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Home My WebLink About23-0907 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-0907 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 01 - 1-- 2023 1719 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH ST BLOCK NO. e✓ 4500 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FMILES EET e S ❑ E e BREMERTON AVE NE 0 1 29 R PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO D:3474970838 0 7 30 6❑ LAST NAME MWICIGI FIRSTNAME JOSEPH MIDDLE M 1 1 2 31 INITIAL STREET ❑, 1901 S 259TH ST CITY DES MOINES ST WA ZIP', 98198 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 MD. MDDYY 10 - 16 1- 1957 1 2 32 —' [NATURE OF INJURIES 9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 . EJECT 1 HELMETU E 2 CLASS ,'NJURY7 I COMPLAINT OF CHEST PAW z❑ 3 LICENSE CER8903 STATE WA VIN# 4T18E46K97U155672 10 9❑ Pr ATF� TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# IR.. ro TRLR. TRLR $ 7 33 12 0 0 VIN#' VIN# >;. FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T k GOVT.VEHICLE J 9 34 13 2007 TOYP GAMER SD DAMAGE YES NO � '` RS YES ❑ No✓ REGISTERED OWNER INFO JOSEPH MWICIGI 1101 S 259TH ST DES MOINES WA 98198 D:3474970838 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO ENCOMPASS IDEMUITY COMPANY 0283032149 3 4 IN EFFECT &POLICY# 9TOP vE—LE CHARGE 5 36 LEGALLY res❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:4252608486 16 a LAST NAME REED FIRST NAME MIKI MIDDLE IS INITIAL 17 NEW STREETR 7' 44617 SE 72ND ST CITY SNOQUALMIE ST WA ZIP 98065 37 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NOF,/ 19 DRIVER'S STATE WA ]SEX IF D.C... 08 _ 27 1961 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS I AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# BWE7636 TATE WA VIN1t 2FMHK6D87KBA05368 41 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. TOWED BV Gov HI 44 VEH YEAR 2019 MAKE FORD MODEL FLEX STYLE UT —TEHICLE TOWED✓ NOO BLIN BANKERS YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE 8 POINSURGY#E CO PROGRESSIVE 924750219IN STOP vEwCLe CITATION# CHARGE 25 to BOTTOM LEGALLY YES Nu ❑ 7BRYAN NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26GROZAV 12489 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED31198 COLLISION REPORT III III III III III 111 1591972 CASE# 23-0907 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ZOLOTA/A ELANA (LAST FIRST, ADDRESS&PHONE# D O.B. 4910 E M ST TACOMA WA 98404 2066600382 SEX F MMDDYyYv 03 - 15 - 1991 PASSENGER Z WITNESS UNIT# 3 POS, 7 AIRBAG j 2 RESTR. q EJECT ? 1 SEATHE USE LMET 2 CLASS INJURY ASS NATURE OF INJURIES '1 NAME (LAST,FIRST,MIDDLE INITIAL) MUSTEATA NAOMI ADDRESS&PHONE# D O B 4910 E MST TACOMA WA 98404 SEXI F MI MDDYvvv 08 _ 14 _ 2019 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 3 POS 9 AIRBAG 2 RESTR. 10 EJECT 1 USE 1 2 CLASS 1 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. BRYAN GROZAV 01-21-23 09:10 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 888 1 2/4/2023 4:17.19 PM BADGE OR ID# ! 1Y489 OR]# WA0171300 TIME POLICE DISPATCHED 5:21 PM TIME POLICE ARRIVED',5:24 PM PART I PAGE IT]OF 5� TIME REPORT NO. ED31198 CASE# 23-0907 OF COLLISION01/21/23 17:19 NARRATIVE CASE 23-0907 This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. On Sunday January 21st, 2023, at approximately 17:21, 1 responded to a 911 call regarding a three- vehicle collision in the area of Ne 4th St and Bremerton Ave Ne in the City of Renton, King County, Washington. ***CALL REMARKS: VEH ACC BLOCKING 4TH ST IFO THE POST OFFICE, JWO INTERSECTION .... UNK INJS... STARTING FD .... 3 SILVER CARS INVLD... BLOCKING WB ON 4TH ... 2 PTS IN 1ST VEH : ADULT FEM C/O BACK PAIN AND 3YOF/TODDLER IS CRYING, IS REQ EVAL. -UNIT ONE: GOLD 2007 TOYOTA CAMERY WASHINGTON LICENSE CER8903 -UNIT ONE DRIVER: JOSEOPH M. MWICIGI (DOB: 10.16.1957) -UNIT TWO: SILVER 2019 FORD FLEX WASHINGTON LICENSE BWE7636 -UNIT TWO DRIVER: MIKI S. REED (DOB: 8.27.1961) -UNIT THREE: SILVER 2011 BMW X5 WASHINGTON LICENSE AVL5693 -UNIT THREE DRIVER: RADU MUSTEATA (DOB: 1.17.1985) 1 arrived on scene and contacted the involved parties who were blocking the left lane in the west bound lanes on Ne 4th St. Joseph (driver of unit one) reported unit two switched lanes in front of him and he couldn't stop in time. Joseph was traveling west on Ne 4th St and crashed into the back of unit two, unit two crashed into the back of unit three. Joseph was transported the hospital via Tri-Med for chest pain. Joseph was the only occupant in the vehicle at the time of the collision. Unit one had sever front end damage and was towed from the scene. After talking to Joseph, I contacted Miki (unit two driver) who reported the following; she was stopped in traffic when unit one crashed into the back her which caused her to crash into the back of unit three. Miki was not injured, and her vehicle was towed from the scene due the damages from the crash. Miki had a dog in the car at the time of the crash but was not injured. I contacted the Radu (driver of unit three) who said he was stopped in traffic when he was hit in the back by unit two. Radu's wife Elena Zolotaia (DOB:3.15.1991) and daughter Naomi Musteata (DOB:8.14.2019) were in the vehicle at the time of the collision, but they did were not injured. Radu was able to drive his vehicle away from the scene. I provided all involved parties a SECTOR exchange of information form while on scene. The Renton Fire Department responded and examined all involved parties. This concludes my involvement in this case. I certify/declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by B. Grozav #12489 on 01.21.2023 at 19:02 hours in Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED31 1 98 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-0907 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ � PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ 0 7 29 LAST NAME MUS TEA TA FIRST NAME : RADU MIDDLE INITIAL STREET 30 NEW AnDRFSP 4910 E M ST CITY TACOMA ST WA ZIP 98404 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YES NO✓ NTERLOCK YES❑N0f✓ vES N ✓ DRIVER'S D.O.B L LICENSE STATE WA SEX M MMDDYYv 01 - 17 - 1985 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE AVL5693 [TAT WA VIN# 5UXZW0056BL372018 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 0 0 VEH.YEAR2011 MAKE BMW MODE45 STYLE UT I VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1I' P FROM TO DAMAGE YES 'E ✓ YES NO ✓ REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO GEICO 457589941 q"i"Olx IN EFFECT &POLICY# 1 EHICLE 34 13 4 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 36 15 LAST NAME FIRST NAME INITIALAL MDDLE ❑ STR 16 STREETEETAnnR"[-] CITY ST ZIP CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES No NTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR 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 ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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. BRYAN GROZAV 01-21-23 09:10 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORRID# 12489 O#I WA0171300 SUMMERS 2/4/2023 PAGE F OF 5 3000-345-013(R 11118) REPORT NO. ED31198 CASE# 23-0907 DATE AND TIME 01/21/2317:19 OF COLLISION NOT TO SCALE PAGE 5 OF 5