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HomeMy WebLinkAbout23-5956 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-5956 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 6 6 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# ❑ cowsloN 05 - 1-- 2023 1513 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ HARRINGTON AVE NE BLOCK NO. e✓ 700 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 1 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El No ,/ I D:4255177983 0 11 30 LAST NAME GONZALEZ MACEDA FIRST NAME CATARINO MIDDLE T 6 INITIAL 31 STREET ❑1 466 INDEX AVE NE CITY RENTON ST WA 2jp, 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO LRIIVER # STATE WA SEX'U MI MIT Y 8❑ ' 04 — 16 — 1960 1 2 32 9❑ ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 9 HELMET 9 CLASS 0 NATURE OF INJURIES z❑ 3 10 9❑ PI ATE 14 CCN8947 STATE WA VIN# 1J4GL58KX5W701412 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR m 33 12 0 0 VIN#' VIN#' FROM TO VEH.YEAR ZOOS MAKE JEEP MODEL LIBERT STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34 13❑ DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEH" CHARGE 1 5 36 LEGALLY YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2066933709 16 a LAST NAME KATERS FIRST NAME JEFFREY MIDDLE J INITIAL 17❑ STREET ❑', 3117 SE 6TH ST CITY' RENTON ST WA ZIP 98058 37 NEW ADDRESS ❑ 18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES t l NO❑ 19[ LICENSE# STATE WA SEX M M DDY D.C.B. 01 1 29]_ 1955 El 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE A6136C TATe WA VINE 1BAKCCPA7FF311439 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2015 MAKE BLUE MODEL SCHOOL/ STYLE BU VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO,� YES NO REGISTERED OWNER INFO RENTON SCHOOL DISTRICT 300 SW 7TH ST RENTON WA 98057 D:4252044462 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE I PORGY#ECO SIAWSIAW222334033IN I 5 VE LEGwcLE ❑ ,J� CITATION# CHARGE 25 GQ ALLY YES N`L J s � a =Kl (PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12598 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. ED65893 COLLISION REPORT III III III III III 111 1591972 CASE# 23-5956 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) CONTRERAS ELIEL A (LAST FIRST, ADDRESS&PHONE# D O.B. ' 446 WELLS AVE N APT#3 RENTON WA 98057 2068568551 SEX M MMDDYyvv 06 -Di] 04 - 2015 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 2 POS. 10 1 USE CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) MENDOZA BRUCE Q ADDRESS&PHONE# D O E4 2715 NE 2ND ST RENTON WA 98056 4259027037 SEX I M MMDDYvvv 09 _ 15 _ 2015 SEAT HELMET I INJURY NATURE of INJURIES PASSENGER P]WITNESS❑ UNIT# 2 pOS 10 AIRBAG 2 RESTR. 3 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) NGUYEN MASON V ADDREss&PHONE# 2410 SE 2ND PL RENTON WA 98056 4257935531 SEX M D.O•B. 04 _I. 26 _ 2016 MDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT 10 AIRBAG 2 RESTR. 3 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES ❑ POS. USE CLASS NARRATIVE' On Friday, May 26, 2023, at 1515 hours, I was dispatched to a two-vehicle collision in the area of the 700 block of Harrington Ave NE. The following occurred within the City of Renton, King County; Unit 1 - WA/ CCN8947 was parked in the 700 block of Harrington Ave NE and occupied by Catarino Gonzalez. Unit 2 - WA/A6136C was driven by Jeffrey Katers and had turned right onto Harrington Ave NE from Highlands Elementary School with 6 students on board. Jeffrey stated he was unable to avoid colliding with Unit 1 because he did not think he was that close to the other vehicle. The driver side rear quarter panel of Unit 2 collided with the front driver side mirror of Unit 1. Both vehicles sustained non reportable damage and did not need to be towed. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 2 Seat Position (Passenger ELIEL CONTRERAS): ROW 1, RT SIDE, SEAT 2 Seat Position (Passenger BRUCE MENDOZA): ROW 1, RT SIDE, SEAT 1 Seat Position (Passenger MASON NGUYEN): ROW 2, RT SIDE Seat Position (Passenger DIEGO HAUSE): ROW 5, RT SIDE Seat Position (Passenger MUSE MUSE): ROW 2, LT SIDE Seat Position (Passenger PAISLEY PATERNOSTER): ROW 5 LT SIDE **** END OF AUTO-POPULATED SECTION **** I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.WISNIEWSKI 05-26-23 04:39 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.MOYNIHAN 11288 6/1/2023 5:52:36 AM BADGE OR ID# 112598 OR]#` WA0171300 TIME POLICE DISPATCHED! 