HomeMy WebLinkAbout23-10394 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-10394 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
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 09 - 08 - 2023 1336 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE N BLOCK NO. e✓ 500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 600 00 FEET MILES e S B W e NW 3RD ST
0 1 29
UNIT 01 VEHICLE
MOTPI PEDAL-ORCYCLE ElYESA,G/ENHORESHOLDMET PHONE 0 4 30
6� LAST NAME HOWARD FIRSTNAME JAPSHAUN MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 3911 S SULLIVAN ST C(TY SEATTLE ST WA 2jp, 981184540 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ LRIIVERS STATE WA SEX'M MM DAY' 04 1- 25 - 2002 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
LICENSE CDD8487 STATE WA V N# 2C3CCABT1 GH329091
10 9❑ Pr ATE�
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
rRLR. TRLR. 1 5 33
12 3 5 VIN If VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T �q/q� GOVT.VEHICLE 7 1 34
13 2 2016 CHRY 300 DAMAGE YES No �LAWkkRS YES❑ NO
REGISTERED OWNER INFO ,JAISHAUN HOWARD 3911 S SULLIVAN ST SEATTLE WA 98118 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE NSURANCE CO SAME. 3 4
IN EFFECT &POLICY# Q
L-A LE CHARGE 36
LEGALLY YEs No clTAnoN# 3A0329714 SPEED TOO FAST FOR CONDITIONS
15❑ STAIN.D" 6
UNIT MOTOVEHIR
CYCLE ❑ PEDESTRIAN ❑ OWNER YES
❑ DYES / H OLD MET PHONE
16 a
LAST NAME LEI SE RAMIREZ FIRST NAME VALENTINA MIDDLE V
INITIAL
17❑ STREET ❑', 497 NW 4TH PL CITY RENTON ST WA ZIP 980573450 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t- l NO❑
19 LDI IVER # STATE WA SEX F M MD D.
07 31 2002 39
20 ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE of INJURIES 40
USE CLASS CHEST
21❑ LICENSE BWP3679 TATE WA VIN# 5YFT4RCE1LP054950
El41
PLATE#
El 42
22 IR TILER❑ PLATILER E# STATE pLATE# STATE
23❑ TRLR R 43
LR
VIN#. N I #.
VEH YEAR 2020 MAKE TOYT MODEL COROLL STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO VALENTINA LEISSE RAMIREZ 497 NW4TH PL RENTONWA98057 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POLICY#E CO SAME.IN 9TOP
VE""LE ❑ Nu,J CITATION# CHARGE io BOTTOM
LEGALLY YES
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED97771
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10394
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HOWARD MOSES W
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
3911 S SULLIVAN ST SEATTLE WA 981184540 SEX M MMDOYyry 06 - 22 - 2000
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 1 POS. 3 6 4 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) HOSKINS BRIANNA D
ADDRESS&PHONE# D O 8
2532585454 SEX U MMDDYvvv
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[]WITNESS POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
M.LEVERTON 09-08-23 03:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 911112023 8:03:35 AM
BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED! 1:36 PM TIME POLICE ARRIVED i 1:41 PM
PART I PAGE IT]OF 6�
REPORT NO. ED97771 CASE# 23-10394 OF COLLISION
09/08/23 13:36
OF CbLLI510N
NARRATIVE
unit 2 blk sedan It from kizuki gray sedan unit 1 sb hs hits unit 2 white truck left
CC
Within the city limits of Renton/King/WA I responded to a 3 car blocking crash near the 500 block of
Rainier Ave N.
I contacted the driver of unit 3. Unsolicited he said he believed unit 1 was southbound on Rainier Ave
N at 65mph. Unit 3 said he was hit during the collision and pointed to his white truck. I was stopped
in lane 1 facing southbound. I asked him to retrieve his ID, vehicle reg and insurance. He left the
scene without providing any additional information. No plate for his vehicle was recorded.
I contacted unit 2 who told me she was making a left out of a restaurant parking lot. She said it was
clear and did not see unit 1 unit he seemed to be from out of nowhere. She was treated by Renton
Fire and later transported By Trilled to VMC for further treatment. He vehicle was impounded for
damages.
I contacted unit 1 ID'd by his picture WADL. He was very dramatic and throwing himself onto the
ground and drooling. He was not cooperative with me, but did provide limited information to another
officer. Unit 1 confirmed he was the driver and was only going about the speed limit when unit 2
pulled out in front of him. He walked and rolled all over the crash scene and then later decided to be
transported to VMC for additional checks. Damages to his vehicle required a tow truck.
I contacted listed Witness who said she actually watched to crash happen. She works where unit 2
was leaving the parking lot and in familiar with the area. She told me she believed unit 1 was going
between 60-80 mph. Several others confirmed this but they were not ID'd.
I went to Uhaul to check the surveillance cameras. One of Uhaul staff said she saw a part of the
crash and noticed unit 1 was "going way too fast, maybe 60-70mph!" Another staff located the crash
on video which was grainy. However, watching the video you could see most traffic had a consistent
speed. You could see the southbound traffic lanes were clear when unit 2 made her left turn and then
suddenly unit 1 was in frame. It appeared unit 1 who was in lane 2 attempted to swerve away from
unit 2 who was almost across the lane, but unit 1 hit unit 2 in the rear portion of her vehicle. Even
after impact unit 1 with a broken wheel/tire went passed the camera at speeds obviously faster than
regular traffic.
Based on the consistent verbal statements from at least 3 witnesses, the amount of damage to both
vehicles, length of debris field I believed unit 1 was traveling too fast for conditions ref this crash. I
cited unit 1 via complaint ref RCW 46.61.400 Speeds too fast 3 car injury crash.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 9/8/2023
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 3
PAGE 3 OF 6
REPORT NO. ED97771 CASE# 23-10394 OF COLLISION
09/08/23 13:36
OF CbLLI510N
NARRATIVE
Action Code: UNKNOWN
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO. ED97771
r`) POLICE TRAFFIC 1 1 7 27
COLLISION REPORT CASE# 23-10394
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 DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES NO
9 29
LAST NAME : UNKNOWN FIRST NAME MIDDLE 1
INITIAL
STREET 30
NEW AnDRFS CITY RENTON ST ZIP
6
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31
INTERLOCK YES[:]NO NTERLOCK YES E]Na� YEs N
DRIVER'S STATE I SEX U M��DYSYv' -� 2
LICENSE
7F-ION DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES
F�
USE CLASS
8 ❑ ' 1 32
LICENSE+ rar V1N.#
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWE E T SABLIN TOWED BY anvi vEH1C P FROM TO
DAMAGE YES NO YES NO
33
REGISTERED OWNER INFO.UNKNOWN RENTON 1 5
12 SHADE IN DAMAGED AREA
FROM TO
((ABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
VEHICLE 34
13 LEGALLY YES❑ NO❑ CITATION# CHARGE
STANDING } 8 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER
YES AGE NOHRESHOLD MET PHONE El
35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE INITIAL
TIAL
❑
STREET
16 STRENEW "F-]' CITY ST Z!P
CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES NO NTERLOCK YES NO 'YES NO ❑
17 5 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ vIN 39
LICENSE #
PLATE# rnr
20 ❑ TRAILER' TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ [441
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 AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LECALLv
STANDING S 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 09-08-23 03:54 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 2517 O#11,WA0171300 JACOBS 91,1/2023 PAGE F51OF6
3000-345-013(R 11118)
REPORT NO. ED97771 CASE# 23-10394 DATE AND TIME 09/08/23 13:36
OF COLLISION
nts
PAGE 6 OF