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HomeMy WebLinkAbout23-12263 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
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PAGE 5 OF 5