HomeMy WebLinkAbout24-1954 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE53472 170
27
COLLISION REP FIT 1591971
CASE 24-1954 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 02 - 1-- 2024 1440 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE CARR RD BLOCK NO. e✓ 11100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 50 00 FEET e S ❑ W e 103RD AVE SE❑
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4254969284 0 6 30
6� LAST NAME MILLER FIRSTNAME THOMAS MIDDLE W 1 2 31
INITIAL
STREET ❑ 18485 114TH AVE SE CITY RENTON ST WA 21p 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� CBW9499 sTArI WAurN# 2T18URHE2FC306553
TRAILER STATE PLATE
#TRAILER
STATE
11 3 5 PLATE# PLATE FROM To
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
ROM TO
❑ VEH.YEAR 2015 TOYT COROL SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN T k GOVT.VEHICLE 34
13 4 DAMAGE YES NOBS TOWING 3 7 YES❑ No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14� ABILI INSURANCE INSURANCE CO STATE FARM5077303-A26.47 4
IN EFFECT &POLICY# TOPVE"'CLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:8482483786
16 a
LAST NAME SHARIFF FIRST NAME AISHA MIDDLE
INITIAL
17 STREET❑ NEW ADOREss❑' 19910 118TH AVE SE CITY KENT ST WA ZIP 98031 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDI IVE STATE WA ]SEX IF M D.O.B. 12 _ 28 _ 1975 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CK60539 TArE 41
WA VIN# JN8AT2MVOGW150201 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 2016 MAKE NISS MODEL ROGUE STYLE UT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO AHMED SHAFEEQ 19910118TH AVE SE KENT WA 98031 D:8482482791 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE &POINSURGY#E CO GEIC04585-96-63-20IN I 9TOP
VEHICLE YES[:] ,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY N
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
JAREN JOKELA 12805 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE53472
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1954
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MILLER HUI YOUN
(LAST FIRST,
ADDRESS&PHONE# D O.B.
18485 114TH AVE SE RENTON WA 98055 SEX F MMDOYyry 07 - 23 - 1950
PASSENGER WITNESS❑ UNIT# 1 SEA 3 AIRBAG 2 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES
USE 1 2 CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
BEd MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. 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.
JAREN JOKELA 02-22-24 04:41 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIREE SCOTT 10272 1 2/24/2024 3:14:56 PM
BADGE OR ID# 12805 ORI#' WA0171300 TIME POLICE DISPATCHED 2:45 PM TIME POLICE ARRIVED]2:52 PM
PART Ei PAGE IT]OF
REPORT NO. EE53472 CASE# 24-1954 OF COLLISION
02/22/24 14:40
OF CbLLI510N
NARRATIVE
Renton Case #24-1954
On 02/22/2024 at 1447 hours I was dispatched to the intersection of SE Carr RD/103rd Ave SE, in the
City of Renton, King County, Washington. I was responding to a call of blocking accident. This
incident was captured on my body worn video camera. This report is a summation of events that
occurred and is not an exact sequence of events.
While en route, dispatch advised the following: Shows west of intersection, two motor vehicle
accident. Non-injury, blocking westbound lane.
At approximately 1452 hours, I arrived on scene located the two involved vehicles. Unit 1 and Unit 2
vehicles were blocking the number 1 lane of westbound travel of SE Carr RD, just went of 103rd Ave
SE.
I identified Unit 1 as a 2015 Toyota Corolla (WA LIC #CBW9499) being driver by the registered owner
of the vehicle, identified by his WA DL as Thomas W Miller (DOB 11/06/1954). Located in the front
passenger seat of the vehicle, was Thomas' wife, verbally identified as Hui-Youn Miller (DOB
07/23/1950).
Unit 1 driver told me he was not injured. I asked Unit 1 driver what happened, he stated that as he
was traveling westbound in the number 2 lane of travel on SE Carr RD. Unit 1 driver stated that he
observed a metro bus ahead of him slowing, which prompted him to change lanes into the number 1
lane of travel. Unit 1 driver stated he looked over his shoulder in making the lane change and as a
result, did not observe traffic in the number 1 lane of travel slowing. Unit 1 driver said shortly after
changing lanes, he collided with the vehicle stopped in front of him, Unit 2 vehicle.
I observed substantial damage to the front end of Unit 1 vehicle as a result of the collision.
Unit 1 driver provided me with his WADL, registration and proof of insurance.
I identified Unit 2 as a 2016 Nissan Rogue (WA LIC #CKB0539) being driven by Unit 1 driver,
identified by her WA DL as Aisha Shariff (DOB 12/28/1975). No other occupants were in the vehicle
of Unit 2.
Unit 2 driver told me she was not injured. I asked Unit 2 driver what happened, she stated that she
was traveling in the number 1 lane of travel on SE Carr Rd. Unit 2 driver said that as she slowed with
traffic in front of her, eventually coming to a stop, she was rear ended by the vehicle behind her, Unit
1 vehicle. I observed minor damage to the rear bumper of Unit 2 vehicle.
Unit 2 driver provided me with her WADL, registration and proof of insurance.
I took photographs of both vehicles at the scene along with the sustained vehicle damage to each
unit. All photos were later uploaded to Axon Evidence.
While on scene, it was noted that a lane closure in the number 2 lane of westbound travel on SE Carr
RD was the cause for slowing traffic. The closure was approximately 100ft west of where the collision
occurred.
I provided each involved unit with a business card, case number and answered their remaining
questions.
PAGE 3 OF 5
REPORT NO. EE53472 CASE# 24-1954 OF COLLISION
02/22/24 14:40
OF CbLLI510N
NARRATIVE
Bankers Towing was dispatched and removed Unit 1 from the scene. Unit 2 cleared the scene
unassisted.
If Unit 1 had observed slowing traffic in front of him while/after changing from the number 2 lane of
travel to the number 1 lane of travel, then the motor vehicle collision would not have occurred.
I then cleared the scene.
This ends my report.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Jaren Jokela #12805, 02/22/2024 at 1616 hours in Renton, Washington.
PAGE 4 OF 5
REPORT NO. EE53472 CASE# ' 24-1954 DATE AND TIME 02/22/24 14:40
OF COLLISION
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PAGE 5 OF 5