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Home My WebLink About23-8107 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 23-8107 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� 1 1 8 28 TOTAL#OF OBJECT TRIBAL UNITS 03 STRUCK' FENCE RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# CowsloN 07 - 1-- 2023 1246 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ NE 16TH ST BLOCK NO. e✓ 2100 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ VV a ABERDEEN AVE NE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4254953129 1 11 30 6� LAST NAME TORIBIO-LOPEZ FIRSTNAME SURI MIDDLE 1 2 31 INITIAL STREET ❑ 2406 NE 24TH ST CITY RENTON ST WA ZIP 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/ 8 LRIIVER # STATE SEX'F MI 08 1- 31 - 2006 2 32 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H U EET IINIJAU RY 1 NATURE OF INJURIES 2❑ 3 10 2❑ I Pi ATNES# AQD3487 sTAr WAu N# 2HKYF185X3H001669 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 2 $ VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 2 2003 HOND PILOT SD DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO LUIS TORIBIO-DAVLOS 2406 NE 24TH ST RENTON WA 98056 D:4254953129 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ❑ INSURANCE CO eq�T3 4 LIABILITY INSURANCE IN EFFECT &POLICY# 9TOP 5 VEH CHARGE 10 BOTTOM 36 LEGALLY YEs❑NO CITATION# 3A0030380,3A0030380, OP MOT VEH W/OUT INSURANCE,NO 15❑ NDING 8 7 6 MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE T 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES 1/ NO D:2066610801 16 a LAST NAME GREEN FIRST NAME JASON MIDDLE M INITIAL 17 STREET I❑ s❑' 2002 NE 18TH PL CITY' RENTON ST WA ZIP 980562600 4❑ 37 NEW ADOREs 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NO INTERLOCK YEs It I NOF YES t l NOF,/ 19 F] DRIVE # ❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 HEJ EET INCLASSJURY1 NATURE OF INJURIES ❑ 40 ❑ILICENSE 21❑ PLA E# ATG8405 TArE WA vIN# 5J8TB4H 41 51FL011919 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2015 MAKE ACUR MODEL RDX STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO TIMOTHY GREEN 16471 SE 225TH ST KENT WA 98042 D:2066610801 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#E CO ALLSTATE 817221877IN 1UQ, 5VEHICLE ❑ ,.II CITATION# CHARGELEGALLY YES N25 7PTAGNE S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 12575 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED84868 COLLISION REPORT III III III III III 111 1591972 CASE# 23-8107 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) CASTANEDA-SIGO CHEYENNE (LAST FIRST, ADDRESS&PHONE# D O.B. ' 2406 NE 24TH ST RENTON WA 98056 3609006064 SEXi F MMDDYyry 10 - 20 - 2007 PASSENGER Z WITNESS❑;UNIT# 1 POS USE CLASS 3 AIRBAG 3 RESTR. 4 EJECT ? 1 HELMET LASS NATURE OF INJURIES : 1 NAME (LAST,FIRST,MIDDLE INITIAL) GREEN SHELLEY A ADDRESS&PHONE# D 0.E4 2002 NE 18TH PL RENTON 98056 2066610801 SEX F MMDYVvv 09 _ 24 _ 1985 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 3 RESTR. 4 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) GREEN CALVIN W ADDREss PHONE# 2002 NE 18TH PL RENTON WA 98056 2066610801 SEX MM 25 _ 2015 MDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT g AIRBAG 2 RESTR. 4 EJECT 1 HELMET INJURY 1 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.LANTAGNE 07-15-23 07:00 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 713112023 6:25:11 PM BADGE OR ID# 12575 ORI#' WA0171300 TIME POLICE DISPATCHED! ?Y:48 PM TIME POLICE ARRIVED]12:53 PM PART Ei PAGE IT]OF STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED84868 COLLISION REPORT III III III III III 111 1591972 CASE# 23-8107 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) GREEN COOPER L (LAST FIRST, ADDRESS&PHONE# 2002 NE 18TH PL RENTON WA 98056 2066610801 SEX M MMDOYyry 05 - 12 - 2020 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 2 POS, 7 2 10 1 USE CLASS ;1 NAME (LAST,FIRST,MIDDLE INITIAL) EGUCHI COURTNEY M ADDRESS&PHONE# DOB 2026 CAMAS AVE NE RENTON WA 98056 2064091364 SEX IF MMDbvuvv 04 _ 04 _ 1977 PASSENGER []WITNESS POS. USE CLASS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. P.LANTAGNE 07-15-23 07:00 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 713112023 6:25:11 PM BADGE OR ID# 12575 ORI#' WA0171300 TIME POLICE DISPATCHED! ?Y:48 PM TIME POLICE ARRIVED]12:53 PM PART Ei PAGE IT]OF 6❑ REPORT NO. ED84868 CASE# 23-8107 OF COLLISION 07/15/23 12:46 OF CbLLI510N