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Home My WebLink About24-1773 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 6 27c COLLISION REP FIT 1591971 CASE 24-1773 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OS STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION 02 - 18 - 2024 1055 17 �.❑ S 8 W Li OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� NE 4TH ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e NILEAVENE 0 6 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4252321745 0 11 30 6� LAST NAME NGUYEN FIRSTNAME TRANG MIDDLE T 1 1 2 31 INITIAL STREET ❑1 276 INDEX PL SE CITY RENTON ST WA ZIP 980564013 z NEW ADDRESS 7❑ CDL 1/IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs Z/NO YES �No / LRIIVERS STATE WA SEX'F M .O B 01 $� - 01 - 1963 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 4 RESTR 4 . EJECT 1 HELMETU E 2 CLASS INJURY6 [NATURE OF INJURIES SUPERFICIAL CUTS TO FACE z❑ 3 10 1❑ LICENS P1 ATE 14 BUH7303 sTAr WAu N# JTDKN3DU2D1616436 Fy3- TRAILER STATE TRAILER STATE 11 5 PLATE# I PLATE# I I FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN#' >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 1 5 34 13 4 2013 TOYT PRIUS SD DAMAGE YES NO �MEYER YES❑ No✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 807687062 4 IN EFFECT &POLICY# 9TOP 15❑ VEHICLE 1 36 LEGALLY YES�No D CITATION# 4A0042253 CHARGE FAIL TO OBEY TRAFFIC CONTROL )o eorroM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4255476238 16 a LAST NAME ROBINSON FIRST NAME SHAWN MIDDLE I D INITIAL 17❑ NEW STREETREs7 15430 SE 116TH ST CITY RENTON ST WA ZIP 980596006 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YES❑No� INTERLOCK vEs❑NOF YEs❑NoF,/ 19 LICENSE# STATE WA SEX M M .C... 07 15 _ 1985 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑21❑ PLATE# B86674Y TArE 41 WA vlNf 3B7HF13Y2WG185035 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 1998 MAKE DODG MODEL RAM STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI �44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO DAVID CHIPMAN 15430 SE 116TH ST RENTONWA 98059 D:4252604251 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE❑ &POINSULICY#E CO NO INSURANCEIN 0( STOP 5 VEHICLE ❑ ,.I—I CITATION# CHARGE io BOTTOM LEGALLY YES N 25 ' a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 MATTHEW TRA/NO 12811 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE53473 COLLISION REPORT III III III III III 111 1591972 CASE# 24-1773 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SHERD CAMERON J (LAST FIRST, ADDRESS&PHONE# 6015 NE 1ST CT RENTON WA 98059 4257363452 SEX M MMDOYyry 10 - 12 - 1981 PASSENGER WITNESS T# : SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES �✓ UNIT POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET NJURY POS. NATURE OF INJURIES 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. MATTHEW TRAINO 02-18-24 01:36 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 2/24/2024 3:15:04 PM BADGE OR ID# 1Y811 ORI# WA0171300 TIME POLICE DISPATCHED 10:56 AM TIME POLICE ARRIVED',10:59 AM PART Ei PAGE IT]OF REPORT NO. EE53473 CASE# 24-1773 OF COLLISION 02/18/24 10:55 OF CbLLI510N NARRATIVE On the listed date, time, and location, while employed as a uniformed Patrol Officer for the City of Renton, I was dispatched to a reported collision with unknown injuries within the City of Renton, County of King, State of Washington. While enroute to the location, dispatch advised that the involved parties were moving their vehicles to the south side of the intersection. Upon arrival I checked on the condition of the involved parties before taking statements. I requested a Renton Aid unit as a precaution to check on the occupants further. I contacted the driver of Unit# 1 (U1), identified by her WADOL as Trang Thi Doan Nguyen (01/01/1963), and asked her to describe what had occurred. She stated that she was heading westbound in her 2013 Toyota Prius (WA Plate BUH7303) on NE 4th in the right-hand lane, approaching Nile Ave NE. She said that she saw the light at Nile Ave NE turn yellow for westbound traffic and she attempted to slow down to stop, but saw the light turn red before she entered the intersection. She said her vehicle was then hit by Unit# 2. Nguyen reported no injuries, but I observed two superficial cuts to her face. U-1 sustained significant damage to the right side of the vehicle and had right-hand curtain airbag deployment. I contacted the driver of Unit# 2, identified by his WAID as Shawn D. Robinson (07/15/1985), and asked him to describe what had occurred. He stated he was driving a borrowed 1998 Dodge Ram (WA Plate B86674Y) and had stopped for a red light while heading southbound on Nile Ave NE at the intersection of NE 4th ST. Robinson stated that when the light turned green, he proceeded straight through the intersection, when U-1 drove in front of him, causing the collision. Robinson reported no injuries. U-2 sustained significant damage to the front bumper area and radiator. I contacted the driver of Unit# 3, identified by her WADOL as Neha Saraf (05/12/1994) and asked her to describe what had occurred. Saraf stated that she had been driving her 2004 Toyota Camry (WA Plate 872YQZ) eastbound on NE 4th ST in the right-hand lane, and had stopped for a red light at the intersection of Nile Ave NE. She said that she saw U-1 proceed into the intersection, and that it had been struck by U-2. She described U-1 spinning around and stated that some pieces of the car had come off, striking her front bumper. Saraf was otherwise uninvolved and reported no injuries. I observed two small scratches to the bumper of U-3. I spoke with a witness identified by his WADOL as Cameron J. Shero (10/12/1981), asking him to describe what had occurred. Shero stated that he had been heading northbound on Nile Ave NE, and had stopped in the left-hand turn lane at the intersection of NE 4th ST. According to Shero, the light changed to green for traffic on Nile Ave NE, and he waited a few seconds to check for cross traffic. He said that U-2 was coming southbound, when U-1 went into the intersection in front of him, causing the collision. I issued Nguyen a Notice of Infraction for failure to obey a traffic control device under RCW 46.61.050. 1 explained the infraction to Nguyen, she said she had no questions. At the time of this report Robinson's DOL status is Suspended/Revoked 3rd degree. I used my discretion and did not issue him a criminal infraction. I advised Robinson that he was not supposed to operate a motor vehicle and should not do so again until his license status is reinstated. N/F. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EE53473 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-1773 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:4256970247 0 8 29 LAST NAME SARAF FIRST NAME NEHA MIDDLE INITIAL STREET 30 NEW AnDRFSP' 13352 191ST PL SE CITY RENTON ST WA ZIP 98059 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO zERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 05 - 12 - 1994 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE 872YQZ TAr WA VIN# JTDBE32K840246200 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 3 5 VEH.YEAR2004 MAKE TOYT MODEL CAMRY I STYLE SD I VEHICLE TOWE E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO LIABILITY INSURANCE INSURANCE CO AMERICAN FAMILYA103820144 q"i"Olx IN EFFECT &POLICY# EHICLE 34 13 ❑ LEGALLY YES NO❑ CITATION# CHARGE 0 BOTTOM STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME NID AL ❑ 36 STREET 16 NEW AnnRSTREET"[-] CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. MATTHEW TRAINO 02-18-24 01:36 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED BADGE O#I' APPROVED P Y /26 ORID# 12811 WA0171300 SCOTT 224/2024 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. EE53473 CASE# ' 24-1773 DATE AND TIME 02/18/24 10:55 OF COLLISION Scene not Observed co Not to Scale Unit a : I I '' oint of Impact, `nit Unit 3 y. r r r 3 Witness Unit I stop 104cation PAGE 5 OF 5