HomeMy WebLinkAbout24-3833 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 24-3833 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 28
5
RESERVATION 1
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
COLLISION.. 04 — 08 — 2024 2350 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S.3RD STREET BLOCK NO. e✓ 600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W e LOGAN AVE S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:3747454668 0 4 30
6[i LAST NAME KINTEH FIRSTNAME BAKAWSU MIDDLE 1 2 31
INITIAL
STREET ❑ 705191STPLSW CITY LYNNWOOD ST WA ZIP 98036 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVERS STATE WA SEX'M MID
LOB 01 1— 12 — 1993 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� WZW356 sTATe SC vN# 1G1ZD5STXNF162800
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM ro
TRLR. TRLR 7 3 33
12 2 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 1 3 34
13 1 2022 CHEV MALIBU SO DAMAGE ves No � �MEYERS ves❑ No
REGISTEREDOWNER WFO EAN HOLDING EAN HOLDINGS 4112 CLEMSON BLVD ANDERSON SC 29621 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
1 LIABILITY INSURANCE INSURANCE CO <�3
4
14 ❑ UNKNOWN UNKNOWNIN EFFECT &POLICY#LEGA LE CHARGE 36
El
15 1 srn'C YEs❑NO CITATION# NONE NONE rrob
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2537974900
16 a
LAST NAME JORGENSON FIRST NAME MARY MIDDLE IR
INITIAL
17❑ NEW STREETR 11509 S
7 E 320TH PL CITY AUBURN ST WA ZIP 980924814 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LICENSE# STATE WA SEX F M D.C.B. 07 25 _ 1985 39
20❑ ON DUTY STATUS I
AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLATE III BOG8408 TATE 41
WA VIN# JHLRE48578C070611 1
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE HOND MODEL CR-V STYLE UT VEHICLE TOWED TO BLIN TOWED ev GOV HI 44
24❑ DAMAGE YES✓ NO GENE MEYERS YES NO
REGISTERED OWNER INFO MARYJORGENSON 11509 SE 320TH PL AUBURN WA 98092 D:2537974900 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSU PORGY#E CO PROGRESSIVE 962204438
IN 9TOP
VEHICLE Yes N CITATION# NONE CHARGE NIA to BOTTOM
LEGALLY `LJ
25 s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.CHR/STIANSEN 10437 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE66797
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3833
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,FIRS 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.
J.CHRISTIANSEN 04-09-24 12:58 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 411012024 12:29:04 AM
BADGE OR ID# 10437 OR]# WA0171300 TIME POLICE DISPATCHED; 11:52 PM TIME POLICE ARRIVED',11:55 PM
PART I PAGE IT]OF 5�
REPORT NO. EE66797 CASE# 24-3833 OF COLLISION
04/08/24 23:50
OF CbLLI510N
NARRATIVE
RPD CASE#: 24-3833
RECORDED ON AXON
*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. Statements have been paraphrased and
summarized. *
On 04.08.2024, at approximately 2352 hours, I was dispatched to a two-vehicle, non-injury, blocking
collision in the intersection of S. 3rd ST and Logan Ave S., in the City of Renton, WA, the County of
King.
I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was
operating a fully marked Renton Police Tahoe #304, equipped with "POLICE" markings, overhead
exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully
equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton
Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with
"POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious
to any reasonable person I was a police officer. I was assigned as 3r21.
At the time of this incident, it was raining steadily, the roadways were wet with standing water, it was
nighttime, streetlights were illuminated, and it was approximately 50 degrees.
I arrived on scene at approximately 2355 hours and met with both parties, who stated they weren't
injured but both involved vehicles had a combination of airbag deployments and were inoperable.
Renton Fire Authority was started as a precautionary measure.
Unit 01 was identified as a beige/light gray in color Chevy Malibu bearing SC/WZW356. Unit 01 had
moderate damage to the front bumper/undercarriage and a combination of airbag deployments. Unit
01 was a rental vehicle (EAN holdings) and it was inoperable. Dispatch was updated and Gene
Meyers towing was notified.
Unit 01's driver was identified by his WADL as KINTEH, BAKAWSU (DOB: 01.12.1993). KINTEH
matched the photo on his DOL return and he stated the vehicle was a rental car and he did not have
rental insurance. KINTEH said he was traveling eastbound on S. 3rd ST, a one-way roadway
traveling eastbound, and was occupying the right lane of travel. As he approached the intersection
with Logan Ave S., KINTEH said he had a solid green traffic signal light and he proceeded eastbound
through the intersection when Unit 02, who was facing southbound on Logan Ave S., made a left turn
in front of his vehicle.
A WACIC/NCIC/DOL query on KINTEH was clear and valid.
Unit 02 was identified as a gray in color Honda CR-V bearing WA/ BQG8408. Unit 02 had moderate
damage to the passenger side body, the front passenger side tire was flat and there was a
combination of airbag deployments. Unit 02 was not operable, and dispatch was updated to start a
second tow from Gene Meyer.
Unit 02's driver was identified by her WADL as JORGENSON, MARY R (DOB: 07.25.1985).
JORGENSON stated she was traveling southbound on Logan Ave S. and as she approached the
traffic signal light with S. 3rd ST, she states she had a solid green traffic light, so she proceeded to
turn left, eastbound onto S. 3rd ST, when she was struck by Unit 01.
A WACIC/NCIC/DOL query on JORGENSON revealed she was clear and valid.
There were no independent witnesses to this collision and both parties stated they had the solid
green traffic signal light. I did not write any citations as I am unable to determine who failed to stop at
the signal light.
Both vehicles were towed by Gene Meyers, no injuries were reported.
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 J. Christiansen #10437, on April 9, 2024, at approximately 0057
hours, in Renton, WA.
PAGE 3 OF 5
REPORT NO. EE66797 CASE# 24-3833 OF COLLISION
04/08/24 23:50
OF CbLLI510N
NARRATIVE
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EE66797 CASE# 24-3833 DATE AND TIME 04/08/24 23:50
OF COLLISION
OfficerRenton Police Came*-' 24-3,833
04-08-20,24 (jDo
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PAGE 5 OF 5