NARRATIVE 23-8107 On 07/15/2023 at approximately 1246 hours, I, Officer Lantagne, responded to a blocking, non-injury collision in the intersection of NE 16th ST and Aberdeen AVE NE, which is located in the City of Renton, County of King, and the State of Washington. I responded in my fully marked police vehicle, wearing my patrol uniform. I arrived on scene and observed Unit#1, a 2003 Honda Pilot with license plates AQD3487 issued out of Washington State, and Unit#2, a 2015 Acura RDX with license plates ATG8405, blocking NE 16th ST to the west of Aberdeen AVE NE. I was advised there were no injuries. I contacted the driver of Unit#1, Suri Toribio-Lopez (DOB 08/31/2006), who told me the following: Toribio-Lopez was driving westbound on NE 16th ST. As Toribio-Lopez's vehicle approached the intersection at Aberdeen AVE NE, her foot slipped off of the brake and she was not able to stop at the stop sign. I advised Toribio-Lopez her statement was not consistent with the amount of damage and positioning of the vehicles following the collision. Toribio-Lopez changed her statement saying she observed the stop signs but did not see any other vehicles, so she decided to go through the intersection without stopping. Toribio-Lopez also stated she did not have a driver's license and did not have insurance for the vehicle. I contacted the driver of Unit#2, Jason M. Green (DOB 06/23/1981), who told me the following: Green was driving southbound on Aberdeen AVE NE. Green stopped at the stop sign at NE 16th ST and began driving forward. As Green's vehicle traveled through the intersection, the left front of his vehicle was struck by the right front of Unit#1. I was advised a witness, Courtney M. Eguchi (DOB 04/04/1977) observed the Honda Pilot driving approximately 40 to 45 miles per hour westbound on NE 16th ST. The driver of the Honda disregarded the stop sign and Eguchi did not see the brake lights activate. As the Honda drove through the intersection it struck the left front of the Acura. I observed the damage to the vehicles and other physical evidence was consistent with the statements made by both drivers and the witness. Unit#1 had significant damage to the passenger side front corner which was crumpled in. Both front airbags deployed, and the front right wheel broke from the hub assembly. Unit#2 had significant damage to the left front corner which was crumpled in. The impact from the collision rotated Unit#2 and sent the vehicle into the chain link fence located at 1602 Monterey CT NE. The collision diagram is an accurate illustration of the events leading up to the collision. I provided an exchange of information to Green and Toribio-Lopez. I issued a traffic citation to Toribio -Lopez for disobeying the stop signs and for operating a motor vehicle without a license and without insurance. I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State of Washington, the foregoing is true and correct. Electronically signed by Officer P. Lantagne #12575 at 1525 hours on 07/15/2023 at Renton, WA. PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. ED84868 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-8107 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 I_J CYCLE _) PEDESTRIAN � OWNER � YES� NO D:4254177987 MIDDLE.. 29 LAST NAME SHANK FIRST NAME BRAD INITIAL S STREET 30 NEW AnnRFSP 1602 MONTEREY CT NE CITY RENTON ST WA ZIP 98056 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs No zERLOCK YES E]Na� YEs N L DRIVER'S STATE I SEX M M�DDYBYv 07 - 28 - 1963 LICENSE 7 F-ION DUTY STATUS AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIC E FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING �} MOTOR 8 7 6 14 ❑ UNIT Tr Vd I RE O CYDDAL OWNER RTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NEW AnnREs.� CITY'. ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO 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 ' VEHICLE EFFECT &POLICY# I 970P - 4 44 24 LEwcLE YES NO❑ CITATION# CHARGE iq 60TiOM E:l C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. P.LANTAGNE 07-15-23 07:00 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 12575 O#I',WA0171300 SCOTT 7131/2023 PAGE OF 6 3000-345-013(R 11118) REPORT NO. ED84868 CASE# ' 23-8107 DATE AND TIME 07/15/23 12:46 OF COLLISION Case#23-8107 Unit#2 Not to Scale Fence P. Lantagne#12575 hE 16th ST as t. gmmmmmmmmmmmmmmmmmmmmm j Aberdeen AVE fE- Dnit#1 PAGE 6 OF 6