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HomeMy WebLinkAbout23-14468 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-14468 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC WA0171.300 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TRIBAL 02 TOTAL#OF OBJECT 1 1 8 28 UNITS ❑ RESERVATION I I STRUCK z 3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# c usoN 12 - 17 - 2023 1100 17 ❑.= E IN e 1070 3 S 8 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 108TH AVE S BLOCK NO. e✓ 19044 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 25 1. 00 FEET MILES e S B W e S 192ND ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2532892947 0 11 30 6 LAST NAME FLORES CORTES FIRST NAME JESUS MIDDLE 1 2 31 INITIAL STREET El 22823 92ND AVE S APT N306 CITY KENT ST WA ZIP 98031 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ I INTERLOCKYEs Z NO I YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES z❑ USE CLASS j I PAIN AND ABRASION TO LEFT HAND LIC3 ENS BZR6713 STATE WA VIN#' YV1TS94D8Y1089194 10[1 PI F_ TRAILER STATE TRAILER STATE 11 0 0 PLATE# I PLATE# I I FROM TO FT -R TPILF1 1 5 33 12 0 0 VIN#' VIN# FROM TO VEH.YEAR ZOOO MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34 13 VOLV SSO $D DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO SEROIO FLORESALVAREZ 2282392NDAVE S APTN306 KENT WA 98031 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY YEs❑No CITATION# 3A0847226 NOVAUNO INSURANCE o BOTTom 15❑ STANDING <1 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2535611343 16 a LAST NAME 1 77771RETOLONG FIRST NAME PERLEEN MIDDLE INITIAL 17 NEW STREETREs7' 10922 SE 254TH PL APT E03 CITY KENT ST WA ZIP 98030 37 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK yEs❑NOF YEs❑NOF,/ 19 DRIVER'S STATE I WA ]SEX IF D.Q.B. 07 14 1987 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES 40 USE CLASS PAIN IN BACK ❑ 41 21❑ LICENSE I PLA E# CGH2494 TATE WA VIN# 2G1125S36F9206417 1 42 22❑ PLATE# STATE PLATE# STATE r 23❑ 43 IN# IN RLR #.UIN#. ' I VEH YEAR 2015 MAKE CHEV MODEL IMPALASTYLE $D DAMAGE TO WED NOO✓ BLIN TOWED BY 44 Yr GOV H YES NO 1/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 970E "E""LE Yes Nc❑ cIrATION# 3AO847227 CHARGE NO INSURANCE oaoTroM LE...LY 25 $ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 7AGENCY 26 ROSEANNE HYNES 12612 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE32900 COLLISION REPORT III III III III III 111 1591972 CASE# 23-14468 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) FLORES CORTES SERGIO (LAST FIRST, ADDRESS&PHONE# D O.B. 22823 92ND AVE S APT N306 KENT WA 98031 2532177261 SEX M MMDOYyry 06 - 28 - 2003 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER�WITNESS� UNIT# 1 POS. 3 AIRBAG!3 RESTR. 4 EJECT 1 USE 2 CLASS i6 PAlNTOLEFTKNEE NAME (LAST,FIRST,MIDDLE INITIAL) BILLY BARAK M ADDRESS&PHONE# D O B 10922 SE 254TH PL APT E03 KENT WA 98030 SEX M MMDDYvvv 11 _ 01 _ 2012 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. ROSEANNE HYNES 12-17-23 05:06 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 07691 1 12/21/2023 8:53:18 AM BADGE OR ID# ( 12612 OR]# WA0171300 TIME POLICE DISPATCHED; 11:03 AM TIME POLICE ARRIVED',11:08 AM FART I PAGE IT]OF 4� REPORT NO. EE32900 CASE# 23-14468 OF COLLISION 12/17/23 11:00 OF CbLLI510N NARRATIVE On 12/17/2023 at 1103 hours, I was in full patrol uniform and driving a marked Renton Police patrol vehicle when I was dispatched to 19044 108th Ave SE in the city of Renton, County of King, State of Washington regarding a traffic collision. Upon arrival, I saw V1-gray Volvo (WA LIC# BZR6713) resting on all four tires in the roadway on 108th Ave S, just north of SE 192nd St. V1 had severe damage to it's front end. The front driver and front passenger airbag had been deployed. V1 was in the southbound left lane. I saw V2 -red Chevy Impala (WA LIC# CGH2494) parked in the parking lot of the 76 Gas station at 19044 108th Ave SE. I saw damage to the rear of the vehicle. I spoke with D1-Jesus Flores-Cortes and he told me in summary: He was driving south on 108th Ave S approaching the intersection at SE 192nd St. V2 was driving in front of him. He saw the traffic signal light turn yellow. V2 braked and he, D1, applied the brakes on his vehicle but could not stop in time. His vehicle skidded and collided into the rearend of V2. I asked D1 if he knew about how far away from V2 he was when V2 applied the breaks. He pointed to the approximate area of the distance between his vehicle and V2. I estimated it was about two car lengths away. I saw redness to the back of D1's hand. He complained of pain to his left hand. He declined medical treatment and transport on scene. D1 said his brother, passenger Sergio Florez-Cortes was sitting in the front passenger seat at the time of the accident. Sergio complained of pain to his left leg. Sergio left the scene before I could speak with him. I asked D1 for his driver license and insurance information. D1 said he did not have a driver license and had a Washington ID only. He also said he didn't have proof of insurance with him. He believed his father had insurance for the vehicle, but was not certain. I spoke with D2-Perleen Retolong and she told me in summary: She was driving south on 108th Ave S in the left lane and approaching the light at SE 192st St. The light turned yellow so she braked and stopped her vehicle. Immediately afterward, she was hit from behind by V1. D2 complained of pain to her back. She declined medical assistance and transport. I did not observe visible injury upon her. D2 said her juvenile son, Barak M. Billy, was sitting in the front passenger seat at the time of the collision. She said he appeared uninjured and did not complain of injury to her. I did not observe injury upon Barak. I asked D2 for her license and insurance information. D2 said she did not have insurance for her vehicle. Because D1-Cortes was driving a motor vehicle on the city street without a driver's license but had valid identification, I determined he was in violation of RCW 46.20.015 -No Valid Operators License with Valid ID. Because D1 did not have proof of insurance, I also cited him for being in violation of RCW 46.30.020-Operating a Motor Vehicle without Insurance. Reference citation #3A08472256. Because D2-Retolong did not have insurance, I cited her for RCW 46.30.020 -Operating a Motor Vehicle without Insurance. Reference citation #3A0847227. V1 was privately towed from the scene. V2 was driven from the scene. I have nothing further. This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed: R. Hynes #12612 Date & Place: 12/17/2023 @ 1700 hrs Renton, WA PAGE 3 OF 4 REPORT NO. EE32900 CASE# ' 23-14468 DATE AND TIME 12/17/23 11:00 OF COLLISION i Not Drawn to Scale 1Se, 192nd St q b 3 i iI PAGE 4 OF 4