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HomeMy WebLinkAbout23-4467 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c COLLISION REP FIT 1591971 CASE 23-4467 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 OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION.. 04 - 1-— 2023 1525 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE CARR RD BLOCK NO. e✓ 10300 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 50 00 FEET MILES e S B W e 103RD AVE SE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:2533208880 0 6 30 6� LAST NAME STOKES FIRSTNAME SHERRI MIDDLE I K 1 1 2 31 INITIAL STREET El 706 SWEETBRIAR RD CITy MANDAN ST NO ZIP 585540000 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO YES No�/ ❑ DRIVER'S' STATE ND SEX'F MM DAY' 10 - 02 - 1967 1 2 32 8 LICENSE# 9[ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 . EJECT 1 HELMETU E CLASSY'7 NATURE OF INJURIES COMPLAINT PAIN RT ANKLE z❑ 3 10� P1 ATE 14 895CNK STATE ND VIN# WMWSS7C55DWN51432 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 2 6 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO 2 6 34 13 2 2013 MNN/ COOPS YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO USAA 0045691017111 3 4 IN EFFECT &POLICY# 9TOP vECEHA"LE 5 36 Ltty Yes❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063349924 16 a LAST NAME HAMADA FIRST NAME MINNAT MIDDLE A INITIAL 17❑ STREET ❑', 24446 SE 46TH PL CITY ISSAQUAH ST WA ZIP 980296326 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 DRIVER'S STATE WA SEX F D.C... 11 � 1977 22 _ El 39 LICENSE# MMDDYY WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CBL9244 TATe WA VIN# 7SAYGAEE6NF358126 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2022 MAKE TESL MODEL MODEL Y STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO MINNAT HAMADA 24446 SE 46TH PL ISSAQUAH WA 98029 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#E CO ALL STATE 964 154 999IN 1GD VEHICLe ❑ ,.I—I CITATION# CHARGE LEGALLY YES N`LJ 25 s � e 7.111CjEo-S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HNSON 0505 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED55443 COLLISION REPORT III III III III III 111 1591972 CASE# 23-4467 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HAMADA ALY (LAST FIRST, ADDRESS&PHONE# D O.B. 1SSAQUAH 2O63697160 SEX' U MMDDYYYY - - PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET CLASS NATURE OF INJURIES ❑✓ ❑ 2 PCs. 3 2 4 1 USE CLASS 1 NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D Q 8 SEX MMDDYYYT PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.B.MMDD -❑ YYYY. 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. CO.JOHNSON 04-26-23 02:59 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 412812023 7:41:49 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 3:32 PM TIME POLICE ARRIVED',3:40 PM PART I PAGE IT]OF 4❑ REPORT NO. ED55443 CASE# 23-4467 OF COLLISION 04/20/23 15:25 OF CbLLI510N NARRATIVE U2 WB 10300 blk SE Carr Rd In #1; U1 also WB Carr In #1; unidentified vehicle stopped in In #2 to make illegal left turn into nearby school; a truck (behind stopped vehicle) unexpectedly veers into In #1 to avoid collision; U2 emergency brakes to avoid colliding with truck; front of U1 collided with rear U2; raining and roadway wet On 04-20-23 at about 1532 hours I was dispatched to a blocking collision in the vicinity of SE Carr Rd and 103rd Ave SE in the City of Renton, County of King, Washington. The collision involved two (2) vehicles and were blocking a west bound lane. I arrived in the area at about 1540 hours. The vehicles had moved onto 103rd Ave SE and were no longer blocking the roadway. The driver of Unit 02 was identified by WA DL and admitted to driving the listed vehicle. The driver was wearing a seatbelt during the collision and did not complain of any injuries. The driver verbally identified the passenger. Unit 02 was westbound in the 10300 block of SE Carr Rd in lane #1 (of 2). A vehicle stopped in west bound lane #2 to make a left turn. A truck following behind in lane #2 made an abrupt lane change into lane #1 to avoid colliding with the stopped vehicle. The truck failed to yield the right of way when changing lanes. Unit 02 quickly applied full brakes to avoid colliding with the truck and was struck from behind by Unit 01. The driver of Unit 01 was identified by ND DL and admitted to driving the listed vehicle. The driver was wearing a seatbelt during the collision and complained of pain to her right ankle but declined response from fire department personnel. Unit 01 was west bound on SE Carr Rd in lane #1 and behind Unit 02. The driver of Unit 01 saw Unit 02 stopping and applied full brakes to avoid a collision. The driver said her vehicle slid due to the wet roadway. The front of Unit 01 impacted the rear of Unit 02. The damage to both vehicles was consistent with the information provided by both drivers. The 10300 block of SE Carr Rd contains four (4) lanes of travel with two (2) in each direction. The opposing lanes of travel are separated by a solid double yellow line. The west bound lanes are a downhill grade in a curve. I observed the roadway was wet as it had recently rained in the area. The proximate cause of the collision was Unit 01 following too closely to avoid colliding with Unit 02. Per RCW 46.61.145 the driver of a motor vehicle shall not follow another vehicle more closely than is reasonable and prudent, having due regard for the speed of such vehicle and the traffic upon and the condition of the highway. A contributing factor to the collision was the unidentified truck that made an abrupt lane change into lane #1 causing Unit 02 to apply their brakes. No infractions or citations issued. Report for information purposes. PAGE 3 OF 4 REPORT NO. ED55443 CASE# ' 23-4467 DATE AND TIME 04/20/23 15:25 OF COLLISION I�n�ti71 1 3w Ave F: U nit 0_2 AF —Not to Scala" SE Carr Rd oil. y °.err i m at' truck tt `" toppod vehicto PAGE 4 OF 4