HomeMy WebLinkAbout24-1277 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-1277 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 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'. 02 - 1-- 2024 1536 17 ❑.❑ S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE S BLOCK NO. e✓ 400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET MILES e S B W e S 4TH PL
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068806847 0 11
30
6 LAST NAME TZEP GUACHIAC FIRST NAME AXEL MIDDLE L 1 1 2 31
INITIAL
STREET 01 303 PARK AVE N APT N CITY RENTON ST WA Zjp, 98057 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 H U EET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE 14 CDJ4879 STATE WA u N#' WAUDH68D2YA161179
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM ro
TRLR. TRLR. 5 1 33
12 3 5 VIN#j VIN#
FROM TO
VEH.YEAR ZOOO MAKE AUDI MODEL A4 STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 4 DAMAGE YES LnNO YES[:] ✓
REGISTERED OWNER INFO PASCUAL IAMINEZ CARRILLO 303 PARK AVE N APT J RENTONWA98057 D:2068806847 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# � 9TOP 5
VE"'CLE CHARGE 10 BOTTOM 36
LEGALLY YES❑NO❑ CITATION# 4AO091339,4AO091339 OP MOT VEH W/OUT INSURANCE,
15❑ STANDING 7 6
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2064129261
VEHICLE CYCLE '. OWNER YES 1/ NO
16 a
LAST NAME GUVENC FIRST NAME MUHAMMED MIDDLE F
INITIAL
17 STREET I❑ 5❑' 3504 88TH AVE SE APT 329 CITY' MERCER ISLAND ST WA ZIP 980406278 4❑ 37
NEW ADORE5
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l NO
�
19 D IVERI # STATE WA SEX M MMDDYY 01 31 1991 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HEJ EET NJAURSY 1 NATURE OF INJURIES 40
❑21❑ 41
LICENSE I PLA E# C99097P TATE WA VIN# 5TFUY5F10KX824548 1
42
22❑ PLATE# STATE PLATE#ILER STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2019 MAKE TOYT MODEL TUNDRA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MUHAMMED GUVENC 350488TH AVE SE APT 329 MERCER ISLAND WA 98040 D:2064129261 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE I PORGY#ECO STATE FARM 4221155-COB-47CIN 1GQI
VEHICLE ❑ ,.I—I CITATION# CHARGE
LEGALLY YES N`E]
25 —TA
s � a
7po,
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TAGNE 12575 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE47404
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1277
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.
P.LANTAGNE 02-04-24 04:53 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 21512024 6:53:00 AM
BADGE OR ID# 12575 ORI#' WA0171300 TIME POLICE DISPATCHED' 3:40 PM TIME POLICE ARRIVED',3:52 PM
PART Ei PAGE IT]OF 4�
REPORT NO. EE47404 CASE# 24-1277 OF COLLISION
02/04/24 15:36
OF CbLLI510N
NARRATIVE
24-1277
On 02/04/2024 at approximately 1540 hours, I, Officer Lantagne, responded to a blocking, non-injury
collision which occurred in the 400 block of Rainier AVE S, which is located in the City of Renton,
County of King, and the State of Washington. I responded in my fully marked police vehicle, wearing
my patrol uniform and body worn camera.
I arrived on scene and observed Unit#1, a 2000 Audi A4 with license plates CDJ4879 issued out of
Washington State, and Unit#2, a 2019 Toyota Tundra with license plates C99097P issued out of
Washington State, blocking the northbound curb lane of Rainier AVE S to the north of the intersection
at S 4th PL. I was advised there were no injuries.
I contacted the driver of Unit#1, Axel L. Tzep Guachiac (DOB 10/23/2005), who told me the following
using a Spanish interpreter: Tzep Guachiac was driving his vehicle northbound in the center lane of
Rainier AVE S in approximately the 400 block. Tzep Guachiac merged left into the inside lane and the
left front fender of his vehicle struck the right front fender of Unit#2. Tzep Guachiac had a driver's
license issued out of Guatemala and did not have insurance.
I contacted the driver of Unit#2, Muhammed F. Guvenc (DOB 01/31/1991), who told me the
following: Guvenc was driving her vehicle northbound in the inside lane of Rainier AVE S in
approximately the 400 block. As Guvenc's vehicle approached the intersection at S 4th PL, the
vehicle to his right merged left and struck the front of his vehicle.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by both drivers. Unit#1 had minor damage to the front left fender. Unit#2 had
minor scrapes and dents on the right front fender and front passenger door.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to Guvenc and Tzep Guachiac. I issued Tzep Guachiac an
infraction for making an unsafe lane change and operating a motor vehicle without insurance. 1
provided Tzep Guachiac with a copy of the infraction.
I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State
of Washington, the foregoing is true and correct.
Electronically signed by Officer P. Lantagne #12575 at 1638 hours on 02/04/2024 at Renton, WA.
PAGE 3 OF 4
REPORT NO. EE47404 CASE# ' 24-1277 DATE AND TIME 02/04/24 15:36
OF COLLISION
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PAGE 4 OF 4