HomeMy WebLinkAbout23-10481 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-10481 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 6 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 09 - 10 - 2023 2337 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BENSON DR S BLOCK NO. e✓ 2600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET MILES e S B W e S 27TH PL
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2066298646 0 9 30
6❑ LAST NAME CATER FIRSTNAME HALFRED MIDDLE T 1 1 2 31
INITIAL
STREET ❑, 4550 S HENDERSON ST.APT 205 CITY SEATTLE ST WA ZIP 98118 z
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 06 — 10 — 2000 0 6 32
9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 1 INJURY CLASS ju L/HAND LAC.,R Ll KNEE PAIN,LIP LAC. z❑
3
LICENSE CDK2920 STATE WA VIN# 2HGFC2F53JH610280
10 9❑ Pr ATF�
----� TRAILER
P STATE PLA Eft STATE
11 3 5 LATE# PLATT E# FROM TO
TRLR. TRLR. 5 1 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 9 9 34
13 2 2018 HOND CIVIC SD DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE❑ INSURANCE CO <53 4
IN EFFECT &POLICY# TOPVEHicLE CHARGE 36
LEGALLvYEs❑NO CITATION# OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2536785114
LAST NAME NGATCHA FIRST NAME JEAN MIDDLE Ij
INITIAL
17❑ NEW ADDRE— 21207 1STREET 25TH AVE SE CITY KENT ST WA ZIP 98031 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[-] D IVEW #
❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# D642966 TATE 41
WA VIN 1GBJC34J1TE192198 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
TOWED BY GOV HI 44
VEH YEAR 1996 MAKE CHEV MODEL SILVERA STYLE TR DAMAGE TOWED NOO✓ BLIN YES NO 1/
24❑ YES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU PORGY#E CO GEIC04363680820IN 1 9TOP
'E""LE CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES Nu
❑ s
=ORAJEWSKI
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12399 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED99664
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10481
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'
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/ 09-11-23 12:51 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 911712023 4:41:58 PM
BADGE OR ID# ! 1Y399 OR]# WA0171300 TIME POLICE DISPATCHED 11:39 PM TIME POLICE ARRIVED]11:58 PM
PART I PAGE IT]OF 5�
REPORT NO. ED99664 CASE# 23-10481 OF COLLISION
09/10/23 23:37
OF CbLLI510N
NARRATIVE
ASSIGNMENT/ARRIVAL
On 09/10/2023 at approximately 2359 hours, I was dispatched to a two vehicle collision near the
intersection of Benson Drive S and S 27th Place in the city of Renton, King County, Washington.
I arrived at approximately 2359 hours.
UNIT 1: HONDA CIVIC
Upon arrival I observed a blue Honda Civic (WA/ CDK2920, Unit 1) stopped in the northbound
number one (closest to center) lane of Benson Drive S, north of the intersection of S 27th Place. Unit
1 had moderate front end damage. Unit 1's front end was engaged with Unit 2's rear end.
UNIT 2: CHEVROLET 3500
1 observed a white Chevrolet 3500 (WA/ D64296B) stopped in the northbound number one (closest
to center) lane of Benson Drive S, north of the intersection of S 27th Place. Unit 2 had moderate rear
end damage. Unit 2's rear end was engaged with Unit 1's front end.
Unit 2's front driver axle was broken, caging the front wheel. I believe that damage was pre-existing to
the collision.
DRIVER 1: CATER, HALFRED T.
I contacted Halfred T. Cater (DOB: 06/10/2000) standing near Unit 1. 1 identified Cater by his valid
Washington Driver License. I identified Cater as the driver of Unit 1 by his admission.
Cater was bleeding from the lips, had small lacerations to his left hand, and pain to his left knee from
the collision. Cater was evaluated by the Renton Fire Authority and released.
DRIVER 2: NGATCHA, JEAN J.
I contacted Jean J. Ngatcha (DOB: 04/25/1980) standing near Unit 2. 1 identified Ngatcha by his valid
Washington Driver License. I identified Ngatcha as the driver of Unit 2 by his admission.
Ngatcha said he was not injured from the collision.
STATEMENT: CATER, HALFRED T.
I spoke with Cater about the incident. The following is a summary of our conversation:
Cater drove Unit 1 north on Benson Drive S near S 27th Place in the northbound number one lane at
approximately 25-30 miles per hour. Cater was not distracted by anything in or our of the vehicle.
Cater saw a vehicle traveling in front of him swerve to the right, as if to avoid something in the road.
Cater didn't see anything, but also swerved in case there was a hazard he did not notice.
Cater saw Unit 2 stopped in the northbound number one lane in front of him. Cater did not remember
seeing any hazard lights on Unit 2. Cater was unable to swerve and avoid a collision. Unit 1's front
end collided with Unit 2's rear end.
This concluded my conversation with Cater.
STATEMENT: NGATCHA, JEAN J.
I spoke with Ngatcha about the collision. The following is a summary of our conversation:
Ngatcha drove Unit 2, which snapped a front driver axle while he drove north on Benson Drive S near
S 27th Place. This disabled Unit 2.
Ngatcha sat inside Unit 2 waiting for roadside assistance. Ngatcha activated Unit 2's hazard lights by
depressing the button on top of the steering column. Ngatcha saw the front flashers activate, but
never exited the vehicle to check on the rear flashers.
Unit 1 suddenly collided with Unit 2's rear end. Ngatcha did not see Unit 1 prior to the collision.
This concluded my conversation with Ngatcha.
ADDITIONAL INFORMATION: UNIT 2
1 did not see any exterior lights on Unit 2 when I arrived. I attempted to operate Unit 2's hazard lights
PAGE 3 OF 5
REPORT NO. ED99664 CASE# 23-10481 OF COLLISION
09/10/23 23:37
OF CbLLI510N
NARRATIVE
by depressing the button, but the steering column was damaged from the collision and I couldn't
operate them.
PHOTOGRAPHS
Officer D. Adam took photographs of the collision.
DISPOSITION
I gave both driver 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 following is true
and correct.
Electronically signed by Officer R. Gorajewski, #12399, on 09/11/2023 at 0038 hours in Renton,
Washington.
PAGE 4 OF 5
REPORT NO. ED99664 CASE# 23-10481 DATE AND TIME 09/10/23 23:37
OF COLLISION
Benson Drive S
Not to Scale
S 27th Place
i
PAGE 5 OF 5