HomeMy WebLinkAbout23-11790 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-11790 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4150 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 6 0 28
TRIBAL 1 OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 10 - 16 - 2023 0750 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD N BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N 3RD ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:4258911582 30
6� LAST NAME SINGH FIRSTNAME AKASH MIDDLE P 1 1 2 31
INITIAL
STREET ❑ 2300 NE 27TH ST CITY RENTON ST WA 2jp, 980562233 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10❑ Pi aT�S� CGT8073 sTArI WAvIN# 5YJ3E1EA3PF550701
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. ro
TRLR. A'RLA2 1 5 33
12❑ VIN#j VIN#'
FROM r0
VEH.YEAR 2023 MAKE TESL MODEL MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
DAMAGE YES NO ✓ YES❑ NO✓
13❑ REGISTERED OWNER INFO AKASH SINGH 2300 NE 27TH ST RENTON WA 98056 VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE INSURANCE CO COUNTRY FIN PA5A4668778 3 4
IN EFFECT &POLICY# 9TOP
VEwcLE 5 36
LEGALLv Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 6
UNIT VE IMOTOOR ❑ CYCLE ❑ PEDESTRIAN ❑✓ OWNER RTY ❑ DYES✓ NO�THRM.LDMET PHONE
16 a
LAST NAME MANALO FIRST NAME KIRK MIDDLE IP
INITIAL
STREET CITY RENTON ST WA ZIP
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t l NO❑
19 DRIVE # STATE SEX M MD.O.B. 03 _ 17 1995 39
ON DUTY STATUS 3 AIRBAG RESTR EJECT WEB MEET CLASINJURS LEFT
5 LEFT AND RIGHT SIDE PAIN ❑[NATURE OF INJURIES 40
❑21❑ LICENSE TArE vIN# 41
PLATE#
42
22❑ PR TRAILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4 O 2 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO IGQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.M/TCHELL 10377 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE10847
COLLISION REPORT III III III III III 111
1591972 CASE# 23-11790
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ROCK MICHELLE C
(LAST FIRST,
ADDRESS&PHONE# D O.B.
2062916952 SEX F MMDDYYYY 05 - 28 - 1983
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) CANOELIN NICOLE
ADDRESS&PHONE# DOB
4255914211 SEX F .M.D ,Y
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.O.B.MMDD -❑
YYYY.
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.
J.MITCHELL 10-19-23 08:30 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1011912023 10:48:39 AM
BADGE OR ID# 10377 ORI# WA0171300 TIME POLICE DISPATCHED; 7:50 AM TIME POLICE ARRIVED',7:55 AM
PART I PAGE IT]OF 4�
REPORT NO. EE10847 CASE# 23-11790 OF COLLISION
10/16/23 07:50
OF CbLLI510N
NARRATIVE
On 10/16/23 1 responded to a vehicle vs pedestrian that occurred at N 3rd and Sunset Blvd N.
Upon arrival, I checked on the pedestrian, who would become known to me as Kirk P Manalo. Manalo
was laying on the pavement. He was conscience and alert. When I asked the Manalo where his
injuries were, he gestured it was on his left side. Renton Fire arrived and continued treatment on the
pedestrian. Manalo was transported to Valley Medical Hospital. Later I spoke with Manalo at VMH
where he told me he wasn't paying attention when he walked across the roadway against the traffic.
I contacted the driver of unit 1 who told me they were traveling in the #3 lane of southbound Sunset
Blvd N. Driver says after entering the intersection of Sunset Blvd N and N 3rd on a solid green light,
he was involved in a collision with the pedestrian. Driver said he did not see the pedestrian in a
roadway and did not have a chance to avoid the collision. The damage to unit 1 included a broken
driver side view mirror and driver side windshield damage.
I contacted witness 1 (W1). W1 was traveling northbound on Sunset Blvd N approaching N 3rd and
noticed the pedestrian walking westbound across Sunset Blvd. She observed the pedestrian being
struck by unit 1. She pulled over on the shoulder of Sunset Blvd, north of N 3rd and attempted to help
the pedestrian.
I contacted witness 2 (W2). W2 called in to let police know that she had a video of the incident via her
dashcam. I observed the dashcam footage. W2 was stopped in the #1 lane of eastbound N 3rd
(west of the intersection) on a stale red right. I observed the pedestrian walking westbound across
Sunset Blvd N. The point of impact was not captured on the dashcam.
I observed Renton Traffic cameras. Again, the pedestrian is observed walking westbound across
Sunset Blvd N (against vehicle traffic). Again, POI is not observed because of the angle of the
camera.
But not for the action of Manalo, the result would not have happened.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
PAGE 3 OF 4
REPORT NO.! EE10847 CASE# 23-11790 DATE AND TIME 10/16/23 07:50
OF COLLISION
Sunset Blvd N
N 3 ST
PAGE 4 OF 4