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HomeMy WebLinkAbout23-14240 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-14240 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC WA0171.300 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 5 TRIBAL 02 TOTAL#OF OBJECT 1 1 8 28 UNITS ❑ RESERVATION I I STRUCK z 3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# c us oN 12 - 12 - 2023 0740 17 ❑.= E IN e 1070 3 S 8 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SE 164TH ST BLOCK NO. e 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 20 00 FEET e MILES S ❑ W e 108THAVESE 1 9 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2067908345 0 7 30 6� LAST NAME MERCADO FIRSTNAME ELIDA MIDDLE T 1 2 31 INITIAL STREET ❑ 1646 INDEX AVE SE CITY RENTON ST WA 2jp, 98058 z 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 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ p)a'r�S�t BRJ2916 sTAr� WA VIN# 2HKRM4H30EH715338 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 3 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 4 2014 HOND CR-V UT DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14� LIABILITY INSURANCE INSURANCE CO ALLSTATE 964 588 500 3 IN EFFECT &POLICY# 9TOP VEIF" CHARGE 36 LEGALLY YEs❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2539937861 16 a LAST NAME PETERSON FIRST NAME KRISTINA MIDDLE IM INITIAL 17 NEW STREETREs7' 14921 SE 177TH PL APT 23-H CITY' RENTON ST WA ZIP 98058 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 DRIVER'S STATE WA ]SEX IF D.C.B. 07 27 1982 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 6 PAIN TO BACK,F—NATURE OF i NECK,LEG ❑ES 40 ❑ 41 21❑ ILICENSE PLA E# AEY8394 TArE WA VIN# 4S3BMBC6163255220 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' GI VEH YEAR 2011 MAKE S(JB�4 MODEL LEGACY STYLE 4D DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO 1/ 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCE #E CO NATIONWIDE 7246JO55753IN STOP 5 VEHICLE YES[:] N,.I it I CITATION# CHARGE to BOTTOM LEGALLY 25 N.HVCa OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 ROSEANNE HYNES 12612 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE31080 COLLISION REPORT III III III III III 111 1591972 CASE# 23-14240 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) STRANGE LILLY (LAST FIRST, ADDRESS&PHONE# 14921 SE 177TH PL APT 23-H RENTON WA 98058 SEXi F MMDOYyvv 09 - 28 - 2010 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET NJURY NATURE OF INJURIES ❑✓ 2 POS. 3 2 4 1 USE 1 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) EALY TAYLOR ADDRESS&PHONE# DOB 14921 SE 177TH ST 23-H RENTON WA 98058 SEX F .M.D vv 04 _ 27 _ 2014 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 POS 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) ROBINSON ISABELLA AooREss PHONE# 14921 SE 177TH PL 23-H RENTON WA 98058 SEXF 02 22 _ 2018 . D.O.B. _ MMDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT g AIRBAG 2 RESTR. 10 EJECT 1 HELMET 2 NJURY 1 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. ROSEANNE HYNES 12-15-23 10:18 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 1 12/16/2023 5:06:55 AM BADGE OR ID# 12612 ORI# WA0171300 TIME POLICE DISPATCHED 7:42 AM TIME POLICE ARRIVED',7:51 AM PART I PAGE IT]OF 5� REPORT NO. EE31080 CASE# 23-14240 OF COLLISION 12/12/23 07:40 OF CbLLI510N NARRATIVE On 12/12/2023 at 0745 hours I was in full patrol uniform and driving a marked Renton Police patrol vehicle when I was dispatched to S 27th St and 108th Ave SE in the city of Renton, County of King, State of Washington regarding a traffic collision. Upon arrival, I saw V1 (WA LIC# BRJ2916) and V2 (WA LIC#AEY 8394) in the roadway on SE 164th St facing west and just east of 108th Ave SE. Both V1 and V2 were resting on all four wheels. The back of V1 was touching the front of V2. It appeared they had collided and were stuck together. The front of V2 was touching the back of V1. I did not see airbags deployed in either vehicle. V1 sustained major damage to the rear and V2 sustained major damage to the front. It should be noted that when V1 and V2 separated, the shape of V1's rear appeared mostly normal but I suspected severe damage to the bumper because it had been indented when I arrived on scene. Renton Fire was on scene when I arrived. Both D1 and D2 declined medical assistance. I spoke with D1-Elida T. Mercado and she told me in summary: She was driving her vehicle and attempted to make a right turn (northbound) onto 108th Ave SE from SE 164th St. As she made the right turn, a yellow school bus was making a left turn from 108th Ave SE to eastbound SE 164th St. As the school bus turned, it almost struck her vehicle. D1 said her vehicle then began to slide backward on SE 164th St where it collided into V2. D1 said she did not reverse her vehicle. She said her vehicle began sliding and she had no control of the vehicle. I asked D1 if she was injured and she said no. She expressed that she has a feeling of nervousness in her abdomen. I asked her to clarify if it was a physical injury or emotional and she confirmed it was emotional. She was shaken up from the accident. I did not observe visible injury upon her. I spoke with D2-Kristina M. Peterson and she told me in summary: She was in her vehicle on SE 164th St facing west toward the intersection at 108th Ave SE. She was stopped behind V1. She was awaiting her turn to approach the stop sign when she saw V1 attempt to make a right turn onto 108th Ave SE. D2 said she then saw V1 go into reverse and drive backwards until it collided into the front of her vehicle. D2 said she believed D1 may have freaked out because there was a school bus driving south on 108th Ave SE. D2 emphasized that based on the damage to the vehicles it appeared that she rearended V1, she did not. She said she saw V1's reverse lights on as V1 drove backwards and collided into her vehicle. D2 complained of pain to her back, pain and stiffness in her neck and pain to her right leg. D2 declined medical assistance. I did not see visible injury upon her. D2 also stated that her three children were in the vehicle with her. Her 13-year-old daughter, Lilliam Stranger, was sitting in the front passenger seat. Her 9-year-old daughter, Taylor Ealy, was sitting in the rear left seat. Her 5-year-old daughter, Isabella Robinson, was sitting in the rear right seat in a booster seat. D2 said her children did not have injuries or complain of injuries. Her children were not on scene because they went to school prior to officers' arrival. V2 was privately towed from the scene. V1 was driven from the scene. Both drivers exchanged information on scene. I have nothing further. 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. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed: R. Hynes #12612 Date & Place: 12/12/2023 @ 1540 hrs Renton, WA PAGE 3 OF 5 REPORT NO. EE31080 CASE# 23-14240 OF COLLISION 12/12/23 07:40 OF CbLLI510N NARRATIVE **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Surface Condition: FOGGY, SLIGHTLY MOIST **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 5 REPORT NO. EE31080 CASE# 23-14240 DATE AND TIME 12/12/23 07:40 OF COLLISION i� Kw- *Not Drawn to Scale i J cc i PAGE 5 OF 5