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Home My WebLink About23-6012 IT ' " . 27POLCERAFFO 1 c 1I1llI 111I II REPORT NO ED64510 COLLISION REP FIT 1591971 CASE 23-6012 z INTERSTATE ❑ CITY STREET ❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 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 2122 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAPLE VALLEY HIGHWAY BLOCK NO. e✓ 3500 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ VV a MAPLEWOOD PL SE 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2532177933 0 11 30 6� LAST NAME EWING FIRSTNAME ALEXANDER MIDDLE L 1 2 31 INITIAL STREET ❑, 24007130TH AVE SE CITY KENT ST WA 2jp, 98030 z= NEW ADDRESS ]❑ ODL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES 1/ NO 8❑ DRIVERS E# ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 . EJECT 1 H USE 2 CLASS ,5 LOSS OF CONCIOUSNESS/UNRESPONSIVE z❑ 3 10 9❑ P1 ATE 14 ARZ6993 STATE WA V N# 4A4MM21 S87E077206 [----� TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# I I IR.. ro TRLR. TRLR 7 1 33 12 4 5 VIN#' VIN# :: FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 3 7 34 13 4 2007 MITS ENDEAV P4 YES NO � �MEYERS TOWING YES[:] No✓ DAMAGE REGISTERED OWNER INFO KESHNI EWING 21.7110THAVE SE KENT WA 98030 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 UABILI INSURANCE INSURANCE CO FOURNIER INSURANCE AP60029175 4 IN EFFECT &POLICY# 9TOP LVEHICLE 5 36 LECALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM 15❑ NDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2069317755 16 a LAST NAME ABUAN FIRST NAME SEANN MIDDLE J INITIAL 17 STREET NEW ADOREs7 1825 C PL SE,#A CITY AUBURN ST WA ZIP 98002 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK Y�EsI I I NOF YES t l NO� 19� LICENSE# STATE WA SEX M M D.O.B. 12 _ 23 _ 1990 39 20❑ ON DUTY STATUS AIRBAG,3 RESTR 4 EJECT 1 H EET 2 NJAURSY 6 LACERATIONS OF I TO LEGS/WHIPLASH ❑ES 40 ❑ILICENSE 21❑ PLA E# BGY4601 TATE WA VIN 1 41 ZACCJBA82HPE53001 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. GI VEH YEAR 2017 MAKE JEEPMODEL RENEGA STYLE P4 DAMAGE TO ✓WED NOO BLIN TOWED II 44 Yr OV H 24 GENE MEYERS TOWING YES No❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&POLICY#E CO GEICO 6025012862IN 9TOP 5 VE""LE ❑ Nu,J CITATION# CHARGE to BOTTOM LEGALLY YES 25 ' e 7NELSON NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12421 WA0171300 PART A PAGE 01 OF 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED64510 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6012 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) BERKEBILE MYCAIAH L (LAST FIRST, ADDRESS&PHONE# D O.B. ' 14406 162ND AVE SE RENTON WA 98059 7022105857 SEXi F MMDDYyvv 08 - 04 - 1995 {� SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS❑;UNIT# 2 pOS 3 AIRBAG 3 RESTR. 4 1 EJECT I 1 USE 1 2 CLASS 6 POSSIBLE CONCUSSION NAME (LAST,FIRST,MIDDLE INITIAL) SEYMOUR COLE C ADDRESS&PHONE# D O B 16540 SE 149TH ST RENTON WA 98059 4254969157 SEX M MMDDYvvv 02 _ 29 _ 2004 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS UNIT# 3 poS 3 AIRBAG 3 RESTR. 4 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) VIETH JOHN E ADDRESS&PHONE# 25612 SE 149TH ST ISSAQUAH WA 98027 2066968066 SEX MM 21 _ 2004 MDDYYYY PASSENGER WITNESS UNIT# ! 3 SEAT 7 AIRBAG 3 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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. D.NELSON 05-27-23 11:24 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 888 1 512712023 11:50:40 PM BADGE OR ID# ! 