HomeMy WebLinkAbout23-13556 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE29352 170
27
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 23-13556 2 0 5
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.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 OZ STRUCK
RESERVATION
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 11 - 1-- 2023 1200 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
DUVAL AVE NE BLOCK NO. e✓ 2400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2064126759 0 11
30
6� LAST NAME KAUR FIRSTNAME HARJINDER MIDDLE 1 2 31
INITIAL
STREET ❑✓ 16351 34TH LN S CITY SEATAC ST WA ZIP 98188 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
LICENSE CBA3192 STATE WA uN# JTDKN3DUOA0023899
10 9❑ Pr ATE�
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. ro
TRLR. TRLR. 3 5 33
12 3 5 VIN#j VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 4 2010 TOYT PRIUS HB DAMAGE YES NO �AWkkR'S TOWING vES❑ NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 964847087 3 4
IN EFFECT &POLICY# STOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ NO D:2064659864
16 a
LAST NAME HERRERA FIRST NAME JESUS MIDDLE
INITIAL
17❑ STREET ❑', 504 EDMONDS AVE NE CITY RENTON ST WA ZIP 98056 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/
19[—] LDI IVEW # STATE WA SEX M MMDDW 10 _ 24 1998 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I BKF4831 TATe WA vIN# JHMCM56323C015732.
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
GoI
VEH YEAR 2003 MAKE yOND MODEL ACCORD STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY v HYES NO 1/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#ECO STATE FARM 4355315-F15-47IN STOP 5
vewcLE ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N`L J
25 ' a
=KI
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12598 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE29352
COLLISION REPORT III III III III III 111
1591972 CASE# 23-13556
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'
On Saturday, November 25, 2023, at 1202 hours, I was dispatched to a two-vehicle collision in the
area of Duvall Ave NE and NE 24th St in Renton, WA.
The following occurred within the City of Renton, King County; Unit 1 - WA/ CBA3192 was being
driven by Harjinder Kaur and was facing westbound on NE 24th St waiting to turn left onto Duvall Ave
NE. Unit 2 - WA/ BKF4831 was driven by Jesus Herrera and was travelling northbound on Duvall
Ave NE in the lane closest to center lane.
Jesus stated he was driving northbound when Unit 1 turned directly in front of him without yielding
and caused the vehicle to collide. The passenger side of Unit 1 collided with the front of Unit 2.
Harjinder stated she was trying to turn onto Duvall Ave NE and did not initially see the oncoming
vehicle which was Unit 2. When she did see them, she tried to speed up but was unsuccessful.
From what Harjinder explained to me I believe she did not yield to oncoming traffic while make a left
turn.
Both vehicles sustained damage and needed to be towed.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.WISN/EWSKI 11-25-23 03:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 12/11/2023 6:29:49 PM
BADGE OR ID# 12598 ORI#' WA0171300 TIME POLICE DISPATCHED' 12:02 PM TIME POLICE ARRIVED',12:07 PM
PART I PAGE IT]OF
REPORT NO. EE29352 CASE# ' 23-13556 DATE AND TIME 11/25/23 12:00
OF COLLISION
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