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Home My WebLink About23-11535 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-11535 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 03 RESERVATION STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ CawsloN 10 - 08 - 2023 1559 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE 168TH ST BLOCK NO. e --- ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W❑ 111THAVESE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/NO D:9999999999 0 6 30 6 LAST NAME LUNA CRUZ FIRSTNAME MELANIE MIDDLE S 1 1 2 31 INITIAL STREET ❑ 123 FACTORYAVE N APT 1 CITY RENTON ST WA 2jp, 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑ ❑ 10 9❑ PI ATE BWG5089 sTArI WWAVrN#' JHMZE2H56AS004272 3 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR. 7 3 33 12 3 5 VIN#' UIN# FROM TO ❑ VEH.YEAR MAKE MODEL I STYLE VEHICLE TOWED TO BLIN 7 3 TOWED BY GOVT.VEHICLE 34 4 2010 HOND INSIGHT HB DAMAGE YES NO 13 YES❑ NO REGISTERED OWNER INFO LEOBALDO LUNA HERNANDEZ 123 FACTORYAVE N APT I RENTON WA 98057 D:9999999999 VEHICLE NO. 1 ❑ SHADE IN DAMAGEDAREA 35 14 ❑ INSURANCE CO <53 4LIABILITY INSURANCEIN EFFECT &POLICV# Q veHicLe CHARGE 5 36 LEGALLY YES❑NO CITATION# 3A0722962,3A0722962 OP MOT VEH W/OUT INSURANCE, 15❑ STANDING MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT 02 ❑ ❑ PEDESTRIAN ❑ ❑ D:2067996615 VEHICLE CYCLE OWNER YES�/ NO 16 a LAST NAME BUCKMEIER FIRST NAME MARLENE MIDDLE I J INITIAL 17❑ STREET Is❑' 16547 121 ST AVE SE CITY' RENTON ST WA ZIP 98058 4❑ 37 NEW ADOREs 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YEs❑NOF,/ 19 F] DRIVER # STATE WA SEX F M .C... 03 _ 17 1940 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑ILICENSE 21❑ PLA E# BW2383 TArE 41 WA vIN# 2GIWASE30D1164133 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' TOWED BY GOV HI 44 VEH YEAR 2003 MAKE CHEV MODEL IlyJpgLq STYLE $D DAMAGE TOWED NOO✓ BLIN YES NO 1/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU&PORGY#E CO STATE FARM 1415350 E16 47TIN 1 GD --ELLY ❑ ,J� CITATION# CHARGE 25 LEGA YES N`L J s � e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 BENJAMIN FLICK 12825 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE10272 COLLISION REPORT III III III III III 111 1591972 CASE# 23-11535 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. BENJAMIN FLICK 10-08-23 05:33 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 10/17/2023 6:24:41 PM BADGE OR ID# 12825 OR]# WA0171300 TIME POLICE DISPATCHED! 4:09 Pry/ TIME POLICE ARRIVED',4:04 PM PART I PAGE IT]OF 5� REPORT NO. EE10272 CASE# 23-11535 OF COLLISION 10/08/23 15:59 OF CbLLI510N NARRATIVE 23-11535 On 10-08-2023 at approximately 1601 hours I was working a marked Renton Police Department patrol in full uniform in the city of Renton, King County, Washington. I responded to a motor vehicle collision at the cross of SE 168th ST and 111th AVE NE. Upon arrival I made contact with all 3 vehicles involved. There were only two drivers as unit 03 was an unoccupied, parked vehicle. The involved drivers agreed upon the circumstances that occurred. The involved units and drivers were identified as follows: Unit 1 (WA/BWG5089) driver Melanie S. Luna Cruz (DOB: 06-27-1999 via WADOL) Unit 2 (WA/BVY2383) driver Marlene J. Buckmeier (DOB: 03-17-1940 via WADOL) Unit 3 (WA/D29649B) Which was legally parked, unoccupied, and owned by Anthony F. Zambrano (DOB: 03-24-1997 via WADOL) Both involved units were eastbound on SE 168th ST at the cross of 111th AVE SE when unit 02 began slowing down because the vehicle in front of her was driving "too fast." Unit 01 was not able to stop in time as unit 02 was slowing down and unit 01 collided with unit 02. Unit 01 tried to avoid the collision by swerving to the right, which is how she also collided with the parked vehicle, unit 03. Fire Department responded to evaluate unit 01 for airbag deployment. She refused treatment. Fire also evaluated unit 02, who was not complaining of any pain. I provided all parties with a business card which contained the case number. I observed that the damage to the vehicles was consistent with what the parties had told me. At the conclusion of my investigation, I determined that driver Luna Cruz had been following too closely as she was not able to stop in time. I did not understand why a vehicle driving "too fast" in front of unit 02 would inspire unit 02 to slow down, but regardless, unit 01 should have had a following distance that would have allowed her to slow down too, rather than collide with unit 02. 1 confirmed with driver Luna Cruz that her DOL address was current. I informed her that she would be receiving a citation for following too closely via mail. Additionally, she told me that she did not have any insurance. I informed her that she would also be receiving the fine for failing to have insurance on the same citation as well. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by B. Flick 12825 on 10-08-2023 in Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE10272 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-11535 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 DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN :. YES� IN 1 4 29 LAST NAME : UNKNOWN FIRST NAME MIDDLE INITIAL STREET 30 NEW AnnRFrt CITY ST ZIP 6 1 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No NTERLOCK YES❑N0� vES N DRIVER'S STATE I SEX U M��DVSYv' -� 2 LICENSE 7 ON DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ 1 32 LICENSE D296498 [TAT WA VIN# 1FTPX28L3XKA15076 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1C P FROM TO 1999 FORD F250 I'K DAMAGE YES NO YES NO REGISTERED OWNER INFOANTHONY ZAMBRANO 1207 SW CAMBRIDGE ST SEATTLE WA 98106 D:7023516464 m 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO ((ABILITY INSURANCE[] INSURANCE CO IN EFFECT &POLICY# t 9 1"01? VEHICLE 1 o BarroM 34 13 IEcnuv YES N001 CITATION# CHARGE STANDING } 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15F� I LAST NAME FIRST NAME INIMIDDLETIAL ❑ 36 ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES NO NTERLOCK YES NO 'YES NO ❑ 17 5 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 ❑ [441 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 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 S 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. BENJAMIN FLICK 10-08-23 05:33 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12825 O#II,WA0171300 APPROVED ER 10/17/202 PAGE F OF 5 3000-345-013(R 11118) REPORT NO.! EE10272 CASE# ' 23-11535 DATE AND TIME 10/08/23 15:59 OF COLLISION L Not to scale Y COD m SE 168th ST r w i un�tl unit 2 unit 3 PAGE 5 OF 5