HomeMy WebLinkAbout24-6083 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 24-6083 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
Ct ELISION' 06 - 09 - 2024 2237 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S 16TH ST BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e BENSON DR S
0 5 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068542007 0 11
30
6❑ LAST NAME FINKLEY FIRSTNAME DADA MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 19153 108TH LN SE CITY RENTON ST WA ZIP 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 06 1- 13 - 1996 2 32
INJURY -, [NATURE OF INJURIES
9 ON DUTY❑ STATUS' AIRBAG 4 RESTR 4 EJECT 1 H U SE CLASS 7 I SUSPECTED CONCUSSION z❑
3
LICENSE CJK9339 sTArI WAvIN# 5NPLS4AGXPH119682
10[ PI ATE#
TRAILER STATE TRAILER STATE
11 0 0I PLATE# PLATE# FROM TO
rRLR. TRLR. 1 1 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR ZO23 MAKE HYUN MODEL ELANTR STYLE 4D VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 5 34
13❑ DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE INSURANCE CO GEICO 6157313377 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGALLY LE CHARGE 1 5 36
15 1 VE"'C' YEs No clTAnoN# 4A0223038 FAIL YIELD LEFT TURN MOTOR o Borrom
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2067394984
16 a
LAST NAME DIAZ DIAZ LEAL FIRST NAME ISRAEL MIDDLE /
INITIAL
17❑ STREET ❑', 1119 SE 244TH ST CITY' KENT ST WA ZIP 98030 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t- l No❑
19 DRIVER'S STATE WA SEX M D.O.B. 04 03 _ 1996 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE CLASS ❑
❑21❑ LICENSE D830046 TAre WA VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 1996 MAKE FORD MODEL RANGER STYLE TR VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO EDUARDO REZA BERNAL 4311 NE 5TH ST#E102 RENTON WA 98059 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP 5
NODALOVIC
YES N� CITATION# 4A0223039,4A0223039 CHARGE OP MOT VEH W/OUT INSURANCE,FL 10 BOTTOM
25 ' e
'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
11628 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE86204
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6083
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ROGERS JADA C
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
1649 INDEX AVE SE RENTON WA 98058 4254579426 SEX F MMDDYyY v 07 - 02 - 1996
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS❑ UNIT# 1 POS. 3 AIRBAG j 2 RESTR. 4 EJECT USE CLASS '7 KNOT ON HEAD
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER [:]WITNESSO UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
N.ODALOV/C 06-10-24 12:05 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 1 6/13/2024 7:34:13 AM
BADGE OR ID# 11628 ORI# WA0171300 TIME POLICE DISPATCHED 10:37 PM TIME POLICE ARRIVED 10:37 PM
PART I PAGE IT]OF 4]
REPORT NO. EE86204 CASE# 24-6083 OF COLLISION
06/09/24 22:37
OF CbLLI510N
NARRATIVE
24-6083 Collision
Upon contact with U1 driver and passenger, neither could recall how the accident occurred and
stated they were in the left lane traveling northbound on Benson Dr S somewhere on Benson Dr S.
U1 and passenger were leaving a graduation party and were driving to passenger's home, with the
intent of driving eastbound on Puget Dr. Both seemed confused, likely from the impact of the
accident. I observed U1 to have significant damage to the driver side as if the vehicle was "t-boned".
The left side airbags were deployed. Both occupants appeared shaken up and were evaluated by
Renton Fire Authority (RFA). The passenger stated she had a knot on her head from the impact.
Family came to pick up both occupants.
U2 was located by Ofc Smith just south of S 16th St/ Benson Dr S. Ofc Smith and Sgt Moynihan
spoke to the driver who stated he was traveling southbound on Benson Dr S when U1 was traveling
eastbound on S 16th St approaching the stop sign at Benson Dr S. U1 turned southbound onto
Benson Dr S driving slowly in front of U2. U1 made a u-turn in the roadway to travel northbound on
Benson Dr S failing to yield to U2. U2 attempted to swerve to avoid striking U1 and ended up
impacting with U1's driver side. U2 driver was not the registered owner but showed officers the title to
the vehicle.
Both units were towed by Bankers Towing and both drivers were provided with the case number.
Photos of U1 were taken by me and uploaded to evidence.com. No photos of U2 were taken.
U1 driver was cited for:
4AO223038
FAIL YIELD LEFT TURN MOTOR VEHICLE
U2 driver was cited for:
4A0223039, 4A0223039
OP MOT VEH W/OUT INSURANCE, FL RENEW EXPIRED REG > 2 MTHS
During this incident I was equipped with body-worn camera which records both audio and video.
Portions of the incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system.
PAGE 3 OF 4
REPORT NO. EE86204 CASE# 24-6083 DATE AND TIME 06/09/24 22:37
OF COLLISION
Text, NOT TO SCALE
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PAGE 4 OF 4