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HomeMy WebLinkAbout23-9817 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED94572 170 27 COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE$# 23-9817 2 5 4 INTERSTATE CITY STREET RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 O 7 28 TRIBAL UNITS OZ STRUCK RESERVATION 2 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 08 - 1-- 2023 1940 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S GRADY WAY BLOCK NO. e✓ 800 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e WELLS AVE S 0 6 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:8015480016 0 11 30 6❑ LAST NAME TOLA FIRSTNAME KASAHUN MIDDLE B 1 1 2 31 INITIAL STREET ❑, 11712 SE 223RD DR CITY KENT ST WA ZIP 98031 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'M MID LOB 01 1- 01 - 1974 2 32 9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 7 [NATURE OF INJURIES COMPLAINT OF ARM/CHEST PAIN 2❑ 3 10 9❑ LICENS Pi ATE 14 BOJ3235 sTAr WAV N# JTDKN3DU1E1796378 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM ro TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR 2014 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 TOYT PRIUS SD DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE Z INSURANCE CO STATEFARM 5271242 D21 47 3 IN EFFECT &POLICY# 9TOP VE—LE CHARGE 36 LEGALLY, YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:5595800584 16 2 LAST NAME MITCHELL FIRST NAME AUTUMN MIDDLE M INITIAL 17❑ STREET Is❑' 360 NW DOGWOOD ST#F CITY' ISSAQUAH ST WA ZIP 98027 37 NEW ADOREs 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCKYEs❑No� INTERLOCK YEsF-j No� YES NOFI 19 DRIVER'S STATE CO ]SEX IF I D.O.B. 08 _ 11 1998 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 H U EET 2 NJAU EY 7 COMPLAINT OF CHEST PAIN ❑F—NATURE OF INJURIES 40 ❑21❑ PLATE# BSN9324 TArE 41 WA VIN# JHMGESHSXCC011460 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' GoI VEH YEAR 2012 MAKE HOND MODEL FIT STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY v HYES NO 1/ 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE INSU PORGY#ECO STATEFARM4776251C2947AIN STOP 5 'E"'LE ❑ ,J� CITATION# CHARGE io BOTTOM LEGALLY YES N`L J 25 ' e =ORAJEWSKI (PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12399 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED94572 COLLISION REPORT III III III III III 111 1591972 CASE# 23-9817 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SWANK SHERI R (LAST FIRST, ADDRESS&PHONE# D O.B. 25123 SE 224TH ST MAPLE VALLEY WA 98038 4254711540 SEX F MMDDvyvv 03 - 12 - 1967 PASSENGER L,WITNESS UNIT# 1 POS. 9 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET USE 2 INJURY CLASS LASS NATURE OF INJURIES ' '1 NAME (LAST,FIRST,MIDDLE INITIAL) : SWANK MATTHEW D ADDRESS&PHONE# Ly O 25123 SE 224TH ST MAPLE VALLEY WA 98038 4254710118 SEX' M MMoovvvv22 _ 1968 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER P]WITNESS UNIT# 1 POS. 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.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. RAYMOND GORAJEWSK/ 08-25-23 08:39 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 8/31/2023 3:00:34 PM BADGE OR ID# 12399 ORI# WA0171300 TIME POLICE DISPATCHED 7:40 PM TIME POLICE ARRIVED]7:40 PM PART Ei PAGE IT]OF REPORT NO. ED94572 CASE# 23-9817 OF COLLISION 08/25/23 19:40 OF CbLLI510N NARRATIVE ASSIGNMENT/ARRIVAL On 08/25/2023 at approximately 1941 hours, I assisted Officer C. Paget who pulled up on a two vehicle collision on S Grady Way and Wells Avenue S in the city of Renton, King County, Washington. I arrived at approximately 1945 hours. UNIT 1: TOYOTA PRIUS Upon arrival I observed a gray Toyota Prius (WA/ BOJ3235, Unit 1) stopped along the east curb line of Wells Avenue S north of S Grady Way. Unit 1 had moderate rear end damage. No prior mechanical defects were claimed or observed. UNIT 2: HONDA FIT I observed a silver Honda Fit (WA/ BSN9324, Unit 2) stopped along the east curb line of Wells Avenue S north of S Grady Way behind Unit 1. Unit 2 had moderate front end damage. No prior mechanical defects were claimed or observed. DRIVER 1: TOLA, KASAHUN B. I contacted Kasahun B. Tola (DOB: 01/01/1974) standing near Unit 1. Tola was identified by his valid Washington Driver License. I established Tola as the driver of Unit 1 by his admission. Tola was working as an Uber driver. Tola complained of arm and chest pain. Tola was evaluated by the Renton Fire Authority at the scene and released. PASSENGERS I contacted two passengers of Unit 1, Matthew D. Swank (DOB: 08/22/1968) and Sheri R. Swank (DOB: 03/12/1967). Matthew and Sheri were uninjured. Matthew and Sheri was Tola's Uber fare. DRIVER 2: MITCHELL, AUTUMN M. I contacted Autumn M. Mitchell (DOB: 08/11/1998) standing near Unit 2. Mitchell was identified by her valid Washington Driver License. I established Mitchell as the driver of Unit 2 by her admission. Mitchell complained of chest pain. Mitchell was evaluated by the Renton Fire Authority at the scene and released. STATEMENT: DRIVER 1 1 spoke with Tola about the collision. The following is a summary of our conversation: Tola drove Unit 1 east on S Grady Way toward Wells Avenue S. Matthew and Sheri, who were in the backseat, told Tola to turn left (north) onto Wells Avenue S as he quickly approached the intersection. Tola rapidly decelerated Unit 1 to turn left onto Wells Avenue S. Unit 1's rear end was suddenly struck by Unit 2's front end. Tola claimed he was in the left turn lane at the time of the collision. This concluded my conversation with Tola. STATEMENT: DRIVER 2 1 spoke with Mitchell about the collision. The following is a summary of our conversation: Mitchell drove Unit 2 east on S Grady Way toward Wells Avenue S. Mitchell was driving behind Unit 1 at about 35 miles per hour in the through-lane. Unit 1 suddenly stopped in the through lane. Mitchell did not see anything that would constitute a hazard to Unit 1 to cause the vehicle to decelerate so rapidly. Mitchell applied Unit 2's brakes but was unable to stop in time. Unit 2's front end collided with Unit 1's rear end. This concluded my conversation with Mitchell. PAGE 3 OF 5 REPORT NO. ED94572 CASE# 23-9817 OF COLLISION 08/25/23 19:40 OF CbLLI510N NARRATIVE PHOTOGRAPHS I took photographs of both Unit 1 and Unit 2 with my department issued cell phone. I uploaded the photographs to Axon's Evidence.com. DISPOSITION I gave all involved parties an Exchange of Information form. This concluded my involvement in this case. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Gorajewski, #12399, on 08/25/2023 at 2035 hours in Renton, Washington. PAGE 4 OF 5 REPORT NO. ED94572 CASE# ' 23-9817 DATE AND TIME 08/25/23 19:40 OF COLLISION Wells Ave S Not to Scale S Grady Way PAGE 5 OF 5