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HomeMy WebLinkAbout23-10685 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-10685 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 09 - 1-- 2023 1733 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ LOGAN AVE N BLOCK NO. e✓ 500 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FEET MILES e S B W e N 6TH ST 0 6 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2067997475 0 7 30 6❑ LAST NAME FARAH FIRSTNAME YAHYA MIDDLE H 1 1 2 31 INITIAL STREET ❑✓ 257 THOMAS AVE SW CITY RENTON ST WA ZIP 98057 z NEW ADDRESS ❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 7 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'M MID -O B 09 1- 30 - 1996 2 32 9 ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 . EJECT 1 H USE 2 CLASS 7 [NATURE OF INJURIES LEFT WRIST PAIN z❑ 3 10❑ PIATE14 BLT8867 sTAr WAvN# 1G1ZC5E17BF395753 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR. 5 1 33 12 3 5 VIN#j VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 3 2011 CHEV MAL/BU SD DAMAGE YES NO YES[:] No✓ REGISTERED OWNER INFO TABARAKFARA1257 THOMAS AVESW RENTON WA 98057 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE z INSURANCE CO PROGRESSIVE70075749 4 LI EFFECT I POLICY# TOPVENICLE CHARGE 36 LEGALLv res❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064760785 16 a LAST NAME SAINT FIRST NAME KOMALJIT MIDDLE INITIAL 17 STREET❑ NEW ADDRESS❑' 9221 S 239TH ST CITY KENT ST WA ZIP 98031 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 IF D.O.B. 07 04 2003 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40 USE CLASS LOWER BACK PAIN ❑21❑ PLATE# BKT6331 TArE 41 WA VIN# 2T3ZF4DV2CW143096 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2012 MAKE TOYT MODEL RAV4 STYLE SP VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO DEVINDER KAUR 9221 S 239TH ST KENT WA 98031 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU8 PORGY#E CO ENCOMPASS IND CO 253003124 1U 9TOP IN EFFECT vE""LE CITATION# CHARGE o BOTTOMYES N�25 J =ORAJEWSKI (PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 12399 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED99668 COLLISION REPORT III III III III III 111 1591972 CASE# 23-10685 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ROBINSON AJAYA J (LAST FIRST, ADDRESS&PHONE# D O.B. 9623 S 248TH ST#C3 KENT WA 98030 SEXi F MMDOYyry 08 - 24 - 2017 PASSENGER Z WITNESS UNIT# 3 ppS. 9 AIRBAG 2 RESTR. q EJECT ? HELMET NJURY NATURE OF INJURIES USE 2 CLASS '1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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. RAYMOND GORAJEWSK/ 09-16-23 06:30 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 1 911712023 4:41:50 PM BADGE OR ID# ! 1Y399 OR]# WA0171300 TIME POLICE DISPATCHED'; 5:34 PM TIME POLICE ARRIVED]5:36 PM PART I PAGE IT]OF 6� REPORT NO. ED99668 CASE# 23-10685 OF COLLISION 09/16/23 17:33 OF CbLLI510N NARRATIVE ASSIGNMENT/ARRIVAL On 09/16/2023 at approximately 1734 hours, I was dispatched to a three vehicle collision near the intersection of Logan Avenue N and N 6th Street in the city of Renton, King County, Washington. I arrived at approximately 1736 hours. UNIT 1: CHEVROLET MALIBU Upon arrival I observed a gray Chevrolet Malibu (WA/ BLT8867, Unit 1) stopped in the northbound lane of Logan Avenue N south of the intersection of N 6th Street. Unit 1 had moderate front end damage from the collision. Unit 1's front end was engaged with Unit 2's rear end. The driver of Unit 1 claimed Unit 1 had brake failure. The driver claimed he replaced the front brake pads on his own several weeks ago. The driver claimed he never had any mechanical failure with the brakes until this collision. The driver claimed the brake pedal went to the floor, but also said the wheels "locked up". UNIT 2: TOYOTA RAV4 I observed a tan Toyota Rav 4 (WA/ BKT6331, Unit 2) stopped in the northbound lane of Logan Avenue N south of the intersection of N 6th Street in front of Unit 1. Unit 2 had moderate rear end damage and minor front end damage from the collision. Unit 2's rear end was engaged with Unit 1's front end, and Unit 2's front end was engaged with Unit 3's rear end. No mechanical defects were claimed or observed. UNIT 3: TOYOTA COROLLA I observed a black Toyota Corolla (WA/ BZX2487, Unit 3) stopped in the northbound lane of Logan Avenue N south of the intersection of N 6th Street in front of Unit 2. Unit 3 had minor rear end damage from the collision. Unit 3's rear end was engaged with Unit 2's front end. No mechanical defects were claimed or observed. DRIVER 1: FARAH, YAHYA H. I contacted Yahya H. Farah (DOB: 09/30/1996) in a nearby parking lot after all the vehicles were moved from the lanes of traffic. I identified Farah by his valid Washington Driver License. I established Farah as the driver of Unit 1 by his admission. Farah complained of pain to his left wrist from the collision. Farah refused emergency medical services. DRIVER 2: SAINI, KOMALJIT I contacted Komaljit Saini (DOB: 07/04/2003) standing near Unit 2. 