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HomeMy WebLinkAbout24-3118 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 24-3118 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2� TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 1 06 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION.. 03 - 1-- 2024 1909 17 ❑.= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BENSON DR S BLOCK NO. e ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 .❑ FEET ❑ S ❑ W❑ SE 172ND ST ❑ � 0 9 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El No ,/ I D:2532027374 0 11 30 6� LAST NAME WADE FIRSTNAME ROBIN MIDDLE K 1 1 2 31 INITIAL STREET ❑ 10405 SE 172ND ST APT 10 CITy RENTON ST WA Zjp, 980555471 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 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ ❑10 9❑ P1 aT�S� CLU7628 sTArI WWAvrN# 1G1ZD5STONF147965 3 TRAILER STATE TRAILER STATE 11 4 0 PLATE# PLATE# FR.. ro TRLR. TRLR 9 9 33 12 4 0 vIN#' UIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 2 2022 CHEV MAL/BU DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO ROBIN WADE 10405 SE 172ND ST APT 10 RENTON WA 98055 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 2 INSURANCE CO 3 4 14 LIABILITY INSURANCE PROGRESSIVE 976127303 IN EFFECT &POLICY# � 9TOP VEF" CHARGE 36 LEGALLY re5 No CITATION# 4A0339324 FAIL TO OBEY TRAFFIC CONTROL o aorroM 15❑ STANDING 8 6 MOTOR PEDAL-: :,PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES,/ No D:2063347471 16 a LAST NAME OTIENO FIRST NAME JANET MIDDLE JA INITIAL 17❑ STREET ❑', 16965 129TH AVE SE CITY RENTON ST WA ZIP 980586145 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK Y�EsI❑NOF YES ❑NoF,/ 19 DRIVER'S STATE WA ]SEX IF D.C.B. O6 _ 02 _ 1987 39 LICENSE# MMDDYY HELMET {NJURY 1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑ 21❑ LICENSE BW9376 TAre WA vIN# 5TDHBRCHOLS508568 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2020 MAKE TOYT MODEL HIGHLAN STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES,/ NO BANKERS YES NO REGISTERED OWNER INFO JANET OTIENO 16965129TH AVE SE RENTON WA 98058 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POLICY#E CO SAFECO H2490982IN 9TOP VEHICLE ❑ C[ CITATION# CHARGE 25 i o BOTTOM LEGALLY YES N s e 7KLANE NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 10008 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE62821 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3118 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 FIRST 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. K.LANE 03-23-24 02:00 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 3/26/2024 3:53:21 PM BADGE OR ID# 10008 OR]# WA0171300 TIME POLICE DISPATCHED 7:92 Pry TIME POLICE ARRIVED',7:14 PM PART I PAGE IT]OF REPORT NO. EE62821 CASE# 24-3118 OF COLLISION 03/22/24 19:09 OF CbLLI510N NARRATIVE This was a 6 vehicle collision in which the units are numbered in sequential order from front (north) to back (south) as best determined by drivers statements and physical evidence. Unit 1 was in front of all other units traveling northbound on Benson DR S approaching the 17200 blk. SE 172nd ST is located only on the west side of Benson DR S but there are multiple signs indicating that no left turn is authorized from southbound Benson DR S onto westbound SE 172nd ST. This is due to the high level of traffic in a 40-mph speed zone and the need to slow and stop for a break traffic approaching southbound to make this left turn and the high level of collisions that would result. Despite the traffic control devices stating that this left turn is unlawful, Unit 1 slowed and stopped in the left lane of Benson DR S to make this left turn onto westbound SE 172nd ST. Unit 2 slowed and came to a stop behind Unit 1 as did Unit 3 slow and stop behind Unit 2. An unknown vehicle/driver of Unit 4 did not slow and stop in time and the front end of Unit 4 struck the rear end of Unit 3. The force of this collision sent Unit 3 forward and the front end of Unit 3 struck the rear end of Unit 2. The force of that collision sent Unit 2 forward and the front end of Unit 2 struck the rear end of Unit 1. After Unit 4 struck Unit 3, the front end of Unit 5 struck the rear end of Unit 4. Unit 6 also sustained damage but it is unknown how exactly or which other vehicle was struck as Driver 6 states she was swerving to avoid the collision and sustained damage to the rear of her vehicle. Multiple driver's acknowledge the presence of Unit 4 describing it as a white unknown type sedan. Unit 4 fled the scene westbound on SE 172nd ST. Unit 1 sustained minor rear end damage. Unit 2 sustained minor front end damage and moderate and disabling rear end damage. Unit 3 sustained minor rear end damage and heavy and disabling frontend damage. Unit 5 sustained heavy and disabling front end damage. Unit 6 sustained minor rear end damage. Unit 4 was never located or identified and it is unknown what damage it sustained. Unit 2, Unit 3, and Unit 5 were towed by Bankers tow. Driver 1 cited for fail to comply with a traffic control device by attempting an unlawful left turn from Benson DR S onto westbound SE 172nd ST which was prohibited by signs and the proximate cause of the collision. