HomeMy WebLinkAbout23-14145 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE29356 170
27
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 23-14145 2 079
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 3 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 CITY# ❑
COLLISION.. 12 — 09 — 2023 1702 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
S 2ND ST BLOCK e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 30 00 FMILES EET e S ❑ E e LAKEAVES
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2062589689 0 11
30
6� LAST NAME SEIFU FIRSTNAME NAHOM MIDDLE E 1 1 2 31
INITIAL
STREET ❑, 3016 S COURT ST CITy SEATTLE ST WA ZIP 98144 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ DRIVERS
# STATE WA SEX'M I ELMIDI Y' 08 — 16 — 2003 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS 2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ Pi aT�S� BNS2125 sTArr~ WAvIN# JTDZN3EU7E3337079
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 7 33
12 2 5 VIN# VIN#
;. FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 1 2014 TOYT PRIUS 4D DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO HAILEMICHAEL SEIFU 3016 S COURTST SEATTLE WA 98144 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI V INSURANCE NSURANCE CO STATE FARM 473 6264-A27.47C 3 4
IN EFFECT &POLICY#
15 9TOP
VEHECALLvICLE Yes❑NO CITATION# CHARGE 5 36
L ❑ 10 BOTTOM
❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2065738798 N:5033954482
16 a
LAST NAME TONCIU FIRST NAME MADALINA MIDDLE C
INITIAL
17 STREET❑ NEW ADDREsS❑' 5711 S 129TH ST TRLR 30 CITY SEATTLE ST' WA ZIP 98178 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVE
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ 41
21❑ ILICENSE
PLATE# 830XVJ TATE WA vIN# JHMBB624XYC006824 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
Gov HI
VEH —VEHICLE
YEAR 2000 MAKE yOND MODEL PRELUDE STYLE 2D AMAGE TOWED NOO✓ BLIN TOWED BY 44
fj
YES NO
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE 8 POINSURGY#E CO STATE FARM 0614156-AO3-47CIN 1 9TOP 5
VEHICLE ❑ C[:] CITATION# CHARGE io BOTTOM
LEGALLY YES N
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
JAREN JOKELA 12805 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE29356
COLLISION REPORT III III III III III 111
1591972 CASE# 23-14145
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BRETHHAUER COOPER A
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
$EATTLE 2069725962 SEX M MMDDYYYY 02 - 24 - 1998
PASSENGER SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
[:]WITNESS❑✓ UNIT# POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# Ly O 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.MMDD -❑
YYYY.
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.
JAREN JOKELA 12-09-23 06:37 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 1211112023 6:29:44 PM
BADGE OR ID# 12805 ORI#` I WA0171300 TIME POLICE DISPATCHED' 5:02 PM TIME POLICE ARRIVED',5:02 PM
PART Ei PAGE IT]OF 4�
REPORT NO. EE29356 CASE# 23-14145 OF COLLISION
12/09/23 17:02
OF CbLLI510N
NARRATIVE
On 12/09/2023, while on patrol, I onviewed a blocking/disabled vehicle in 200 block of S 2nd St,
Renton. The vehicle, Unit 2, was pulled off into the number 1 lane of westbound travel. As I arrived, I
was advised that a motor vehicle collission had just occured and Unit 1 was parked across the street.
In speaking with Unit 2 driver, she stated that she was traveling westbound on S 2nd St in the middle
lane of travel when Unit 1, who was also traveling westbound, abruptly turned into her lane from the
number 3 lane of travel, striking the front bumber/headlight of her vehicle.
In speaking with Unit 1 driver, he also stated that he abruptly attempted to make a turn into the
Safeway parking lot from the number 3 lane of travel and in doing so, hit Unit 2 who was traveling in
the middle lane of travel. Unit 1 driver stated he was looking at his GIPS and made the abrupt turn
because he didn't realize he was approaching his turn and reacted without properly clearing the lane
next to him.
There was significant damage to both vehicles and the damage supported the sequence of events
that each driver described. I took photos of both vehicles and the sustained damage, all photos were
later uploaded to Axon Evidence. Despite the vehicle damage sustained by both vehicles, both
vehicles were able to be driven from the scene.
I provided both Unit 1 and Unit 2 a business card, case number, answered their remaining questions
and then cleared the scene.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Jaren Jokela #12805, 12/09/2023 at 1821 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO. EE29356 CASE# ' 23-14145 DATE AND TIME 12/09/23 17:02
OF COLLISION
Unit I
Not to Scate
77
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