10 _ 19 _ 1981
PASSENGER ❑ POS. USE CLASS WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
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.
D.LAMOTHE 04-08-23 07:41 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 1 4/8/2023 9:15:24 AM
BADGE OR ID# 11677 ORI# WA0171300 TIME POLICE DISPATCHED 5:27 Pry TIME POLICE ARRIVED',5:29 PM
PART I PAGE IT]OF 4�
REPORT NO. ED49500 CASE# 23-3947 OF COLLISION
04/07/23 17:27
OF CbLLI510N
NARRATIVE
On the above listed date and time, I was dispatched to the 12800 block of 156th Ave SE, in the City of
Renton, County of King, State of Washington, reference a vehicle vs. pedestrian collision. I
conducted a priority response to the locatoin and arrived at the same time as the Renton Fire
Department.
I observed a juvenile female, identified by her mother as Anna Petri (DOB 4/8/2010) lying on the east
side of the roadway on her back. She was concious and alert as Fire Department personnel were
providing aid. I could observe that she had some abrasions to the side of her face. Fire Personnel
stated that she had feeling in her extremities, but they were unable to provide with any further
prognosis. Anna was later transported from the scene via ambulance.
I spoke to the driver of Vehicle #1, Darren T. Nguyen (DOB 4/8/1977), who stated he had just turned
onto 156th Ave SE from SE 128th ST (NE 4th St Renton Addressing System) and was heading
nortbound. He stated he had been traveling slowly as he began travelin on 156th. As he was driving
past the driveway of 15608 SE 128th St (Anna Petri's residence), Anna Petri ran out in the road in
front of his vehicle. He stated he felt an impact, immediately stopped and called 911.
I observed no signs of impairment from Nguyen. There was no odor of alcohol or other intoxicants,
his speech, balance and pupils all appeared normal.
I spoke to the brother of Anna, Samuel Petri (DOB 4/8/2006), who stated he was in the driveway
when the collision occurred and witnessed the incident. Samuel stated that Anna ran from the yard
heading westbound, ran through the driveway and directly into the roadway. He stated he yelled for
her to stop, however she was struck by the vehicle.
Samuel showed me a ring camera video from their residence, which showed Anna run directly from
the driveway and into the street with out stopping. The camera angle does not show the actual
collision. I sent Samuel a link via evidence.com and he stated he would have his mother upload the
video.
I spoke to Anna's mother, Camelia Petri (DOB 10/19/1981) and provided her with an exchange of
information and business card.
I provided Nguyen with an exchange of information.
I do not find probable cause for any crime or traffic violation on the part of Nguyen at this time.
This concludes my involvement in this matter.
PAGE 3 OF 4
REPORT NO. ED49500 CASE# ' 23-3947 DATE AND TIME 04/07/23 17:27
OF COLLISION
N
IZ
15608 SE 128th ST
156th Ave SE
Ve
SE 128th ST(NE 4th ST)
Diagram Not To Scale
PAGE 4 OF 4