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Home My WebLink About23-9918 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-9918 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 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 1658 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 108TH AVE SE BLOCK NO. e✓ 18800 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 3251. 00 FEET MILES e S B W e S 190TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2064878664 0 7 30 6� LAST NAME PEDROZA FIRSTNAME MARIA MIDDLE G 1 1 2 31 INITIAL STREET ❑✓ 14032 SE 192ND ST CITY RENTON ST WA ZIP 98058 z NEW ADDRESS ]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ PI ATFBit BRW2120 sTArI WA urN#' 1HGCP2F41AA046156 TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# ROM TO TRLR. A'RLR. 1 5 33 12 4 0 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE J 9 34 13 2010 HOND ACCOR 4D DAMAGE YES NO �MEYERS YES❑ No✓ REGISTERED OWNER INFO NESTOR PEDROZA BERNAL 14032 SE 192ND ST RENTONWA 98058 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ❑ INSURANCE CO 3 4 LIABILITY INSURANCE IN EFFECT &POLICV# STOP VE—LL CHARGE IOR TTOM 5 36 LEGALLv YES No CITATION# 3A0637841,3A0637841 FOLLOW VEHICLE TOO CLOSELY,OP 15❑ STANDING 7 6 MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2534863122 16 a LAST NAME DOMINGO FIRST NAME ESTRELLA MIDDLE A INITIAL 17 STREET NEW ADDRESS❑' 12029 SE 209TH ST CITY KENT ST WA ZIP 980312229 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALt—TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES I�/]No❑ 19 DRIVERS# ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 H EET 2 NJAU SY 6 C/O NECK PAIN�TRANSP.TO VMC 40 ❑ 41 21❑ ILICENSE PLATE# AOD0611 TArE WA VIN1i STDZK23C87S017204 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2007 MAKE TOy7- MODEL SIENNA STYLE VN VEHICLE TOWED TO BLIN TOWED eY GOV HI 44 24 DAMAGE YES NO GENE MEYERS YES NO REGISTERED OWNER INFO RONALD DOMINGO 12029 SE 209TH ST KENT WA 98031 D:2534863122 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE INSU8 PORGY#E CO STATE FARM 4461459-826-47AIN STOP VEwCLE CITATION# CHARGE to BOTTOM LEGALLY YES[Z NC[:] 25❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 MATTHEW NUGENT 11498 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE01704 COLLISION REPORT III III III III III 111 1591972 CASE# 23-9918 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 PM 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' 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 08-31-23 10:59 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 9/23/2023 8:47:09 PM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 5:02 Pry TIME POLICE ARRIVED 5:18 PM PART I PAGE IT]OF 6� REPORT NO. EE01704 CASE# 23-9918 OF COLLISION 08/28/23 16:58 OF CbLLI510N NARRATIVE 23-9918 On 08/28/2023 at approximately 1702 hours, I was dispatched to a blocking vehicle collision in the 18700 block of 108th Ave SE, within the City Limits of Renton, County of King, State of Washington. While en route, Dispatch advised that there was a 3-vehicle collision with the involved parties blocking the center lane. Upon arrival, I confirmed that the driver of Unit#2 was complaining of neck pain and had requested the Renton Regional Fire Authority (RRFA) respond for evaluation. The drivers of Unit#1 and Unit#3 did not complain of injury. There, I collected the driving documents and independent recollection from each of the involved parties leading up to the incident. The driver of Unit#2 was later treated by RRFA and transported via TRI-MED ambulance to Valley Medical Center. The driver of Unit#1 said she was the sole occupant of her vehicle and was traveling southbound in about the 18700 block of 108th Ave SE. The driver of Unit#1 stated she was traveling directly behind Unit#2 and saw that Unit#2 had stopped abruptly in front of her. The driver of Unit#1 said that she was unable to stop her vehicle in time and subsequently collided with the rear of Unit#2 causing significant damage to the front of Unit#1. The driver of Unit#2 said she was the sole occupant of her vehicle and was also traveling southbound in about the 18700 block of 108th Ave SE and had come to a stop for queued traffic. The driver of Unit#2 stated she had come to a stop directly behind Unit#3. The driver of Unit#2 stated that while stopped, Unit#1 collided with the rear of Unit#2 causing moderate damage to the rear of Unit#2. Following the initial impact between Unit#1 and Unit#2, Unit#2 was subsequently pushed into the rear of Unit#3 causing additional to the front of Unit#2. The driver of Unit#3 said he was the sole occupant of his vehicle and was also traveling southbound in about the 18700 block of 108th Ave SE and had come to a stop for queued traffic. The driver of Unit#3 stated that while stopped, Unit#2 collided with the rear of Unit#3 causing moderate damage to the rear of Unit#3. Based on the above statements, 1 determined that the Driver of Unit#1 (Pedroza) violated RCW 46.61.145(1) as any driver of a motor vehicle shall not follow another vehicle more closely than is reasonable and prudent, having due regard for the speed of such vehicles and the traffic upon and the condition of the highway. Pedroza was the predominant factor for the collision due to Following too closely causing a collision. Pedroza also violated RCW 46.30.020(1)(a) as no person may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless the person is insured under a motor vehicle liability policy with liability limits of at least the amounts provided in RCW 46.29.090, is self- insured as provided in RCW 46.29.630, is covered by a certificate of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation must be provided on the request of a law enforcement officer in the format specified under RCW 46.30.030. 1 cited the driver of Unit#1 (Pedroza) in-person for Following Too Closely causing a collision and for Operating a motor vehicle with insurance. Unit#1 was able to be moved off the roadway and was later impounded by private tow due to extensive damage. Unit#2 was impounded from the roadway due to extensive damage. Unit#3 was able to be driven away without further incident. An exchange of information was provided to all PAGE 3 OF 6 REPORT NO. EE01704 CASE# 23-9918 OF COLLISION 08/28/23 16:58 OF CbLLI510N NARRATIVE involved parties. 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 8/31/2023 10:43 AM Renton, King County, WA. PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. EE01704 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-9918 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES� NO D:2533159746 0 7 29 LAST NAME JANSUK FIRST NAME ALEX MIDDLE'.. L INITIAL STREET 30 NEW AnnRFrtP 14832 SE FAIRWOOD BLVD CITY RENTON ST WA ZIP 1 980588526 5 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO zERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 01 TO] - 1989 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BKJ4673 [TAT WA VIN# JTKJF5C76GJ022381 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 4 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOME E T SABLIN TOWED BY anvi vEH1C E FROM TO 2016 TOYT SCION TIC CP DAMAGE ves No �/ YEs No REGISTERED OWNER INFOALEXJANSUK 14832 SEFAIRWOOD SLVD RENTON WA 98058 D:2533159746 SHADE IN DAMAGED AREA J 9 33 12 z 3 FROM TO ((ABILITY INSURANCE INSURANCE CO STATE FARM 5131660-D19.47A RTOIx IN EFFECT &POLICY# 1 EHICLE 34 13 2 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTOM STANDING } 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE ❑ 35 STREET 16Fl TEETEs.�' CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YES NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 97OP - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 6OTiOM LEGALLY STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. MATTHEW NUGENT 08-31-23 10:59 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 25 ORID# 11498 O#I',WA0171300 JACOBS 912312023 PAGE F OF 6 3000-345-013(R 11118) REPORT NO.! EE01704 CASE# ' 23-9918 DATE AND TIME 08/28/23 16:58 OF COLLISION U N `7iar}ram no-t to sca&o r.. w U np[#7 UtNt#f2 tJR#3 1;08th Ave SE PAGE 6 OF s