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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