Loading...
HomeMy WebLinkAbout23-11146 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE06311 170 27 COLLISION REP FIT 1591971 CASE 23-11146 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 04 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# CowsloN 09 - 1-- 2023 1148 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE CARR RD BLOCK NO. e✓ 10600 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e 106TH PL 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El No ,/ I D:2068300033 0 11 30 LAST NAME RAMANATHAN FIRST NAME PRABHAKARAN MIDDLE N 6 INITIAL 1 2 31 STREET ❑ 10413 SE 174TH ST APT 4253 CITY RENTON ST WA 2jp, 980555871 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ Pi aT�S� BQJ5366 sTArI WAurN# 2HGF62F50CH607231 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. RLR 1 7 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEARN MAKE HOND MODEL CIVIC STYLE VEHICLE TOWED 0NOOffBLIN TSIgWgYMEYER YOS❑ENO 3 7 34 DAMAGE ILJI (�ciV6 13 REGISTERED OWNER INFO NITHYASELVARAJ10413SE174THSTAPT4253 RENTON WA 98055 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE IN CO PROGRESSIVE 942069420 3 4 IN EFFECT &POLICY# QQ VBwcLe CHARGE 36 LEGALLY YES❑NO CITATION# 3A0387757 FAIL TO YIELD MOTOR VEHICLE15 STANDING MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAM THR OLD MET PHONE �U-NIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES,/ NO D:2067919108 16 a LAST NAME DUFF FIRST NAME DANIEL MIDDLE JE INITIAL 17❑ STREET ❑', 17430 AMBAUM BLVD S APT 34 CITY SEATTLE ST WA ZIP 981481779 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 LDI IVER # STATE WA SEX M M D.C.B. 11 11 1966 0 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE BWG3255 TAre WA VIN# 2FMDA522266A35541 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TIN# IN RLR #.UIN#. ' VEH YEAR 2006 MAKE FORD MODEL FREESTA STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES,� NO GENE MEYERS YES NO REGISTERED OWNER INFO KATHRYN DUFF 17430 AMBAUM BLVD S APT 34 SEATTLEWA98148 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCE #E CO USAA 0033881CIN 9TOP 5 VE""LE ❑ Nu,J CITATION# CHARGE to BOTTOM LEGALLY YES 25 ' e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 J.M/TCHELL 10377 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE06311 COLLISION REPORT III III III III III 111 1591972 CASE# 23-11146 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ROSARIO LUTGARDA L (IAST FIRST, ADDRESS&PHONE# D O.B. 20418 95TH AVE S KENT WA 980311464 SEXi F MMDDYyYv 12 - 19 - 1955 PASSENGER Z WITNESS❑'UNIT# 3 POS 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES USE CLASS '1 NAME (LAST,FIRST,MIDDLE INITIAL) MOBLEY ALETEENA ADDRESS&PHONE# D O B. 2067650370 SEX: F MMDYVYY PASSENGER []WITNESS POS. USE CLASS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES NAME (LAST FIRST,MIDDLE INITIAL) GRAVES MELINDA AooREss&PHONE# 2069138182 _ SEX U. M -❑ MDDYYYY 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.MITCHELL 10-03-23 10:09 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 101612023 6:48:43 AM BADGE OR ID# 10377 ORI# WA0171300 TIME POLICE DISPATCHED 11:55 AM TIME POLICE ARRIVED 11:55 AM PART I PAGE 2�OF❑ REPORT NO. EE06311 CASE# 23-11146 OF COLLISION 09/28/23 11:48 OF CbLLI510N NARRATIVE On 09/28/23 1 responded to a 4-vehicle non-injury/blocking collision at the intersection of SE Carr RD and 106th PI SE. I contacted the driver of unit 2 who told me they were traveling westbound on SE Carr in the #2 lane. Driver says as he entered the intersection at 106th PI on a solid green light, unit 1 pulled in front of him from southbound 106th PI and the two vehicles collided. After colliding with unit 1, unit 2 deflected into unit 3 and then deflected into unit 4. The driver did complain of injury. Damages (heavy front-end) required a tow. I