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HomeMy WebLinkAbout23-10815 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 4 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 23-10815 2 0 5
INTERSTATE CITY STREET RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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 — 1—— 2023 0525 17 ❑.❑ S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
EASTVALLEYRD ST e✓
MILEPOST 4100
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
6❑ 300 00 FEET e S B W e SW41ST ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2069349804 0 11
30
6� LAST NAME RAHYAB FIRSTNAME MUSAWER MIDDLE 1 2 31
INITIAL
STREET ❑, 3434 S 144TH ST APT 220 CITY TUKWILA ST WA 7jp, 981684062 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE CBJ3330 sTArI WAVIN# JTEDS41A682024289
10 F91 PI ATE i4
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR. TRLR. 5 7 33
12 3 5 VIN#' VIN#I
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 1 $ 34
13 2 2008 TOYT HIGHLA UT DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO AHMAD PANJSHERI 1680753RD AVE S TUKWILA WA 98188 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE❑ INSURANCE CO STATE FARM 5069048-F22.47 3 4
IN EFFECT &POLICY# 9TOP
VE—LE CHARGE 5 36
LEGALLY
Yes❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑
16 a OWNER ❑ YES 1/ NO D:2063830082
LAST NAME WAMBA FIRST NAME IAN MIDDLE 10
INITIAL
17 STREET❑ NEW ADDREsS❑' 33318 18TH LN S F305 CITY FEDERAL WAY ST' WA ZIP 98003 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK yEs It I NOF YES
t l NOF,/
19 D IVERI # STATE WA SEX M M D.O.B.
10 _ 04 1995 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# BWG9292 TArE 41
WA vIN# JH4K616545C004312 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
Gov HI
VEH YEAR 2005 MAKE /a C(fR MODEL RL STYLE $D D AMAGE TOWE O YES
NO 1/
D N ✓O BLIN TOWED BY 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO PROGRESSIVE 943807136IN 1 9TOP 5
VEHICLE YES[:] N
C[:] CITATION# CHARGE i o BOTTOM
LEGALLY
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MATTHEW TRAINO 12811 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE06434
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10815
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'
At the listed date and time, I was dispatched to a reported Traffic Accident, within the City of Renton,
County of King, State of Washington. The reporting party/driver of Unit# 2, identified by his WADOL
as Ian O. Wamba (10/04/1995), contacted ValleyCom to report that he had been involved in a
collision with another vehicle. The incident occurred during the hours of darkness with wet roads and
moderate rain.
Upon arrival I contacted Wamba and had him move his vehicle, a 2005 Acura RL (WA Plate
BWG9292), out of the roadway. I asked Wamba what had occurred, he stated that he was driving
southbound in the 4100 block of East Valley Rd when the the driver of Unit# 1, identified by his
WADOL as Musawer Rahyab (05/21/1996), turned into the left side of his vehicle. Wamba reported
no injuries, I observed that his Acura sustained minor damage.
I contacted Musawer and asked him to describe what had occurred. He said he was driving
northbound in the 4100 block of East Valley Rd in his 2008 Toyota Highlander (WA Plate CBJ3330)
and had attempted to make a left turn into a parking lot when he collided with U-2. Musawer said that
he was looking at his cell phone at the time and did not see U-2 until the collision occurred. Musawer
also said that the automobile insurance had expired, and he did not have current insurance. He
reported no injuries, and I observed that his vehicle sustained minor damage.
Based on the totality of the circumstances listed above I determined Musawer had caused the
collision, failing to yield to Wamba, who had the right of way at this location. I used my Officer
discretion, and I did not issued Musawer a notice of infraction. I verbally warned him that he was
required to have valid vehicle insurance and that using a handheld electronic device was not
permitted while operating a motor vehicle.
N/F.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW TRAINO 09-20-23 07:20 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
DESIREE SCOTT 10272 101612023 12:36:17 PM
BADGE OR ID# 12811 OR]# WA0171300 TIME POLICE DISPATCHED 5:32 AM TIME POLICE ARRIVED'5:42 AM
PART I PAGE IT]OF
REPORT NO. EE06434 CASE# 23-10815 DATE AND TIME 09/20/23 05:25
OF COLLISION
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