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Home My WebLink About23-3114 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-3114 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 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 03 - 1-- 2023 1519 17 ❑.= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH STREET BLOCK NO. e✓ 3900 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 380 00 FEET e S ❑ E e UNION AVE NE❑ 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2067421710 0 81 30 6 LAST NAME ZAMORA GARCIA FIRST NAME DAVID MIDDLE A 1 1 2 31 INITIAL STREET ❑✓ 310 BRONSON WAY N#32 CITY RENTON ST WA Zjp, 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10[1LICENS P1 ATE 14 976NMX sTATe OR vN# 4T18F1FK1CU545980 TRAILER STATE TRAILED STATE 11 3 5 PLATE# PLATE# ROM To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# >;. FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 2 2012 TOYT CAMRY 4D DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ❑ INSURANCE CO <53 4 LIABILITY INSURANCEIN EFFECT &POLICV# TOPVE— CHARGE OTTOM 5 36 LEGALLY YEs❑NO CITATION# 3A0055560,3AO055560 OP MOT VEH W/OUT INSURANCE, 15❑ STANDING 6 MOTOR PEDAL-:. ❑ PEDESTRIAN PROPERTY DAM THR PHONE UNIT 02 V� IEHIC OLD MET LE ❑ CYCLE ❑ OWNER ❑ YES 1/ No D:4256383420 16 2 LAST NAME PALMER FIRST NAME CANDANCE MIDDLE I L INITIAL 17❑ NEW STREETR 10202 R 7 ENTON ISSAQUAH RD SE CITY ISSAQUAH ST WA ZIP 980275446 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES ❑NOF,/ 19 LICENSE# STATE WA SEX F M .C.B. 07 26 _ 1951 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40 ❑21❑ PLATE# CANDYS TATE 41 WA VINE 1GYKNFRS6JZ141602 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. /aDl MODEL X7.5 STYLE 4W VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ VEH YEAR 2018 MAKE C DAMAGE YES NO YES NO REGISTERED OWNER INFO DONALD PALMER 10202 RENTON ISSAQUAH RD SE ISSAQUAH WA 98027 D:4256383420 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#E CO STATE FARM 189 8677-C17-470IN 1 GD veLEGALLYw YES N(� GLE CITATION# CHARGE 25❑ s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 MATTHEW NUGENT 11498 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED44636 COLLISION REPORT III III III III III 111 1591972 CASE# 23-3114 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' 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 03-21-23 09:34 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 312212023 4:27:30 PM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 3:30 PM TIME POLICE ARRIVED]3:53 PM PART I PAGE IT]OF 4� REPORT NO. ED44636 CASE# 23-3114 OF COLLISION 03/16/23 15:19 OF CbLLI510N NARRATIVE 23-3114 On 03/16/2023 at approximately 1530 hours, I was dispatched to a non-injury and non-blocking vehicle collision in the 3900 block of NE 4th Street, within the City Limits of Renton, County of King, State of Washington. While en route, Dispatch advised of a 2-vehicle collision and that both vehicles had moved off the roadway and into a nearby parking lot for police contact. Upon arrival, I confirmed there were no complaints of injury requiring immediate medical response at the time of report. I collected each involved party's driving information and their independent recollection leading up to the collision. The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling eastbound in about the 3900 block of NE 4th ST in lane 2 of 2 prior to the collision. The driver of Unit#1 stated he was traveling directly behind Unit#2 and noticed that Unit#2 suddenly stopped for traffic ahead. By the time the driver of Unit#1 noticed Unit#2 stopped, he was unable to bring his vehicle to a stop before colliding with the rear of Unit#2 subsequently causing significant damage to the front end of Unit#1. The driver of Unit#2 said she and her adult passenger were traveling eastbound in about the 3900 block of NE 4th ST in lane 2 of 2. The driver of Unit#2 stated she was stopped or slowing for traffic at the upcoming intersection. While Unit#2 was stopped, Unit#1 collided with the rear of Unit#2 causing moderate damage to the rear of Unit#2. Based on the above statements, 1 determined that the Driver of Unit#1 (Zamora Garcia) was the predominant factor for the collision due to following too closely causing a collision. I cited the driver of Unit#1 via mail for Inattention. Additionally, the driver of Unit#1 was unable to provide proof of motor vehicle insurance. I therefore cited Zamora Garcia via mail for Operating a Motor Vehicle without Insurance. All involved 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 9:15 AM 3/21/2023 Renton, King County, WA. PAGE 3 OF 4 REPORT NO. ED44636 CASE# ' 23-3114 DATE AND TIME 03/16/23 15:19 OF COLLISION C N D Z *Diagram natty scale f1l Unit All Unftkz NE 4th St UW M.d c—-3901 NE:Aah S11-1,.R., PAGE 4 OF 4