HomeMy WebLinkAbout23-6340 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-6340 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 06 - 1-- 2023 2023 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
L1ND AVE SW BLOCK NO. e✓ 1900 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ VV e SW 19TH ST 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064371646 0 11
30
6� LAST NAME WRIGHT FIRSTNAME SUSAN MIDDLE M 1 1 2 31
INITIAL
STREET ❑✓ 12519 SE 277TH PL CITY KENT ST WA ZIP 98030 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 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES z❑
USE CLASS BLEEDING FROM HEAD,TRANSPORTED TO VMC
3
10 9❑ Pl QTNFS# BFG9549 STATE WA VIN#' 1FADP3F23DL277534
TRAILER STATE TRAILER STATE
11 3 5 PLATE# I PLATE# I I FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 5 34
13 2013 FORD FOCUS SD DAMAGE YES 0NO f �LIW7IZkRS TOWING ves❑ No
REGISTERED OWNER INFO SUSAN WR.HT 12519 SE 277TH PL KENT WA 98030 D:2064371646 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO STATE FARM UNKNOWN <��34
IN EFFECT &POLICY#VEHCLE CHARGE 36
YEs No clTAnoN# 3A0376155 FAIL TO YIELD MOTOR VEHICLE
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063071485
16 a
LAST NAME AGUIRRE VERDUZCO FIRST NAME CATALINA MIDDLE
INITIAL
17❑ STREET Is❑' 31600 126TH AVE SE CITY AUBURN ST WA ZIP 98092 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑NO� INTERLOCK vEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA ]SEX IF D.C... 117 26 _ 1962 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS SORENESS
❑ILICENSE 21❑ PLA E# AVR9098 TATE 41
WA VIN1t 5FNRL186846041299 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
N GI BANKERS TOWING YES No
VEH YEAR 2004 MAKE HOND MODEL ODYSSEY STYLE VN IVEHI DAMAGE TO WED✓ OOBLIN TOWED By OV 44
H
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSU PORGY#E CO ALLSTATE 807 409 853
IN STOP
VEHICLE YES[:] N(� CITATION# NONE CHARGE NSA GD BOTTOM
LEGALLY `LJ
25 ' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.CHRISTIANSEN 10437 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED69564
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6340
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) VAUGHN MICHAEL F
(LAST FIRST,
ADDRESS&PHONE# D O.B.
12519 SE 277TH PL KENT WA 98030 2066796593 SEX M MMDOYyry 11 - 10 - 1982
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER L,WITNESS UNIT# 1 PM AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 7 SORENESS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDDYI'YY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST 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'
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.
J.CHRISTIANSEN 06-04-23 09:44 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 611212023 6:28:46 PM
BADGE OR ID# 10437 OR]# WA0171300 TIME POLICE DISPATCHED! 8:24 Pry] TIME POLICE ARRIVED]8:Y7 Pm
PART I PAGE IT]OF 5�
REPORT NO. ED69564 CASE# 23-6340 OF COLLISION
06/04/23 20:23
OF CbLLI510N
NARRATIVE
RPD CASE#: 23-06340
RECORDED ON AXON
*This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. *
On 06.04.2023, at approximately 2030 hours, I was dispatched to a two-vehicle, injury, blocking
collision in the area of 1900 Lind Ave SW, in the City of Renton, WA, the County of King.
I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was
operating a fully marked Renton Police Tahoe #277, equipped with "POLICE" markings, overhead
exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully
equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton
Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with
"POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious
to any reasonable person I was a police officer. I was assigned as 302.
At the time of this incident, it was clear, dry and dusk. The temperature was approximately 64
degrees, and the roadway was clean and dry. Lind Ave SW is a 4-lane roadway with a visible 35 mph
speed limit. Lind Ave SW runs north and southbound. SW 19th ST is a 3-lane roadway with a
posted 25 mph speed limit. SW 19th ST runs east and westbound.
At approximately 2026:09 hours, dispatched updated the call notes with the following:
"WRIGHT, SUSI/INVOL Phone: 206/437-1646 IDCCode: 25R1 Comment: VEHS BILK LIND,
UNABLE TO MOVE, PT IN GRY FORD FOCUS, CONSC, BLEEDING FROM HEAD."
Renton Fire Authority was dispatched, and Sgt. Trader and Officer Gorajewski arrived on scene prior
to me.
I arrived on scene at 2033 hours and observed both vehicles were heavily damaged, the roadway
was blocked in both directions and two tows were needed. Dispatch was updated and Bankers towing
sent two.
Unit 01 was identified as a dark gray in color Ford Focus bearing WA/BFG9549. Unit 01 had
extensive damage to the front bumper/hood and undercarriage and was leaking fluids. Further, Unit
01 had a combination of airbag deployments and was inoperable -Bankers towing was notified.
Unit 01's driver was identified by her WADL as Wright, Susan Marie (DOB: 11.10.1993). Wright
matched the photo shown on her WADL and she was bleeding from a cut on the left portion of her
forehead. Wright stated she was traveling eastbound on SW 19th ST and as she approached the
intersection with Lind Ave SW, she stopped at the stop sign. Wright thought the roadway was clear
she pulled out and proceeded straight, eastbound on Lind Ave SW, when she was struck by Unit 02,
who was traveling southbound on Lind Ave SW. Unit 01 had a front seat passenger, who was not
injured. Wright was transported to Valley Medical Center via Tri-Med with non-life-threatening
injuries.
Unit 02 was identified as a white in color Honda Odyssey bearing WA/AVR9098. Unit 02 had
extensive damage to the front bumper/hood, and front passenger side tire, had a combination of
airbag deployments and was not operable-Bankers towing was notified.
Unit 02's driver was identified by her WADL Aguirre Verduzco, Catalina (DOB: 11.26.1962). Aguirre
Verduzco matched the photo shown on her WADL.
Aguirre Verduzco stated she was traveling southbound Lind Ave SW, occupying the left lane of travel.
Aguirre Verduzco was traveling straight ahead when she states the driver of Unit 01 pulled out in front
of her at the intersection of SW 19th ST. Aguirre Verduzco did not have a traffic signal light whereas
the driver of Unit 01 had a posted stop sign.
Both Unit 01 and 02 were towed by Bankers towing. I completed a SECTOR impound form for Unit
01 as the driver was transported to the hospital.
Unit 01's driver, as Wright, Susan Marie (DOB: 11.10.1993), is the causing party in this collision by
failing to yield the right of way, in violation of RCW 46.61.180.1. 1 issued Wright SECTOR citation#:
3AO376155 for the above listed violation. The citation will be mailed via the courts. Further, Wright
PAGE 3 OF 5
REPORT NO. ED69564 CASE# 23-6340 OF COLLISION
06/04/23 20:23
OF CbLLI510N
NARRATIVE
stated she had insurance through State Farm, but she did not have a copy of her card at the time of
collision. I provided Wright with my business card and asked her to email me a copy of her insurance
card as soon as possible.
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 J. Christiansen #10437, on June 4, 2023, at approximately 2142
hours, in Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. ED69564 CASE# 23-6340 DATE AND TIME 06/04/23 20:23
OF COLLISION
2
=
Renton PD Case#:23-6340 Unit 02
06.04.2023 ---- ----.
Oeer J. Christiansen #10437
Lind Ave SW
cs
cry
PAGE 5 OF 5