HomeMy WebLinkAbout24-1059 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
SASE 24-1059 2
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 01 - 1-- 2024 1435 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SOUTH 43RD STREET BLOCK ST e✓
MILEPOST 300 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e DAMS AVE SOUTH
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:4259564414 0 11
30
6� LAST NAME BHERI FIRSTNAME BALA MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 13223 SE 264TH ST CITY KENT ST WA ZIP 980423539 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICENSE WA STATE Wq SEX'M MM DAY' 06 — 01 — 1990 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi LICENSETE 14 BQF2971 sTATe WA u N# 5J6RW2H80KA010353
0 TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 34
13 4 2019 HOND CR-V SV DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO BALA BHERI13223 SE 264TH ST KENT WA 98042 D:4 2 5 9 5 64414 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO METROMILE 42-124624.10.01 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 1 5 36
E�ALLY YES❑NO❑ CITATION# W24011613 IMPROPER LANE USAGE o aorrom
15❑ STANDING 7 6
1,1 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ PEDESTRIAN ❑ ❑ YES,/ No D:2068906788
VEHICLE CYCLE OWNER
16 a
LAST NAME HUNTER FIRST NAME LATONYA MIDDLE M
INITIAL
17 STREET NEW ADOREs7 2137 SE 8TH PL CITY RENTON ST WA ZIP 980553948 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YEs❑NOF,/
19 DRIVER # STATE WA SEX F M D.C.B.
05 _ 13 _ 1974 39
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 WEB SET 2 NJAU SY 7 C/O BACK AND L.WRIST PAIN ❑[-�A—TURE OF INJURIES 40
❑LICENSE I 21❑ PLA E# CKA3013 TATE WA vIN# JTJHA31 U050080634 41
1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2005 MAKE LEXS MODEL RX STYLE SV VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO LATONYA HUNTER 2137 SE8THPL RENTON WA 98055 D:2068906788 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO BRISTOL WEST G013379057 00IN 1 STOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N J
25 s a
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE46393
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1059
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
POS. 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.
MATTHEW NUGENT 01-29-24 05:14 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 21112024 2:52:49 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 2:38 Pry TIME POLICE ARRIVED',2:50 PM
PART I PAGE IT]OF 4�
REPORT NO. EE46393 CASE# 24-1059 OF COLLISION
01/29/24 14:35
OF CbLLI510N
NARRATIVE
24-1059
On 01/29/2024 at approximately 1438 hours, I was dispatched to a blocking vehicle collision at the
intersection just West of South 43rd Street and Talbot Road South, within the City Limits of Renton,
County of King, State of Washington.
Upon arrival, I was able to collect each involved party's information and summary. I also confirmed
there were no complaints of injury from any of the involved parties requiring immediate medical
response at the time of report. The driver of Unit#2 did however state she would be self-transporting
to Valley Medical Center (VMC) for a complaint of back and left wrist pain.
The driver of Unit#1 said he and his two passengers (1 adult, 1 infant) in his vehicle were traveling
eastbound in about the 300 block of South 43rd Street and approaching the intersection of Talbot
Road South in lane 3 of 4. The driver of Unit#1 stated that he needed to get into the left-turn lane
(lane 4 of 4). The driver of Unit#1 stated he checked the adjacent lane next to him and believed it
was clear of traffic therefore he proceeded to make a lane change from lane 3 of 4 to lane 4 of 4, and
stated that he did not see Unit#2 occupying lane 4 of 4. The driver of Unit#1 stated that while making
the lane change, Unit#2 struck his vehicle. Unit#1 suffered moderate damage to the front driver's
side bumper and fender. The driver of Unit#1 believed that Unit#2 was speeding at the time of
collision.
The driver of Unit#2 said she was the sole occupant of her vehicle and was also traveling eastbound
in about the 300 block of South 43rd Street approaching the intersection of Talbot Road South but in
lane 4 of 4. The driver of Unit#2 stated she was traveling in the turn-lane when Unit#1 changed
lanes from lane 3 of 4 and into lane 4 of 4 which Unit#2 was occupying. Unit#2 was unable to avoid
the collision and subsequently collided with Unit#1. Unit#2 suffered moderate damage to the front
passenger side quarter panel.
Upon my arrival, both vehicles were still engaged from the contact. Unit#2 had clearly crossed over
the dividing line and was in lane 4 of 4 at the time of collision. Based on the above statements, I
determined that the Driver of Unit#1 (Bheri) was the predominant factor for the collision as Bheri
violated RCW 46.61.140 by making an unsafe lane change that was not clear of traffic causing a
collision.
Bheri was issued a correction notice in-person for an improper lane change.
Both vehicles were able to be driven away without further incident. An exchange of information was
provided to all involved parties.
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 M. Nugent#11498 1/29/2024 4:26 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE46393 CASE# ' 24-1059 DATE AND TIME 01/29/24 14:35
OF COLLISION
iX
i
a�
�� Et
s
aa.
3
u� \
° PN
»
PAGE 4 OF 4