HomeMy WebLinkAbout24-271 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE# z4-z71 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 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 01 - 08 - 2024 1821 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e✓ 000 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SW 7 ST
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2282097321 0 51
30
6� LAST NAME BRELAND FIRSTNAME BUFORD MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 7855 124TH AVE NE CITY KIRKLAND ST I WA 7jp, 980338228 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ P1 aT�S� CCW1817 sTArI WAvIN# 5FNRL3H42A6001242
F_ TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 7 6 33
12 3 5 VIN#' VIN#'
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 6 6 34
13 3 2010 HOND ODYSSE VN DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO BUFORD BRELAND 7855124TH AVE NE KIRKLANDWA98033 D:2282097321 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 6064-25.29.73 3 4
IN EFFECT &POLICY# 9TOP
VEH'CLe CHARGE 1 5 36
LEGALLY res❑NO❑ CITATION# 4A0001152 FAIL YIELD AT YIELD 10 BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- :PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER El YES1/ NO D:2066610818
16 a
LAST NAME SEGOVIA-HERRERA FIRST NAME KARLA MIDDLE M
INITIAL
17❑ STREET ❑', 9319 38TH AVE S CITY SEATTLE ST WA ZIP 981185208 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYEs❑No� INTERLOCK v�Es No� YEs NDF
19 DRIVERS STATEWASEXFD.C...
C. . 20 39
# M . _ 00
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE BYR4156 TAre WA VIN# 19XF62F50CE354129
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2012 MAKE HOND MODEL CIVIC STYLE 4D VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO KARLA SEGOVIA-HERRERA 931938TH AVE S SEATTLEWA98118 D:2066617321 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 1 9TOP 5
vEDICLELecALLvLJ
IES❑ NE CITATION# 4A0001153 CHARGE OP MOT VEH W/OUT INSURANCE 1 o aoTroM
25 s � a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.PAGET 8660 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE48344
COLLISION REPORT III III III III III 111
1591972 CASE# 24-271
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.
C.PAGET 01-08-24 08:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 2/8/2024 12:55:28 AM
BADGE OR ID# 8660 OR]#' WA0171300 TIME POLICE DISPATCHED; 6:23 PM TIME POLICE ARRIVED 6:31 PM
PART I PAGE IT]OF 4�
REPORT NO. EE48344 CASE# 24-271 OF COLLISION
01/08/24 18:21
OF CbLLI510N
NARRATIVE
24-271 Non injury collision
Axon:
Axon body cam available
Narrative:
On 01.08.2024 at 1831 hours, I arrived at a non-injury, non-blocking collision that occurred at 1821
hours. The collision occurred in the intersection of Rainier AVE S and SW 7 ST. This address is
within the city limits of Renton, County of King, WA. Rainier AVE S at this point in the road travels NE
to SW.
When I arrived, I advised both drivers (and sole occupants of their respective vehicles) that our
contact was audio and visually recorded.
I spoke with Buford Aljo Breland DOB/03.06.1936. Breland was driving a white 2010 Honda Odyssey
minivan WA/CCW1817. Breland is the registered and legal owner of his vehicle. Breland has valid
WADL. Breland provided a photo WADL and a proof of insurance, but he could not locate his
registration. Breland would later tell me that he was on SW 7 ST turning onto Southwest bound
Rainier AVE S. Breland looked to the left and saw that traffic stopped for SW bound traffic and made
a "free right turn." Breland hit a gray Honda Civic 4dr WA/BYR 4156 driven by Karla Segovia-Herrera.
Breland did not see where Segovia-Herrera came from. Breland is uninjured. Damage to his vehicle
was on the driver's side front quarter panel.
Breland may have seen the yield sign on SW 7th ST prior to the intersection but he missed the sign
on the signal pole that reads, "Right turn on red yield to U-Turn."
I spoke to Karla M Segovia-Herrera DOB/11.23.2000. Segovia-Herrera was driving a gray 2012
Honda Civic 4dr WA/BUR4156. Segovia-Herrera is the legal and registered owner of the vehicle
Segovia-Herrera provided her photo WADL and registration but does not have insurance. Segovia-
Herrera was at the light on Rainier AVE S to turn from Northeast bound Rainier AVE S to Southwest
bound Rainier AVE S. The sign at her light indicates that both a U-turn and left turn is permissible.
Segovia-Herrera made her turn and told me that she was in the lane next to the bus lane when
Breland hit her, coming from SW 7th ST. Segovia-Herrera is uninjured. Damage to her vehicle is at
the passenger rear tire and door.
After the collision, I drove the intersection. The lights are operating properly, and I noted the signs
that require Breland to yield to U-turning vehicles.
I issued Sector Infraction #4A0001152 to Breland for Fail to Yield Right of Way. 1 issued Sector
infraction #4A0001153 to Segovia-Herrera for operating a motor vehicle without liability insurance.
Both infractions will be mailed by the court.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Paget/8660 1:56 AM 4/15/2022 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE48344 CASE# ' 24-271 DATE AND TIME 01/08/24 18:21
OF COLLISION
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