contacted the driver of unit 3 who told me they were stopped (for solid red traffic signal) in the left- turn only lane of eastbound SE Carr Rd when their vehicle was struck by unit 2. The driver and passenger were not injured. Unit 3 (rear bumper damage) did not require a tow. I contacted the driver of unit 4 who told me they were traveling in the #2 lane of eastbound SE Carr Rd when they were involved in a collision with unit 2. The driver was not injured (but evaluated by Renton Fire due to air bag deployment). Unit 4 (front driver side bumper damage) did not require a tow. I contacted the driver of unit 1, identified as P Ramanathan (dob 05-17--87) via his WA DL. Ramanathan says he was on southbound 106th PI Se and entered the intersection at SE Carr Rd on a green light when he was involved in a collision with unit 2. Ramanathan says he was not injured. Unit 1 (from driver-side damage) did require a tow. I was contacted by two witness who were stopped in front of unit 2 in the left-turn-only lane (eastbound SE Carr Rd to northbound 106th PI Se). The witnesses claim that while their light was a solid red, the eastbound signal for lanes 1 and 2 was solid green. Both witnesses said unit 1 had a red light when it turned onto SE Carr from southbound 106th PI. But not for the action of UNIT 1 DRIVER the result would not have happened. I cited Ramanathan via SECTOR under RCW 46.61.180.1 -Failure to Yield I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE0631 1 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-11146 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 8 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:5627947035 0 8 29 LAST NAME TUNGOL FIRST NAME MARVIN MIDDLE' L INITIAL : : STREET NEW AnDRFSP 20418 95TH AVE S CITY KENT ST WA ZIP 980311464 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 06 - 14 - 1984 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. 1 EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE B►U8510 TAr WA VIN# JTHBJ46G472056988 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR 91 VIN.It VIN.#. 11 0 0 VEH.YEAR2007 MAKE LEXS MODELES STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1G P FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFOLUTGARDA ROSARIO 2041895TH AVE S KENT WA 98031 J 9 33 12 3 5 SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO STATE FARM 4229898 D0747 q"i"Olx IN EFFECT &POLICY# VEEIOL o Cairo 7 3 34 13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE STANDING 7 4 MdTOR O PEDAL ❑ ❑ PROPERTY ❑ DAMAGETHRESHOLD MET PHONE ❑ 35 14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO D:2068999588 15 TOSTON RUSHAL MIDDLE.. G ❑ 36 LAST NAME FIRST NAME INITIAL 1 16 ❑ STREET ❑ 1711 13TH AVE S APT 101 CITY SEATTLE ST WA Z!P 981444157 NEn+AnntxFSS CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YES No INTERLOCK YEs NC7 YEs No ❑ DRIVER'S STATE WA SEX F D.O.B 37 LICENSE# MMDDYYY` 01 - 25 - 1963 18 ❑ E ON DUTY STATUS' AIRBAG 3 RESTR. 4 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES 38 USE CLASS 19 ❑ LICENSE ❑ PLATE# BKH5825 TAr yyq vIN# 39 1FMZU72XXYUB15901 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41❑ VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 2000 FORD EXPLOR DAMAGE YES NO YES NO 23 ❑ REGISTERED OWNER INFO RUSHAL TOSTON 171113TH AVE SAPT 101 SEATTLEWA 98144 SHADE IN DAMAGED AREA 43 z 3 4 LIABILITY INSURANCE INSURANCE CO ❑ VEHICLE EFFECT &POLICY# <�Q 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE LELLY �y 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. J,MITCHELL 10-03-23 10:09 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 10377 O#IL WA0171300 JOHNSON 101612023 PAGE F41 OF❑ 3000-345-013(R 11118) REPORT NO.! EE06311 CASE# ' 23-11146 DATE AND TIME 09/28/23 11:48 OF COLLISION w J � o O O SE CARR RD PAGE 5 OF 5