HomeMy WebLinkAbout23-7785 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 23-7785 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 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#
cowsloN 07 - 1-- 2023 1018 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
TALBOT RD S BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ W e S RENTON VILLAGE PL
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4252261464 N:2063557575 0 4 30
6� LAST NAME GREENLEE FIRSTNAME FREDERICK MIDDLE D 1 1 2 31
INITIAL
STREET ❑ 11720 SE 167TH ST CITY RENTON ST WA 21p' 980585337 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ DRIVERS
E#
ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U EET CLASS 7 I UNKNOWNNJURIEs z❑
3
10❑ Pi aT�S� ARG8075 sTArI WAurN# 1G1JC6SH6E4175797
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 3 5 34
13 4 2014 CHEV SONIC DAMAGE YES NO �MEYER YES❑ No✓
REGISTERED OWNER INFO FREDERICK GREENLEE 1172LI SE 167TH ST RENTON WA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO FARMERS 510844332 <1�3 4
IN EFFECTPOLICY# TOPVEHICLE CHARGE 36
LEGALLY YES NO CITATION# 3AO183395 FAIL TO OBEY TRAFFIC CONTRorrom
15❑ STANDING 6
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
UNIT 02 � ❑ PEDESTRIAN ❑ ❑ D:2066797106
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME TORRES 777771 FIRST NAME MARTHA MIDDLE C
INITIAL
17 STREET IGORE AVE NE UNIT 514 CITY REDMOND ST WA ZIP 980526736 4❑ 37
NEW ADOREs�' 2710 TA
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX F D.C... 10 _ 21 1973 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET NJAU EY E NATURE OF INJURIES ❑ 40
LICENSE ❑21❑ PLA E# BDH7306 TArE 41
WA VIN# 5J6RE48329L017497 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2009 MAKE HOND MODEL CR-V STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES�/ NO GENE MEYER YES NO
REGISTERED OWNER INFO MARTHA TORRES 2710 TAGORE AVE NE UNIT 514 REDMOND WA 98052 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCE
#E CO NATIONAL GENERAL 2012942167 STOP 5
IN EFFECT
VE""LE ❑ Nu,J CITATION# CHARGE io BOTTOM
LEGALLY YES
25 ' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
M.MAZURE 11700 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED77664
COLLISION REPORT III III III III III 111
1591972 CASE# 23-7785
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) LEYVA DE ANDREWS MARIA R
(IAST FIRST,
ADDRESS&PHONE#
1221 W CALLE DE COBRE SAHUARITA AZ 85629 4254574277 SEXi F MMDOYyry 01 - 17 - 1959
PASSENGER WITNESS[] UNIT# 2 PSEAT OS 3 AIRBAG 3 RESTR, 4 EJECT ? 1 HELMET NATURE OF INJURIES
USE CLASS
11
NAME
(LAST,FIRST,MIDDLE INITIAL) OLMEDO TORRES NAILAH S
ADDRESS&PHONE# D O B
SEX' F MI MDDYYYV 12 _ 05 - 2010
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 9 AIRBAG 2 RESTR. 2 EJECT 1 USE CLASS 1
NAME
(LAST FIRST,MIDDLE INITIAL) DIXON JOY K
AooREss&PHONE# 13133 SE 149TH ST RENTON WA 98058 SEX MMDDYYYY
_
. F D.O.B. -
PASSENGER WITNESS UNIT# ! 3 SEAT 7 AIRBAG 2 RESTR. 10 EJECT 1 HELMET NJURY 1 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.MAZURE 07-08-23 12:56 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 7/8/2023 1:41:41 PM
BADGE OR ID# 11700 OR]# WA0171300 TIME POLICE DISPATCHED! 10:19 AM TIME POLICE ARRIVED',10:19 AM
PART I PAGE IT]OF 6�
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED77664
COLLISION REPORT III III III III III 111
1591972 CASE# 23-7785
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BEHREND NAD/NE L
(LAST FIRST,
ADDRESS&PHONE# D O.B.
5113 NE 17TH ST RENTON WA 98059 SEX F MMDOYyry 05 - O6 - 1961
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
�, POS. USE CLASS
NAME
'(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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.MAZURE 07-08-23 12:56 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 7/8/2023 1:41:41 PM
BADGE OR ID# 11700 OR]# WA0171300 TIME POLICE DISPATCHED! 10:19 AM TIME POLICE ARRIVED',10:19 AM
PART I PAGE 3�OF 6�
REPORT NO. ED77664 CASE# 23-7785 OF COLLISION
07/08/23 10:18
OF CbLLI510N
NARRATIVE
23-7785 CC
This incident was captured on my body worn Axon video camera. This report is a summary of events
that occurred and is not in exact sequencing of events. Statements have been paraphrased and
summarized.
