HomeMy WebLinkAbout24-673 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE 24-673 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. 01 - 19 - 2024 1817 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BL
SW SUNSET BLVD OCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e S 135TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2065516426 0 11
30
6❑ LAST NAME HASSEN FIRSTNAME AYANLE MIDDLE 1 1 1 2 31
INITIAL
STREET ❑ 13445 MARTIN LUTHER KING JR W Q105 CITY SEATTLE ST WA 7jp, 98178 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
ELOB 05 1- 20 - 1996 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ P1 aT�S� CBA3741 sTArI WAurN# JTDKN3DU3E0359214
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13 2 2014 TOYT PR1US SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO AYANLE HASSEN 13445 MARTIN LUTHER KING JR WQ105 SEATTLE WA 98178 D:2065516426 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE E CO THE GENERAL 53-WA-642588 4
LI EFFECTSUR N# TOPVEHICL CHARGE 36
LECALLv YES❑NO CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2063831539
16 a
LAST NAME SATURNIO FIRST NAME SSHENAE MIDDLE M
INITIAL
17 STREET NEW ADDREs7 6507 S 153RD ST.APT 4 CITY l TUKWILA ST WA ZIP 98188 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCK YES❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE I WA SEX F I D.O.B. 01 19 _ 1983 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑LICENSE I 21❑ PLA E# CCN1117 TArE 41
WA VIN# WVGZG77L85D083748 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
TOWED BV Gov HI 44
VEH YEAR 2005 MAKE VOLK MODEL TOUARE STYLE UT —TEHICLE
TOWED✓ NOO BLIN GENE MEYERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO NONE
IN EFFECT &POLICY# 1 9TOP
VEHICLE YES[:]
NC[:] CITATION# 4AO132354 CHARGE DWLS3RD ,oaoTroM
LECALLv `LJ
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TYLER EDIGER 12807 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE48346
COLLISION REPORT III III III III III 111
1591972 CASE# 1 24-673
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TEODOSIO KA ANI ANN S
(LAST FIRST,
ADDRESS&PHONE# D.0
.B.
6507 S 153RD ST,APT 4 TUKWILA WA 98188 SEX F MMDDYyry 03 - 31 - 2000
PASSENGER Z WITNESS UNIT# 2 SOS 3 AIRBAG 6 RESTR. q EJECT ? HELMET INJURY NATURE OF INJURIES
o USE CLASS '1
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDVYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.Q.B.
MMDDYVYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Unit 2 was driving eastbound on SW Sunset Blvd, approaching S 135th St in the lane nearest to
center. Unit 1 traveling southbound on S 135th St, attempting to continue straight across SW Sunset
Blvd into the Sunset View apartments parking lot. Unit 1 cleared through the westbound lanes, but
stopped in the center two way turn lane as there was traffic travleing eastbound on SW Sunset Blvd.
Unit 1 was stopped in the turn lane, partially blocking the center eastbound lane of SW Sunset Blvd.
Unit 2 attempted to slow down as she was confused what Unit 1 was doing, Unit 1 then accelerated
across SW Sunset. Unit 2 did not realize that Unit 1 thought she was allowing him to cross, resulting
in the two vehicles colliding. Unit 1 sustained damage to the entire front end with no airbag
deployement. Unit 2 sustained damage to the rear drivers side bumper which resulted in airbag
deployement. This collision appeared to have been caused by Unit 1 failing to yield the right of way to
Unit 2. All parties involved were evaluated and cleared by the fire department.
The driver of Unit 2 did not have a driver's license on her person and did not have insurance for the
vehicle. I ran the driver of Unit 2's name through dispatch and it came back that she was
suspended/revoked in the 3rd degree. Althought it seemed that this collision was caused by Unit 1,
Unit 2 received a citation (Cit#4A0132354), for DWLS 3rd degree.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
TYLER EDIGER 01-19-24 08:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 2/8/2024 12:51:43 AM
BADGE OR ID# 12807 ORI#' WA0171300 TIME POLICE DISPATCHED; 6:20 PM TIME POLICE ARRIVED'6:23 PM
PART I PAGE IT]OF 3�
REPORT NO. EE48346 CASE# ' 24-673 DATE AND TIME 01/19/24 18:17
OF COLLISION
Not Drawn to Scale Unit I
CAI
Q.
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