12421 OR#' WA0171300 TIME POLICE DISPATCHED 9:24 PM TIME POLICE ARRIVED',9:Y7 Pm PART I PAGE IT]OF 7� STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED64510 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6012 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MORGAN KAYDEN S (LAST FIRST, ADDRESS&PHONE# 16540 SE 149TH ST RENTON WA 98059 4254969156 SEX M MMDDvyry 10 - 23 - 2003 PASSENGER LV WITNESS❑ UNIT# 3 POS 'I 9 AIRBAG;3 RESTR. 4 EJECT ? 1 HELMET U 2 INJURY 1 NATURE OF INJURIES NAME (LAST,FIRST,MIDDLE INITIAL) : WRIGHT RACHELE J ADDRESS&PHONE# D O B 26107 133RD PL SE KENT WA 98042 2063311689 SEX IF MMDDvvvv O6 _ 29 _ 1985 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 4 pOS 11 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) REEVES SHELBY S ADDRESS&PHONE# 19407 SE 188TH ST RENTON WA 98058 2068326360 SEX F D.o.B. 10 _ 29 _ 1984 MMDDYYYY PASSENGER WITNESS UNIT# ! 4 SEAT I 11 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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. D.NELSON 05-27-23 11:24 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 888 1 512712023 11:50:40 PM BADGE OR ID# ! 12421 OR#' WA0171300 TIME POLICE DISPATCHED 9:24 Pry TIME POLICE ARRIVED',9:Y7 Pry PART I PAGE 3�OF 7� STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED64510 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6012 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) QUINNETT LARRYM (LAST FIRST, ADDRESS&PHONE# D O.B. ' 2533753072 SEX M MMDOYyry 11 - 14 - 1965 --------------------------- PASSENGER❑WITNESS✓ UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES PM USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYVYV 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. D.NELSON 05-27-23 11:24 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 512712023 11:50:40 PM BADGE OR ID# ! 12421 ORI#' WA0171300 TIME POLICE DISPATCHED 9:24 PM TIME POLICE ARRIVED',9:Y7 pryI PART I PAGE 4�OF 7� REPORT NO. ED64510 CASE# 23-6012 OF COLLISION 05/27/23 21:22 OF CbLLI510N NARRATIVE 23-6012 ACC On 5/27/2023 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a collision with injury near the intersection of Maple Valley Highway and Maplewood PI SE Renton/King/WA. Multiple callers were reporting a multiple vehicle collision with one driver unconsciousness. I arrived on scene and located multiple vehicles with obvious damage blocking westbound Maple Valley Highway. The driver of a gray 2017 Mitsubishi Endeavor (WA/ARZ6993) was drifting in and out of consciousness. He was later identified as Alexander Ewing (DOB: 2/15/2003). RRFA arrived on scene and transported Alex to Valley Medical Center for treatment. I the spoke with Seann J Abuan (DOB: 12/23/1990), the driver of the 2017 Jeep Renegade (WA/BGY4601). Seann told me that he was driving west on Maple Valley Highway in the left lane when the Mitsubishi turned in front of him causing the collision. The damage to the Renegade was consistent with his account of events. Seann had a complaint of whiplash and lacerations to his legs. Seann's passenger, Mycaiah L Berkible (DOB: 8/4/1995) had a contusion on her forehead and believed she had a concussion. Both Seann and Mycaiah were evaluated by RRFA and released at the scene. The driver of the 2012 Subaru Impreza (WA/CDL2627) identified as Spencer J Gouge (DOB: 9/24/2003), advised that he was driving west on Maple Valley Highway in the curb lane when the Endeavor turned north in front of him causing the collision. The damage to the Impreza was consistent with this account of events. Neither