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HomeMy WebLinkAbout23-13860 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-13860 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 N E IN CITY#
cawsloN 12 - 1-- 2023 1514 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BENSON RD S BLOCK NO. e✓ 2100 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ VV e S.PUGET DRIVE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2067076209 0 81
30
6� LAST NAME KUACH FIRSTNAME JOHN MIDDLE C 1 2 31
INITIAL
STREET ❑ 10433 SE KENT KANGLEY RD APT CITY KENT ST WA 2jp, 980307603 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ PI aT�S1t CCW0762 sTArI WAvIN# 4T18G22K81U098019
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 5 1 33
12 0 VIN#' VIN#
ROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 9 9 34
13 4 2001 TOYT CAMRY SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO 1.KUACH 10433 SEKENTKANGLEYRD APT KENT WA 98030 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO <��34
14 UNITED FINANCE CO 52930687
LI EFFECT I SUR N#VEHICLE CHARGE 36
LEGALLYYES NO CITATION# 3A0681855 INATTENTIVE DRIVING
15❑ STANDING 6
MOTOR PEDAL- ''PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ ❑ ❑CYCLE OWNER ❑ YES 1/ NO DD 4252771394
16 a
LAST NAME HANSEN FIRST NAME THOMAS MIDDLE H
INITIAL
17❑ NEW STREETRE57 14022 SE 158TH ST CITY RENTON ST WA ZIP 980587812 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 D STATEWASEXM .CB. _ 39
# M .
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ PLA E# BGK8274 TArE WA VIN# 2G61MSS34E9313730 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2014 MAKE CADI MODEL XTS STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO THOMAS HANSEN 14022 SE 158TH ST RENTON WA 98058 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU PORGY#E CO GEIC04579960008
IN 9TOP
VEHICLE LJ`
YES[Z N(� CITATION# NONE CHARGE NIA BOTTOM
LEGALLY
25 1 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.CHRISTIANSEN 10437 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE26064
COLLISION REPORT III III III III III 111
1591972 CASE# 23-13860
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.
J.CHRISTIANSEN 12-03-23 04:50 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 12/3/2023 5:23:23 PM
BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED; 3:45 PM TIME POLICE ARRIVED',3:47 PM
PART I PAGE IT]OF
REPORT NO. EE26064 CASE# 23-13860 OF COLLISION
12/03/23 15:14
OF CbLLI510N
NARRATIVE
RPD CASE#: 23-13860
RECORDED ON AXON
*This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. *
On 12.03.2023, at approximately 1547 hours, I was dispatched to a two-vehicle, non-injury, non-
blocking collision in the area of Benson RD S., and S. Puget Drive, in the City of Renton, WA, the
County of King.
I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was
operating a fully marked Renton Police Tahoe #355, equipped with "POLICE" markings, overhead
exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully
equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton
Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with
"POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious
to any reasonable person I was a police officer. I was assigned as 6r10 (Officer in Charge/OIC).
At the time of this incident, it was overcast, approximately 51 degrees and the roadway was wet from
previous rainfall.
Prior to my arrival, dispatch updated the notes in the call with the following:
`BOTH PARTIES MOVING TO 76 GAS STATION.... HAZ LIGHTS ON.'
I arrived on scene at approximately 1547 hours and met with both involved parties in the parking lot of
the gas station. Both drivers stated they were not injured, and both were wearing their seatbelts at
the time of this collision.
Unit 01 was identified as a grey in color Toyota Camry bearing WA/CCW0762. Unit 01 had damage
to the front bumper, which was pushed downward and the undercarriage, although it was still
operable.
Unit 01's driver was identified by his WADL as KUACH, JOHN CHUOL (DOB: 05.10.1963). KUACH
matched the photo on his WADL and when asked what happened leading up to the collision, he said
he was driving northbound on Benson RD S., and as he approached the intersection with S. Puget
Drive, he entered the left turn lane and observed Unit 02 stopped in the left turn lane for a solid red in
color traffic signal light. KUACH attempted to stop his vehicle but slid in the roadway and struck Unit
02 from behind.
A WACIC/NCIC/DOL query on KUACH was clear and valid.
Unit 02 was identified as a black in color Cadillac XTS bearing WA/BGK8274. Unit 02 had damage to
the rear bumper, which was pushed downward and blocking the trunk from being opened, and the
undercarriage. Unit 02 was still operable.
Unit 02's driver was identified by his WADL as HANSEN, THOMAS HAROLD (DOB: 09.24.1952).
HANSEN matched the photo shown on his WADL and stated he was traveling northbound on Benson
RD S., and as he approached the intersection with S. Puget Drive, he was occupying the left turn lane
and stopped for a red traffic signal light. Unit 02 was at a complete stop when he was struck from
behind by Unit 01.
A WACIC/NCIC/DOL query HANSEN revealed he was clear and valid.
Unit 01's KUACH, JOHN CHUOL (DOB: 05.10.1963) is the causing party in this collision. I advised
KUACH he would be receiving a citation via the mail for violation of Renton Municipal Code R 10-12-
25: Inattentive driving. KUACH was issued citation 3A0681855, which will be mailed via the courts.
No injuries were recorded and both parties were given an exchange of information form on scene.
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 J. Christiansen #10437, on December 3, 2023, at approximately
1647 hours, in Renton, WA.
PAGE 3 OF 5
REPORT NO. EE26064 CASE# 23-13860 OF COLLISION
12/03/23 15:14
OF CbLLI510N
NARRATIVE
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EE26064 CASE# ' 23-13860 DATE AND TIME 12/03/23 15:14
OF COLLISION
Renton PD • ,a; 2,3-13860
"
SCALE*'NOT TO
i
PAGE 5 OF 5