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Traffic Control: NO LEFT TURN SIGN **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 6 SUPPLEMENTAL REPORT NO. EE62821 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-3118 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 7 28 CARRIER NAME 3 CARRIER L ADDRESS ` —1 I CITY ST ZIP' 4 ❑ NAME # PLACARD: :❑ GINAME 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:2066650286 0 1 Zg INITIAL LAST NAME VENZANT FIRST NAME TIMMIE MIDDLE' L : : STREET NFW AnDRFSP' 11444 69TH PL S CITY SEATTLE ST WA ZIP 981783001 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 11 - 25 - 1967 7 ON DUTY� STATUS AIRBAG' $ RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE BWP8911 TAr WA VIN# 3FAFP06Z66R179333 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR 91 VIN.#. VIN.#. 11 4 0 VEH.YEAR2006 MAKE FORD MODELFUSION STYLE VEHICLE TOWE E T SABLI �d�i' anvi vEH1Ci P FROM TO DAMAGE YES NO YES NO 33 REGISTERED OWNER INFOALICIA PIERSON PO BOX 1931 RENTON WA 98057 § 1 12 4 0 SHADE IN DAMAGED AREA 34 FROM TO LIABILITY INSURANCE INSURANCE CO GEICO 6088827800 <�* IN EFFECT &POLICY# 1VEHICLE 34 13Lecnuv YES❑ NO❑ CITATION# CHARGE STANDING } 8 7 6 14 UNIT# 4 VEO IOCRLE O CYCLE � OWNER YES AGE NOHRE3/HOLD MET PHONE ❑ 35 PEDESTRIAN 36 15 � UNKNOWN : MIDDLE' LAST NAME FIRST NAME INITIAL 16 STREET CITY RENTON ST ZIP N�n+AnnRFss CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICAL TANSPORTED 17 ❑ INTERLOCK YEs NO INTERLOCK YEs N. rEs No./ ElDRIVER'S STATE SEX U moo 37 D,O 18 ❑ LICENSE# MMDDYYY ON DUTY STATUS AIRBAG 9 RESTR, 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES 38 USE CLASS 19 ❑ LICENSE ❑ 39 PLATE# DNK TAr vIN# UNK 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE MODEL STYLE SD VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 4 DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_(NEW] RENTON SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO <�Q VE EFFECT &POLICY# 44 24 VEHICLE LLY YES❑ NO❑ CITATION# CHARGE L=ENSTANDING 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. K.LANE 03-23-24 02:00 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 10008 O#IL WA0171300 JOHNSON 3/26/2024 PAGE F OF 6 3000-345-013(R 11118) SUPPLEMENTAL REPORT NO. EE62821 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-3118 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 1 8 28 CARRIER NAME 3 CARRIER L ADDRESS `❑ CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- �`"'j PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 5 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES� NO D:2063912958 0 1 Zg LAST NAME COLMENARES PAYAGUA FIRST NAME MIDDLE RONDER INITIAL ' A STREET NEW AnnRnsP. 4600 DAVIS AVE S APT S103 CITY RENTON ST WA ZIP 1 980558269 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 06 - 25 - 2000 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE CA TAr Wq VIN# 3N1CB51D55L466655 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR 91 VIN.#. VIN.#. 11 4 0 VEH.YEAR MAKE MODEL STYLE VEHICLE TOVVE E T SABLI T�y��y anvi vEH1C P FROM TO 2005 NISS SENTRA DAMAGE YES NO ,vnG� YES NO REGISTERED OWNER INFORONDER COLMENARES PAYAGUA 4600 DAVIS AVE S APT S103 RENTON WA 980558269 D:2063912958 $ 1 33 12 4 0 SHADE IN DAMAGED AREA 3 4 FROM TO LIABILITY INSURANCE[] INSURANCE CO R"i"Olx IN EFFECT a Poucv# 5 1 34 o�orTUM_ 13 LEGALLY VEHICLE YES❑ NO❑ CITATION# 4A0339325,4A0339325 CHARGE OP MOT VEH W/OUT INSURANCE,NO LEGALLY STANDING 8 7 6 6 MdT{7R O PEDAL , ❑ ❑ PROPERTY DAMAGETHRESHOLD MET PHONE ❑ 35 14 UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO D:2067954786 15 � ALVAREZ MONICA MIDDLE A ❑ 36 LAST NAME FIRST NAME INITIAL 2 STREET 16 ❑ ❑; 11217WOODLEYAVES CITY L SEATTLE ST' WA ZIP 981783153 NEn+AnntxRSS CDL IGNITION REdUiR rD IGNITION PRESENT MEDICALTANSPORTED 17 ❑ INTERLOCK YES Nb INTERLOCK YEs NC7 YEs No�/ ❑ DRIVER'S STATE WA SEX F D.O.B 37 LICENSE# MMDDYYY` OS - 25 - 1976 18 ❑ El ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES 38 USE CLASS 19 ❑ LICENSE ❑ PLATE# AXU4128 TAr WA v!N# 2HKRM4H71FH639956 39 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ TRLR TRLR 41❑ ViN# YIN#i 42 22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 2015 HOND CRVSD DAMAGE YES NO YES NOZI 23 ❑ REGISTERED OWNER INFO MONICA ALVAREZ 2343 YALE AVE EAPTA SEATTLEWA98102 SHADE IN DAMAGED AREA 43 2 s 4 LIABILITY INSURANCE INSURANCE CO TRAVELERS 996424945-203-1 9'1'OP ❑ VEHICLE EFFECT &POLICY# i _'.''_ 44 24 LEMLLE YES[:] NO❑ CITATION# CHARGE iq 60TiOM LEGALLY STANDING & 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. K.LANE 03-23-24 02:00 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 10008 O#ILWA0171300 JOHNSON 3/26/2024 PAGE OF❑ 3000-345-013(R 11118) REPORT NO. EE62821 CASE# ' 24-3118 DATE AND TIME 03/22/24 19:09 OF COLLISION C l 1 tt` 1 ` \ t � }t}t ' ov 1 4 PAGE 6 OF 6