HomeMy WebLinkAbout23-6308 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-6308 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 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 06 - 1-- 2023 2255 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
HARDIE AVE SW
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV a SW SUNSET BLVD
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES NO D:9999999999 0 11
30
6� LAST NAME YAFTALI FIRSTNAME MUZAFARUDDIN MIDDLE 1 2 31
INITIAL
STREET ❑ 13445 MLK JR WAYS#J302 CITY SEATTLE ST WA 2jp, 98178 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aTES� CGM1410 sTArI WAvIN# 1FADP3F20EL452761
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 3 33
12 2 5 VIN#' VIN#
FROM TO
VEH.YEAR 2014 FORD FOCUS SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 4 DAMAGE YES No �LII� RS YES[:] No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2016091112 3 4
IN EFFECT &POLICY# 9TOP
VEHICe CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 3AO446361 FAIL YIELD LEFT TURN MOTOR I o aorrom
15❑ STANDING 7 6
MOTOR PEDAL-:. ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ NO D:9999999999
16 a
LAST NAME NGUYEN FIRST NAME CHIEN MIDDLE T
INITIAL
17 STREET I❑ 406 SW LANGSTON RD CITY' RENTON ST WA ZIP 98057 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDI IVERI # STATE WA SEX U M D.C.B. 11 15 _ 1984 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# CES3746 TArE 41
WA VIN# 2HKYF18674H594076 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED BY Gov HI 44
VEH YEAR 2004 MAKE HOND MODEL PILOT EX STYLE UT DAMAGE TOWED✓ TOO BLIN N/A YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO GEIC04323-16-19-78IN I STOP 5
VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM
LEGALLY YES N`LJ
25 s a
7B-
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MIN FLICK 12825 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED69563
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6308
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,FIRST 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.
BENJAMIN FLICK 06-04-23 01:46 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 611212023 6:28:09 PM
BADGE OR ID# 12825 OR]# WA0171300 TIME POLICE DISPATCHED! 11:00 PM TIME POLICE ARRIVED 11:00 PM
PART I PAGE IT]OF 4�
REPORT NO. ED69563 CASE# 23-6308 OF COLLISION
06/03/23 22:55
OF CbLLI510N
NARRATIVE
23-6308
On 06-03-23 at approximately 2300 hours I was working a marked Renton Police Department patrol
in full uniform in the city of Renton, County of King, State of Washington. I was in the area of Hardie
AVE SW and SW Sunset BLVD when I was flagged down regarding a blocking motor vehicle collision
in the intersection of Hardie AVE SW and SW Sunset BLVD.
Upon arrival contact was made with the involved parties. Unit 1 driver was identified as Muzafaruddin
Yaftali (DOB: 12/23/2000, via WA driver license). He spoke no English, but the driver of unit 2 had
dashcam footage of the collision. Yaftali had been driving unit 1, a red Ford Focus with license WA/
CGM1410. The damage to unit 1 was to the driver side front quarter and the damaged disabled the
vehicle.
I contacted unit 2 driver Chien T. Nguyen (DOB 11-15-1984 via WA driver license) who had been
driving a Honda Pilot with license WA/ CES3746. Nguyen showed me dash camera footage of him
proceeding northbound on Hardie AVE SW through a green light across SW Sunset BLVD. He was in
the lane designated for proceeding straight and was doing so. Unit 01, proceeded to head
southbound from the direct opposite side of the intersection, intended to turn left, but turned too soon
and collided with the driver side of unit 02. Unit 01 therefore failed to yield right of way to unit 02, as
unit 01 was legally required to yield to oncoming traffic prior to making a left turn.
Upon the conclusion of my investigation, I determined that there was probable cause that Yaftali
committed the infraction of failure to yield right of way for left turn under RCW 46.61.185. 1 informed
Yaftali that he would be receiving a citation for the above infraction via mail. I used language line in
order to explain the citation. I confirmed that his DOL address was current.
I provided both parties with a business card and case number.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by B. Flick 12825 on 06-04-2023 at 1250 hours in Renton, WA.
PAGE 3 OF 4
REPORT NO. ED69563 CASE# 23-6308 DATE AND TIME 06/03/23 22:55
OF COLLISION
i
Unit 0
Not to Scale
Unit 0
i
SW
SUNSET BLVD
w
w
PAGE 4 OF 4