3:15 PM TIME POLICE ARRIVED 3:20 PM PART I PAGE IT]OF 5� STATE OF POLICETRAFFICN CORRECTION REPORT No. ED65893 COLLISION REPORT III III III III III 111 1591972 CASE# 23-5956 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HAUSE DIEGO L (LAST FIRST, ADDRESS&PHONE# D O.B. ' 1901 NE 3RD ST APT 401 RENTON WA 98056 5512555727 SEX M MMDDYyvv 02 - 03 - 2015 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 2 POS. 10 2 3 1 USE CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) MUSE MUSE M ADDRESS&PHONE# D O B 313 FERNDALE AVE SE RENTON WA 98056 2064666823 SEX I M MMDDYvvv 03 _ 20 _ 2015 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS❑ UNIT# 2 POS 10 AIRBAG 2 RESTR. 3 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) PATERNOSTER PAISLEY O ADDREss&PHONE# 5518 SE 2ND CT RENTON WA 98059 2088414146 SEX F D.o.E. O6 _ 25 _ 2014 MMDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT 10 AIRBAG 2 RESTR. 3 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES ❑ POS. USE CLASS NARRATIVE' On Friday, May 26, 2023, at 1515 hours, I was dispatched to a two-vehicle collision in the area of the 700 block of Harrington Ave NE. The following occurred within the City of Renton, King County; Unit 1 - WA/ CCN8947 was parked in the 700 block of Harrington Ave NE and occupied by Catarino Gonzalez. Unit 2 - WA/A6136C was driven by Jeffrey Katers and had turned right onto Harrington Ave NE from Highlands Elementary School with 6 students on board. Jeffrey stated he was unable to avoid colliding with Unit 1 because he did not think he was that close to the other vehicle. The driver side rear quarter panel of Unit 2 collided with the front driver side mirror of Unit 1. Both vehicles sustained non reportable damage and did not need to be towed. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 2 Seat Position (Passenger ELIEL CONTRERAS): ROW 1, RT SIDE, SEAT 2 Seat Position (Passenger BRUCE MENDOZA): ROW 1, RT SIDE, SEAT 1 Seat Position (Passenger MASON NGUYEN): ROW 2, RT SIDE Seat Position (Passenger DIEGO HAUSE): ROW 5, RT SIDE Seat Position (Passenger MUSE MUSE): ROW 2, LT SIDE Seat Position (Passenger PAISLEY PATERNOSTER): ROW 5 LT SIDE **** END OF AUTO-POPULATED SECTION **** I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.WISNIEWSKI 05-26-23 04:39 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.MOYNIHAN 11288 6/1/2023 5:52:36 AM BADGE OR ID# 112598 OR]#` WA0171300 TIME POLICE DISPATCHED! 3:15 PM TIME POLICE ARRIVED 3:20 PM PART I PAGE 3�OF 5� SUPPLEMENTAL REPORT NO. ED65893 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-5956 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT'# 2 USDOT ICC# ' VEHICLE TYPE 1 CARGO 6ODY 1 ;TYPE 2 ❑ 1 28 CARRIER RENTON SCHOOL DISTRICT NAME 3 CARRIER ADDRESS 300 SW 7TH ST CITY RENTON ST WA ZIP'', 98057 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 02 GI14500 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No NTERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# t 9 1"01? VEHICLE 1 o BarroM 34 13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1 RE O CYCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 El PEDESTRIAN 15 LAST NAME FIRST NAME INITIALMIDDLE TIAL ❑ STR 16 NFlEETEET"F-] CITY ST ZIP AnnRCDL IGNITION REDUIREE7 IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES NO NTERLOCK YES NO 'YES NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv STANDING S 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J,WISNIEWSKI 05-26-23 04:39 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12598 O#I,WA0171300 MOYNIHAN 6/1/2023 PAGE OF 5 3000-345-013(R 11118) REPORT NO. ED65893 CASE# ' 23-5956 DATE AND TIME 05/26/23 15:13 OF COLLISION S HIGHLANDS ELNt,SCHC)CLIL z {,7 UNIT 1 p NOT TO SCALE z m" z" m } V W r 0 POINT OF IMPACT ' UNIT2 NE 7TH ST PAGE 5 OF 5