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23-12263
TFFiNouCERA II I l�� I III � I III I �IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-12263 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF 02 OBJECT 1 1 8 28 UNITS RESERVATION I STRUCK z 3 DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CowsloN 10 - 1-- 2023 0950 17 ❑.❑ S IN 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RAINIER AVE SOUTH BLOCK NO. e✓ 100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 2251. 00 FEET ❑ S ❑ W❑ S.2ND STREET❑ 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES �/No F I D:4053947542 0 4 30 6 LAST NAME BANKS FIRSTNAME DEJANIQUE MIDDLE T 1 2 31 INITIAL STREET ❑, 3926 S CLOVERDALE ST#A CITY SEATTLE ST WA ZIP 981184535 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ LICENS DRIVER # STATE WA SEX'F MMDDI,Y 11 - 24 - 1994 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 CLASS 1 1 -1 NATURE OF INJURIES 2❑ ❑Pi aT�S� CCX5255 sTAr� WWAVrN# 5LMCJ2A92FUJ10321 3 10 9❑ TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 3 5 33 12 0 0 VIN# VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT.VEHICLE 7 1 34 13 9 2015 LINC MKC SV DAMAGE vesNo � �MEYERS ves❑ No REGISTEREDOWNERINFO DESHAYLABANKS2101SWSUNSETBLVDAPTH105 RENTONWA98057 D:4053947542 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 Fol14 ❑ INSURANCE CO 3 4 LIABILITY INSURANCE IN EFFECT M: POLICY# 9TOP ve EFFECT CHARGE BOTTOM 5 36 e ALLY YEs❑NO CITATION# 3A0637862,3A0637862 NO VALID OPER LICENSE WITH 15❑ NDING 8 6 MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES�/ No D:2535619145 16 a LAST NAME ROCKWELL FIRST NAME KIMBERLY MIDDLE A INITIAL 17❑ NEW STREETR 13000 7 MARTIN LUTHER KING JR W TRLR 33 CITY' SEATTLE ST WA ZIP 981784653 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YYEEsI❑NOF YEs❑NO� 19� DRIVER'S STATE WA SEX F D.C.B. 07 29 _ 1965 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# A6721347 TArE 41 WA VIN# JF2SJAKC4GH535221 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 7RLR RLR VIN#. IN#. TOWED ev Gov HI 44 VEH YEAR 2016 MAKE S(JB,Q MODEL FORESTE STYLE 4W DAMAGE TO WED Toff✓ BLIN YES NO 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEd DAMAGEDAREA 4� 3 4 LIABILITY INSURANCE &POINSURGY#E CO ALLSTATE 820133 087IN STOP 5 vLEeGALLY YESwGLe ❑ Nu CITATION# CHARGE toBOTTOM 25 s 7 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MATTHEW NUGENT 11498 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE15350 COLLISION REPORT III III III III III 111 1591972 CASE# 23-12263 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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. MATTHEW NUGENT 10-26-23 03:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 111112023 2:22:25 PM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 9:82 AM TIME POLICE ARRIVED]9:57 AM PART B PAGE IT]OF 5� REPORT NO. EE15350 CASE# 23-12263 DATEAND aE dF coyL� 10/26/23 09:50 LISIO isi©�u NARRATIVE 23-12263 On 10/26/2023 at approximately 0952 hours, I was dispatched to an unknown-if-injury vehicle collision at the AutoZone, located at 175 Rainier Avenue South, within the City Limits of Renton, County of King, State of Washington. While en route, Dispatch advised of a 2-vehicle collision that occurred at the above location with arguing heard in the background. Upon my arrival, Officer M. Leverton had arrived on scene and requested the Renton Regional Fire Authority (RRFA) respond for evaluation. RRFA responded and evaluated all involved parties at the scene. RRFA later transported the driver of Unit#1 to Valley Medical Center (VMC) for further evaluation. While on scene, I collected each involved party's information and independent involvement leading up to the collision. The driver of Unit#1 stated she was the sole occupant of her vehicle and was attempting to exit a private property parking lot located in the 100 block of Rainier Ave S and on the east side of the roadway. The driver of Unit#1 stated that she was intending to make a left turn out of the parking lot with the intent to proceed southbound onto Rainier Ave S. The driver of Unit#1 stated that she checked and believed all traffic on Rainier Ave S was clear for Unit#1 to proceed out into the roadway. As Unit#1 proceeded out into the roadway, she began to turn across all lanes of travel when her vehicle was met by another vehicle, Unit#2. Both vehicles collided in the roadway causing significant damage to the front passenger bumper and quarter panel of Unit#1. The driver of Unit#2 stated she was the sole occupant of her vehicle and was attempting to exit a private property parking lot located in the 100 block of Rainier Ave S and on the west side of the roadway. The driver of Unit#2 stated that she was intending to make a left turn out of the parking lot with the intent to proceed northbound onto Rainier Ave S. The driver of Unit#2 stated that she had actually been waiting for an opening in traffic and that due to ongoing construction, the on-duty flagger created an opening for Unit#2 to proceed out into the roadway. The driver of Unit#2 proceeded out into the roadway and began to turn across Rainier when Unit#1 suddenly emerged from the Veterinary Hospital parking lot. Both vehicles subsequently collided causing significant damage to the front passenger side bumper and quarter panel of Unit#2. Based on the above statements, I believe that the driver of Unit#1 (Banks) was the predominant factor for the cause of collision as Banks is required to comply with RCW 46.61.190(2) which states that every driver of a vehicle approaching the point nearest the intersecting roadway where the driver has a view of approaching traffic on the intersecting roadway before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in the intersection or approaching on another roadway so closely as to constitute an immediate hazard during the time when such driver is moving across or within the intersection or junction of roadways. Unit#2 was already underway in the roadway and had right of way. Upon a DOL records check, the driver of Unit#1 (Banks) was listed as `Not Licensed -Eligible. Banks was also unable to provide proof of motor vehicle insurance. Banks was cited in-person for No Valid Operator's License with Valid Identification and for Operating a Motor Vehicle without Proof of Insurance. The owner of Unit#1 believed that there was dash camera footage available of the incident but that she had not received the actual copy of the video yet. PAGE 3 OF 5 REPORT NO. EE15350 CASE# 23-12263 DATEAND aE dF coyL� 10/26/23 09:50 LISIO isi©�u NARRATIVE Both Unit#1 and Unit#2 had to be impounded due to extensive damage. An exchange of information was provided to all involved parties. 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. Nugent#11498 10/26/2023 3:07 PM Renton, King County, WA. PAGE 4 OF 5 REPORT NO. EE15350 CASE# 23-12263 DATE AND TIME 10/26/23 09:50 OF COLLISION `f5�4Am coi in scyk k 7 t S 2nd Street- 0 Q a� 'm PAGE 5 OF 5