HomeMy WebLinkAbout23-3825 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-3825 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 7 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#
CawsloN 04 - 1-- 2023 0757 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
108TH AVE SE
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e SE 181ST ST
0 4 29
MOTUNIT O1 VEHICR PI PEDAL-CLE CYCLE ElYYESA✓NO THRESHOLD MET PHONE O 11
30
6� LAST NAME DOAN FIRSTNAME TRONG MIDDLE Q 1 2 31
INITIAL
STREET ❑ 1211 167TH PL SIN CITY LYNNWOOD ST WA Zlp' 980379355 z=
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� BZU4265 sTArI WAurN# 2T3F1RFV3MC223375
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 5 33
12 4 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2 2021 TOYT RAV4 DAMAGE YES NO ✓ YES[:] No✓
REGISTERED OWNER INFO TRONG DOAN 17805110TH PL SE RENTONWA 98055 D:4258359676 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO SAME. 3 4
IN EFFECT &POLICY# 9TOP
36
LEwcLE CHARGE 1 5 FGALLY YES❑NO❑ CITATION# FAIL YIELD LEFT TURN MOTOR o Borrom
15❑ STAIN,"' 8 6
UNIT O2 MOTOR
CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES✓ NO OLD MET PHONE
16 a
LAST NAME NUNEZ FIRST NAME ALEJANDRO MIDDLE I N
INITIAL
17❑ STREET ❑', 2319 L ST NE APT B CITY AUBURN ST WA ZIP 980022802 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19[-] D IVEW #
INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE AXG9131 TAre WA vIN1t WBAWV13508PG07351
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE BMW MODEL 328 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO ABEL NUNEZ 28450 SE 228TH ST MAPLE VALLEY WA 98038 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# I 9TOP 5
�Ecn��Y
YEs Nc❑ CITATION# 3A0329539,3A0329539 CHARGE IMPROPER LANE USAGE,OP MOT VEH o BOTTOM
25 s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 777PNCY
26
M.LEVERTON 2517 0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED48315
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3825
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.
M.LEVERTON 04-04-23 08:53 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 4/4/2023 10:04:57 AM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 8:00 AM TIME POLICE ARRIVED:8:06 AM
PART I PAGE IT]OF 4�
REPORT NO. ED48315 CASE# 23-3825 OF COLLISION
04/04/23 07:57
OF CbLLI510N
NARRATIVE
gry/1 It 181 blk nb twcltl
CC
Within the city limits of Renton/King/WA I responded to a 2 car blocking crash at the intersection of
108th Ave SE and SE 181 st St.
Unit 1 utilized an unknown female on scene as a translater. Unit 1 was ID'd by picture WADL. Unit 1
said he was attempting to make a left turn from SE 181 st St during the heavy morning commuter
traffic. He explained both lane 1 and 2 were stopped and he proceeded but did not see a car NB in
the 2wcltl and had contact with that car. He did not complain of injury and damages did not require a
tow truck.
I cited unit 1 via complaint ref RCW 46.61.185 FTYROW Left turn 2 car crash.
I contacted the driver of unit 2 ID'd by picture WADL. Unit 2 told me he was not familiar with the area
and was going about 10-15 mph in the 2WCLT to make the light at SE 180th St in order to get to the
local gas station as he was low on fuel. He told me he did not know you can not travel in the
2WCLTL to pass traffic or as a free lane. I explained that he would actually be in the head on lane as
the 2WCLTL becomes a SIB left turn lane and that he should have waited to get in the left turn lane
pocket as indicated by painted roadway markings. He told me while he was NB in the center lane
unit 1 contacted his vehicle. He did not complain of injury and damages did not require a tow truck.
He was unable to provide valid proof of insurance for his vehicle.
I cited unit 2 via complaint ref RCW 46.61.140 improper lane use and RCW 46.30.020 No valid proof
of insurance.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 4/4/2023
PAGE 3 OF 4
REPORT NO. ED48315 CASE# 23-3825 DATE AND TIME 04/04/23 07:57
OF COLLISION
;Z) nts
PAGE 4 OF 4