HomeMy WebLinkAbout23-8109 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-8109 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I 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 07 - 1-- 2023 1438 17 ❑-= S 8 IN e 1070 3
4 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e✓ 100 ❑
4a 1❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SW VICTORIA ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4104403759 0 7 30
6� LAST NAME WARREN FIRSTNAME ACCA MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 2624 E OLIVE ST CITY SEATTLE ST WA 2jp, 981223144 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� EW12761 sTArI WAurN# 1HGCP368X8A012557
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR 2008 HOND ACCOR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 9 34
13 4 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO ACCA WARREN 5339 S LEO ST SEATTLE WA 98178 D:4104403759 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO PEMCO CA 2147697 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE 5 36
LEGALLv Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑
16 a OWNER ❑ YES 1/ NO D:2065194412
LAST NAME MANOLAKAKIS FIRST NAME IOANNES MIDDLE K
INITIAL
17 STREET❑ NEW ADOREss❑' 815 3RD AVE N APT 1 CITY SEATTLE ST WA ZIP 981093710 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 07 02 _ 1982 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# BWX1954 TArE 41
WA vIN# 3KPFL4A75JE247091 1
42
22❑ PLATE# STATE PLATE ILER# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE KIA MODEL FORTE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MARIA FANOURAKI 8153RD AVE N APT I SEATTLEWA98109 D:2065194412 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 6050-03-02-19IN 1 GD
VEHICLE CITATION# CHARGE
LEGA YES[Z N(�
25❑ LLY s a
7p-,
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TAGNE 12575 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED84853
COLLISION REPORT III III III III III 111
1591972 CASE# 23-8109
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TORRES STACYA
(LAST FIRST,
ADDRESS&PHONE k
5339 S LEO ST SEATTLE WA 98178 2067074855 SEXi F MMDOYyry 12 - 11 - 1977
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 1 POS. 3 2 4 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) FANOURAKI MARIA N
ADDRESS&PHONE# Ly O B
815 3RD AVE N APT 1 SEATTLE WA 981093710 2065194412 SEXI F MMDDYVVv 12 _ 27 _ 1969
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER ZWITNESSO UNIT# 2 POS 3 AIRBAG'2 RESTR. 4 EJECT 1 USE CLASS 6 CHESTPAtN
NAME
LAST FIRST,MIDDLE INITIAL) MANOLAKAKIS KONSTANTINOS I
AooREss&PHONE a 815 3RD AVE N APT 1 SEATTLE WA 981093710 2065194412 SEX M D.o.B. 05 _ 09 _ 2008
MMDDYYYY
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 6:24:18 PM
BADGE OR ID# 12575 ORI#' WA0171300 TIME POLICE DISPATCHED! 2:43 PM TIME POLICE ARRIVED',2:43 PM
PART Ei PAGE IT]OF 4�
REPORT NO. ED84853 CASE# 23-8109 OF COLLISION
07/15/23 14:38
OF CbLLI510N
NARRATIVE
23-8109
On 07/15/2023 at approximately 1438 hours, I, Officer Lantagne, responded to a non-blocking, injury
collision near the intersection SW Victoria ST and Rainier AVE S, 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 2008 Honda Accord with license plates EW12761 issued
out of Washington State, and Unit#2, a 2018 Kia Forte with license plates BWX1954, parked in the
Valvoline Instant Oil Change parking lot, 100 Rainier AVE S. I was advised a female passenger of
Unit#2 had upper chest pain.
I contacted the driver of Unit#1, Acca A. Warren (DOB 02/20/1987), who told me the following:
Warren was driving northbound on Rainier AVE S. As Warren was driving, the vehicle in front of her
came to a stop for traffic and Warren could not stop her vehicle in time. The front of Warren's vehicle
struck the rear bumper of Unit#2.
1 contacted the driver of Unit#2, loannes K. Manolakakis (DOB 07/02/1982), who told me the
following: Manolakakis was driving northbound on Rainier AVE S and a vehicle stopped in front of
him to turn left onto SW Victoria ST. Manolakakis stopped his vehicle and the vehicle behind him
struck the rear bumper of his vehicle.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by both drivers. Unit#1 had minor damage to the front bumper which was scraped
and cracked. Unit#2 had minor damage to the rear bumper and trunk which was slightly crumpled in.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to Manolakakis and Warren.
1, 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 1667 hours on 07/15/2023 at Renton, WA.
PAGE 3 OF 4
REPORT NO. ED84853 CASE# ' 23-8109 DATE AND TIME 07/15/23 14:38
OF COLLISION
SW Victoria ST � Rainier AVE S
Unit#2
Case#23-8109
4i
Not to Scale Unit#1
P. l_antagne#12575
PAGE 4 OF 4