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HomeMy WebLinkAbout23-10873 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c COLLISION REP FIT 1591971 CASE 23-10873 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ coLusloN 09 - 1-- 2023 1529 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ WILLIAMS AVE S BLOCK NO. e✓ 415 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FEET MILES e S B W e S 4TH ST 1 5 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2069475932 0 9 30 6❑ LAST NAME HENG FIRSTNAME KULANG MIDDLE N 1 1 2 31 INITIAL STREET ❑, 4206 SE 2ND PL CITY RENTON ST WA ZIP' 980595153 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'F MID .O B 01 1- 05 - 1953 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 LICENSE C04226C STATE WA V N# 5TEGN92N21Z739790 10 9❑ Pr ATE� TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM ro TRLR. TRLR. 3 0 33 12 2 5 VIN# VIN#' :.:.... FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 9 34 13 4 2001 TOYT PU PK DAMAGE YES YYES[:] NO REGISTERED OWNER INFO C.I.LIM4206 SE 2ND PL RENTON WA 98059 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14LIABILITY INSURANCE INSURANCE CO STATE FARM 4493259DO847A 3 IN EFFECT &POLICY# 9TOP VawcLe CHARGE 1 5 36 LEGALLY YES No CITATION# 3A0646332 UNSAFE OR IMPROPER BACKING o BOTTom 15❑ NDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063836530 LAST NAME DECKERT FIRST NAME IDA MIDDLE M INITIAL 17❑ STREET ❑', 6922 S 125TH ST CITY SEATTLE ST WA ZIP 981784330 37 NEW ADDRESS ❑ 18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—TRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES t l NOF,/ 19[ D IVEW # I INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE I B5929C TATe WA VIN# 1FDFE4FS4GDC23426 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2016 MAKE OTH MODEL SCHOOL STYLE Yy VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO RENTON SCHOOL DISTRICT 300 SW 7TH ST RENTON WA 98055 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU PORGY#ECO SIAWSIAW232434033IN 1 9TOP 5 VE."LE ES[Z N CITATION# CHARGE u i o BOTTOM LEGALLY Y 25❑ s 6 7SHA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 CROW 12618 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE02706 COLLISION REPORT III III III III III 111 1591972 CASE# 23-10873 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) L/M CHHEKONG (LAST FIRST, ADDRESS&PHONE# 4206 SE 2ND PL RENTON WA 98059 2069475932 SEX i U MMDovyry 01 - 04 - 1943 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑' 1 POS. 10 2 9 1 USE CLASS ;1 NAME (LAST,FIRST,MIDDLE INITIAL) MAGANA CHRISTOPHER ADDRESS&PHONE# D O B RENTON WA 8054331463 SEX U MMDDvvvv -F _ SEAT HELMET I INJURY NATURE of INJURIES PASSENGER Z WITNESS❑ UNIT# 2 PCS 10 AIRBAG 1 RESTR. 9 EJECT 1 USE CLASS 1 NAME LAST FIRST,MIDDLE INITIAL) BOPEARACHCHIGEDON SULAKSHA AooREss&PHONE# RENTON WA 2063721994 _ SEX U. D.O.B.I. - MDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT 10 AIRBAG 1 RESTR. 9 EJECT 1 HELMET NJURY 1 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. SHAWN CROW 09-25-23 10:00 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT P.KORDEL 9676 9/26/2023 5:35:34 PM BADGE OR ID# 12618 OR]# WA0171300 TIME POLICE DISPATCHED! 3:31 PM TIME POLICE ARRIVED',3:33 PM PART I PAGE IT]OF 5� TIME REPORT NO. EE02706 CASE# 23-10873 OF COLLISION09/21/23 15:29 NARRATIVE CC On 09/21/2023 at about 1531 hours I was working uniform marked patrol as 1R15 when I was dispatched to a two vehicle non-injury collision at 415 Williams Ave S within the city limits of Renton, King County, Washington. The collision involved an occupied school bus (Vehicle 2) and a pickup truck (Vehicle 1). When I arrived the school bus was stopped in the southbound lane, and Vehicle 1 was parked in a nearby driveway. The Renton Fire Department (RFD) arrived and evaluated the two passengers (each approximately seven years of age) of the school bus. No one complained of injuries, and no one was transported to the hospital. After RFD completed their evaluations I directed the school bus to a nearby parking lot. Kulang Heng was the driver of Vehicle 1 and her husband (Chhekong Lim) was in the front passenger seat. Kulang was backing Vehicle 1 from her daughter's driveway located on the east side of the roadway. A RV (recreational vehicle) was parked on the east side of the roadway just north of the driveway Vehicle 1 was backing out of. Kulang mentioned the location of the RV, and it appeared to partially block her visual of southbound traffic. As Kulang backed out at an angle she struck the side of Vehicle 2. Vehicle 1 had damage to the rear passenger side area of the vehicle, but it was able to be driven. Kulang and Chhekong were not injured. Ida M. Deckert was the driver of Vehicle 2 that had two passengers who were about seven years of age. Passenger 1 was Chris Magana and Passenger 2 was Sulaksha Bopearachchigedon. Ida was stopped in the southbound lane in front of 415 Williams Ave S while letting out a student from the school bus. Ida had the bus' stop paddle extended out and the bus' red stop lights on while a student exited the bus. The student had completely exited the bus and crossed the street when Vehicle 1 struck the driver side area of the school bus while the bus' stop paddle and stop lights were still engaged. There were no injuries, and Vehicle 2 was able to be driven from the scene. I took photos of both vehicles and uploaded those photos to Axon. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Seat Position (Passenger CHHEKONG LIM): FRONT PASSENGER SEAT Motor Vehicle Unit 2 Seat Position (Passenger CHRISTOPHER MAGANA): PASSENGER INSIDE SCHOOL BUS Seat Position (Passenger SULAKSHA BOPEARACHCHIGEDON): PASSENGER INSIDE SCHOOL BUS **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE02706 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-1o873 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT'# 2 USDOT ICC# I VEHICLE TYPE 1 CARGO 6ODY 1 ;TYPE 2 ❑ 1 28 CARRIER RENTON SCHOOL DISTRICT NAME 3 CARRIER ADDRESS RENTON SCHOOL DISTRICT 300 SW 7TH ST CITY RENTON ST WA ZIP'', 98057 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 3 AXLES 02 GI 26000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NEW AnnRFSP CITY ST ZIP 6 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No NTERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# t 9 1"01? EHILLE o BarroM 34 13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1 RE O FEDDAL OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 El PEDESTRIAN 15 LAST NAME FIRST NAME INITIALMIDDLE TIAL ❑ F] STREET 16 NEW AnnRFS.� CITY ST 21P CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. SHAWN CROW 09-25-23 10:00 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12618 O#II,WA0171300 APPROVED BY 9%2E6/2023 PAGE F OF 5 3000-345-013(R 11118) REPORT NO. EE02706 CASE# ' 23-10873 DATE AND TIME 09/21/23 15:29 OF COLLISION v7 2 E c6 Vehicle 1 *Not Drawn To Scale DRIVEWAY Paint of Impact Vehicle PAGE 5 OF 5