HomeMy WebLinkAbout24-2078 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-2078 2
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 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 1825 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S GRADY WAY BLOCK NO. e✓ 700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e TALBOT RD S
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:5303070599 0 3 30
6� INITIAL
LAST NAME MANGIARACINA FIRSTNAME MIKELA MIDDLE H 1 1 2 31
STREET ❑✓ 619 NORTH K ST CITY TACOMA ST WA ZIP 98403 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 07 1— 22 — 1996 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ Pi aT�S� BUS9035 sTArI WAurN# 4S46RDGCOC2228087
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 6 4 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 6 4 34
13 A N SUBA OUTBA UT DAMAGE YES NO YES❑ NO
REGISTERED OWNER INFO MIKELA MANGIARACINA 2661 N PEARL ST NUM 297 TACOMA WA 98407 D:5033070599 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14[Al
LIABILITY INSURANCE INSURANCE CO TRAVELERS 607370164-2.03.1 <1�3 4
LI EFFECT &POLICY# TOPVEHICLE CHARGE 36
E�ALLv YES❑NO CITATION# 4A0001170 INATTENTIVE DRIVING orrom
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2066889105
16 2
LAST NAME WONG FIRST NAME DENNIS MIDDLE
INITIAL
17❑ STREET ❑', 1129 S 34TH ST CITY RENTON ST WA ZIP 980555862 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LDI IVER # STATE WA SEX M M D.O.B. 12 _ 24 1971 0 39
HELMET {NJURY 7 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 2 EJECT 1 USE 2 CLASS SORE NECK
21❑ LICENSE I CCN7815 TAre WA VIN# JMIBL1UGOC1532098
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2012 MAKE MAZp MODEL 3 STYLE 4p VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DENNIS WONG 1129 S 34THST RENTON WA 98055 D:2066889105 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 1 STOP
vewcLEy YES N� CITATION# 4A0001169 CHARGE OP MOT VEH W/OUT INSURANCE t o BOTTOM
LecAllY `LJ
25 -RA
$ '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.PAGET 8660 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE53756
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2078
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.
C.PAGET 02-25-24 08:11 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 2/26/2024 12:46:13 AM
BADGE OR ID# 8660 ORI# WA0171300 TIME POLICE DISPATCHED', 6:27 Pry TIME POLICE ARRIVED',6:30 PM
PART I PAGE IT]OF 4�
REPORT NO. EE53756 CASE# 24-2078 OF COLLISION
02/25/24 18:25
OF CbLLI510N
NARRATIVE
24-2078 collision possible injury
Axon:
Axon body cam and car video available
Narrative:
On 02.25.2024 at 1825 hours, there was a 911 hang up on the SW corner of the intersection of S
Grady Way and Talbot RD S. When I arrived at 1830 hours, 1 found no one at the intersection and
started checking surrounding parking lots. I checked the parking lot of Triton Towers 3 which is
located at 707 S Grady Way. This address is within the city limits of Renton, County of King, WA.
I on the east side of the building, I found two vehicles that had recently been in a collision, and they
told me they called 911.
I advised both drivers and sole occupants of their respective cars that our contact was recorded.
Both drivers had been on S Grady Way and were turning on Talbot Rd S. S Grady Way at this point in
the road travels SW to NE and Talbot RD S travels NW to SE. This intersection has a "free" right turn
lane traffic permitting on the SW corner.
I spoke to Dennis Wong DOB/12.24.1971. Wong was identified by photo WADL and has a licensed
DOL status. Wong was driving a white (DOL indicates black) 2012 Mazda 3 4dr Sedan
WA/CCN7815. Wong is the legal and registered owner of the vehicle. Wong told me that he was on
S Grady Way headed from the SW to turn on Talbot Rd S to the SE. Wong stopped for traffic and
was hit from behind by a Subaru Outback driven by Mikela Mangiaracina. Wong provided his
registration but told me he does not have insurance as it is expired. Wong complained of a sore neck
and was treated/released by Renton Fire. Damage to his vehicle was centered on the driver's side
bumper.
I spoke to Mikela H Mangiaracina DOB/07.22.1996. Mangiaracina was identified by photo WADL and
has a licensed DOL status. Mangiaracina was driving a blue (DOL indicates TAN) 2012 Subaru
Outback WA/BUS9035. Mangiaracina is the legal and registered owner of the vehicle. Mangiaracina
was on S Grady Way headed from the SW to turn on Talbot RD to the SE. Mangiaracina provided her
registration and proof of insurance. Mangiaracina told me that she didn't see Wong stop (for traffic)
and hit his car. Damage to her car was the front bumper/right passenger side into the front hood.
I issued Mangiaracina Sector Infraction #4A0001170 for Inattention while driving. I requested the
infraction be mailed by the court. I issued Wong Sector Infraction #4A0001169 for Operating a Motor
Vehicle without Liability insurance. I requested the infraction be mailed by the court.
Both drivers drove their respective vehicles from the location.
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 C. Paget/8660 2/25/2024 8:06 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE53756 CASE# ' 24-2078 DATE AND TIME 02/25/24 18:25
OF COLLISION
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