Spencer nor any of his passengers were injured. The driver of the 2021 Toyota Tacoma (WA/C63149W) identified as Brent H Graham (DOB: 2/16/1985) advised that he was in the intersection of Maple Valley Highway and Sunset Blvd NE when he was side swiped by the Endeavor. He followed the Endeavor down Maple Valley Highway until it turned in front of traffic causing a collision. I was approached by a uninvolved witness, Larry M Quinnet (DOB: 11/14/1965), who advised that he was behind the Endeavor as it went to turn north onto Maplewood PI SE. He said the Endeavor turned in front of several vehicles driving westbound causing the collision. The Endeavor, Impreza, and Renegade were all removed from the scene by Gene Meyers Towing. Nothing further. PAGE 5 OF 7 SUPPLEMENTAL REPORT NO. ED6451 O r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-6012 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 1 8 28 CARRIER NAME 3 CARRIER L ADDRESS `❑ CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE UNIT# 3 �✓ � PEDESTRIAN YES NO 5 VEHICLE CYCLE OWNER ✓ D:4255269341 OF 1 29 LAST NAME GOUGE FIRST NAME SPENCER MIDDLE' J INITIAL 0 8 30 STREET NFW AnDRFsP- 14029 2321VD AVE SE CITY ISSAQUAH ST WA ZIP 98027 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO✓ zERLOCK YEs❑NO❑✓ YEs N ✓ DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 09 - 24 - 2003 7 ❑ ON DUTYl STATUS AIRBAG' $ RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE CDL2627 TAr WA VIN# JFIGV7E65CGO17738 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR 91 VIN.#. VIN.#. 11 4 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLI anV vEHII' P FROM TO 2012 SUBA IMPREZA P4 T�ME15''ERS TOWING DAMAGE YES✓NO YES NO ✓ REGISTERED OWNER INFOJEFFERY GOUGE 14029 232ND AVE SE ISSAQUAH WA 98027 D:4255269341 SHADE IN DAMAGED AREA 7 3 33 12 3 5 � 4 LIABILITY INSURANCE INSURANCE CO FEMCO INSURANCE CA1474631 91,01 FROM To IN EFFECT &POLICY# 9 9 VEHICLE 70 BOTTOM 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE pp@@ STANDING g5g 7 f+ DAMAGE THRESHOLD MET PHONE ❑ 35 14 UNIT# 4 MOTOR ❑✓ PEDAG ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO VEHICLE CYCLE OWNER ✓ D:2063311689 GRAHAM BRENT MIDDLE H ❑ 36 15 LAST NAME FIRST NAME I INITIAL 2 STREET 16 ❑ ❑; 104 S 107TH ST CITY SEATTLE ST WA ZIP 98168 NFn+AnnRFss CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YE. NO✓ INTERLOCK YEs NC7✓ YEs No./ ❑ DRIVER'S D.O.B 4 37 LICENSE# STATE WA SEX M MMDDyYY' 02 - 16 - 1985 18 ❑ ON DUTY❑ STATUS AIRBAG 2 RESTR, 4 EJECT 1 1 HELMET 2 INJURY I 1 NATURE OF INJURIES 38 USE CLASS 19 ❑ ❑ PLATE# C63149W TAr WA v+N# 3TMCZ5AN5MM409222 3 39 20 ❑ TRAILER STATE TRAILER STATE 3❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 TRLR TRLR ViN If YIN#i 42 22 VEH.YEAR2O21 MAKE TOYT MODEL TACOM STYLE 4C VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 1 DAMAGE YES NO ✓ YES NO ✓ 23 ❑ REGISTERED OWNER INFOIBRENT GRAHAM 104 S 107TH ST SEATTLE WA 98168 D:2063311689 SHADE IN DAMAGED AREA 43 IIi4 LIABILITY INSURANCE INSURANCE CO STATE FARM 490-3702-D15-47 9TOP ❑ VEHICLE EFFECT &POLICY I _______" 4 E:l 44 24 LE ALLYLE YEB� NO CITATION It CHARGE tO SOTPO6 .STANDING 8 7 � I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 05-27-23 11:24 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OI BADGE 12421 O#I',WA0171300 APPROVED 512712023 PAGE❑OF❑ 3000-345-013(R 11118) REPORT NO.! ED64510 CASE# 23-6012 DATE AND TIME 05/27/23 21:22 OF COLLISION Maplewood PI SE Mitsubishi Endeavor r Subaru Impreza Jeep Renegade Maple Valley Highway PAGE 7 OF 7