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Home My WebLink About23-9478 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-9478 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 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 CITY# ❑ cawsloN 08 - 18 - 2023 1045 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 156TH AVE SE BLOCK NO. e✓ 12800 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FEET MILES e S B W e SE 128TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:2087893858 0 81 30 6� LAST NAME MUNOZ FIRSTNAME KAREN MIDDLE E 1 2 31 INITIAL STREET ❑, 13106 SE 219TH PL CITY KENT ST WA 2jp, 980312732 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/iNTERLOCKYEs NO INTERLOCKYEs NO YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10 1❑ Pi ATNES# BNP1051 sTAr WAv N# WBA2J3C50JVD48626 5 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR. 5 1 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 2 2018 BMW 230XI 2D DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO ERX.0113108SE 219TH PL KENT WA 98031 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO USAA 02122 69 14G 7102 6 4 LI EFFECT I SUR N# TOPVEHICLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:5267707833 16 a LAST NAME NGO FIRST NAME QUYEN MIDDLE M INITIAL 17❑ STREET ❑', 17744 SE187PL CITY l RENTON ST WA ZIP 980580000 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LDI IVERI # STATE WA ]SEX IF MMDDW 09 _ 24 1955 0 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CEA2138 TAre WA vIN# Y►/4L12RK6N1065010 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2022 MAKE VOLV MODEL XC80 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO BRYAN HUA 17744 SE 187TH PL RENTON WA 98058 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU POLICY#E CO SAFECO H2412904IN I 9TOP VEHICLE CITATION# CHARGE i o BOTTOM LEGALLY YES N� 25❑ Js 7.FF1CJEO-S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HNSON 0505 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED90527 COLLISION REPORT III III III III III 111 1591972 CASE# 23-9478 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME(LAST FIRST,MIDDLE INITIAL) HUA BRYAN ADDRESS&PHONE# 17744 SE 187TH PL RENTON WA 980587302 5167360214 SEX M MMDOYyry 01 - 12 - 1959 PASSENGER I�I WITNESS�',UNIT# 2 pp 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELIVIET INJURY NATURE OF INJURIES L�!1 USE CLASS +1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYY PASSENGER [:]WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIRST 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. CO.JOHNSON 08-18-23 12:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 811812023 1:28:03 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 10:59 AM TIME POLICE ARRIVED 11:06 AM PART I PAGE IT]OF 4� REPORT NO. ED90527 CASE# 23-9478 OF COLLISION 08/18/23 10:45 OF CbLLI510N NARRATIVE U2 NB 156th Ave SE, stopped left turn lane for red light at intersection with SE 128th St; U1 NB behind U2; dvr U1 said foot slipped off brake; front of U1 impacted rear of U2 On 08-18-2023, at about 1059 hours, I was dispatched to a vehicle collision in the area of SE 156th St and 128th Ave SE in the City of Renton, County of King. There were no reported injuries and the vehicles were located south of the intersection. I arrived in the area at about 1106 hours. I observed both involved vehicles blocking the left turn lane of NB SE 156th St. I confirmed there were no injuries and directed the drivers to move their vehicles to the west shoulder of the roadway. The driver of Unit 01 was identified by a temporary paper WADL and recently expired WADL and admitted to driving the listed vehicle. The driver said she was wearing a seatbelt and not injured as a result of the collision. The driver said she was behind Unit 02 when her foot slipped of the brake pedal. The driver of Unit 02 was identified by WADL and admitted to driving the listed vehicle. The driver said she was wearing a seatbelt and not injured as a result of the collision. Unit 02 was north bound on SE 156th St in the left turn lane and stopped for a red traffic signal at the intersection with 128th Ave SE. The driver of Unit 02 said Unit 01 hit her vehicle from behind. The damage to both vehicles was consistent with information provided by both drivers. The proximate cause of the collision was the driver of Unit 01 failing to stop their vehicle and avoid colliding with other vehicles upon the roadway. Were it not for the actions of the driver of Unit 01, the collision would not have occurred. No citations or infractions issued. Report for insurance and information. PAGE 3 OF 4 REPORT NO. ED90527 CASE# ' 23-9478 DATE AND TIME 08/18/23 10:45 OF COLLISION SE�Zt1th st Unit 02 Araa of mpwt tint a7 —Nat to ScaWs w Q- PAGE 4 OF 4