HomeMy WebLinkAbout23-6192 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED73315 170
27
COLLISION REP FIT 1591971
CASE 23-6192 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 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 05 - 1-- 2023 1750 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BENSON RD DR BLOCK NO. e✓ 1600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e EAGLE RIDGE DR S
0 4 29
UNIT MOTOOR Z CYDDAL ❑ DYESA✓NOESHOLDMET PHONE 0 1 30
6� LAST NAME TENTORE FIRSTNAME ELIJAH MIDDLE A 1 2 31
INITIAL
STREET ❑ 1401 S 18TH ST APT 2 CITY RENTON ST WA ZIP 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8 LRIIVERCENS # STATE SEX'M MDMDD 08 - 16 - 1999 1 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET U E 2 1 CLAY NATURE OF INJURIES 2❑
3
10 9❑ PI ATE
S1t BQV2280 sTArI WAurN# WBAUP93539VF45893
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 3 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2009 BMW 128 P2 MAKE MODEL STYLE VEHICLE TOWED TO BLIN Tg YMEYERS GOVT.VEHICLE 5 1 34
13 4 DAMAGE YES No YES[:] No
REGISTERED OWNER INFO ELIJAH TENTORE 1401 S 18TH STAPT2 RENTON WA 98055 D:2063499611 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14LIABILI INSURANCE INSURANCE CO BRISTOL WEST G01 214629500 3 4
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�NiT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:6186704544
16 a
LAST NAME ALLEN FIRST NAME KENNETH MIDDLE IM
INITIAL
17 STREET❑ NEW ADOREss❑' 2920 SE 8TH PL UNIT 1114 CITY RENTON ST WA ZIP 98058 4❑ 37
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 IVEW # STATE WA SEX M M D.C.B. 09 _ 26 _ 1984 39
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# C63899T TArE 41
WA vIN1 1N6ADOCW1KN871968 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BV Gov HI 44
VEH YEAR 2019 MAKE jyl$$ MODEL FRONTIE STYLE 4C —TEHICLE
TOWED✓ NOO BLIN GENE MEYERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO USAA 01690 09 08CIN 9TOP 5
'E""LE ❑ Nu,J CITATION# CHARGE
LEGAL to BOTTOM
LY YES
25 ' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
N AAH GIRELLO 12607 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED73315
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6192
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) RAYNOR CHRISTINA
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
1204 S 18TH ST APT 6 RENTON WA 98055 3609222795 SEXi F MMDOYyry 03 - 10 - 2000
PASSENGER WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ; POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
NOAH GIRELLO 06-01-23 01:53 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 6/24/2023 1:10:49 PM
BADGE OR ID# 12607 ORI# WA0171300 TIME POLICE DISPATCHED 5:50 PM TIME POLICE ARRIVED]5:50 PM
PART Ei PAGE IT]OF 4]
TIME
REPORT NO. ED73315 CASE# 23-6192 OF COLLISION05/31/23 17:50
NARRATIVE
23-06162
At about 1750 hours on 05/31/2023 1 responded to a blocking collision at, 1600 Benson RD S, in the
city of Renton, King County, Washington. Dispatch advised me that the collision was blocking the
south bound lane on of the drivers was complaining of wrist pain.
Unit 1: Grey 2009 BMW 128 (LIC/BQV2280) (VIN/WBAUP93539VF45893)
Driver/RO: Elijah A Tentore (DOB 08/16/1999)
Unit 2: Grey 2019 Nissan Frontier (LIC/C63899T) (VIN/1 N6ADOCWI KN871968)
Driver/RO: Kenneth M Allen (DOB 09/26/1984)
Upon my arrival the driver of unit 1 was complaining of wrist pain from the air bags. Renton fire was
started to evaluate the driver of unit 1 for his compliant of pain. The driver of unit 2 advised he did not
need medical attention, but I advised him he should be looked at due to the air bag deployment.
Upon my initial observation unit 1 was the vehicle had severe damage to the front passenger side of
the vehicle and the vehicle was facing NE in the north bound lane of Benson RD S. Unit 2 was up on
the sidewalk facing north bound adjacent to Benson RD S. Unit 2 had substantial damage to the front
grill and wheel well of the vehicle.
The following is a summary of what Unit 1 said about the incident. Unit 1 was in the middle turn lane
facing south on Benson RD S, waiting to turn left onto Eagle Ridge DR S. Unit 1 was struck mid turn
by unit 2.
The following is a summary of what unit 2 said about the incident. Unit 2 said he was traveling north
bound coming down the hill on Benson RD S. As unit 2 approached the T intersection of Benson RDS
and Eagle Ridge DR S he said unit 1 attempted to make a left-hand turn and pulled out in front of him.
Unit 2 said he did not have time to stop and struck unit 1 with the front of his vehicle.
A witness of the accident identified as Christina M Raynor (DOB 03/10/2000) via WADOL was able to
provide me with a witness statement. The following is a summary of what Christina saw. Christina
said that unit 1 pulled out in front of unit 2. Christina went on to say unit 2 had the clear right of way
while coming down the hill. Christina said unit 1 yielded at first but then continued going thinking he
could beat unit 2. The statement form was turned in to Renton records.
Both drivers were evaluated by the Renton Fire department. The driver of unit 1 was cleared for his
compliant of pain and the driver of unit 2 was cleared with no complaints of pain. Neither driver
required further medical attention.
Both vehicles were totaled and required tows. Both vehicles were towed by Gene Meyers towing at
the owner's request. Both vehicles were provided with an exchange of information.
This concludes my involvement with this case.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by N. GIRELLO #12607 on 05/31/2023 at 0000 Renton, WA
PAGE 3 OF 4
REPORT NO. ED73315 CASE# ' 23-6192 DATE AND TIME 05/31/23 17:50
OF COLLISION
Benson RD
Unit 2 end paint
-ta
cD
PAGE 4 OF 4