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HomeMy WebLinkAbout23-10100 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE$# 23-10100 2 0 5 INTERSTATE CITY STREET RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 09 - 01 - 2023 1400 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ TALBOT RD S BLOCK NO. e✓ 4300 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e S 43RD ST 0 4 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2066889638 0 4 30 6� LAST NAME LIVELY FIRSTNAME BRIAN MIDDLE L 1 1 2 31 INITIAL STREET ❑, 4220 S 139TH ST CITY TUKWILA ST WA Zjp, 98168 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑ 3 10❑ P1 aT�S� D14180D sTAr� WAVIN# 1GTEC14X462134895 TRAILER STATE TRAILED STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 5 7 33 12 3 5 VIN# VIN# >VI FROM TO ❑ VEH.YEAR MAKE I MODEL STYLE VEHICLE TOWED fj TO VBLINJ TOWED BY GOVT.VEHICLE 5 7 34 13 2 2006 C�MC NEW PK DAMAGE YES NO vEs❑ NO✓ REGISTEREDOWNER WFO BRIANLIVELY4220S139THST TUKWILAWA98168 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14� LIABILI CHARGE INSURANCE U INSURANCE COAMERICAN FAMILY 410885720273 3 4 IN EFFECT &POLICY# 9TOP VE—LE 15❑ EC 5 36 LALLv YEs❑NO❑ CITATION# 1 o BOTTOM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2069605777 LAST NAME CORNEL FIRST NAME IMELDA MIDDLE I L INITIAL 17❑ STREET ❑', 11239 SE 188TH PL CITY RENTON ST WA ZIP 980557155 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK v�Esl I I NOF YEs t l NO� 19 LICENSE# STATE WA SEX F M.C... 12 _ 13 _ 1969 0 39 —NATURE OF INJURIES W USE EET LASSY COMPLAINT OF PAIN LEFT ARM 40 20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 7 21❑ LICENSE I CGT1906 TArE WA VIN# JTDADABU4P3001644 El41 PLATE# El 42 22❑ PLATILER E# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2028 MAKE TOYT MODEL PRIUS STYLE SO VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO IMELDA CORNEL 11239 SE 188TH PL RENTON WA 98055 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU8 PORGY#E CO STATE FARM 538 6315 E02 47CIN 1 9TOP 5 VL LEGALLY EGA— Y ❑ N,J—J CITATION# CHARGE i o BOTTOM ES 25 s a 7.FF1CJEO-S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HNSON 0505 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED98919 COLLISION REPORT III III III III III 111 1591972 CASE# 23-10100 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) TRAIN ANGELICA (LAST FIRST, ADDRESS&PHONE# RENTON 8186879413 SEX' U MMDDYYYY - - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX' MMDDYYYI' - PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY POS. NATURE OF INJURIES USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. 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. CO.JOHNSON 09-08-23 09:25 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 9/8/2023 5:20:36 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 2:08 PSI TIME POLICE ARRIVED',2:14 PM PART I PAGE 2�OF❑ TIME REPORT NO. ED98919 CASE# 23-10100 OF COLLISION09/01/23 14:00 NARRATIVE vehicles NB Talbot (separate lanes) waiting to turn WB onto S 43rd St. While turning the passenger front corner of U1 contacted the driver side door and mirror of U2 On 09-01-2023 at about 1406 hours, I was dispatched to a blocking collision in the vicinity of Talbot Rd S and S 43rd St in the City of Renton, County fo King, Washington State. There were no reported injuries and the vehicles were blocking two (2) west bound lanes. I arrived in the area at about 1414 hours. I observed a black sedan (unit 02) partial blocking lanes 1 and 2 (of 3 lanes) of west bound S 43rd St at the west edge of the intersection. The driver was seated in the driver seat and unit 02 did not appear to have damage that would prevent it from moving out of the roadway. I observed a red pickup truck (unit 01) blocking lane #2 to the west of unit 01. There was no driver in or around unit 01 and the vehicle did not appear to have damage that would prevent it from moving out of the roadway. A subject on the north sidewalk advised unit 01 was his vehicle. I directed both drivers to move their vehicles into a nearby parking lot. The driver of unit 01 was verbally identified and admitted to driving the listed vehicle. The driver said he was wearing a seatbelt and not injured as a result of the collision. The driver said he was north bound on Talbot Road S in lane #2 (of 2) with the intent to turn left (west bound) onto S 43rd St. The driver said near the end of the left turn he saw a pedestrian in or near the crosswalk so he stopped his vehicle. The driver said unit 02 then hit his vehicle. The driver of unit 01 said he had not slept since the day prior. The driver of unit 02 was identified by WA DL and admitted to driving the listed vehicle. The driver said she was wearing a seatbelt and complained of pain to her left arm as a result of the collision. The driver said she was north bound on Talbot Road S in lane #1 (of 2) with the intent to turn left (west bound) onto S 43rd St. The driver said unit 01 started to come close to her lane, so she moved wide to the right to avoid being hit. The driver of unit 02 said unit 01 came into her lane and collided with the driver side of her vehicle. I observed minor damage to the passenger side front corner of unit 01. There was minor damage to the driver door of unit 02 and the driver side mirror mount was broken. The damage to both vehicles was consistent with the information provided by both drivers. North bound Talbot Road S is comprised of two lanes of travel. Lane #2 (left lane) is designated as a left turn only lane to west bound S 43rd St (lane #3) . Lane #1 (right lane) is for vehicles turning left onto S 43rd St (lane #2) or continuing straight (north bound) on Talbot Rd S or turning right (east bound) onto S Carr Rd. The configuration is commonly referred to as a double left turn. While within the intersections, the left turn lanes are divided by single broken white lines to designate the proper lane to enter on S 43rd St. I later observed the City of Renton traffic camera that is mounted to the signal arm on the south east corner of the intersection. Unit 02 enters the image first in lane #1 of north bound Talbot Rd S followed by unit 01 in lane #2. Both vehicles begin to turn left towards S 43rd St. Just before the crosswalk on S 43rd St, unit 01 crosses the single broken white line lane divider, enters into unit 02 lane of travel and collides with unit 02. The is no pedestrians in the crosswalk and unit 01 does not appear to stop before the impact. Unit 02 later provided a dash camera video from their video. Witness was following behind unit 02 and observed the collision. PAGE 3 OF 5 TIME REPORT NO. ED98919 CASE# 23-10100 OF COLLISION09/01/23 14:00 NARRATIVE The proximate cause of the collision was unit 01 failing to yield the right of way to unit 02. Unit 02 was established in their lane of travel prior to the collision. Were it not for the actions of the driver of unit 01, the collision would not have occurred. No citation or infractions issued. Report for information and insurance. PAGE 4 OF 5 REPORT NO. ED98919 CASE# ' 23-10100 DATE AND TIME 09/01/23 14:00 OF COLLISION Talbot Rd S Q9 —Not to'Scale— S 43rd St ��� �: '� `� S Carr Rd unit 01 unit 02 witness Talbot Rd S' PAGE 5 OF 5