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Home My WebLink About23-10883 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-10883 z INTERSTATE ❑ CITY STREET ❑ FIRE ❑RESULTED 1 STOLEN STATE ROUTE OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 09 - 1-- 2023 1820 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ MAPLE VALLEY HIGHWAY BLOCK NO. e✓ 13100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 6❑ 50 00 FEET e S ❑ W e 131STAVESE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:2068181020 0 81 30 6� LAST NAME RHODES FIRSTNAME ELAINA MIDDLE A 1 2 31 INITIAL STREET ❑ 5817 20TH AVE S CITY SEATTLE ST WA Zlp 98108 z= 'NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 1❑ P1 ATNES# BXP8445 sTAr WAv N# JHMFA36239S007364 TRAILER STATE TRAILER STATE 11 4 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 4 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE J 9 34 13 $ 2009 HOND CIVIC P4 DAMAGE vEs ONO f �AWkkRS TOWING vEs❑ No REGISTERED OWNER INFO ROBERTRHODES 830854TH AVE S SEATTLE WA 98118 D:2067990917 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 UABILI INSURANCE INSURANCE CO FARMERS INSURANCE 187845572 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:4253580912 16 a LAST NAME THOMSEN FIRST NAME BRYCE MIDDLE IS INITIAL 17 STREET❑ NEW ADDRESS❑' 23856 SE 249TH PL CITY MAPLE VALLEY ST WA ZIP 98038 37 18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LDIIVER # STATE WA SEX M M .O.B. 05 _ 19 _ 2005 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# ABK5555 TArE WA VIN# 41 2T3BF4DV7AW059595 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2010 MAKE TOYT MODEL RAV4 STYLE P4 VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO CHRISTINA THOMSEN 23856SE249THPL MAPLE VALLEY WA 98038 D:4253580912 VEHICLE NO.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE &POLICY#E CO PEMCO CA 1786821IN 9TOP 'E""LE CITATION# CHARGE 25 to BOTTOM LEGALLY YES Nu ❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 PART A PAGE 01 OF C7 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. EE03556 COLLISION REPORT III III III III III 111 1591972 CASE# 23-10883 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ROSS SASHA J (LAST FIRST, ADDRESS&PHONE# D O.B. ' 21804 SE 248TH ST MAPLE VALLEY WA 98038 2067990917 SEX i F M C.O'B.v 09 - 01MDD - 2007 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET NJURY NATURE OF INJURIES ❑✓ 1 POS. ( 3 2 4 1 USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# Ly O B SEXI MMDDYVYV PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.q.B. PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' On 9/21/2023 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a three vehicle collision near the intersection of Maple Valley Highway and 131 st Ave SE Renton/King/WA. I arrived on scene and located vehicle 1, a gray 2009 Honda Civic (WA/BXP8445). I located the driver identified as Elaina A Rhodes (DOB: 12/01/2004). She said that she was driving west on Maple Valley Highway, she said that she looked down to pick something up off the vehicle floor and when she looked up saw traffic stopped but was not able to stop in time. She collided with vehicle 2. The Civic had extensive front end damage and was removed from the scene by Bankers Towing. Neither Elaina or her passenger had any injuries. I then spoke with the driver of vehicle 2, a 2010 Toyota Rav4 (WA/ABK5555) driven by Bryce S Thomsen (DOB: 5/19/2005). Bryce said that he was stopped for traffic at the intersection when he was struck from behind by vehicle 1 causing him to roll forward colliding with vehicle 3. Bryce told me that he passed vehicle 1 farther down the road and believed the driver was distracted putting makeup on. Vehicle 2 had damage to the rear bumper and front bumper from the collision. Bryce was not injured and vehicle 2 was drivable. I then spoke with the driver of vehicle 3, a black 2010 Honda Accord (WA/BBK0064) driven by Tan T Tran (DOB: 9/16/1985). Tan said that he was stopped for the light when he was struck from behind by vehicle 2. Tan was not injured and vehicle 3 had damage to the rear bumper. Vehicle 3 was drivable. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. D.NELSON 09-21-23 07:36 PM INVESTIGATING gFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 888 1 912812023 4:16:50 PM BADGE OR ID# ! 12421 ORI# WA0171300 TIME POLICE DISPATCHED; 6:22 Pry TIME POLICE ARRIVED 6:40 PM PART I PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. EE0355556 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-10883 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO D:2604336349 0 8 29 LAST NAME : TRAINFIRST NAME TAN MIDDLE T INITIAL STREET 30 NEW AnDRFSP' 3609 SE 5TH PL CITY RENTON ST WA ZIP 98058 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO zERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 09 - 16 - 1985 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BBKO064 [TAT WA VIN# 1HGCP2F69BA152499 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 4 5 VEH.YEAR2011 MAKE HOND MODELACCORD STYLE P4 VEHICLE TOWE E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO GEICO 4454249931 R"i"Olx IN EFFECT &POLICY# 1 EHICLE 34 13 3 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTOM STANDING } 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE ❑ 36 STREET 16 TEETFs.�' CITY ST ZIP CDL IGNITION REdUiR rD IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE rnr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 TRLR TRLR 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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. D.NELSON 09-21-23 07:36 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12421 O#IL WA0171300 SUMMERS 9/28/2023 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. EE03556 CASE# 23-10883 DATE AND TIME 09/21/23 18:20 OF COLLISION 13100 block Maple Valley Highway Vehicle 3 ................. .......... Vehicle 2 Vehicle 1 PAGE 4 OF