HomeMy WebLinkAbout23-10069 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-10069 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 04 STRUCK
RESERVATION
z
3❑ DATE dF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
dawsloN 08 - 1-- 2023 1430 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
108TH AVE SE BLOCK NO. e✓ 18100 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SE 181ST STREET
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2066976178 0 11
30
6 LAST NAME RIVERO TORRES FIRSTNAME MARIA MIDDLE I E 1 1 2 31
INITIAL
STREET ❑, 17657111TH AVE SE CITY RENTON ST WA 2jp, 980556543 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs 1/ I NO NTERLOCKYEs NO Z YEs No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑
3
10 9❑ P1 ATE 14 CAM9130 STATE WA v N# 5TDBBRCHl MS057478
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# ROM ro
FT -R TPILF1 1 3 33
12 4 0 VIN#' VIN#
:: FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 5 1 34
13 $ 2021 TOYT HIGHLA SV DAMAGE vEs 0NO agW�MEYES vEs❑ No
REGISTERED OWNER INFO ALBA MEZA LOPE717117111THAVE SE RENTON WA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 920654128 3
IN EFFECT &POLICY# 9TOP
VEHlcl.e CHARGE 36
LEGALLY YES❑NO CITATION# 3A0637845 FAIL YIELD LEFT TURN MOTOR o aorrom
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:6028002171
16 a
LAST NAME ALI FIRST NAME AZAD MIDDLE lH
INITIAL
17❑ NEW STREETR 7 11535 SE 320TH PL CITY'AUBURN ST WA ZIP 980924814 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs I� NO❑
19 DRIVER'S STATE WA SEX M D.C.B. 05 _ 07 1984 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 9 EJECT 1 H EET 2 NJAU EY 6 C/O NECK AND BACK PAIN ❑[-�A—TUREOF INJURIES 40
LICENSE I ❑21❑ PLA E# BX00092 TATE WA VIN# 41
3CZRU5H78GM721372 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2016 MAKE HOND MODEL HR-V STYLE 4H VEHICLETOWED TO BLIN TOWEDII GOV HI 44
24❑ DAMAGE YES�/ NO GENE MEYES YES NO
REGISTERED OWNER INFO AZAD ALI 11535 SE 320TH PL AUBURN WA 98092 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO pROGRESSIVE 962828847IN STOP 5
VE""LE ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N`L J
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26
MATTHEW NUGENT 11498
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED97753
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10069
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SANEEY HAB11B0 M
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
SEWARD PARK AVE S APT#10-359 SEA TTLE WA 98118 SEXi F MMDOYyry 01 - 01 - 1974
PASSENGER WITNESS❑ UNIT# 4 SEA 3 AIRBAG 2 RESTR. 9 EJECT ? HELMET INJURY NATURE OF INJURIES
USE 2 CLASS 11
NAME
'(LAST FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# D 0.8
SEX I MMDDYVYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
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.
MATTHEW NUGENT 08-31-23 06:22 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 911112023 7:59:34 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 2:33 PM TIME POLICE ARRIVED i 2:39 PM
PART I PAGE IT]OF 6�
TIME
REPORT NO. ED97753 CASE# 23-10069 OF COLLISION08/31/23 14:30
NARRATIVE
23-10069
On 08/31/2023 at approximately 1433 hours, I was dispatched to an unknown-if-injury and blocking
four-vehicle collision in the 18100 block of 108th Ave SE, within the City Limits of Renton, County of
King, State of Washington.
Upon my arrival, I located all of the involved parties. Officer M. Leverton confirmed there was a
complaint of injury from the driver of Unit#2, specifically back and neck pain. Officer Leverton
requested the Renton Regional Fire Authority (RRFA) respond to the scene for further evaluation.
RRFA later responded and transported the driver of Unit#2 via ambulance to Valley Medical Center.
While on scene, I collected each involved party's information and involvement leading up to the
collision.
The driver of Unit#1 stated that she was the sole occupant of her vehicle and was traveling
southbound in about the 18100 block of 108th Ave SE and was approaching the intersection of SE
181 st Street. The driver of Unit#1 stated that she had pulled into the center-turn-lane to yield to traffic
for an upcoming left-turn. The driver of Unit#1 stated she was intending turn eastbound onto SE
181 st ST following the turn. The driver of Unit#1 stated that northbound traffic in lane 2 of 2 of 108th
Ave SE had created an opening for Unit#1 to proceed out into the intersection. While Unit#1
proceeded out into the intersection, the driver of Unit#1 stated she could not see northbound traffic in
lane 1 of 2 on 108th Ave SE. Once Unit#1 reached lane 1 of 2, she saw Unit#2 occupying that lane.
The driver of Unit#1 stated she tried to avoid the collision but was unable to and that Unit#2 struck
the rear passenger side bumper and quarter panel of Unit#1 subsequently causing moderate
damage to Unit#1. As a result of the initial impact, Unit#1 was spun and redirected into Unit#3
which was stopped at the stop sign on SE 181 st ST causing additional damage to Unit#1.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling northbound in
about the 18100 block of 108th Ave SE in lane 1 of 2. The driver of Unit#2 stated he was intending to
continue north through the uncontrolled intersection. The driver of Unit#2 stated while approaching
the intersection of SE 181 st ST which Unit#1 was trying to turn across, he continued going straight
ahead, not realizing Unit#1's intent. The driver of Unit#2 stated Unit#1 turned in front of his vehicle
unexpectedly. The driver of Unit#2 stated he was unable to avoid the collision and struck Unit#1
causing significant damage to the front of Unit#2. As a result of the initial impact, Unit#2 was
redirected into Unit#4 which was stopped in traffic on 108th Ace SE causing additional damage to
Unit#2.
