HomeMy WebLinkAbout23-12878 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-12878 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
cawsloN 11 - 08 - 2023 1251 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RENTON AVE SOUTH BLOCK NO. e✓ 13200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e S 132ND ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:9177330681 0 11
30
6� LAST NAME LOCKHART FIRSTNAME EVAN MIDDLE M 1 1 2 31
INITIAL
STREET ❑1 7311 COAL CREEK PKWY SE APT E CITy NEWCASTLE ST WA 2jp, 980593062 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/iNTERLOCKYEs NO INTERLOCKYEs Z/NO YES �No /
LRIIVER # STATE WA SEX'M I EL MI MIT Y
8❑ ' 09 — 10 — 1985 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE CKE2886 sTArI WAvIN# JF2SKAMCOPH513873
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 5 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE ] 3 34
13 2 2023 SUBA FOREST 4W DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14� LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 817 638 964 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# W23067362 FAIL YIELD LEFT TURN MOTOR 1 o aorrom
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAMYE THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ S 1/ NO D:2068169815
16 a
LAST NAME HURST FIRST NAME GRACEN MIDDLE W
INITIAL
17❑ NEW ADDRES�' 12719 6STREET 7TH PL S CITY SEATTLE ST WA ZIP 98178 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX M D.C... 04 13 _ 1998 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS C/O NECK PAIN
❑LICENSE I 21❑ PLA E# C00780S TArE 41
WA VIN 1 3TMBZ5DNOHM006777 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2017 MAKE TOYT MODEL TACOMA STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO GRACEN HURST 3939 S OTHELLO STAPT 735 SEATTLE WA 98118 D:2068169815 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO ALLSTATE 817 638 964IN 1 9TOP 5
"E""LE YEs Nc❑ CITATION# W23067363 CHARGE FL RENEW EXPIRED REG>2 MTHS o BOTTOM
GAILY 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
MATTHEW NUGENT 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE20386
COLLISION REPORT III III III III III 111
1591972 CASE# 23-12878
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(LAST FIRST,MIDDLE INITIAL) VO AMYT
ADDRESS&PHONE# D O.B.
12719 67TH PL S SEATTLE WA 981783729 2068169815 SEX F MMDDYyYv 02 - O6 - 2001
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑I UNIT# I 2 POS 3 AIRBAG 2 RESTR. q EJECT USE 2 CLASS 17 C/O LOWER SACK PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDDYYYY
PASSENGER ❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
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.
MATTHEW NUGENT 11-09-23 10:13 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
c0.JOHNSON 0505 1 1111612023 4:22:33 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 12:54 PM TIME POLICE ARRIVED',4:08 Pry
PART I PAGE IT]OF 4�
REPORT NO. EE20386 CASE# 23-12878 OF COLLISION
11/08/23 12:51
OF CbLLI510N
NARRATIVE
23-12878
On 11/08/2023 at approximately 1254 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the intersection of Renton Avenue South and South 132nd Street, within the City
Limits of Renton, County of King, State of Washington.
Upon arrival, I confirmed there were no complaints of injuring requiring immediate medical response
at the time of report. While on scene, I collected each of the involved parties driving information and
their independent recollection leading up to the collision.
The driver of Unit#1 stated he was the sole occupant of his vehicle and was traveling westbound in
about the 13200 block of Renton Ave S, in the left-turn-lane, and was intending to make a left-turn
onto S 132nd ST. The driver of Unit#1 stated he was lost and temporarily distracted trying to get
connection on his phone for GPS assistance. The driver of Unit#1 stated he was intending to make a
left-turn and had begun to traverse across traffic thinking that he had the time and distance to make
the turn. The driver of Unit#1 stated that part way into his turn, he noticed Unit#2 approaching his
location from the oncoming lane. Both Unit#1 and Unit#2 collided in the roadway subsequently
causing moderate damage to the front driver's side quarter panel of Unit#1.
The driver of Unit#2 stated he and his adult passenger were traveling eastbound in about the 13200
block of Renton Ave S Road in the only eastbound lane prior to the intersection of S 132nd ST. The
driver of Unit#2 stated he was intending to continue east through the uncontrolled intersection. The
driver of Unit#2 stated that while approaching the intersection, he noticed Unit#1 attempt to make a
left-turn in front of him. Unit#2 tried to avoid the collision but subsequently collided into Unit#1 in the
roadway causing minor damage to the driver's fender and doors of Unit#2.
Based on the above statements, I determined that the driver of Unit#1 did not grant the right of way
to Unit#2 traveling in the roadway which had the right of way and was already underway. The driver
of Unit#1 was turning left and traversing across traffic and must not do so until it is clear of
hazard/traffic. The driver of Unit#1 (Lockhart) violated RCW 46.61.185.1 by being the driver of a
vehicle intending to turn to the left within an intersection shall yield the right-of-way to any vehicle
approaching from the opposite direction which is within the intersection or so close thereto as to
constitute an immediate hazard.
I issued Lockhart a written warning in-person for not granting the right of way during a left turn.
Both Unit#1 and Unit#2 were able to be driven away without further incident. An exchange of
information was provided to all involved parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. Nugent#11498 11/9/2023 10:05 AM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE20386 CASE# ' 23-12878 DATE AND TIME 11/08/23 12:51
OF COLLISION
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