HomeMy WebLinkAbout23-5009 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED57082 170
27
COLLISION REP FIT 1591971
CASE 23-5009 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 05 - 1-- 2023 1649 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK NO.
NE SUNSET BLVD e✓ --- ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FMILES EET e S ❑ W e ANACORTES AVE NE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2538939216 0 11
30
6❑ LAST NAME HERNANDEZ SANCHEZ FIRST NAME ROSA MIDDLE 1 2 31
INITIAL
STREET ❑, 6107 TACOMA AVE S CITY TACOMA ST WA ZIP 98408 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 02 1- 27 - 2000 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES z❑
3
LICENSE CGZ5090 STATE WA VIN# 1NXBU40E59Z110379
10 9❑ Pr ATF�
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR $ 7 33
12 0 0 VIN#' VIN#'
>; FROM TO
VEH.YEAR 2009 TOYT COROL SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 3 34
13 4 DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP 5
VEHicLe CHARGE 10 BOTTOM 36
LEGALLY YES❑NO❑ CITATION# 3A0323865,3A0323865 FAIL YIELD LEFT TURN MOTOR
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES%/ NO D:2069191886
16 a
LAST NAME NG FIRST NAME PENNY MIDDLE W
INITIAL
17 STREET❑ NEW ADOREss❑' 5433 26TH AVE S CITY SEATTLE ST WA ZIP 98108 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDICENSE# STATE WA ]SEX IF M D.C.B. 12 _ O6 _ 1951 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# BGE2678 TATE 41
WA VIN# 5J8YD4H87JL011717 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY GOV HI 44
VEH YEAR 2018 MAKE /a C(fR MODEL MDX STYLE UT DAMAGE TO WED NOO✓ BLIN YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE I PORGY#E CO AARP 55PHT307028IN 1 VE—LE ❑ ,J� CITATION# CHARGE
25 GQI
LEGALLY YES N`L J
s � a
7BRYAN
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26GROZAV 12489 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED57082
COLLISION REPORT III III III III III 111
1591972 CASE# 23-5009
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) GUTIERREZ GUZMAN MARIA DE LOS ANGELES
(LAST FIRST,
ADDRESS&PHONE#
5325 NE SUNSET BLVD TRLR 11 RENTON WA 98059 2065938586 SEX i U MMDOYyvv 08 - 02 - 1978
PASSENGER I�I WITNESS UNIT# 1 PEAT
3 AIRBAG 2 RESTR, 4 EJECT ? 1 HELM ET 2 INJJUR 1 NATURE OF INJURIES
LASS
NAME L�1
(LAST,FIRST,MIDDLE INITIAL) DEVERA ALEX J
ADDRESS&PHONE# D O B
563 QUINCEYAVENE RENTON WA 98056 SEX/ U MMoovvvv 05 _ 18 _ 2009
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.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.
BRYAN GROZAV 05-04-23 02:16 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 1128E 1 5/4/2023 11:28:54 AM
BADGE OR ID# 112489 ORI# WA0171300 TIME POLICE DISPATCHED 4:49 PM TIME POLICE ARRIVED 4:49 PM
PART I PAGE IT]OF 5�
REPORT NO. ED57082 CASE# 23-5009 OF COLLISION
05/03/23 16:49
OF CbLLI510N
NARRATIVE
CASE 23-5009
SECTOR CITE #3A0323865
This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events.
On Wednesday May 3rd, 2023, at approximately 19:49, 1 was flagged down regarding a two-vehicle
collision in the 4600 block of Ne Sunset Blvd within the City limits of Renton, King County,
Washington.
-UNIT ONE: WHITE 2009 TOYOTA COROLLA WASHINGTON LICENSE: CGZ5090
-UNIT ONE DRIVER: ROSA HERNANDEZ SANCHEZ (DOB: 02.27.2000)
-UNIT TWO: GRAY 2018 ACURA MDX WASHINGTON LICENSE: BGE2678
-UNIT TWO DRIVER: PENNY W. NG (DOB: 12.06.1951)
1 was on a separate traffic stop when I was flagged down by a passerby regarding the collision. I
arrived with the involved parties and had them their vehicles out of the roadway since they were
blocking the east bound lanes of Ne Sunset Blvd. 1 contacted Rosa who said she was making a left
turn onto Ne Sunset Blvd from the shopping plaza parking lot. Rosa said unit two switched lanes as
she was entering traffic. Rosa and her passenger Maria De Los Angeles Gutierrez Guzman
(DOB:8.02.1978) were not injured. It should be noted an interpreter for Spanish was utilized to
communicate with Rosa while on scene. Rosa indicated she did not have insurance.
After speaking to Rosa, I contacted Penny who reported the following; she was traveling east on Ne
Sunset Blvd when unit one pulled into traffic in front of her passenger Alex J. Devera
(DOB:5.18.2009) were not injured.
Both vehicles had minor damage and were drivable.
I issued Rosa a citation for the following violation(s)
RCW 46.30.020- OP MOT VEH W/OUT INSURANCE
Rosa stated she did not have insurance which is a violation of RCW 46.30.020-No person may
operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless the
person is insured under a motor vehicle liability policy with liability limits of at least the amounts
provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a certificate
of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the
amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation
must be provided on the request of a law enforcement officer in the format specified under RCW
46.30.030.
RCW 46.61.185- FAIL YIELD LEFT TURN MOTOR VEHICLE.
The driver of a vehicle intending to turn to the left within an intersection or into an alley, private road,
or driveway 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 gave Rosa the traffic infraction while on scene. I provided involved parties a copy of the SECTOR
exchange of information from
This concludes my involvement in this case.
I certify/declare under penalty of perjury under the laws of the State of Washington that the foregoing
is true and correct.
Electronically signed by B. Grozav #12489 on 5.04.2023 at 01:51 hours in Renton, WA.
PAGE 3 OF 5
REPORT NO. ED57082 CASE# 23-5009 OF COLLISION
05/03/23 16:49
OF CbLLI510N
NARRATIVE
PAGE 4 OF 5
REPORT NO. ED57082 CASE# ' 23-5009 DATE AND TIME 05/03/23 16:49
OF COLLISION
i
8
NOT TO SCALE t
� u w
a
J
m
LU
U)
Z
D
U)
W
Z
PAGE 5 OF 5