HomeMy WebLinkAbout22-13142 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
CASE 22-13142 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 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# ❑
COLLISION'. 12 - 1-— 2022 1522 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
UNION AVE NE BLOCK NO. e✓ 2700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e NE 27TH PL
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2062299917 0 11
30
6� LAST NAME LEHAL FIRSTNAME JASWANT MIDDLE K 1 2 31
INITIAL
STREET ❑ 11230 SE 164TH ST CITY RENTON ST WA Zlp' 980555220 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑
3
10 9❑ PICENS11 ATE 14 LEHAL1 STATE WA v N# 4T3M6RFV3MU025046
11[-j- TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# IR.. ro
TRLR. TRLR. 3 5 33
12 3 0 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 rI 2021 TOYT RAV4 SV DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO SATNAM LEHAL 11230 SE 164TH ST RENTON WA 98055 D:2062299917 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO ALLSTATE 964 374 164 3 4
IN EFFECT &POLICY# 9TOP
LEwoL I CHARGE 1 5 36
LECALLv res NO CITATION# W22067721 FAIL STOP AT STOP t o BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4258918135
16 2
LAST NAME PALMER FIRST NAME KODY MIDDLE I D
INITIAL
17❑ NEW STREETR 3600 MEA
7 DOW AVE N CITY RENTON ST WA ZIP 980561524 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NOF,/
19 D IVEW #
❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE of INJURIES ❑ 40
USE CLASS C/O LOW BACK PAIN
❑21❑ PLATE# A W W4849 TATe WA VIN It 2HKRM4H35EH620435 41
1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2014 MAKE HOND MODEL CR-V STYLE SI/ VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MELODY PALMER 3600 MEADOW AVE N RENTONWA98056 D:4258918135 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO CONNECT BX05075095IN I STOP 5
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# T AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED14494
COLLISION REPORT III III III III III 111
1591972 CASE# 22-13142
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
PM 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'
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.
MATTHEW NUGENT 12-13-22 10:17 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
S.MORR/S 2613 1211412022 3:54:05 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 3:22 Pry TIME POLICE ARRIVED',3:27 PM
PART I PAGE IT]OF 4�
REPORT NO. ED14494 CASE# 22-13142 OF COLLISION
12/12/22 15:22
OF CbLLI510N
NARRATIVE
22-13142
On 12/12/2022 at approximately 1522 hours, I was dispatched to a vehicle collision with injury at the
intersection of Union Ave NE and NE 27th PL, within the City Limits of Renton, County of King, State
of Washington.
While en route, Dispatch advised that there was a two-vehicle collision, and that the involved vehicles
were blocking the roadway. Due to complaint of injury, the Renton Regional Fire Department was
simultaneously dispatched.
Upon arrival, I confirmed that the driver of Unit#2 was complaining of back pain. The Renton Fire
Department had responded and treated all parties at the scene. While on scene, I collected the
involved parties driving documents and their independent recollection of the events leading up to the
collision.
The driver of Unit#1 was identified by pictured WADL and stated she was traveling westbound on NE
27th PL approaching the intersection of Union Ave NE. The driver of Unit#1 stated she stopped at
the controlled intersection (for her direction of travel) with the intent to make a southbound (left) turn
to proceed south onto Union Ave NE. The driver of Unit#1 stated she checked for traffic and
proceeded out into the roadway where she was met by Unit#2 which was underway in the
southbound lanes of travel on Union Ave NE. Both vehicles collided in the roadway causing minor
damage to the front passenger side quarter panel of Unit#1.
The driver of Unit#2 was identified by pictured WADL and stated he was the sole occupant of his
vehicle. The driver of Unit#2 said he was traveling southbound on Union Ave NE approaching the
intersection of NE 27th PL. The driver of Unit#2 stated he was intending to continue south. The driver
of Unit#2 stated that while continuing south through the uncontrolled intersection (for his direction of
travel), he observed Unit#1 pull out into the roadway and into Unit#2's lane of travel. The driver of
Unit#2 stated he was unable to avoid the collision and that ultimately Unit#1 and Unit#2 collided
causing moderate damage to the driver's side quarter panel and fender of Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (Lehal) was the predominant
factor for the cause of collision as Lehal did not grant the right of way to traffic already in the roadway
and underway. Lehal violated RCW 46.61.190(2) as every driver of a vehicle approaching a stop sign
shall stop where the driver has a view of approaching traffic on the intersecting roadway before
entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in the
intersection or approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways.
I issued Lehal a Written Warning for Failing to Stop at a Stop Sign/Intersection and Yield to
approaching traffic.
Both Units were able to be driven away without further incident. An exchange of information was
provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. Nugent#11498 12/13/2022 9:53 AM Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO.! ED14494 CASE# 22-13142 DATE AND TIME 12/12/22 15:22
OF COLLISION
Unit 92 Unilftl
A
61
NE 27th PL
'Magram not to scale
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