HomeMy WebLinkAbout23-13213 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-13213 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 11 - 1-- 2023 1701 17 ❑.= S 8 IN e 1070 3
4� ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE S BLOCK NO. e✓ 100
4a 1❑ 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:2532933893 0 7 30
6❑ LAST NAME REATH FIRSTNAME NYAKUME MIDDLE G 1 2 31
INITIAL
STREET ❑✓ 29225 MILITARY RD S APT B5 CITY FEDERAL WAY ST WA ZIP 98003 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8 LDRIVER # STATE WA SEX'F MM ovY 01 1- 01 - 1989 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CBW0330 sTArI WAurN# JT8BF12G5T0143780
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR TRLR 1 5 33
12 0 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR 1996 LEXS ES SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
DAMAGE YES NO
13 4 YES[:] No
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ❑ INSURANCE CO eq�T3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# 9TOP 5
VEwcLE CHARGE 10 BOTTOM 36
LEGALLY YEs❑NO CITATION# 3A0776571,3A0776571 FOLLOW VEHICLE TOO CLOSELY,OP
15❑ STANDING 8 7 6
MOTOR PEDAL-:. 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�U-N�T VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2062652725
16 a
LAST NAME HERNANDEZ FIRST NAME GERMANNI MIDDLE D
INITIAL
17 NEW ADDREs�' 6951 S STREET 123RD ST APT 107107 CITY SEATTLE ST' WA ZIP 98178 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19[—] LDI IVER # STATE WA ]SEX IF M D.C.B. 09 _ 21 1991 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# BXW3713 TArE 41
WA VIN# 3CZRU6H56JG705651 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 201E MAKE HOND MODEL HRV STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MARQUIS NEELY 6953 S 123RD STAPT108 SEATTLE WA 98178 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO PROGRESSIVE 929957976IN I STOP 5
VE—LE CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES
[Z Nu
❑ s
7BRYAN
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26NAME
12489 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE25045
COLLISION REPORT III III III III III 111
1591972 CASE# 23-13213
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.
BRYAN GROZAV 11-15-23 06:52 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 1 11/30/2023 4:26:50 PM
BADGE OR ID# ! 1Y489 OR]# WA0171300 TIME POLICE DISPATCHED 5:06 PM TIME POLICE ARRIVED',5:19 PM
PART I PAGE IT]OF 4�
REPORT NO. EE25045 CASE# 23-13213 OF COLLISION
11/15/23 17:01
OF CbLLI510N
NARRATIVE
CASE 23-13213
SECTOR CITE: 3AO776571
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.
On Wednesday November 15th, 2023, at approximately 17:06, 1 responded to a 911 call regarding a
two-vehicle collision at West Wind Motel located at 110 Rainier Ave S within the City limits of Renton,
King County, Washington.
'CALL REMARKS: JUST NORTH OF LOC.. 2 VEH MVA.. NO INJURIES.. NON BLOCKING..
OVER $5000 IN DAMAGE. BOTH VEH ARE PARKED IN LOC P/LOT
UNIT ONE: GOLD 1996 LEXUS ES WASHINGTON LICENSE: CBW0330
UNIT ONE DRIVER: NYAKUME G REATH (DOB: 1.01.1989)
UNIT TWO: BLACK HONDA HR-V WASHINGTON LICENSE: BXW3713
-UNIT TWO DRIVER: GERMANNI D. HERNENDEZ LIN (DOB: 9.21.1991)
1 arrived on scene and contacted the involved parties in the West Wind Motel parking lot. Germanni
reported she was stopped in traffic when she was hit in the rear by unit one. Germanni did not report
any injuries and was the sole occupant in the vehicle. Germanni had valid vehicle insurance but
indicated the vehicle did not belong to her, it belonged to her fiance.
Nyakume admitted to hitting unit two and said she was overwhelmed by the road construction and all
the traffic. Nyakume did not report any injuries and was the sole occupant in the vehicle at the time.
Nyakume indicated she did not have valid vehicle insurance.
I issued Nyakuma a SECTOR citation for the following traffic violations:
RCW 46.30.020 OP MOT VEH W/OUT INSURANCE
RCW 46.61.145.1 FOLLOW VEHICLE TOO CLOSELY
I provided Germanni and Nyakume a copy of the SECTOR exchange of information form. Both
vehicles had minor damages and able to drive.
This concludes my involvement in this case.
I certify/declare under penalty of perjury under the laws of the State of Washington that the foregoing
is true and correct.
Electronically signed by B. Grozav #12489 on 11.15.2023 at 18:49 hours in Renton, WA.
PAGE 3 OF 4
REPORT NO. EE25045 CASE# ' 23-13213 DATE AND TIME 11/15/23 17:01
OF COLLISION
i
NOT T0 SCALE
a
100 BLOCK
i
i RAINIER
au
i
i
PAGE 4 OF 4