HomeMy WebLinkAbout23-10557 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE01708 170
27
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 23-10557 2 4 2
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3❑HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 09 - 1-- 2023 0944 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD NE BLOCK NO. e✓ ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑ W e❑ FEET ABERDEEN AVE NE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4257731023 0 11
30
LAST NAME MANZANO HERNANDEZ FIRST NAME ORALIA MIDDLE N
6 INITIAL 1 1 2 31
STREET ❑ 2301 NE 9TH ST CITY RENTON ST WA ZIP 980562945 2=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES 2❑
3
10 9❑ Pi aT�S� BKG1234 sTArr WAurN# KNDJC733965528898
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR. TRLR $ $ 33
12 3 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 1 $ 34
13 2006 KIA SORENT DAMAGE YES NO MEYER YES[:] NO✓
REGISTERED OWNER INFO ORALIA MANZANO HERNANDEZ 2301 NE 9TH ST RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI INSURANCE INSURANCE CO SAME.
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 3A0329718 FAIL YIELD LEFT TURN MOTOR I o aorrom
15❑ STANDING 7 6
�IJNIT 02 VEHICLE
PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ DAM THR OLD MET PHONE
: YES�/
CYCLE OWNER NO
16 a
LAST NAME NIELSEN FIRST NAME DOUGLAS MIDDLE I A
INITIAL
17❑ STREET ❑ 1612 KENNEWICK AVE NE CITY RENTON ST WA ZIP 980562604 37
NEW ADDRESS I I I I I I i ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALt—T�RANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCK YEs I I No� YES t l ND❑
19 LICENSE#DRIVER'S STATE WA SEX MMDC7YY
M D.Q.B. 01 27 1970 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE BUF6062 TAre WA VIN# 1C3CDZA69DN637939
❑ 41
PLATE#
42
22❑ PLATE# STATE pLATE ILER# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2013 MAKE DODG MODEL AVENGE STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO GENE MEYER YES NO
REGISTERED OWNER INFO DOUGLAS NIELSEN 3118 SE 5TH ST RENTON WA 98058 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE INSU&POLICY#E CO SAME. I STOP 5
VE""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $
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. EE01708
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10557
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.
M.LEVERTON 09-13-23 02:25 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOSS 1953 9/23/2023 8:49:30 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED; 9:49 AM TIME POLICE ARRIVED',10:04 AM
PART I PAGE IT]OF 4�
REPORT NO. EE01708 CASE# 23-10557 OF COLLISION
09/13/23 09:44
OF CbLLI510N
NARRATIVE
blk sedan/2 sb n nwht suv/1 It at aberdeen/nav
CC
Within the city limit of Renton/King/WA I responded to a 2 car crash at the intersection of Sunset Blvd
NE at Aberdeen Ave NE.
I contacted the driver of unit 2 who told me he was south on Sunset Blvd when unit 1 turned left
across the roadway. He tried to avoid her and they contacted. He did not complain of injury and
damages required a tow truck. Unit 2 told me that unit 1 told him she caused the crash and it was
because she was using her Navigation to find an address for her job.
I contacted the driver of unit 1 ID'd by her picture WADL. She told me she was north on Sunset Blvd
and turned left onto Aberdeen, utilizing her navigation, she didnt notice unit 2. She did not complain
of injury and damages required a tow truck. Later she said she thought unit was going too fast. I
asked her if she didnt notice the car because she was distracted by navigation, then identified unit 2
as going too fast why would she turn left across its path. She smiled and said thank you honey.
I cited unit 1 via complaint ref RIVIC 10-12-25 Driver Inattention 2 car 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 9/13/2023
PAGE 3 OF 4
REPORT NO.! EE01708 CASE# 23-10557 DATE AND TIME 09/13/23 09:44
OF COLLISION
nts 1r
^u41
PAGE 4 OF 4