On 7/08/2023 at approximately 1019 hours, I was driving southbound in the 800 block of Talbot Rd S.
in the City of Renton, County of King, WA. I did not view the collision, but I arrived on scene before a
dispatched call came out. The collision occurred in the intersection of Talbot Rd S and S Renton
Village PL.
I observed a brown 2009 Honda CRV bearing WALP BDH7306 and a brown 2014 Chevrolet Sonic
bearing WALP ARG8075 and the collided in the middle of the intersection. I first talked to the driver
of the Sonic, Frederick D. Greenlee, who was positively identified by his picture matching WADL.
Frederick said he was going north on Talbot Rd S. When he came to the intersection at S Renton
Village PL he could not remember if the light was green or red, but he did say all of a sudden, all the
cars from the off ramp from 1405 started to drive into the intersection. That is when he collided with
the Honda.
I then talked to the driver of the Honda, Martha C. Torres, who was positively identified by her picture
matching WADL. Martha said she was getting ready to turn onto south bound Talbot Rd S from 1405
she was hit by the Sonic. Martha said she had the green light and when she drove out into the
intersection she was hit by the sonic.
There was also a third-party witness that saw the incident. Nadine L. Behrend said she was in the left
lane right next to the Honda. When the light turned green, she started to turn onto south bound
Talbot Rd S. She saw the sonic coming down the hill fast, so she hit her brakes. The sonic then
went through the intersection and collided with the Honda.
I then found a third vehicle that was involved in the collision. A white 2015 Toyota Sienna bearing
WALP BGU1567 was also hit. The driver was Kari N. Dixon, and she was positively identified by her
WADL. Kari said she was also on the off ramp from 1405, she was in the right lane, going straight
onto westbound S Renton Village PL. When the light turned green, she started to drive into the
intersection the sonic hit the Honda, and the Honda hit her van.
Renton Fire arrived on scene and Frederick was the only person that was taken to the hospital. His
wife arrived on scene and drove him to Valley Medical Center. Both the Honda and the Sonic were
towed by Gene Meyer Towing.
Based on what I witnessed, and statements made by all parties involved, I established probable
cause to issue Frederick a citation for RCW 46.61.050 Failure to obey a traffic control device because
he did not follow the instructions of a traffic control device by driving through a red light.
I issued Sector citation 3AO183395 sent it Frederick via mail.
I provided all drivers a copy of the exchange of information.
This ends my involvement.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. ED77664
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-7785
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GINAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO
D:3602651267
0 1 29
LAST NAME DIXON FIRST NAME : KARI MIDDLE N
INITIAL
STREET 30
NEW AnDRFSP 13133 SE 149TH ST CITY RENTON ST WA ZIP 980582883
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED
INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 04 - 16 - 1988
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE BGU1567 [TAT WA VIN# 5TDDK3DCXFS120234
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 0 0 VEH.YEAR2015 MAKE TOYT I MODELSIENNA STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFOJAMES DIXON 13133 SE 149TH ST RENTONWA 98058 3 ] 33
12 � SHADE IN DAMAGED AREA
3 4 FROM TO
LIABILITY INSURANCE INSURANCE CO USAA 009076106C q"i"Olx
IN EFFECT &POLICY#
VEHICLE 34
13 IEcnuv YES N001
CITATION# CHARGE TT
STANDING }
14 ❑ UNIT Tr Vd 1RE O : CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE 35
PEDESTRIAN
15 LAST NAME FIRST NAME INITIAL
36
MIDDLE ❑
STRE
16 NEW ETETnnR"Fl CITY ST ZIP
CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No INTERLOCK YES NO YEs NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE TAT VIN# 39
PLATE#
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ ❑ 41
TRLR TRLR
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 '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LECALLv
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.
M,MAZURE 07-08-23 12:56 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11700 O#I WA0171300 KORDEL 7/8/2023 PAGE F51OF 6
3000-345-013(R 11118)
REPORT NO. ED77664 CASE# ' 23-7785 DATE AND TIME 07/08/23 10:18
OF COLLISION
Noi.to Scele.
`c.
Talbot Road S
S Renton Village PI
PAGE 6 OF s