HomeMy WebLinkAbout24-3308 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-3308 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 3 TOTAL#OF OBJECT 1 1 7 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 03 - 1-- 2024 0647 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e S 3RD ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2532454253 30
6� LAST NAME VOZNYARSKAYA FIRSTNAME OKSANA MIDDLE 1 2 31
INITIAL
STREET ❑ 30108 129TH AVE SE CITY AUBURN ST WA ZIP 980922174 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 7❑ P1 ATE BV21987 JBTATIJ WAvN# 4S46TAECXt3242897
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 5 1 33
12❑ VIN#j UIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN [)p Epp BY GOVT.VEHICLE 7 $ 34
13❑2 ZO2O SUBA OUTBA DAMAGE YES NO " YES[:] No
✓
REGISTERED OWNER INFO BORIS VOZNYARSKI130108129THAVE SE AUBURN WA98092 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO SAME. 3 4
IN EFFECT &POLICY# 9TOP
vE—LE CHARGE 5 36
LEGALLY
YES❑NO❑ CITATION# 10 BOTTOM
15❑ ST"''ING 6
UNIT a2 VE ICCMOTOLE ❑ CYCLE ❑ PEDESTRIAN ❑✓ OWNER YES
[:]I DYES✓ NO OLD MET PHONE
16 a
LAST NAME BROWN FIRST NAME ANTHONY MIDDLE Ij
INITIAL
17❑ NEW STREETR LKA 59
7 54 N 26TH ST CITY' TACOMA ST WA ZIP 98407 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK yEEsIII I I NOF YEs t l NO❑
19 RIVELICENSE STATE SEX M Mr D.O.B. 01 13 _ 1968 39
20 ON DUTY STATUS 3 AIRBAG RESTR EJECT , HELMET I INJURY 5 NATURE OF INJURIES ❑ 40
USE CLASS LEG
❑21❑ LICENSE TArE 'l 41
1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4 1 2 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
vE"'LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES Nu
25 s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID#
26
M.LEVERTON 2517 [V7�ENCY
A0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE65037
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3308
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) CHOW JASON
(LAST FIRST,
ADDRESS&PHONE#
4254969927 SEX' U MMDDYYYY -❑
----------------------------
PASSENGER WITNESS SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓S UNIT# POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) MONICA
ADDRESS&PHONE# D O B
9079789922 SEX U MMoovvvY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) DOGNYSAYA OXANA
AooREss&PHONE# 2532454354 _
SEX U. M -❑
MDDYYYY
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.LEVERTON 03-28-24 11:08 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 4/3/2024 5:51:37 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 6:47 AM TIME POLICE ARRIVED',6:50 AM
PART I PAGE IT]OF 5�
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE65037
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3308
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(IAST FIRST,MIDDLE INITIAL) CHIN JILL
ADDRESS&PHONE# D O.B.
4259884737 SEX' U MMDDYYYY -❑
PASSENGER❑WITNESS❑✓ POS. USE UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY
CLASS NATURE OF INJURIES
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# SEX' DOB
.MD.O YV
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. 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.
M.LEVERTON 03-28-24 11:08 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 4/3/2024 5:51:37 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED 6:47 AM TIME POLICE ARRIVED',6:50 AM
PART I PAGE 3�OF 5�
REPORT NO. EE65037 CASE# 24-3308 OF COLLISION
03/27/24 06:47
OF CbLLI510N
NARRATIVE
car ped
On 3/27/2024 at about 0647 hours I was dispatched to a car v ped at SW Sunset Blvd and Rainier
Ave S. Dispatch advised that a car hit a pedestrian at about 40 mph and the ped was still laying in
the roadway. I requested additional units respond to help with aid, scene security and closing down
the roadway. The first officer arrived on scene at about 0650 hours. The first officer onscene advised
the collision was on Rainier Ave S lane 2 northbound, just south of S 3rd St.
While I was still enroute an onscene officer said he was applying a tourniquet to the Ped who
appeared to be in an Aganol breathing state.
I arrived from the south and had to approach from the southbound lanes from stopped traffic
northbound. I located a white SUV stopped in lane 2 northbound about 50-60 feet from S 3rd St. The
Ped was laying near the driver side of unit 1 on his back, mostly in the outside left turn lane. He had
a large open wound injury to his upper leg and was Aganol. Fire was treating the Ped and Medics
were enroute.
I contacted the driver of unit 1 ID'd by her picture WADL. She told me he was only traveling at about
20-25 mph, never saw the pedestrian when suddenly he was in contacting her vehicle. She stopped
her car just after impact and remained in her vehicle. She was obviously upset, provided information
and was very cooperative.
During the time of the collision outside lighting was still slightly dark not quite dawn and street lights
were on. A nearby video revealed the Ped/Brown was standing in stopped traffic at the left turn lanes
from west to east. Traffic northbound was on the green, the two left turn lanes were red. He simply
walked out into traffic into the side of unit 1.
Ped was loaded onto a backboard and into a Medic unit, they left for Harborview Hospital. Fire
remained on scene to assist with road closure. I painted the location of Brown and unit 1. These
were later located using a total station. There was no roadway evidence to indicate POI. The debris
left in roadway was in front of unit 1, including only a rear view mirror cover and a vape cartridge.
Although, Brown had serious injury damage to unit 1 was not extensive. Unit 1 was impounded to the
Evidence garage. Unit 1 driver did give permission to download her vehicle data.
Traffic Investigator/Detective K. Lane will continue with additional components of this investigation.
Nothing Further.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 3/28/2024
PAGE 4 OF 5
REPORT NO. EE65037 CASE# 24-3308 DATE AND TIME 03/27/24 06:47
OF COLLISION
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PAGE 5 OF 5