HomeMy WebLinkAbout23-9974 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-9974 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 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#
COLLISION.. OS - 29 - 2023 2120 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S 180TH ST BLOCK NO. e --- ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e LIND AVE SW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2067596652 0 81
30
6❑ LAST NAME ROHIT FIRSTNAME KUMAR MIDDLE 1 2 31
INITIAL
STREET ❑, 8009 112TH ST E CITY PUYALLUP ST WA 2jp, 98373 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ LDRIVER # STATE WA SEX'M MID
LOB 05 1— 20 — 2000 2 32
9 ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 1 HELMET U E 9 CLASS 0 NATURE OF INJURIES z❑
3
LICENSE CFF0248 sTArI WAvIN# JHMCG66842C015299
10❑ PI ATE 14
0 TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# Rom ro
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 7 9 34
13 2 2002 HOND ACCOR SD DAMAGE vEs 0NO f �LII� RS vEs❑ No
REGISTERED OWNER INFO RAHUL KUMAR 23720117THPL SE KENT WA 98031 D:2067596652 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO STATE FARM 537-9373-E01.47 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No
a D:2069104493
16
LAST NAME BAYDA FIRST NAME ANGELA MIDDLE IR
INITIAL
17 STREET Is❑' 25830 122ND AVE SE CITY KENT ST WA ZIP 98030 37
NEW ADOREs
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 LDIIVERI # STATE WA ]SEX IF M .C... 12 _ 28 _ 1997 El 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
LICENSE ❑21❑ PLA E# BIG8314 TAre WA VIN# 41
19XF62F74FE259191 4
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2015 MAKE HOND MODEL CIVIC STYLE SD VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO ALLA NESTERUK 25830122ND AVE SE KENT WA 98030 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO ALLSTATE 807974831IN STOP
VEHICLE CITATION# CHARGE u
BOTTOM
LEGALLY YES N�
25❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
TYLER EDIGER 12807 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED94578
COLLISION REPORT III III III III III 111
1591972 CASE# 23-9974
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PLASCENCIA BURGARA CR/STIAN I I
(LAST FIRST,
ADDRESS&PHONE#
130 SW 112TH ST,APT D204 SEATTlE WA 98146 2065107646 SEX M MMDOYyvv 08 - 15 - 1982
PASSENGER I�I WITNESS UNIT# 2 SE 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET INJURY NAruRE of INJURIEs
L�!1 USE CLASS !1
NAME
(LAST,FIRST,MIDDLE INITIAL) MARL{AL DAYANA D
ADDRESS&PHONE# D O B
19416 108TH AVE SE KENT WA 98031 SEX' F MMDDYvvv 01 _ 22 _ 2007
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 3 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 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'
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.
TYLER EDIGER 08-30-23 02:55 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 8/31/2023 3:00:15 PM
BADGE OR ID# 12807 ORI#' WA0171300 TIME POLICE DISPATCHED! 9:25 PSI TIME POLICE ARRIVED]9:31 PM
PART Ei PAGE IT]OF
REPORT NO. ED94578 CASE# 23-9974 OF COLLISION
08/29/23 21:20
OF CbLLI510N
NARRATIVE
23-9974
On 8/30/2023 at approximately 2125 hours, I was dispatched to an unknown injury collision at the
intersection of S 180th St and Lind Ave SW in the City of Renton, County of King, State of
Washington.
While in route to the collision dispatched advised that this may have been a three car collision where
one car left the scene.
Upon arrival I contacted Angela R Bayda (12/28/1997). Angela was driving a 2015 Honda Civic
(WA/Lic: BIG8314) at the time of the collision. She had a passenger Cristian 1 Plascencia Burgara
(08/15/1982) in the front passenger seat along with a newborn baby in the rear seat of the vehicle. All
three were checked and cleared by fire. This vehicle will hereby be referred to as Unit 2.
1 also contacted German Marcial Magdaleno (10/10/1983) who was driving his 2018 Ford F150
(WA/Lic: D85318A) at the time of the collision. His passenger Dayana D Marcial (01/22/2007) was in
the front passenger seat at the time of the collision. This vehicle will be referred to as Unit 3. Both
passengers of Unit 3 were uninjured.
Both parties stated there was another vehicle described as a brown Honda that was involved in the
collision.
A witness of the crash who has not yet been identified had followed the brown Honda Eastbound on
S 180th St to get the vehicle license plate. The phone number for this witness is 206-554-1834.
The plate was CFF0248 which comes back to a 2002 Honda Accord matching both drivers'
descriptions of the car. Neither Unit 2 nor 3 were able to describe the driver other than being a male.
This vehicle will be referenced as Unit 1.
Units 2 and 3 were stopped at a redlight waiting to continue straight eastbound on S 180th St at the
intersection of Lind Ave SW. Unit 1 failed to stop in time and rear-ended Unit 2, which caused Unit 2
to slide into the rear of Unit 3.
Unit 2 had significant damage to both the front and rear of the vehicle, while Unit 3 only sustained
minor scratches.
Other officers contacted Unit 1 at Talbot Rd S and S 43rd St. Unit 1 had damage to the front of the
vehicle which would coincide with rear ending Unit 2.
The driver of Unit 1 was Kumar Ruhit (05/20/2000). Kumar spoke little English, and the language line
did not have an interpreter for the language he spoke. A friend of his Naveen Kumar (09/03/2003)
was able to partially interpret for Officer Sims.
At this time, we are unable to place Kumar Ruhit (05/20/2000) in Unit 1 at the time of the collision but
we believe he was driving it at the time it became inoperable at Talbot Rd S and S 43rd St.
There appeared to be traffic cameras at the intersection that the collision occurred.
I am requesting this report be forwarded to the traffic division.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically Signed: T.Ediger 12807 Date and Place: 08/30/2023 Renton,
WA
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. ED94578
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-9974
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME 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:4252007926
0 8 29
LAST NAME MARCIAL MAGOALENO FIRST NAME : GERMAN MIDDLE
INITIAL
STREET 30
❑ NEW AnDRFSP' 19416 108TH AVE SE CITY KENT ST WA ZIP 98031
6
CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 1 2 31
INTERLOCK YEs No NTERLOCK YES[:]NO[:]
vES N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 10 - 10 - 1983
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE D85318A TAr Wq VIN# 1FTEW1EG7JKE67325
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.It VIN.#.
11 0 0 VEH.YEAR2018 MAKE FORD MODELF150 STYLE TR I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1G P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNED BY DRIVER ] 9 33
12 � SHADE IN DAMAGED AREA
7 j FROM TO
LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 923327618 q"i"Olx
IN EFFECT I POLICY# 1
EHICLE 34
13 2 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM
STANDING } 8 7
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
ET
16 STRETRE "F ' CITY ST ZIP
NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
NTERLUCK YES No NTERLOCK 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 ICLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER TRAILER El40
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 '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE 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.
TYLER EDIGER 08-30-23 02:55 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OI BADGE 12807 O#I',WA0171300 SCOTT 8131/2023 PAGE F41 OF F
3000-345-013(R 11118)
REPORT NO. ED94578 CASE# ' 23-9974 DATE AND TIME 08/29/23 21:20
OF COLLISION
D.
clr
G+Y
S 180th:St
Not drawn to scale
Unit 1
Unit 2
Unit 3
r
}
PAGE 5 OF 5