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HomeMy WebLinkAbout23-9596 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-9596 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 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# GawsloN 08 - 1-- 2023 2017 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINIER AVE S BLOCK NO. e✓ p ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e S GRADYWAY 0 1 29 UNIT MOTOR Z PEDAL- CYCLE ❑ YESA,GEE NHORESHOLD MET PHONE 0 4 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY BREMERTON ST ZIP 2= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYE3 NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ LICIENSE# STA fE I SEX u MMDOBYY '❑- 1 1 2 32 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 9 EJECT 1 H USE Er 9 CLAY 0 NATURE OF INJURIES 2❑ 3 10❑ Pi aT�S� BJZ8967 sTATe WAVrN# 5XXGT4L3XJG247836 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# FROM TO TRLR. TRLR 5 1 33 12 1 5 VIN# UIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 3 5 34 13 4 2018 KIA OPTIMA SD DAMAGE YES NOBS YES❑ No✓ REGISTERED OWNER INFO BRIAN SANDBERG 8049ILLAHEERD NE BREMERTONWA 98311 D:2063046480 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# VEwcLE CHARGE 5 ❑ 36 LECALLv res❑NO❑ CITATION# BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063665279 16 a LAST NAME < WILLIAMS FIRST NAME VINCENT MIDDLE 0 INITIAL 17❑ STREET NEW ADOREs7 3451 CEDARAVES CITY RENTON ST WA ZIP 98055 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YES It1 I NoF YES NO� 19 LDICENS STATE WA SEX M M .C... 04 04 1989 0 39 20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES ❑ 40 USE CLASS SCRATCH ON LEFT ARM LICENSE I ❑21❑ PLA E# CBW2193 TATE 41 WA VIN# 5YJSA1E6XMF456619 4 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I TOWED eY Gov HI 44 VEH YEAR 2021 MAKE TESL MODEL $ STYLE $D —FEHICLE TOWED✓ NOO BLIN GENEMEYER YES NO�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE DAGED AREA 4 LIABILITY INSURANCE &POINSURGY#E CO FARMERS 530632576 IN CTOP v"LE ❑ ,J� CITATION# CHARGE 25 I BOTTOM LEGALLY YES N J s s 7MICAELA NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 CASTAIN 7 12573 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED92177 COLLISION REPORT III III III III III 111 1591972 CASE# 23-9596 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HOUSSA VICTOR A (I.P.ST FIRST, ADDRESS&PHONE# 1300 EAGLE RIDGE DR S APT 01100 RENTON WA 98055 4252833720 SEX M MMDOYyry 06 - 12 - 1993 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET LASS NATURE OF INJURIES ❑ ❑✓ POS. I USE CLASS NAME '(LP,STr FIRS' MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYYYY - PASSENGER ❑WITNESS❑ UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.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. MICAELA CASTAIN 08-21-23 12:55 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 8/23/2023 6:16:02 PM BADGE OR ID# 12573 OR]# WA0171300 TIME POLICE DISPATCHED 8:25 PM TIME POLICE ARRIVED',8:Y8 Pm PART I PAGE 2�OF❑ REPORT NO. ED92177 CASE# 23-9596 OF COLLISION 08/20/23 20:17 OF CbLLI510N NARRATIVE Unit 1: Kia Optima (WA/BJZ8967); Unknown driver Unit 2: Tesla Model S (WA/CBW2193); Vincent Williams (DOB 04/04/1989) On 08-20-2023 at approximately 2017 hours I was dispatched to a hit and run collision that occurred at the intersection of Rainier Ave S and S Grady Way, in the City of Renton, King County, WA. While in route, dispatch advised that there was a collision involving two vehicles and the suspect vehicle fled the area northbound on Rainer Ave S. Upon arrival, I located a white Tesla Model S (WA/CBW2193) in the southeast corner of the intersection. The driver, Vincent Williams (DOB 04/04/1989), advised that he was hit by another vehicle that fled after the collision. Williams had a scratch on his left arm. Renton Fire arrived on scene and Williams was cleared. Williams advised the vehicle appeared to be a black vehicle. Williams was unable to describe any occupants in the suspect vehicle. Williams was stopped in lane 4 westbound on S Grady Way at a red light at the intersection listed above, waiting to make a left turn to travel south onto highway 167. The left turn lane light turned green, and Williams started to make the left turn onto the highway. The suspect vehicle was traveling northbound from highway 167, and through the intersection. The suspect vehicle collided with Williams in the intersection. The suspect vehicle fled northbound on Rainer Ave S, failing to stop and exchange information. There is damage to the front bumper, hood, front tires, and front side panels of the Tesla. The suspect vehicle would have damage to the passenger side doors. The Tesla was towed to the Gene Meyer Towing Lot. I spoke to a witness, Victor Houssa (DOB 06/12/1993), who gave the same details as Williams. Houssa advised the suspect vehicle was a black sedan. There was an unoccupied gray Kia Optima located at the 700 block of Hardie Ave SW, with the engine still running and major passenger side door damage. The ignition was also damaged. There were no license plates attached to the vehicle. Officer Jokela ran the VIN (#5XXGT4L3XJG247836) through dispatch. The VIN came back to an unconfirmed stolen 2018 gray Kia Optima (WA/ BJZ8967) out of King County Sheriff's Office (case #C23027499). Dispatch advised the vehicle was confirmed stolen. No driver or occupants of the Kia Optima were located. The vehicle was searched and towed to the Bankers Towing Lot. Please see Officer Jokela's report for further information on the auto theft recovery. Based off the statements made above there is proximate cause for the Kia Optima in the collision. 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. Castain #12573 8/20/2023 Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED921 77 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-9596 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 DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YEs� IN MIDDLE' 29 LAST NAME SANDBERG FIRST NAME BRIAN INITIAL C STREET 30 NEW AnDRFSP' 80491LLAHEE RD NE CITY BREMERTON ST WA ZIP 98311 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES[:]NO zERLOCK YES E]Na� YEs N L DRIVER'S STATE SEX M M�DDYBYv 10 - 03 - 1958 LICENSE 7 F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y E ES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NEW AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 LEwGLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l C=DLv 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. MICAELA CASTAIN 08-21-23 12:55 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED RD# 12573 O#I'WA0171300 ILD E PAGE OF 3000-345-013(R 11118) REPORT NO. ED92177 CASE# 23-9596 DATE AND TIME 08/20/23 20:17 OF COLLISION Rainier Ave. S N S Grady Way 4 SW Grady Way s HWY 167 PAGE 5 OF 5