HomeMy WebLinkAbout24-78 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE39518 170
27
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# z4as 2
INTERSTATE CITY STREET FIRE
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
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 01 - 1-- 2024 0827 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e✓ 4000
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:2063837383 0 11
30
6� LAST NAME BROWN FIRSTNAME FARAH MIDDLE D 1 2 31
INITIAL
STREET ❑, 93 PIKE ST STE 204 CITY SEATTLE ST WA ZIP' 981012091 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]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 2❑
3
LICENSE C468635 sTATI WAVIN# 1GKS2LE75CR172149
10 F91 PI ATE#
IT STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR. $ 7 33
12 0 0 VIN#' VIN#'
FROM TO
❑ VEH.YEAR 2012 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 4 C�MC YUKON DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO NANYPRICE 93 PIKESTSTE 204 SEATTLE WA 98101 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE z INSURANCE CO SAFECO H223534 4
LI EFFECT I POLICY# TOPVENICLE CHARGE 36
LEGALLv res❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:4252155674
16 a
LAST NAME CHEA FIRST NAME PHARY MIDDLE N
INITIAL
17 STREET I35TH ST CITY RENTON ST WA ZIP 980555785 37
NEW ADDREs�' 1101 S
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVEW # STATE WA SEX F Mr D.O.B. O6 _ 23 _ 1988 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ 41
ILICENSE PLA E# BDT1932 TATE WA VIN# JTHCF1D21F5025609 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE LEXS MODEL IS250 STYLE qD VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JESSE VONPAPP 1101 S 35TH ST RENTON WA 98055 VEHICLE NO.2
SHADE DA GEbAREA
LIABILITY
INSURANCE INSURANCE
#E CO PEMCO CA 1402723IN IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE39518
COLLISION REPORT III III III III III 111
1591972 CASE# 1 24-78
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SIJERA GEORGINA M
(LAST FIRST,
ADDRESS&PHONE#
825 SUNSET BLVD NE UNIT C3 RENTON WA 980563629 2069406440 SEXi F MMDDYyry 12 - 12 - 1984
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 1 POS. 3 2 4 1 USE 2 1 CLASS '1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.0.8.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On January 01/03/2024 at 0827 hours dispatch requested that I respond to a collision near the 4000
block of NE 4th St, in the city of Renton/King/WA.
Upon my arrival I spoke with the driver of unit 1. The driver identified by her WADL as Farah Brown,
explained she was exiting the Orange Theory parking lot when the collision occurred. Brown planned
on going westbound on NE 4th St. While exiting the parking lot, two vehicles stopped in the number 1
and 2 lanes going eastbound. This gave Brown an opportunity to proceed forward and enter the turn
lane. As she proceeded and crept into the turn lane, unit 2 was driving eastbound in the turn lane.
Brown failed to notice unit 2, sideswiping unit 2's passenger doors and causing substantial damage.
I then spoke with the driver of unit 2. The driver, identified by her WADL as Phary Chea, explained
she was going eastbound on NE 4th St. As she approached the 4000 block of NE 4th St, she planned
to enter the parking lot of 4004 NE 4th St. She entered the left turnlane, but was randomly struck by
unit 1 as approached the entrance.
Both drivers refused any onscene medical assistance, and unit 2 was towed away by bankers towing.
I provided both driver's with an exchange of information.
CC.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 01-03-24 02:33 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 111112024 2:20:00 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 8:32 AM TIME POLICE ARRIVED 9:08 AM
PART I PAGE IT]OF 3�
REPORT NO. EE39518 CASE# ' 24-78 DATE AND TIME 01/03/24 08:27
OF COLLISION
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