HomeMy WebLinkAbout23-13654 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-13654 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 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#
cawsloN 11 - 1-- 2023 1049 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 4TH STREET BLOCK NO. e✓ 4700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ VV e DUVAL!AVE NE
0 4 29
UNIT MOTOOR Z CYDDAL ❑ DYESA✓NOESHOLDMET PHONE 0 1 30
6 LAST NAME ALI FIRSTNAME ABDUL RAHEEM MIDDLE A 1 2 31
INITIAL
STREET ❑ 375 UNION AVE SE UNIT 97 CITy RENTON ST WA 2jp, 980595170 z=
NEW ADDRESS
7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MID
LOB 11 1- 17 - 1970 2 32
CENSE 9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 1 INJURY CLASS 6 [NATURE OF INJURIES
C/O RIGHT LEG PAIN z❑
3
10 1❑ P1 ATE 14 BAP3388 STATE WA VIN# 1GKEC13Z82R253552
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# 1R.M ro
TRLR. TRLR 7 1 33
12 3 5 VIN#j VIN#
:: FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 3 7 34
13 2 2002 GMC YUKON SV DAMAGE vE5 0NO agW�MEYERS ves❑ No
REGISTERED OWNER INFO DANCYGILBER1619 S PEABODYST PORTANGELES WA 98362 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICV# 9TOP
vewcLE CHARGE 10BOTTOM 5 36
EGALLY YEs NO CITATION# 3A0637878,3A0637878, FAIL YIELD LEFT TURN MOTOR
15❑ STANDING 8 7 6
MOTOR PEDAL- ❑:. PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ NO D:2537229388
LAST NAME PEERY FIRST NAME JAMIE MIDDLE M
INITIAL
17❑ NEW STREET
ADDR 7 708 N CEDAR ST CITY' TACOMA ST WA ZIP 984066213 37
18❑ CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19[ DRIVER'S STATE WA SEX IF D.C.B. 08 _ 02 _ 1976 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAU EY 6 C/O CHEST AND HEAD PAIN ❑[-�A—TUREOF INJURIES 40
LICENSE I ❑21❑ PLA E# CJM3533 TATE 41
WA vIN# JMIBM1N73G1288853 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2016 MAKE MAZp MODEL 3 STYLE 4H I VEHICLE TOWED TO BLIN TOWEDII GOV HI 44
24❑ DAMAGE YES NO GENE MEYERS YES NO
REGISTERED OWNER INFO JAMIE PEERY 708 N CEDAR ST TACOMA WA 98406 D:2537229388 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO STATE FARM 541 1626-F19-47AIN STOP 5
'E""LE ❑ Nu
CITATION# CHARGE
LEGALto BOTTOM
LY YES
25 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. EE26987
COLLISION REPORT III III III III III 111
1591972 CASE# 23-13654
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) KINBERG LYNDA L
(LAST FIRST,
ADDRESS&PHONE# D O.B.
201 UNION AVE SE#78 RENTON WA 98059 2062459856 SEX F MMDDYyYv 04 - 21 - 1959
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYVYY
PASSENGER ❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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 11-28-23 12:50 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 12/5/2023 11:33:40 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 10:52 AM TIME POLICE ARRIVED',10:55 AM
PART I PAGE IT]OF 5�
REPORT NO. EE26987 CASE# 23-13654 OF COLLISION
11/28/23 10:49
OF CbLLI510N
NARRATIVE
23-13654
On 11/28/2023 at approximately 1052 hours, I was dispatched to an injury and blocking vehicle
collision at the intersection of NE 4th Street and Duvall Ave NE, within the City Limits of Renton,
County of King, State of Washington. Dispatched advised that the collision involved two vehicles and
that both involved parties were complaining of pain. Dispatch advised Renton Regional Fire Authority
(RRFA) would be responding as well.
Upon arrival, I confirmed there was airbag deployment and a complaint of injury for right leg pain from
the driver of Unit#1, as well as chest and head pain from the driver of Unit#2. RRFA later responded
and evaluated all involved patients and treated them at the scene.
The Driver of Unit#1 said he was the sole occupant of his vehicle and was traveling eastbound on
NE 4th ST approaching the intersection of Duvall Ave NE in the left-turn lane (lane 3 of 3). The driver
of Unit#1 stated he was intending to make a northbound (left) turn from the eastbound lanes of NE
4th Street onto Duvall Ave NE. The driver of Unit#1 said he saw the traffic signal was yellow, which
he alleged was a solid yellow light, and stated he believed he had the right of way. The driver of Unit
#1 proceeded out into the intersection to make the left turn. While making the turn, both Unit#1 and
Unit#2 collided in the intersection causing significant damage to the front passenger side of Unit#1.
The driver of Unit#2 stated that she and her infant passenger were traveling westbound on NE 4th
Street approaching the intersection of Duvall Ave NE in lane 2 of 3. The Driver of Unit#2 stated that
she was approaching the intersection with the intent to continue westbound. The driver of Unit#2
stated that once she reached the intersection, which she alleged was a solid green light, when Unit
#1 turned out into the intersection and in front of Unit#2's direction of travel. Unit#2 was unable to
avoid the collision and collided with the front end of Unit#1 causing significant damage to the front of
Unit#2.
A witness remained at the scene, identified as Lynda Kinberg, who stated that she was traveling
southbound on Duvall Ave NE and stopped at the intersection of NE 4th ST for a solid red light for her
direction of travel. While waiting, Kinberg saw the collision occur in front of her. Kinberg believed that
Unit#1 appeared to have turned on a yellow light and that Unit#2 had the right of way. A few
seconds after the collision occurred, Kinberg stated that the traffic light for her direction of travel
turned from red to green.
Based on the above statements, 1 determined that the driver of Unit#1 (Ali) did not grant the right of
way to Unit#2 traveling in the roadway which had the right of way and was already underway. The
driver of Unit#1 was turning left and traversing across traffic and must not do so until it is clear of
hazard/traffic. The driver of Unit#1 (Ali) violated RCW 46.61.185.1 by being the driver of a vehicle
intending to turn to the left within an intersection and shall yield the right-of-way to any vehicle
approaching from the opposite direction which is within the intersection or so close thereto as to
constitute an immediate hazard.
I cited Ali in-person for not granting the right of way during a left turn causing a collision, operating a
motor vehicle without insurance, and for expired registration from 07/08/2021. 1 gave Ali a verbal
warning for the vehicle not being placed in his name with a report of sale listed in DOL from 06/2022.
Both Unit#1 and Unit#2 had to be impounded due to extensive damage. An exchange of information
and case number were provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
PAGE 3 OF 5
REPORT NO. EE26987 CASE# 23-13654 OF COLLISION
11/28/23 10:49
OF CbLLI510N
NARRATIVE
foregoing is true and correct.
Electronically signed by Officer M. Nugent#11498 11/28/2023 12:35 PM Renton, King County,
WA.
PAGE 4 OF 5
REPORT NO. EE26987 CASE# ' 23-13654 DATE AND TIME 11/28/23 10:49
OF COLLISION
NE 41it St
4 ' 41h sl
PAGE 5 OF 5