HomeMy WebLinkAbout23-4144 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-4144 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI 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 04 - 1-- 2023 2020 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 7TH ST BLOCK NO. e ---
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
6❑ 50 00 FEET e S ❑ W V RAINIER AVE S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4159395320 0 11
30
6� LAST NAME HUANG FIRSTNAME MICHAEL MIDDLE G 1 2 31
INITIAL
STREET ❑, 88 CHANCERY LN CITY SAN FRANCISCO ST CA 2jp, z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 CLA gY 1 NATURE OF INJURIES z❑
3
10� P1 ATE 14 SEXYFVR STATE CA VIN# JTJBM7FX6F5115513
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR 1 5 33
12 0 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 7 $ 34
13 2 2015 LEXS GX 460 SV DAMAGE YES No � '` RS TOW YES[:] No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO TRAVELERS 6071571602031 4
IN EFFECT &POLICY# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE. ❑ ❑ : OWNER ❑ YES 1/ NO D:9715709071
16 a
LAST NAME HO FIRST NAME LEONARD MIDDLE
INITIAL
17❑ STREET NEW ADDRE— 903 N 36TH ST CITY RENTON ST WA ZIP 98056 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE I WA SEX U I D.C.B. 04 23 _ 1983 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# BZF2005 TATE 41
WA VIN# WPIAB2AY7MDA27532 1
42
22❑ PLATE# STATE PLATE ILER# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEHICLE TOWED BY Gov HI 44
VEH YEAR 2021 MAKE PDI�$ MODEL CAYENNE STYLE $V DAMAGE TOWED✓ NOO BLIN BANKERS TOW YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#E CO MUTUAL OFENUMCLAWAB40072584 STOP 5
IN EFFECT
VEHICLE ❑ ,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY YES N J 6
25 OFFICER'S NAME(PRINT) 7OFFICER PHONE BADGE OR ID# AGENCY
26
WILLIAM RIDGEWAY 12500 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED52148
COLLISION REPORT III III III III III 111
1591972 CASE# 23-4144
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME MIDDLE INITIAL) NGUYEN ANGELINA K
(LAST FIRST,
ADDRESS&PHONE# D O.B.
RENTON SEX F MMDDYyry 06 - 17 - 2004
PASSENGER Z WITNESS 'UNIT# j 2 POS 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES
USE 2 CLASS
!1
NAME
(LAST,FIRST,MIDDLE INITIAW THEPMANY ANNABELLE N
ADDRESS&PHONE# D Q B
RENTON SEX F MMDDYyvv 07 _ 01 _ 2015
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS UNIT# 2 PCS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
At about 2022 hours on 04/12/2023, 1 was dispatched to a blocking accident with no injuries at SW
7th St and Rainier Ave S in the City of Renton, King County, Washington. Unit 1 was a white 2015
Lexus GX460 (SEXYFVR/CA). The driver was Michael G. Huang (DOB:02/19/1998 -verified by CADL
photo). Michael reported no injuries. He was told he was being recorded. Unit 2 was a gray 2021
Porsche Cayenne (BZF2005/WA). The driver was Leonard Ho (DOB:04/23/1983-verified by WADL
photo). He was told he was being recorded. Leonard's two daughters were passengers in the front
right and rear right of the vehicle. The only injury reported was soreness on the right knee of
Leonard's daughter: Angelina Nguyen. Michael said he was leaving his workplace (L&L) and looked
right, before pulling out of the parking lot and intending to go straight through SW 7th and get into the
turn lane onto southbound Rainier Ave S. Unit 1's front end struck Unit 2's driver's side. Leonard said
he was going straight (eastbound) on SW 7th, approaching the intersection of SW 7th and Rainier
(green light), when Unit 2 was struck. Photos were taken and uploaded. All parties claimed to have
worn seatbelts. Aid was declined by both parties. Both vehicles were towed off scene by Bankers
Tow. Business cards and exchange of information sheets were provided to both.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by W. Ridgeway#12500 on 04/12/2023 at 2323 hours in Renton, Washington.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
W/LLIAM RIDGEWAY 04-12-23 11:26 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 411712023 5:43:43 PM
BADGE OR ID# 12500 ORI# WA0171300 TIME POLICE DISPATCHED; 8:20 PM TIME POLICE ARRIVED',8:24 PM
PART I PAGE IT]OF
REPORT NO. ED52148 CASE# 23-4144 DATE AND TIME 04/12/23 20:20
OF COLLISION
BUISNESS COMPLEX
PARKING LOT
Rainier AVE S
Z
UNIT 1
UNIT 2 - u
SW 7 ST
PAGE 3 OF 3