HomeMy WebLinkAbout23-9550 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-9550 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# ❑
cowsloN 08 - 19 - 2023 1338 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAPLE VALLEY HWY BLOCK NO. e✓ 14000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2067799450 0 11
30
6� LAST NAME HERING FIRSTNAME DAVID MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 14415 SE 192ND ST CITY RENTON ST WA ZIP 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVERS STATE WA SEX'M MM DAY' 06 1— 09 — 1972 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� BHX9111 sTArI WAvIN# 4$46RBCC6E3229395
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM To
TRLR. TRLR. 7 3 33
12 3 5 VIN#' VIN#'
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 $ 34
13 3 2014 SUBA OUTBA GA DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑
14 LIABILITY INSURANCE INSURANCE CO SAFECO H2414154 35
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLv HICLe 1 5 36
re5�No D CITATION# 3A0628032 CHARGE FAIL TO YIELD MOTOR VEHICLE )o eorrom
STANDING 8 7 6
MOTOR PEDAL- :PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2068229984
16 a
LAST NAME GHERGHIN FIRST NAME ALEXANDRU MIDDLE C
INITIAL
17❑ STREET ❑', 15150 140TH WAY SE#N206 CITY RENTON ST WA ZIP 98058 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES
t l NO❑
19 D IVEW #
INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I TB33593 TAre OR vlNi WBA561C54FD919107
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
GoI
VEH YEAR 2015 MAKE BMW MODEL M3 STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY v HyES NO 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE I PORGY#ECO STATE FARM 47-2905-E65IN 1UR'E""LE
❑ ,J� CITATION# CHARGELEGALLYYES N`LJ
25 =KI
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12598 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. ED93583
COLLISION REPORT III III III III III 111
1591972 CASE# 23-9550
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On Saturday, August 19, 2023 at 1342 hours, I was dispatched to a two-vehicle collision in the area
of Maple Valley Highway and 140th Way SE in Renton, WA.
The following occurred within the City of Renton, King County; Unit 1 - WA/ BHX9111 was being
driven by David Hering and was driving eastbound in the center most lane on Maple Valley Highway
in the 13900 block. Unit 2 - OR / TB33593 was driven by Alexandru Gherghin and was travelling
eastbound on Maple Valley Highway in the lane closest to the shoulder.
David stated he was driving eastbound when he began to change lane to the right and then collided
with Unit 2. The passenger side of Unit 1 collided with the driver side of Unit 2. David stated Unit 2 did
not slow down to make room for him the change lanes in front of him.
Alexandru stated he was following Unit 1 in the 2400 of Maple Valley Highway when he observed Unit
1 pass multiple vehicles in the center turn lane. Alexandru stated he was in the lane closest to the
shoulder and observed Unit 1 merging over in his lane but was unable to avoid the collision because
there was debris in the shoulder that prevent him from swerving. Alexandru also stated his vehicle
was equipped with a dash mounted camera that captured the event. I provided Alexandru with a link
to upload the video and it was uploaded to evidence.com.
I observed the video, and I observed Unit 1 driving eastbound on Maple Valley Highway aggressively
and also merging into the driver's side of Unit 2. Unit 1 did not yield to Unit 2 and ultimately struck the
driver's side causing significant damage.
Both vehicles sustained damage, however, did not needed to be towed.
I issued and explained David (Unit 1) NOI # 3AO628032 for failure to yield to a motor vehicle.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.WISNIEWSKI 08-19-23 03:32 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
DAT
D.MOYNIHAN 11288 812812023 10:22:42 AM
BADGE OR ID# 112598 ORI#' WA0171300 TIME POLICE DISPATCHED! 1:42 PM TIME POLICE ARRIVED',1:47 PM
PART I PAGE IT]OF 3�
REPORT NO. ED9 5 3 CASE# 2y9 5 A m°M\ O&19/23 ]$3
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UNIT 2
POINT OFIMPACT 0
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