HomeMy WebLinkAbout22-13393 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 22-13393 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 4 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
COLLISION.. 12 - 1$ - 2022 1513 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
NE SUNSET BLVD MILEPOST ST e✓ 3210
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 250 00 FMILES EET e S ❑ W e MONROE AWE NE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES ,/NO D:2068178384 0 11
30
6❑ LAST NAME LOCKE FIRSTNAME TYLER MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 8409 128TH AVE SE CITY NEWCASTLE ST WA ZIP 980561754 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 10 1- 25 - 1998 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES z❑
USE CLASS HEAD PAIN;LEFT SHOULDER PAIN
3
10 PI ATE 992VHV STATE WA VIN#' JT8BF28GXW5048426
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM TO
TREK. TRLR 1 3 33
12 3 5 VIN#' VIN#
>;. FROM TO
❑ VEH.YEAR 1998 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T 1 Y GOVT.VEHICLE 3 ] 34
13 4 LEXS ES 4D DAMAGE YES NO 4I� /�TE TOW 'Es❑ NO
REGISTERED OWNER INFO DEREKLOCKE 8401 INITHAVE SE NEWCASTLE WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI INSURANCE INSURANCE CO PEMCO CA 0501653
IN EFFECT &POLICY# CQ,
'ErIICL CHARGE 36
E.ALLY res No clTAnoN# 2A0307310 FAIL YIELD PRIVATE RD MOTOR
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069229523
16 a
LAST NAME LI FIRST NAME PHONG MIDDLE
INITIAL
17❑ STREET ❑', 1822 WWTMAN CT NE CITY RENTON ST WA ZIP 980593930 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDI IVEW # STATE WA SEX M M D.O.B. 05 _ 31 1999 El 39
HELMET
EET LAU SY SCRATCH ON OUTSIDE OF LEFT LEG 40
20 ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 7
21❑ LICENSE BCL8112 TATE I WA VIN# 2T3JFREV8GW534610
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
%
RLR
'I
VEH YEAR 2016 MAKE ]'DY)' MODEL RA V4 STYLE (�T VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24 DAMAGE YES�/ NO PRIVATE TOW YES NO
REGISTERED OWNER INFO HA PHUNG 1822 WHITMAN CTNE RENTON WA 98059 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO ALLSTATE 807444923IN 1--E ❑ ,J� CITATION# CHARGE
25 GQ
LEGALLY YES N`L J
s � a
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# FENCY
26 CROW 12618 0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED19971
COLLISION REPORT III III III III III 111
1591972 CASE# 22-13393
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) WANG TRACY
(LAST FIRST,
ADDRESS&PHONE#
3875 WIND LAKE CRESCENT BURNABY CD 7789896658 SEXi F MMDOYyry 02 - 04 - 1998
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑ UNIT# 1 POS. 3 AIRBAG 2 RESTR. 4 EJECT USE CLASS 17 HEAD PA/N
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYyYY
PASSENGER []WITNESSO UNIT# : SEAT 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'
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.
SHAWN CROW 12-18-22 05:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 1 12/29/2022 4:05:23 PM
BADGE OR ID# 12618 ORI# WA0171300 TIME POLICE DISPATCHED' 3:15 PM TIME POLICE ARRIVED',3:16 PM
PART I PAGE IT]OF 4�
REPORT NO. ED19971 CASE# 22-13393 OF COLLISION
12/18/22 15:13
OF CbLLI510N
NARRATIVE
CC
On 12/18/2022 at about 1515 hours I was working uniform marked patrol as 1 R24 when I was
dispatched to a blocking motor vehicle collision. The collision occurred at 3210 NE Sunset Blvd
within the city limits of Renton, King County, Washington. The temperature was in the mid 30s
(Fahrenheit), and it was snowing at the time of the collision. The roads were wet, but no snow
accumulated onto the surface of the roadway.
When I arrived I found Vehicle 1 (1998 Lexus ES with Washington license plate 992VHV) near the
driveway to the Good Will (3210 NE Sunset Blvd) blocking the westbound lane of NE Sunset Blvd.
Vehicle 1 had extensive damage and did not appear driveable. The airbags were not deployed. I
saw Vehicle 2 (2016 Toyota Rav4 with Washington license plate BCL8112) about 150 feet west of the
Good Will driveway blocking the westbound lane of NE Sunset Blvd. Vehicle 2 had extensive
damage and did not appear driveable. The front and side airbags of Vehicle 2 were deployed.
Renton Fire Department (FD) A-312 responded to the scene and evaluated Driver 2 (Phong Li) who
had a scratch on his left leg; however, Phong was not transported to the hospital. The Renton FD
also evaluated Driver 1 (Tyler Locke) who complained of left shoulder pain and head pain. The front
passenger (Tracy Wang) complained of head pain too. Tyler and Tracy were not transported to the
hospital, but they both planned to be evaluated further at an urgent care medical facility.
Driver 1 (Tyler Locke) turned left out of the driveway from the Good Will (3210 NE Sunset Blvd) and
mentioned he saw snow falling. Driver 1 did not see Vehicle 2 in time to stop. The front end of
Vehicle 1 struck the front passenger end of Vehicle 2. Vehicle 1 had extensive damage and did not
appear driveable. Vehicle 1 was towed from the scene.
Driver 2 (Phong Li) was traveling westbound on NE Sunset Blvd (inner lane nearest to center median)
and saw Vehicle 1 start to enter NE Sunset Blvd from the driveway near the Good Will. Phong said
he then saw Vehicle 1 stop; however, Vehicle 1 then proceeded to enter the intersection and collided
into Vehicle 2. Vehicle 2 had extensive damage and did not appear driveable. Vehicle 2 was towed
from the scene.
Tyler Locke (Driver 1) did not grant the right of way to oncoming traffic as he entered the roadway
from the driveway. Tyler's actions appeared to contribute to the circumstances of the collision. I cited
Tyler for Vehicle Entering From a Driveway (RCW 46.61.205) and submitted the infraction
(2A0307310) to the court for mailing. I gave Phong Li (Driver 2) and Tyler Locke each a Renton PD
business card with the case number.
PAGE 3 OF 4
REPORT NO.! ED19971 CASE# ' 22-13393 DATE AND TIME 12/18/22 15:13
OF COLLISION
NE Sunset Blvd
utti
— Driveways
*hoot drawn to scale
Gird �1...:
PAGE 4 OF 4