1 identified Saini by her valid Washington Driver License. I established Saini as the driver of Unit 2 by her admission. Saini complained of lower back pain from the collision. Saini admitted she had lower back surgery in May of 2023. Saini refused emergency medical services. DRIVER 3: ROBINSON, AJAI K. I contacted Ajai K. Robinson (DOB: 07/19/1990) standing near Unit 3. 1 identified Robinson by his valid Washington Driver License. I established Robinson as the driver of Unit 3 by his admission. Robinson was not injured in the collision. PASSENGER Robinson's young daughter, Ajaya J.L. Robinson (DOB: 08/24/2017) was in Unit 3 during the collision. Ajaya was not injured from the collision. STATEMENT: DRIVER 1 1 spoke with Farah about the collision. The following is a summary of our conversation: PAGE 3 OF 6 REPORT NO. ED99668 CASE# 23-10685 OF COLLISION 09/16/23 17:33 OF CbLLI510N NARRATIVE Farah drove Unit 1 north on Logan Avenue N toward N 6th Street. Farah stopped in traffic behind Unit 2. Traffic started moving, so Farah accelerated from a stop. Unit 2 suddenly stopped in front of him. Farah applied Unit 1's brakes, but was unable to stop in time. Unit 1's front end collided with Unit 2's rear end. This concluded my conversation with Farah. STATEMENT: DRIVER 2 1 spoke with Saini about the collision. The following is a summary of our conversation: Saini drove Unit 2 north on Logan Avenue N toward N 6th Street in front of Unit 1. Saini stopped Unit 2, since she saw Unit 3, which was in front of her, stop for traffic. Unit 2's rear end was suddenly struck by Unit 1's front end. The force of the collision caused Unit 2's front end to collide with Unit 3's rear end. This concluded my conversation with Saini. STATEMENT: DRIVER 3 1 spoke with Robinson about the collision. The following is a summary of our conversation: Robinson drove Unit 3 north on Logan Avenue N toward N 6th Street in front of Unit 2. Robinson stopped Unit 3 for stopped traffic in front of him. Robinson looked in his rear view mirror to make sure Unit 2 stopped behind him, which it did. Robinson heard a collision, then Unit 2's front end collided with Unit 3's rear end. This concluded my conversation with Robinson. PHOTOGRAPHS I took photographs of the vehicle with my department issued cell phone and uploaded the photographs to Axon's Evidence.com. DISPOSITION I gave each driver an Exchange of Information form. This concluded my involvement in this case. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Gorajewski, #12399, on 09/16/2023 at 1827 hours in Renton, Washington. PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. ED99668 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-10685 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 DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2539936394 0 7 29 LAST NAME ROBINSON FIRST NAME AJAI MIDDLE' ',, K r:j INITIAL STREET 30 ❑ NEW AnDRFrtP 9623 S 248TH ST#C3 CITY KENT ST WA ZIP 98030 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs NO NTERLOCK YES❑N0� vES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 07 - 19 - 1990 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BZX2487 TAr WA VIN# JTDS4MCE5NJ088556 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 3 5 VEH.YEAR2022 MAKE TOYT MODEL COROLL STYLE SD I VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1I' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO USAA 042573888C R"i"Olx IN EFFECT &POLICY# 1 ewCLe 34 13 3 LTAGFlG YES NO❑ CITATION# CHARGE 0 BOTTUM STANDING }EGALLY 7 14 ❑ UNIT Tr Vd I RE O CYCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 El PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F1' CITY ST ZIP NEW CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES No NTERLOCK 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 TOWED DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEHIcLE 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. RAYMOND GORAJEWSKI 09-16-23 06:30 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12399 O#I',WA0171300 SUMMERS 911712023 PAGE F OF 6 3000-345-013(R 11118) REPORT NO. ED99668 CASE# ' 23-10685 DATE AND TIME 09/16/23 17:33 OF COLLISION Logan Ave N Net to Scale t 4 k I N 6tF Street PAGE 6 OF 6