HomeMy WebLinkAbout23-4171 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-4171 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 04 - 1-- 2023 1338 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE S BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064538152 0 11
30
6❑ LAST NAME ADAL FIRSTNAME BIRHANU MIDDLE T 1 2 31
INITIAL
STREET ❑ 407 TAYLOR P!NW CITY RENTON FT WA ZIP 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO
8❑ LDRIVER # STATE WA SEX'M MID
LOB 07 1— 16 — 1960 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10� Pi aTES� BYR4638 sTATe WA VIN# JHMES16571 S003779
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FR.. ro
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#'
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 4 2001 HOND CIVIC SD DAMAGE YES NO �LII� RS YES❑ No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE❑ INSURANCE CO <53 4IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLY YEs❑NO CITATION# OTTOM
15❑ NDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2065389311
LAST NAME BRIGHT FIRST NAME BRONZELL MIDDLE J
INITIAL
17 NEW STREETREs7' 2422 43RD AVE SE CITY PUYALLUP ST WA ZIP 98374 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑NOR INTERLOCK YEs❑No� YES❑NOF—]
19 D IVERI #
❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ 41
21❑ PLATE# CGE0319 TATE WA VIN 2C3CDXGJ8KH704166 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN It IN#.
TOWED BY Gov HI 44
VEH YEAR 2019 MAKE DODG MODEL CHARGE STYLE SD DAMAGE TOWED✓ NOO BLIN BANKERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE DA GEbAREA
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO VEHICLE ❑ ,.I—I CITATION# CHARGEC�Ql
LEGALLY YES N
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
PHllIP DAVIS 12018 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. ED52134
COLLISION REPORT III III III III III 111
1591972 CASE# 23-4171
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'
23-4171
On 4-13-23 around 1343 hours I dispatched to a blocking collision in the 300 block of Rainier Ave N,
Renton, King Co, WA. Initial information was a two-vehicle collision, one vehicle was blocking
northbound Rainier Ave N and the other vehicle was in the grass on the east side of Rainier Ave N.
Upon arrival I observed BYR4638/WA, unit 1, stopped in lane 1 of northbound Rainier Ave N with
heavy front end damage and airbag deployment. I contacted Birhanu Adal, driver and owner of unit 1,
who advised the following. Adal was attempting to exit the parking lot of 300 Rainier Ave N, cross
Rainier Ave N and continue onto Hardie Ave NW. Adal believed he was clear to cross, but as he
entered the road his vehicle collided with unit 2 traveling north on Rainier Ave N. Adal advised unit 2
was driving fast and Adal did not see the vehicle coming as he entered the road.
Several yards north of unit 1, 1 observed CGE0319/WA, unit 2, in the grass on the east side of Rainier
Ave N with heavy passenger side damage. I contacted Bronzell Bright, driver and owner of unit 2,
who advised the following. Bright was driving north in the 300 block of Rainier Ave N. As he
approached the entrance/exit to 300 Rainier Ave N, he observed unit 1 start to exit the lot, then
hesitate, then pull out in front of Bright causing the vehicles to collide.
Both vehicles were towed privately, both drivers advised they were uninjured, and were provided an
exchange of information.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by P Davis 12018 on April 13, 2023 at 14:41 hours in Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
PHILIP DAVIS O4-13-23 03:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 411712023 5:43:35 PM
BADGE OR ID# 12018 ORI# WA0171300 TIME POLICE DISPATCHED 1:43 PM TIME POLICE ARRIVED 1:53 PM
PART I PAGE IT]OF
REPORT NO. ED52134 CASE# ' 23-4171 DATE AND TIME 04/13/23 13:38
OF COLLISION
Q
U
0
M
300 Rainier Ave N
i
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