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HomeMy WebLinkAbout24-10128 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 SASE 24-10128 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 RESERVATION STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CowsloN 09 - 1-- 2024 1516 17 ❑.❑ S IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW GRADY WAY BLOCK NO. e✓ 100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 100 00 FMILES EET e S ❑ W e RAINIER AVE S 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES No ,/ D:4254307500 0 7 30 6 LAST NAME WALKER FIRSTNAME MICHAEL MIDDLE 1 2 31 INITIAL STREET ❑✓ 1055 S GRADY WAY CITY RENTON ST WA ZIP, 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NOWINTERLOCKYEs NO�/ YES R No�/ 8 DRIVER'S. STATE SEX.M D.Q.E. 1 1 2 32 ❑ LICENSE# I I MMDDYY 9 ON DUTY✓❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET IINIJAU RY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� BXR9813 sTATe WA urN# 5TDZK23C38S145609 TRAILER STATE TRAILED STATE 11 3 5 PLATE# PLATE# FRom To TRLR. TRLR 7 3 33 12 F 3 5 1 vIN#' VIN# >;. FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 9 34 13FAl 2008 TOYT SIENNA DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO CITY OF RENTON 1055 S GRADY WAY RENTON WA 98077 D:4254307500 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO PRIVATE INSURANCE 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEcnLLv YES❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ : OWNFR ❑ YES NO 1/ D:2533293607 LAST NAME YAU FIRST NAME SABINA MIDDLE N INITIAL 17 STREET❑ NEW ADDRESS❑' 10627 SE 213TH CT CITY KENT ST WA ZIP 980314023 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YES❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 DRIVER'S STATE WA ]SEX IF D.C... 01 21 1995 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES 40 USE CLASS MINOR INJURY TO NOSE LICENSE I ❑21❑ PLA E# BPC8812 TATE 41 WA vIN# 1ZVBP8AM7C5205310 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2012 MAKE FORD MODEL MUSTAN STYLE VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO SABINA YAU 10627 SE 213TH CT KENT WA 980314023 D:2533293607 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU&PORGY#E CO PROGRESSIVE 928661737IN 1 GD VEHICLELLY CITATION# CHARGE 25 LEGA YES[Z NF� ❑ s e 7PLANTAGNE S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 12575 WA0171300 PAGE 01 OF PART A 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF20820 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10128 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. P.LANTAGNE 09-29-24 06:49 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 10/2/2024 5:45:35 PM BADGE OR ID# 12575 OR]# WA0171300 TIME POLICE DISPATCHED 3:20 PM TIME POLICE ARRIVED',3:26 PM PART B PAGE IT]OF 4� TIM REPORT NO. EF20820 CASE# 24-10128 OFC LNaoy L isI©�ON 09/27/24 15:16 F cu NARRATIVE 24-10128 On 09/27/2024 at approximately 1516 hours, I, Officer Lantagne, responded to a non-blocking, possible injury collision which occurred at the intersection of SW Grady Way and Rainier AVE S, which is located in the City of Renton, County of King, and the State of Washington. I responded in my fully marked police vehicle, wearing my patrol uniform and body worn camera. I arrived on scene at the Renton Police Department and observed Unit#1, a 2008 Toyota Sienna with license plates BXR9813 issued out of Washington State, and Unit#2, a 2012 Ford Mustang with license plates BPC8812 issued out of Washington State. I was advised the driver of Unit#2 had hit her nose on the steering wheel and sustained a minor injury. I contacted the driver of Unit#1, Officer Michael Walker, who told me the following: Officer Walker was driving eastbound in the 100 block of SW Grady Way. As Officer Walker's vehicle approached the intersection at Rainier AVE S, he glanced down at his watch. When Officer Walker looked up from his watch, he observed traffic had come to a stop in front of his vehicle. Officer Walker was not able to stop his vehicle in time and the front bumper struck the rear bumper of Unit#2. 1 contacted the driver of Unit#2, Sabina Yau (DOB 01/21/1995), who told me the following: Yau was driving eastbound in the 100 block of SW Grady Way. As Yau's vehicle approached the intersection at Rainier AVE S, she stopped her vehicle for traffic in front of her and the rear bumper of her vehicle was struck by Unit#1. I observed the damage to the vehicles and other physical evidence was consistent with the statements made by both drivers. Unit#1 had minor damage to the front license plate and possibly a crack in the front bumper. Unit#2 had minor damage to the rear bumper which consisted of indent marks from the license plate of Unit#1, and the black plastic lower portion of the bumper was pulled off the top portion. Due to previous damage to both vehicles, it was difficult to determine what damage was caused by the collision. The collision diagram is an accurate illustration of the events leading up to the collision. I provided an exchange of information to Yau. I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State of Washington, the foregoing is true and correct. Electronically signed by Officer P. Lantagne #12575 at 1828 hours on 09/29/2024 at Renton, WA. PAGE 3 OF 4 REPORT NO. EF20820 CASE# 24-10128 DATE AND TIME 09/27/2415:16 OF COLLISION s ` tit 1, f f tt� { U� 7 } v. 3 PAGE 4 OF 4