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Home My WebLink About23-12598 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-12598 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 3 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 N E IN CITY# ❑ cowsloN 11 - 1-- 2023 0733 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S CARR RD BLOCK NO. e✓ 1100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2064769684 0 6 30 6� LAST NAME LEWIS FIRSTNAME MADISON MIDDLE A 1 1 2 31 INITIAL STREET ❑1 17650 134TH AVE SE APT L207 CITY RENTON ST WA 2jp, 980586836 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES �No / LRIIVER # STATE WA SEXI F MM D Y' 11 - 16 - 8❑ 2003 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES z❑ 3 LICENSE CGE0320 STATE WA uN# 1G1ZD5ST6KF228075 10 8❑ Pr ATF� TRAILER STATE TRAILER STATE 11 2 0 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 2 0 vIN# VIN # I IFROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34 13 2 2019 CHEV MAL/BU DAMAGE vEsNo vEs❑ NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ❑ NSURANCECO eq�T3 4 LIABILITY INSURANCE IN EFFECT &POLICY# 9TOP 5 VEHICLe CHARGE 10 BOTTOM 36 �LGALLYYEs No clTAnoN 3A0087432,3A0087432 SPEED TOO FAST FOR CONDITIONS,15❑ -R MOTOR PEDAL- PE.pESTRIANPROPERTY DAM THR OLD MET PHONE NIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ YES NO 1/ D:2067782669 16 a LAST NAME CACERES REYES FIRST NAME MARIA MIDDLE I D INITIAL 17❑ STREET ❑', 14752 SE 187TH CT CITY RENTON ST WA ZIP 980589310 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l NoF,/ 19 DRIVER # STATE WA SEX F M .C... 08 _ 15 _ 1972 El 39 HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS ❑ 21❑ LICENSE BOU9003 TATe WA VIN# 5FRYD4H23GB041446 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. N#. 43 RLR % 'I VEH YEAR 2016 MAKE ACUR MODEL MDX STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO ROMMEL REYES 14752 SE 187TH CT RENTON WA 98058 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO PROGRESSIVE 967955966IN 1 9TOP 5 VEHICLE ,.I—I CITATION# CHARGE 25 i o BOTTOM LEGALLY YES❑ N $ ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 K.LANE 10008 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE15738 COLLISION REPORT III III III III III 111 1591972 CASE# 23-12598 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 PM 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. K.LANE 11-02-23 11:34 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 111212023 5:42:46 PM BADGE OR ID# 10008 OR]# WA0171300 TIME POLICE DISPATCHED 7:35 AM TIME POLICE ARRIVED 7:36 AM PART I PAGE IT]OF REPORT NO. EE15738 CASE# 23-12598 OF COLLISION 11/02/23 07:33 OF CbLLI510N NARRATIVE This collision occurred in the 1100 blk of S Carr RD which is a 20 MPH school zone for the New Horizons School and the blinking amber lights activated indicating the school zone was in effect. This roadway is at a fairly steep incline with the high point being to the east and going downhill to the west. On this date, it was raining heavily with a large amount of water on the roadway. Unit 2 was traveling westbound in the 1100 blk of S Carr RD in the left inside lane and slowing and coming to a stop for a vehicle waiting to turn left into the New Horizons School. Unit 3 was traveling eastbound coming up the hill in the 1100 blk of S Carr RD in the left inside lane. Unit 1 was traveling westbound downhill approaching the 1100 blk of S Carr RD in the left inside lane. Driver 1 states that she did not anticipate that Unit 2 would be stopping and was traveling at such a speed that when she applied her brakes, they were ineffective due to the water on the roadway and steep incline. Driver 1 swerved to the left into the oncoming (eastbound) lanes of S Carr RD with Unit 3 approaching. Unit 1 was unable to avoid a collision with Unit 2 as the front passenger side of Unit 1 struck the rear driver's side of Unit 2. This did not stop Unit 1 from continuing into the lane occupied by Unit 3 approaching and the front driver's side corner of Unit 1 struck the front end of Unit 3. Unit 2 sustained minor rear driver's side damage. Unit 3 sustained moderate but disabling damage to the front end. Unit 1 sustained moderate damage to both front end corners. Driver 1 advised she did not have insurance. Driver 1 cited for speed too fast for conditions by traveling at such a speed on a wet roadway in heavy rain, at a downhill incline, that prevented her ability to stop for a normal driving situation and was the proximate cause of the collision. Driver 1 also cited for operating a motor vehicle without insurance. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Traffic Control: SCHOOL ZONE 20 MPH SPEED ZONE Motor Vehicle Unit 2 Traffic Control: SCHOOL ZONE 20 MPH SPEED ZONE Motor Vehicle Unit 3 Traffic Control: SCHOOL ZONE 20 MPH SPEED ZONE **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE1 55738 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-12598 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L 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:4258908442 rFO 1 29 LAST NAME RODNE FIRST NAME : KALYN MIDDLE S INITIAL 30 STREET 6 g NEW AOfbRFSP 34815 SE K►NSEY ST APT 101 CITY SNOQUALMIE ST WA Z1P 980659390 '. _ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv', 07 - 23 - 1998 7 ON DUTY� STATUS AIRBAG' 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE I CFU0713 [TAT WA VIN# 1FMCU9D72BKB91517 PLATE# 9 8] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 2 0 VEH.YEAR2011 MAKE FORD MODELESCAPE STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1Ci P FROM TO DAMAGE YES NO YES NO 33 REGISTERED OWNER INFOKALYN RODNE 25815348TH AVE SE RAVENSDALE WA 98051 ] $ 12 SHADE IN DAMAGED AREA 7GQ j4 FROM TO LIABILITY INSURANCE INSURANCE CO STATE FARM 5284688-E09.47 IN EFFECT &POLICY# 1EHICLE 34 13LEGALLY YES❑ NO❑ CITATION# CHARGE STANDING S} 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNER YE YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME NII7 aL ❑ 36 STREET 16 NEW An "[-] CITY ST ZIP CDL IGNITION REQUIRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK 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 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALIv 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. K.LANE 11-02-23 11:34 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 10008 O#I,WA0171300 JOHNSON 111212023 PAGE F OF 5 3000-345-013(R 11118) REPORT NO.! EE15738 CASE# ' 23-12598 DATE AND TIME 11/02/23 07:33 OF COLLISION 1+, - PAGE 5 OF 5