HomeMy WebLinkAbout24-2002 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
SASE 24-2002 2
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI 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'. 02 - 1-- 2024 1632 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
SUNSET BLVD NE ST e✓
MILEPOST 275 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ � MILE N,❑ FEET e S ❑ OF ON-RAMP TO I-405 NIB
1 9 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4254438952 0 11
30
6[i LAST NAME PRAYUDI FIRSTNAME JUNTO MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 7627 118TH AVE SE CITY NEWCASTLE ST WA 21P 980561785 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 CLASS 1 NATURE OF INJURIES z❑
3
,OF
Pi ATE 14 BWV2830 sTATe WA u N# JF1 GH61628G833238
IT STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR. TRLR 9 1 33
12 3 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /[g GOVT.VEHICLE 1 $ 34
13 A 2008 SUBA IMPREZ SD DAMAGE YES NO TOWING YES[:] No✓
REGISTEREDOWNERINFO JUNIO PRAYUDI 7627118TH AVE SE NEWCASTLE WA98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI V INSURANCE NSURANCE CO STATE FARM 435 9411-F27.47A <��34
IN EFFECT &POLICY#vErIICLE CHARGE 36
YES❑NO CITATION# 4A0014440 FAIL TO YIELD MOTOR VEHICLE
15❑ STANDING 7 6
MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES 1/ NO RO 2067128961
16 a
LAST NAME CAPACHO GUERRERO FIRST NAME SANDRA MIDDLE I P
INITIAL
17❑ NEW STREETREs7 613 UNION AVE NE CITY RENTON ST WA ZIP 980594703 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX F D.C.B. 09 _ 13 _ 1972 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# BW9875 TATE WA VIN# 2T 41
3G1RFV8LC111223 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2020 MAKE TOYT MODEL RAV4 STYLE UT VEHICLETOWED TO BLIN TOWED BY GOV HI 44
24❑ DAMAGE YES✓ NO BANKER TOWING YES No�/
REGISTERED OWNER INFO LOUIS TRUJILLO 613 UNION AVE NE RENTON WA 98059 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO ALLSTATE 087904095IN 9TOP
vEHICLE ❑ ,J� CITATION# CHARGE I�i BOTTOM
LEGALLY YES N J
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.CHRISTIANSEN 10437 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE53241
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2002
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.
J.CHRISTIANSEN 02-23-24 05:42 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 2/23/2024 9:39:39 PM
BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED! 4:32 PM TIME POLICE ARRIVED',4:36 PM
PART I PAGE IT]OF
REPORT NO. EE53241 CASE# 24-2002 OF COLLISION
02/23/24 16:32
OF CbLLI510N
NARRATIVE
RENTON POLICE CASE #: 24-2002
RECORDED ON AXON
*This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. *
On 02.23.2024, at approximately 1633 hours, I was dispatched to a two-vehicle, blocking, unknown if
injury collision at the intersection of Sunset Blvd NE and the on-ramp to 1-405 N/B, in the City of
Renton, WA, the County of King.
I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was
operating a fully marked Renton Police Tahoe #304, equipped with "POLICE" markings, overhead
exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully
equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton
Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with
"POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious
to any reasonable person I was a police officer. I was assigned as 302.
At the time of this collision, it was clear and sunny, the roadways were dry and free from debris, it was
daylight, and no streetlights were illuminated, and it was approximately 53 degrees.
Prior to my arrival, dispatch advised the reporting party, MCFARLAND, SABRINA/PSRBY 720/636-
2367 contacted the police to report the vehicle collision.
Officer Phillips and I responded, and I arrived on scene at approximately 1636 hours. Both vehicles
had heavy front-end damage and were leaking fluids. Both vehicles were inoperable, and dispatch
was updated to contact Bankers towing for two private tows.
Unit 01 was identified as a silver in color Subaru Impreza bearing WA Plate: BWV2830. Unit 01 had
substantial front end/body damage and was leaking fluids; further, the front passenger side tire's axle
was broken. Unit 01 had no airbag deployments.
Unit 01's driver was identified by his WAID as Prayudi, Junio Mantrano (DOB: 06.14.1976). Prayudi
matched the photo shown on his WAID card. Prayudi stated he was traveling northbound on Sunset
Blvd NE and as he approached the left turn to enter the on-ramp to 1-405 N/B, he believed he had
enough time to turn in front of Unit 02, who was traveling southbound on Sunset Blvd NE, but he
miscalculated, and turned directly in front of Unit 02, resulting in a collision.
A WACIC/NCIC query on Prayudi returned clear and valid.
Unit 02 was identified as a red/maroon in color Toyota Rav4 bearing WA/BVY9875. Unit 02 had
moderate damage to the front bumper/undercarriage and was leaking fluids. Unit 02 was inoperable.
Unit 02's driver was identified by her WADL as CAPACHO GUERRERO, SANDRA P. (DOB:
09.13.1972). Capacho Guerrero matched the photo shown on her WADL. Capacho Guerrero stated
she was traveling southbound on Sunset Blvd NE, going straight ahead when Unit 01 made a left turn
directly in front of her vehicle.
A WACIC/NCIC query on Capacho Guerrero revealed she was clear and valid.
Both involved parties had valid insurance and no injuries were reported.
Unit 01's driver, Prayudi, Junio Mantrano (DOB: 06.14.1976) is the causing party in this collision by
failing to yield the right of way to Unit 02, causing a collision. Prayudi was issued SECTOR citation
4AO014440 for violation of RCW 46.61.180.1: Fail to yield motor vehicle. The following citation will be
mailed to Prayudi via the courts.
Both vehicles were impounded by Bankers towing -private tows.
Both involved parties were given the exchange of information forms and left the scene without
incident.
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 J. Christiansen #10437, on February 23, 2024, at approximately 1740
hours, in Renton, WA.
PAGE 3 OF 5
REPORT NO. EE53241 CASE# 24-2002 OF COLLISION
02/23/24 16:32
OF CbLLI510N
NARRATIVE
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
Motor Vehicle Unit 1
Action Code: ATTEMPTING TO MERGE ONTO 1-405 N/B
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EE53241 CASE# ' 24-2002 DATE AND TIME 02/23/24 16:32
OF COLLISION
,02.23.20,24
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PAGE 5 OF 5