HomeMy WebLinkAbout23-10765 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 23-10765 2 571
INTERSTATE CITY STREET RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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# ❑
COLLISION: 09 — 18 — 2023 1939 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
OAKESDALE AVE SW
e✓ --- ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SW 7TH ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2065376766 0 11
30
6❑ LAST NAME BROWN FIRSTNAME LASHAWNDA MIDDLE M 1 2 31
INITIAL
STREET ❑, 2305 S PLUM ST UNIT 411 CITY SEATTLE ST WA ZIP, 98144 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LDRIVER # STATE WA SEX'F MMDDYY 03 — 17 — 1975 1 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE CDU8043 sTArI WAvIN# 4S36MBG66C3010344
10❑ PI ATE 14
F_ TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
rRLR ARLR 1 3 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 8 2012 SUBA LEGACY SO DAMAGE vE6 ONO f �AWkkRS vEs❑ No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO GENERAL 53-W49968790
IN EFFECT &POLICY# 9TOP
vEcnLLv HicLe 5 36
YES❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ LE STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2535619145
16 2
LAST NAME ROCKWELL FIRST NAME KIMBERLY MIDDLE A
INITIAL
17 NEW STREETR 7' 10034 SE 224TH ST CITY KENT ST WA ZIP 98031 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑NO� INTERLOCK v�Esl❑NOF YES
❑NO�
19 DRIVER'S STATE WA ]SEX IF D.C.B. 07 29 _ 1965 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS I
AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40
❑LICENSE I 21❑ PLA E# CEC9849 TArE 41
WA vIN# JMIDKBC72G0111286 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BV Gov HI 44
VEH YEAR 2016 MAKE IlggZp MODEL CX-3 STYLE $D —FEHICLE
TOWED✓ NOO BLIN GENE MEYERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO ALLSTATE 820183087IN STOP 5
vE""LE ❑ Nu,J CITATION# CHARGE
LEGAL to BOTTOM
LY YES
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
E.EDMUNDS 12576 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE03606
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10765
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.
E.EDMUNDS 09-19-23 02:36 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 912812023 9:46:39 PM
BADGE OR ID# 12576 ORI# WA0171300 TIME POLICE DISPATCHED 7:39 Pry] TIME POLICE ARRIVED',7:41 PM
PART I PAGE IT]OF 4�
REPORT NO. EE03606 CASE# 23-10765 OF COLLISION
09/18/23 19:39
OF CbLLI510N
NARRATIVE
On 09/18/2023 1 was working a marked patrol unit in the City of Renton, County of King, State of
Washington. I was assigned to District 15. At approximately 1724 hours, I was dispatched to an
unknown injury collision in the intersection of Oakesdale Ave SW and SW 7th ST (Renton WA, King
County).
Call notes stated:
"2 VEH MVA, BLOCKING INTERS - RP C/O NECK PAIN, DECLINING AID "
I responded to the intersection and observed two vehicles- Vehicle #2 (WA/CEC9849) and Vehicle #1
(WA/CDU8043) blocking the northbound and east/westbound lanes of travel. Both vehicles had
multiple airbag deployments. Vehicle #2 had significant front-end damage. Vehicle #1 had significant
passenger side door damage. Damage to both vehicles appeared to exceed $1000.
The driver of Vehicle #1 (Lashawnda M Brown -03/17/1975) complained of pain in her neck and
Firefighters responded to the scene for evaluation. Brown described the collision while she waited for
their arrival. Brown stated she was traveling southbound on Oakesdale AVE SW, in the left turn lane
onto SW 7th ST. Brown stated she had a green light (but not a green arrow) and began making the
turn. Brown believed Vehicle #2 would come to a stop and turned in front of it. Brown was unable to
avoid a collision when Vehicle #2 did not stop.
I contacted the driver of Vehicle #2 (Kimberly Ann Rockwell -07/29/1965) at her vehicle. Rockwell did
not complain of any injury but would be evaluated by Firefighters due to airbag deployment. Rockwell
stated she was traveling northbound on Oakesdale AVE SW approaching the intersection with SW
7th ST. At that location, Vehicle #1 turned left in front of her as she entered the intersection. Rockwell
swerved to avoid the collision but was unable to do so.
An NCIC/WACIC check was conducted with both driver's information which returned clear. Both
drivers provided their WA driver's license, registration certificate and proof of insurance. I created an
exchange of information and provided copies to both drivers. Gene Meyers towed Vehicle #2.
Bankers towing towed Vehicle #1
This concluded my involvement with the case.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by E. Edmunds/12576 at 0235 hours on 09/19/2023 in the City of Renton, WA.
PAGE 3 OF 4
REPORT NO. EE03606 CASE# ' 23-10765 DATE AND TIME 09/18/23 19:39
OF COLLISION
Oekesdele Ave S
PAGE 4 OF 4