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Home My WebLink About23-6163 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-6163 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 04 STRUCK' FENCE RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 05 - 1-- 2023 0601 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BENSON DR S BLOCK NO. e✓ 2100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 30 00 FEET MILES e S B W e S 21ST ST 0 1 29 MOTU '�01 VEHtOR Z CLE CYDCLE. El �ESAGE NHORE✓LD MET PHONE 0 81 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY ST ZIP z NEW ADDRESS 7❑ ODL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES NO YES No 8❑ LIRCIENSRE# SrA fE I SEX u MMDOBYY - 1 1 2 32 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI vrN#' 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM ro rRLR. TRLR. 5 1 33 12 3 5 vIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 9 34 13❑ DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEwcLe 1 5 36 LECALLv Yes❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2067393093 16 a LAST NAME BARIAGABIR FIRST NAME FIORI MIDDLE IT INITIAL 17 STREET NEW ADOREs7 18521 115TH PL SE CITY RENTON ST WA ZIP 98055 37 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NO� 19 LDICENS STATE WA ]SEX IF MMDDW 04 � 01 1982 0 39 20 ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 H EET 2 NJAU SY 7 [NATURE.1 INJURIES COMPLAINT OF PAIN TO LEFT SHIN AREA 40 ❑21❑ PLATE# BDG1308 TATE 41 WA vIN# JTDKN3DU8D1633581 4 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' TOWED eY Gov HI 44 VEH YEAR 2013 MAKE 7'Oy7' MODEL pRIUS STYLE $D DAMAGE TOWED✓ NOO BLIN BANKERS YES No 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#ECO AMERICAN FAMILY CONNECT A103 84 9 7 6 8 STOP 5 IN EFFECT VEHICLE CITATION# CHARGE to BOTTOM LEGALLY YES NC� 25❑ [AGENCY a 7c-, S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 MET 10058 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED65902 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6163 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 PM 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. C.DESMET 05-31-23 12:31 PM NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE 6/1/2023 6:23:46 AM D.MOYNIHAN 11288 BADGE OR ID# 10058 ORI# WA0171300 TIME POLICE DISPATCHED 6:15 AM TIME POLICE ARRIVED',6:16 AM PART I PAGE IT]0F 5� TIME REPORT NO. ED65902 CASE# 23-6163 OF COLLISION05/31/23 06:01 NARRATIVE 23-6163 AXON AVAILABLE On 05-31-23, at about 0615 hours, while working as a commission police officer for the City of Renton on routine patrol, wearing a clearly identifiable police uniform with badge and patches, I was sent to S 21 st St and Benson Dr S, in the City of Renton, County of King, State of Washington, reference an injury hit and run collision. Upon arrival, I observed one of the involved vehicles (Unit 3) pulled over to the Puget Sound Energy (PSE) driveway on the east side of Benson Dr S. Unit 2 was down an embankment on the east side of Benson Dr S, which was PSE property. The driver of Unit 3, Le-Price stated that she was in lane 1 northbound, stopped for the red signal when Unit 2 collided into the rear of her vehicle. No injuries were observed or complained of. The driver of Unit 2, Bariagabir stated that she was stopped behind Unit 3, northbound in lane 1 of Benson Dr S. when Unit 1 collided with the rear of her vehicle. When she stepped out, the driver of Unit 1 was checking on her and she then realized that her vehicle was not in park and it continued to roll northbound, down Benson Dr S., then over the curb and down the embankment, through the PSE fence and came to rest in the bramble bush. The driver of Unit 1 then left northbound in a "grey" vehicle (no make or model). Bariagabir described the driver of Unit 1 as a young black male with a blue shirt. Bariagabir complained of pain on her left shin and calf area, and there was red marks where she complained of. There was also a new abrasion to her left instep. Bariagabir was treated at the scene by Renton Regional Fire Authority and released at the scene. Unit 2 sustained moderate damage from going down the embankment and through the fence but there was minor damage incurred by the collision. Unit 2 was towed by Banker's towing as the airbags had deployed and the vehicle would not start. Unit 3 was driven under its own power. There were no witnesses available to provide driver details or make/model/license plate information of Unit 1 1 certify (declare) under penalty of perjury under the laws of the State of Washington, that the foregoing is true and correct. C. De Smet/ 10058 Electronically signed by C. De Smet on 05-31-23 / 1130 hours Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED65902 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-6163 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO D:2063842587 0 8 29 LAST NAME LE-PRICE FIRST NAME QUYEN MIDDLE' N INITIAL STREET 30 NEW AnnRFSP. 12717 NE 144TH ST#D CITY KIRKLAND ST WA ZIP 1 98034 6 [2 1 1 2 31 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO zERLOCK YES❑N0� YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 09 - 09 - 1993 7 ON DUTY� STATUS AIRBAG' 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE CDN9229 TAr Wq VIN# 3C4PDDEG2KT732376 PLATE# 9 TRAILER TRAILER PLATE If STATE PLATE If STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2019 MAKE DODG MODEL JOURNEY STYLE UT VEHICLE TOME E T SABLIN TOWED BY anvi vFHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER rj 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO USAA 04511 2807G 7101 8 R"i"Olx IN EFFECT &POLICY# 1 EHICLE 34 13 4 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING 7 4 MdTOR PEDAL 1:1PROPERTY DAMAGETHRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO D:2063919974 36 15 � PSE : MIDDLE.. LAST NAME FIRST NAME INITIAL 16 ❑ STREET"[] 2100 BENSON DR S CITY! RENTON ST' WA Z!P 98055 NEW AnnRFSR CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPGRTED 17 ❑ INTERLOCK YES Nb INTERLOCK YEs NC7 YEs No DRIVER'S STATE SEX U D.O.B E 37 18 LICENSE# M MOO — ON DUTY STATUS AIRBAG RESTR, EJECT HELMET INJURY NATURE of INJURIES ❑ 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 131 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE If 21 ❑ ❑ 41 TRLR TRLR ViN# YIN#i 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VE EFFECT &POLICY# i 970P - 4 44 24 LEICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLY E:l STANDING 8 7 6 I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.DESMET 05-31-23 12:31 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 10058 O#IL WA0171300 MOYNIHAN 6/1/2023 PAGE F41 OFF 3000-345-013(R 11118) REPORT NO. ED65902 CASE# 23-6163 DATE AND TIME 05/31/23 06:01 OF COLLISION N v) V) r m -Path of Unit 2 after impact FT r S 21 st St ---Path of Unit 1 fleeing' --Path of Unit 3 after impact ,. .i. Unit 3 Point of Impact 2 Unit 2 ti - Point of Impact 1 a � G \� Unit 1 PAGE 5 OF 5