HomeMy WebLinkAbout23-9378 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED90218 170
27
COLLISION REP FIT 1591971
CASE 23-9378 z
INTERSTATE ❑ CITY STREET ❑ FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I 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#
cowsloN 08 - 1-- 2023 1839 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD NE BLOCK M0 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET VV a NB/-405
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2534526047 0 11
30
6� LAST NAME RIUNGEL FIRSTNAME JASLYNN MIDDLE D 1 2 31
INITIAL
STREET ❑ 10821 SE 241 ST PL APT R103 CITY KENT ST WA 2jp, 980305216 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCK YES NO�/ YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ pl ATFBit CFW2928 sTATr WA urN# 5XXGT4L36KG359244
TRAILER STATE TRAILER STATE
11 1 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 1 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /[g GOVT.VEHICLE 3 7 34
13 2019 KIA OPTIMA SD DAMAGE YES NO � '` RS YES❑ No✓
REGISTERED OWNER INFO JASLYNN R/UNGEl 10821 SE 241STPL APTR103 KENT WA 98030 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO NA 4
IN EFFECT &POLICY#
15❑ LE
vECAIIv Hla.e 5 ❑ 36
res❑NO❑ CITATION# CHARGE BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:5612299321
16 a
LAST NAME MONCADA FIRST NAME JORGE MIDDLE I L
INITIAL
17 STREET❑ NEW ADDREss❑' 1007 1 ST AVE APT 220 CITY SEATTLE ST WA ZIP 981041007 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 STATEWASEXM .OB. _ _ 39
LICENSE# M .
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
LICENSE I ❑21❑ PLA E# CJT3172 TATE 41
WA VIN# 2TIBPRHE4EC038207 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2014 MAKE TOYT MODEL COROLL STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO YUNIOR SALAZAR CEDENO 720 BLANCHARD ST SEATTLE WA 98121 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE❑ &POINSULICY#E CO N/A
IN ll CTOP
—e E ❑ ,J� CITATION# CHARGE I BOTTOM
LEGALLY YES N 6
25 7MICAELA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 CASTAIN 7 12573 WA0171300
PART A PAGE 01 OF C7
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED90218
COLLISION REPORT III III III III III 111
1591972 CASE# 23-9378
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) GEORGE HARRISON N
(LAST FIRST,
ADDRESS&PHONE#
10821 SE 241 ST PL APT R103 KENT WA 98030 7205820610 SEX M MMDOYyvv -
UNIT# 1 PEAS 3 AIRBAG 6 RESTR. q EJECT ? 1 H USEET 2 `CLASS 1 NATURE OF INJURIES
PASSENGER Z WITNESS
NAME
(LAST,FIRST,MIDDLE INITIAL) MOKISANG AYESHA B
ADDRESS&PHONE# DOB
10821 SE 241ST PL APT R103 KENT WA 98030 SEX F MMDovvvv
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS 9 AIRBAG 6 RESTR. 10 EJECT 1 USE 1 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.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.
MICAELA CASTAIN 08-15-23 08:58 PM
INVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 811712023 3:29:07 PM
BADGE OR ID# 12573 ORI# WA0171300 TIME POLICE DISPATCHED 6:39 PM TIME POLICE ARRIVED',6:39 PM
PART I PAGE IT]OF 4]
REPORT NO. ED90218 CASE# 23-9378 OF COLLISION
08/15/23 18:39
OF CbLLI510N
NARRATIVE
RTF
Unit 1: Jaslynn Riungel (DOB 03/24/1981); (WA/CFW2928) 2019 red Kia Optima
Unit 2: Jorge Moncada (DOB 12/22/1980) (WA/CJT3172) 2014 gray Toyota Corolla
On 08-15-2023 at approximately 1839 hours I was dispatched to a blocking collision at Sunset Blvd
NE and 1-405 Northbound on ramp, in the City of Renton, King County, WA.
Upon arrival, I contacted both parties. Unit 1 advised that her daughter, Ayesha Bokisang, was in the
in the vehicle during the collision. Bokisang was strapped into her car seat in the right rear of the
vehicle, appearing to have no injuries. Renton Fire arrived on scene as precautionary and cleared all
parties who were involved in the collision. Both vehicles had a combination of air bags deployed.
Both parties agreed on how the collision occurred.
Unit 2 was traveling westbound on Sunset Blvd NE through the location listed above. Unit 2 did not
have any signal signs. Unit 1 was traveling eastbound on Sunset Blvd NE and attempted to make a
left hand turn onto 1-405 Northbound on ramp. Unit 1 had a yield sign that was displayed at the left-
hand turn lane.
Unit 1 did not make sure all vehicles were clear in the westbound lane, before making a left hand turn
onto the highway. Unit 1 collided with Unit 2 as Unit 1 attempted to make the left-hand turn.
Unit 1 does not have valid insurance.
Unit 2 does not have a valid driver's license, as he was driving his friend's vehicle.
Both vehicles were not drivable. Unit 1 had damage to the front passenger side bumper and tire. Unit
2 had damage to the front bumper and both front side panels.
Both vehicles were towed to the Bankers Towing Lot.
I gave both parties the exchange of information sheet.
Based off the statements made by both parties, there is proximate cause for Unit 1 in the collision.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. Castain #12573 8/15/2023 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. ED90218 CASE# ' 23-9378 DATE AND TIME 08/15/23 18:39
OF COLLISION
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PAGE 4 OF 4