The driver of Unit#3 stated she was the sole occupant of her vehicle and was traveling westbound in
about the 10800 block of SE 181st ST. While stopped at the intersection, the driver of Unit#3
observed the collision occur between Unit#1 and Unit#2. The driver of Unit#3 stated that Unit#1
spun into her vehicle following the collision causing moderate damage to the front driver's side
headlight and quarter panel.
The driver of Unit#4 stated he was the sole occupant of his vehicle and was traveling northbound in
about the 18100 block of 108th Ave SE. While stopped for queued traffic, the driver of Unit#4 felt
contact from Unit#2. The driver of Unit#4 stated that Unit#2 contacted his vehicle causing minor
damage to the rear passenger side quarter panel and fender.
Based on the above statements, I determined that the Driver of Unit#1 (RIVERO TORRES) was the
predominant factor for the collision due to not granting the right of way during a left-turn causing a
collision. The driver of Unit#1 violated RCW 46.61.185.1 by not granting the right of way to Unit#2
traveling in the roadway which had the right of way and was already underway.
PAGE 3 OF 6
TIME
REPORT NO. ED97753 CASE# 23-10069 OF COLLISION08/31/23 14:30
NARRATIVE
I cited RIVERO TORRES via mail for the Improper Left Turn.
Unit#1, Unit#3 and Unit#4 were able to be driven away without further incident. The driver of Unit#2
was able to move his vehicle off of the roadway and requested that the vehicle remain there while he
made arrangements for a private tow. An exchange of information was provided to all 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 5:56 PM Renton, King County, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. ED97753
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 23-10069
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 1 8 28
CARRIER
NAME
3 CARRIER
ADDRESS `❑
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GINAME 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:2063978117
0 8 29
LAST NAME ZHANG FIRST NAME YUPING MIDDLE
INITIAL
: : 6 1 30
STREET
NFW AnnRFsP 2163 69TH ST SE CITY AUBURN Sr WA ZIP 980928805
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED
INTERLOCK YEs NO zERLOCK YEs❑N0� YEs N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 07 - 04 - 1969
7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. g EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 1 2 32
LICENSE CAG6080 TAr Wq VIN# 2T2HGMDAONCO74293
PLATE#
9 2] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 TRLR TRLR 91 VIN.#. VIN.#.
11 2 5 VEH.YEAR2022 MAKE LEXS MODELRX450H STYLE 4y I VEHICLE TOWS E T SABLI T�'W,6y'ERS GnVT VFHIG P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO.YUPING ZHANG 216369TH ST SE AUBURN WA 98092 J 9 33
12 4 O SHADE IN DAMAGED AREA
J 4 FROM TO
LIABILITY INSURANCE INSURANCE CO STATE FARM 4074702-F23-478 gl"OI'
IN EFFECT &POLICY# 5 1
VEHICLE 70 80TTOM 34
13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE
STANDING g 7 6
DAMAGETHRESHOLD MET PHONE ❑ 35
14 UNIT# 4 MOTOR O PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO
VEHICLE CYCLE OWNER �/ D:2063316111
15 � SHIRE ABDI MIDDLE' N]
❑ 36
LAST NAME FIRST NAME INITIAL
2 16 ❑ ❑ 9061 SEWARD PARK AVE S APT 10 CITY SEATTLE ST WA ZIP 981185169
STREET
NFW AnnRFS.9
CDL IGNITION REOUIREE7 IGNITtGN PRESENT MEDICAL TANSPORTED
17 ❑ INTERLOCK YEs NO INTERLOCK YEs N. YEs ND./ ❑
DRIVER'S D.O.B 4 37
LICENSE# STATE WA SEX M MMDDyYY' 10 - 05 - 1980
18 ❑
ON DUTY❑ STATUS AIRBAG 2 RESTR, 9 EJECT 1 I HELMET 2 INJURY I 1 NATURE OF INJURIES 38
USE CLASS
19 ❑ CENSE ❑
PLATE# BMH3229 TAr yyq vIN# JTDKN3DU8F0443904 3 39
20 ❑ TRAILER' STATE TRAILER STATE 3❑ 40
PLATE#< PLATE#
21 ❑ ❑ 41
TRLR TRLR
ViN# YIN#i
42
22 VEH.YEAR2O15 MAKE 1-DY,/, MODEL PRIUS STYLE 4H VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 1
DAMAGE YES NO YES NOZI
23 ❑ REGISTERED OWNER INFOABDIRIZAK MOHAMUD 14201 42ND AVE S,209 TUKWILA WA 98168 SHADE IN DAMAGED AREA 43
z
LIABILITY INSURANCE INSURANCE CO STATE FARM 4172651-DOf-47A 9'1'OP
❑ VEHICLE
EFFECT &POLICY# 44
24 LE
E A ARGE LE YES[:] NO CITATION CH iq 60TiOtvi
LEGALLY
STANDING 8 7 6
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 06:22 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OR ID# 11498 O#IL WA0171300 JACOBS 91,1/2023 PAGE OF❑
3000-345-013(R 11118)
REPORT NO. ED97753 CASE# ' 23-10069 DATE AND TIME 08/31/23 14:30
OF COLLISION
diagram not to scale
1 Q8th Ave SE
Unit#4 Unit#1'
r
u,
Unit#3
Unit#2' �
4;
ti3
m
to
PAGE 6 OF 6