HomeMy WebLinkAbout24-3812 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-3812 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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 CITY#
COLLISION 04 - 08 - 2024 0825 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SUNSET BLVD N BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e MAPLEVALLEYHWY
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES ✓NO D:2537378096 0 81
30
6❑ LAST NAME KAMAU FIRSTNAME SAMUEL MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 29236 45TH AVE S CITY AUBURN ST WA 2jp, 98001 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 10 1- 30 - 1976 2 32
INJURY -, [NATURE OF INJURIES
9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 9 EJECT 1 H U SE CLASS 7 I COMPLAINED OF PAIN TO BOTH SHINS z❑
3
10[1P1 ATNES# CFF9781 sTAr WAv N# 5YFBURHEXHP733577
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
FT -R TPILF1 1 5 33
12 3 5 VIN#j VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 9 34
13 4 2017 TOYT COROL 4D DAMAGE YES NO AWYkkR'S TOWING vES❑ NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILIT INSURANCE Z INSURANCE CO GEICO 6127864962 3
IN EFFECT &POLICY# 9TOP
vE—LL CHARGE 5 36
E�ALLv re5 No CITATION# 4AO087322 FOLLOW VEHICLE TOO CLOSELY o eorrom
15❑ STANDING 6
MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT a2 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2062802394
16 a
LAST NAME KOIMUTTUM FIRST NAME RAMALINGAM MIDDLE B
INITIAL
17❑ STREET ❑', 6115 NE 4TH PL CITY RENTON ST WA ZIP 98059 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO INTERLOCK v�Esl I I NOF YEs t l NO�
19 DRIVER'S STATE WA SEX M D.C... 07 09 _ 1968 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I BRJ2499 TAre WA VIN# JTMRFREV6JD228142
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE TOYT MODEL RAV4 STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO RAMALINGAMKOIMUTTUM6115NE4THPL RENTON WA 98059 D:2062802394 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO SAFECO H24262008IN 1 9TOP
--E CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES N�
❑ s
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# FENCY26 CROW 12618 0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE66828
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3812
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
POS. 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.
SHAWN CROW 04-08-24 12:44 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 411012024 3:44:13 AM
BADGE OR ID# 12618 ORI# WA0171300 TIME POLICE DISPATCHED; 8:27 AM TIME POLICE ARRIVED:8:Y7 AM
PART I PAGE IT]OF 4�
REPORT NO. EE66828 CASE# 24-3812 OF COLLISION
04/08/24 08:25
OF CbLLI510N
NARRATIVE
CC
On 04/08/2024 at about 0827 hours I was dispatched to a non-injury, blocking motor vehicle collision
at the intersection of Sunset Blvd N/Maple Valley Highway.
Driver 1: Samuel N. Kamau, 10/30/1976; Unit 1: 2017 Toyota Corolla with WA plate CFF9781
Driver 2: Ramalingam B. Koimuttum, 07/09/1968; Unit 2: 2018 Toyota Rav4 with WA plate BRJ2499
When I arrived Unit 1 was in the lane marked to head south onto Interstate 405 South blocking
southbound traffic. Unit 2 was pulled off onto the shoulder on the Interstate 405 South onramp.
Driver 1 said he was traveling straight (south) preparing to get onto the Interstate 405 South onramp
when the vehicle directly in front of him (Unit 2) came to a sudden stop at the traffic light. Driver 1
attempted to stop, but he was unable to brake before colliding into the rear end of Unit 2. Driver 1
complained of pain to both his shins, but he declined medical aide. All the airbags within the vehicle
(combination of front and side airbags) deployed, and there were no other passengers. Unit 1 had
extensive damage to the front end and was unable to be driven from the roadway. I requested a tow,
and Banker's Towing arrived to tow the car from the roadway. Photos were taken of the vehicle while
on scene and uploaded to Axon.
Officer M. Long spoke to Driver 2 who was also traveling straight (south) preparing to get onto the
Interstate 405 South onramp. Driver 2 said the traffic light turned yellow in color, so he slowed down
and came to a stop; however, the front end of Unit 1 collided into the rear end of Unit 2. After the
collision Driver 2 drove his vehicle out of the roadway and onto the shoulder of the Interstate 405
south onramp to avoid blocking traffic. Driver 2 was not injured. Unit 2 had damage to the rear end
of the vehicle, but it was able to be driven from the scene. Photos were taken of the vehicle while on
scene and uploaded to Axon.
The road conditions were wet due to it raining at the time of the collision, and it appeared Samuel N.
Kamau's actions contributed to the circumstances of the collision while following too closely to the
vehicle in front of him. I completed a traffic infraction against Samuel for Following Vehicle Too
Closely (RCW 46.61.145.1). The infraction (4A0087322) was sent to the court to be mailed.
PAGE 3 OF 4
REPORT NO. EE66828 CASE# 24-3812 DATE AND TIME 04/08/24 08:25
OF COLLISION
1
t
t
t
1 fl�
fi
fl
i
" t
u
PAGE 4 OF 4