HomeMy WebLinkAbout23-6745 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED69816 170
27
COLLISION REP FIT 1591971
CASE 23-6745 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI 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 1005 17 =-= S 8 E IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BRONSON WAY N BLOCK NO. e✓ 1400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SUNSET BLVD N
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2532191888 0 4 30
6� LAST NAME ABENILLA FIRSTNAME Ml MIDDLE K 1 2 31
INITIAL
STREET ❑ 14816 24TH AVE E CITY TACOMA ST WA ZIP 984456713 z=
NEW ADDRESS
7❑ COL 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 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 ATE 14 BNK3599 sTATe WAv N# JN8AT2MV7JW354677
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 2 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 7 1 34
13 8 2018 NISS ROGUE DAMAGE vEs 0NO agW�MEYER vEs❑ No
REGISTERED OWNER INFO MICHAELABENILLA 1481624TH AVE E TACOMA WA 98445 D:2532191888 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE INSURANCE CO PEMCO CA0758740
IN EFFECT &POLICY# 9TOP
VEHlcl.e CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2067014693
16 a
LAST NAME ROBINSON FIRST NAME AUSTIN MIDDLE I L
INITIAL
17 STREET❑ NEW ADDREss❑' 22102 109TH PL SE CITY' KENT ST WA ZIP 980312160 4❑ 37
18❑ CDL ., IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l NO
�
19[ DRIVER'S STATE WA SEX M D.C.B. 07 1 17 1991 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ ILICENSE PLATE# 49205D TATE WA VIN1 1HTWXAHT39J100811 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2009 MAKE INTL MODEL DUMP STYLE TM VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO CITY OF RENTON 1055 S GRADY WAY RENTON WA 98057 D:4254307500 VEHICLE NO.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE INSU&PORGY#ECO CITY OF RENTON SELF INSURED IGQ
5
IN EFFECT
'E""LE ❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25 s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
P.KORDEL 9676 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED69816
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6745
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(LAST FIRST,MIDDLE INITIAL) LEE AE J
ADDRESS&PHONE#
121E 96TH ST#205 TACOMA WA 98445 4254436210 SEXi F MMDOYyry 03 - 26 - 1943
PASSENGER WITNESS UNIT# F- SEAT POS. 9 AIRBAG 2 RESTR. q EJECT ? HELMET INJURY NATURE OF INJURIES
USE 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
BEd MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
P.KORDEL 06-13-23 12:52 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 6/13/2023 12:57:54 PM
BADGE OR ID# 9676 OR]# WA0171300 TIME POLICE DISPATCHED 10:07 AM TIME POLICE ARRIVED',10:11 AM
PART I PAGE IT]OF 4]
REPORT NO. ED69816 CASE# 23-6745 OF COLLISION
06/13/23 10:05
OF CbLLI510N
NARRATIVE
On 06-13-2023 at 1007 hours, I was dispatched to a collision at the intersection of Bronson Way N
and Sunset Blvd N in the City of Renton, King County, WA State. I arrived at 1011 hours and found
the two involved vehicles parked in the right northbound lane of Sunset Blvd N, just north of Bronson
Way N. 1 had a marked Patrol vehicle and was wearing a police uniform. I let all parties know that I
was audio and video recording them with my body cam. The lead vehicle was a City of Renton dump
truck. It had damage to the right side adjacent to the passenger door. The trailing vehicle was a
Nissan Rogue. It had a broken left mirror, punctured front left tire, and a dent on the driver door. I took
photos of the damages and later uploaded into the case file. I identified all of the parties by WA DOL
photo licenses. All told me that they were not injured. The driver of the Nissan Rogue, Mi Abenilla,
provided me with a valid insurance card, which I notated in the collision report by policy number. The
dump truck is self insured through the City of Renton.
The driver of the dump truck, Austin Robinson, told me that he was in the 2nd (right of 2) left hand
turn lanes from eastbound Bronson Way N to turn northbound on Sunset Blvd N. As he turned, the
Rogue was just to his right, but in the forward only lane. The Rogue, however, turned left into
Robinson's vehicle as Robinson was making the left turn within his own lane.
The driver of the Rogue, Mi Abenilla, told me that she was not from the area and driving Ae Lee, who
was seated in the rear right seat. Abenilla is Lee's caregiver. Abenilla acknowledged that she was to
the right of the dump truck in the forward only lane, but wanted to turn left. She thought that the dump
truck was going to let her turn left in front of it. Note, Robinson told me that he never indicated to
Abenilla that she could turn left in front of him, as she was not in a turn lane.
Gene Meyer arrived to tow the Rogue to a tire shop.
Robinson told me that he would complete the City of Renton internal (Human Resources Risk
Management) City Property Damage report, through his supervisor.
I provided both drivers with this report exchange of information.
PAGE 3 OF 4
REPORT NO. ED69816 CASE# ' 23-6745 DATE AND TIME 06/13/23 10:05
OF COLLISION
Sunset:Blvd,N
LI
:Bronson Way N m Maple Valley HVVY(SR 160).
1-405.On Ramp.
PAGE 4 OF 4