HomeMy WebLinkAbout23-7246 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-7246 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 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# ❑
cowsloN 06 - 1-- 2023 1542 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
LAKE WA BLVD N BLOCK NO. e✓ 1000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 141 00 FMILES EET e S B OF N SOUTHPORT DR
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:3603623147 0 11
30
6� INITIAL
LAST NAME GRAHAM FIRSTNAME MALLORY MIDDLE M 1 1 2 31
STREET ❑, 4300 NE SUNSET BLVD UNIT F4 CITY RENTON ST WA 2jp, 980594068 z
'NEWADDRESS
7❑ CDL I 1/ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO NTERLOCKYEs NO Z YEs No�/
8 LICENSE DRIVER # STATE I WA SEX'F MM ovY 06 1- 12 - 1996 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10� P1 aT�S� CAR8742 sTATI WAurN# 3MYDLBZV7GY136484
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
FTRL-R TPILF1 1 5 33
12 2 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 1 $ 34
13 2 2016 TOYT SCION 4D DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO XANDER GRAHAM 4300 NE SUNSET BLVD UNIT F4 RENTON WA 98059 D:3603623147 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 958551244 3 4
IN EFFECT &POLICY# 9TOP
VEHICL'
15❑ EC 5 36
LALLv YES❑NO❑ CITATION# CHARGE 1 o BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063073051
16 a
LAST NAME JOHNSON FIRST NAME E JORDAN MIDDLE L
INITIAL
17 STREET I❑ 13325 MACADAM RD S CITY' TUKWILA ST WA ZIP 981683207 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs I'✓ NO❑
19 D IVEW # STATE WA SEX M I D.MMDDYY 11 29 _ 1993 39
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 H EET 2 NJAU SY 6 C/O LOWER BACK PAIN.REQUESTED AMBULANCE ❑[-�A—TUREOF INJURIES 40
❑21❑ 41
LICENSE I PLA E# CGK9768 [TAT WA VIN# WDDKK7DF9DF192067 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
I
VEH YEAR 2013 MAKE MERZ MODEL E550 STYLE CV jVEHl DAMAGE TO WED NOO✓ BLIN TOWED BY GOV 44
Yr
H YES
NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#E CO NATIONAL GENERAL 2018322818 1 9TOP 5
IN EFFECT
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 a
7MA
R'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26HEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED76156
COLLISION REPORT III III III III III 111
1591972 CASE# 23-7246
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.
MATTHEW NUGENT 06-27-23 02:17 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOSS 1953 7/3/2023 3:24:18 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 3:45 PM TIME POLICE ARRIVED',3:50 PM
PART I PAGE IT]OF 5�
REPORT NO. ED76156 CASE# 23-7246 OF COLLISION
06/26/23 15:42
OF CbLLI510N
NARRATIVE
23-7246
On 06/26/2023 at approximately 1545 hours, I was dispatched to a blocking vehicle collision at the
intersection of North Southport Drive and Lake Washington Boulevard North, within the City Limits of
Renton, County of King, State of Washington.
While en route, Dispatch advised that two vehicles were blocking the roadway with one of the
involved parties requesting aid response for lower back pain. Dispatch advised that the Renton
Regional Fire Authority (RRFA) would be responding to the scene as well.
Upon my arrival, 1 walked up to the involved vehicles and smelled a strong odor of marijuana coming
from Unit#2. As I got closer to the vehicle, the smell became stronger. The driver of Unit#2 admitted
to smoking marijuana earlier in the day at the park but stated it was a long time ago and denied it
being a factor in today's collision. I confirmed that the driver of Unit#2 was the party complaining of
lower back pain. RRFA arrived on scene and began assessing the involved parties. I was able to
collect each involved party's information and independent summary of the events leading up to the
collision.
The driver of Unit#1 said she was the sole occupant of her vehicle and was traveling southbound in
about the 1000 block of Lake Washington Blvd N and approaching the intersection of N Southport Dr
in lane 2 of 3. The driver of Unit#1 stated that she needed to get into the right lane (lane 1 of 3) to
make a right turn at the upcoming intersection. The driver of Unit#1 stated she began to merge over
to the adjacent lane next to her, specifically making a lane change from lane 2 of 3 to lane 1 of 3. The
driver of Unit#1 stated that she had checked prior to and believed traffic was clear for her to proceed.
The driver of Unit#1 stated that while making the lane change, Unit#1 struck Unit#2 occupying lane
1 of 3 causing moderate damage to the front passenger side quarter panel of Unit#1.
The driver of Unit#2 said he was the sole occupant of his vehicle and was also traveling northbound
in about the 1000 block of Lake Washington Blvd N approaching the intersection of N Southport Dr
but in lane 1 of 3. The driver of Unit#2 stated he was intending to turn at the upcoming intersection
when Unit#1 changed lanes from lane 2 of 3 and into lane 1 of 3 which Unit#2 was occupying. Unit
#2 was unable to avoid the collision and subsequently collided with Unit#1. Unit#2 suffered
moderate damage to the front driver's side quarter panel and fender. The driver of Unit#2 was
transported to Valley Medical Center by ambulance for further evaluation.
Based on the above statements, 1 determined that the Driver of Unit#1 (Graham) was the
predominant factor for the collision as Graham violated RCW 46.61.140(1) which states that
whenever any roadway has been divided into two or more clearly marked lanes for traffic, a vehicle
shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such
lane until the driver has first ascertained that such movement can be made with safety. Graham made
an unsafe lane change that was not clear of traffic causing a collision.
Further investigation into Unit#2's possible impairment, other than noticing a greenish color on his
tongue, which is indicative of recent marijuana use, was not conducted due to the driver of Unit#2's
complaint of injury causing me to be unable to perform SFSTs. Additionally, it became evident that it
was the other vehicle (Unit# 1) that turned into Unit#2 and not the other way around. I did not
develop probable cause to arrest the driver of Unit#2. Both Unit#1 and Unit#2 were able to be
driven away without further incident. An exchange of information was provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
PAGE 3 OF 5
REPORT NO. ED76156 CASE# 23-7246 OF COLLISION
06/26/23 15:42
OF CbLLI510N
NARRATIVE
Electronically signed by Officer M. Nugent#11498 2:16 PM 6/27/2023 Renton, King County, WA.
PAGE 4 OF 5
REPORT NO. ED76156 CASE# ' 23-7246 DATE AND TIME 06/26/23 15:42
OF COLLISION
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PAGE 5 OF 5