HomeMy WebLinkAbout24-6370 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-8370 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
TRIBAL UNITS 01 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION.. Os - 17 - 2024 1714 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
HARDIE AVE SW BLOCK NO. e✓ 500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 412 00 FMILES N EET e S B W e SW 7TH STREET
2 8 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 30
6� LAST NAME WAINAINA FIRSTNAME JOSEPH MIDDLE M 1 2 31
INITIAL
STREET ❑, 1300 SW CAMPUS DR APT 39-4 CITY FEDERAL WAY ST WA 2jp, 98023 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NOZINTERLOCKYEs NO�/ YES �/ NO
8❑ LDRIVER # STATE WA SEX'M MID
LOB 08 — 13 — 1987 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET 2 INJURY 8 NATURE OF INJURIES z❑
USE CLASS j I TRANSP.TO VMC WITH FACIAL INJURY
3
10❑ Pl QTNFS# CLJ2082 STATE WA VIN#' 1 FM5K8AROHGE40116
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 1 33
12❑ vIN#' VIN#
FROM
34
13 2 VEH.YEAR 2017 MAKE FORD MODEL EXPLOR STYLE SV VEHICLE TOWED No pLSSBLIN TQ yEq.BLRs YES❑ENO
❑ DAMAGE ILJI tSA1Wl6
REGISTERED OWNER WFO SUSAN MAINGI 1300SWCAMPUS DR APT39-4 FEDERAL WAY WA 98023 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
LEGA LE CHARGE to BOTTOM 5 36
LECALLv YES❑NO CITATION# 4A0344198,4A0344198 SPEED TOO FAST FOR CONDITIONS,
15❑ STANDING 6
UNIT U2 VEHICCMOTOLE ❑ CYCLE ❑ PEDESTRIAN OWNER YES
❑ DYES NO THR OLD MET PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 4❑ 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES t l NO❑
19 LLIICENS # STATE SEX MMDDYY —�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TATE 41
IN#LICENSE V 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE89711
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6370
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) VETKOS TRINITY
(LAST FIRST,
ADDRESS&PHONE#
612 7TH AVE S SEA TTLE WA 98104 4257382912 SEXi F MMDOYyry 10 - 29 - 1989
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ✓❑, POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) DODSWORTH STEVEN J
ADDRESS&PHONE# D O B
715 LIND AVE SW RENTON WA 98057 4043082091 SEX M MMDDYVYY 03 _ 11 _ 1974
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[]WITNESS POS. USE CLASS
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.
MATTHEW NUGENT 06-17-24 07:20 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 6/24/2024 12:18:07 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 5:16 PM TIME POLICE ARRIVED',5:18 PM
PART I PAGE IT]OF 4�
REPORT NO. EE89711 CASE# 24-6370 OF COLLISION
06/17/24 17:14
OF CbLLI510N
NARRATIVE
24-6370
On 06/17/2024 at approximately 1716 hours, I was dispatched to a blocking vehicle collision with
reports of a vehicle on fire just north of the intersection at Hardie Ave SW and SW 7th Street, within
the City Limits of Renton, County of King, State of Washington.
While en route, Dispatch advised that there was a single vehicle versus tree collision with flames
seen coming from the engine.
Upon my arrival, I confirmed the only involved occupant of the vehicle was being evaluated by the
Renton Regional Fire Authority (RRFA). I did notice heavy mechanism to the only involved vehicle.
The involved vehicle had collided into a tree lining the east side of the roadway. I was able to collect
the involved party's information and summary of the events leading up to the collision.
The driver of Unit#1 was positively identified via DOL photo as Wainaina. Per witnesses, (see
Witness Statements attached to this report) the driver of Unit#1 was the sole occupant of the vehicle
and had been traveling northbound in the 600 block of Hardie Avenue SW (JNO SW 7th ST) at a high
rate of speed. It appeared that Unit#1 attempted to negotiate a turn in the roadway but failed to
navigate the turn subsequently striking a tree located on the east side of the roadway.
I believe the driver of Unit#1 was traveling at a high rate of speed prior to the collision and violated
RCW 46.61.400 as no person shall drive a vehicle on a highway at a speed greater than is
reasonable and prudent under the conditions and having regard to the actual and potential hazards
then existing. In every event speed shall be so controlled as may be necessary to avoid colliding with
any person, vehicle or other conveyance on or entering the highway in compliance with legal
requirements and the duty of all persons to use due care. I cited the driver of Unit#1 (Wainaina) in-
person for 46.61.400(1) Speed Too Fast for Conditions.
The driver of Unit#1 (Wainaina) was also unable to provide proof of motor vehicle insurance
therefore he was also cited for such.
Unit#1 had to be impounded due to extensive damage. A case number was provided to the driver of
the involved vehicle. The driver of Unit#1 (Wainaina) was transported via Tri-Med ambulance to
Valley Medical Center (VMC) for further evaluation.
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. Nugent#11498 7:03 PM 6/17/2024 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO.! EE89711 CASE# ' 24-6370 DATE AND TIME 06/17/24 17:14
OF COLLISION
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