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HomeMy WebLinkAbout24-9585 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF23242 170
27
COLLISION REP FIT 1591971
CASE 24-9585 z
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 TOTAL#TRIBAL OF 03 OBJECT 1 1 8 28
UNITS
RESERVATION STRUCK
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CawsloN 09 - 1-- 2024 1725 17 ❑.❑ S IN 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 3RD STREET BLOCK NO. e✓ Y800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 700 00 FEET MILES e S ❑ W e JEFFERSON
2 0 29
MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE
NIT 01 VEHICLE ❑ CYCLE. ❑ YES NO F D:2069462219 0 1 30
6❑ LAST NAME BANDA FIRSTNAME JOSEPH MIDDLE 1 2 31
INITIAL
STREET ❑, 702 SW 338TH ST CITY FEDERAL WAY ST WA ZIP 980237885 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
ELOB 07 — 01 — 1983 1 2 32
9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICE
10 9� P1 ATNFS14 XTA30L STATE AZ VIN# 3KPF54AD2PE559863 11 F—] TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#'
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T k GOVT.VEHICLE 34
13 2023 KIA FORTE SD DAMAGE YES NO � RS 7 3 YES❑ No✓
REGISTEREDOWNERINFO JOSEPH BANDA 702 SW 338TH ST FEDERAL WAY INA 980237885 D:2069462219 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE❑ NSURANCE CO NONE <1�3 4
IN EFFECT &POLICY# TOPvErIICLE CHARGE 36
LEGALLY YES❑NO CITATION# 4A0745357 OP MOT VEH W/OUT INSURANCE orrom
15❑ STANDING 7 6
MOTOR PEDAL- :PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064278472
16 a
LAST NAME NGUYEN FIRST NAME KHANH MIDDLE ID
INITIAL
17❑ NEW ADDRE_ 16208 2STREET 05TH PL SE CITY RENTON ST WA Zip 98057 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INERLOCKYEs❑No� INTERLOCK ves No� YEs NDF
19 DRIVER'S STATE I WA SEX M I D.C.B. 07 18 _ 1980 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAU EY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# B66512S TATE 41
WA VIN# 1N6ADOFV96C419362 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2011 MAKE NISS MODEL FRONTIE STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO KHANH NGUYEN 16208205TH PL SE RENTON WA 98059 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#ECO AMERICAN FAMILY CONNECT BX11729972 I STOP 5
IN EFFECT
VEHICLE YES❑ N,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY
25 $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
PAUL BUDROW 13153 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF23242
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9585
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.
PAUL BUDROW 09-22-24 10:22 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 1011012024 12:30:31 PM
BADGE OR ID# 13153 OR]# WA0171300 TIME POLICE DISPATCHED; 5:31 PM TIME POLICE ARRIVED;5:38 PM
PART B PAGE IT]OF 5�
TIM
REPORT NO. EF23242 CASE# 24-9585 OFC LNaoy L isI©�ON 09/12/24 17:25
F cu
NARRATIVE
On 09/12/2024 at approximately 1725 hours, I was dispatched to an unknown injury collision that was
also blocking all lanes of traffic on NE 3rd St. west of Jefferson Ave. NE, within the City Limits of
Renton, County of King, State of Washington. All statements are abbreviated. For full and complete
statements, refer to my Axon body cam footage.
I arrived on scene at approximately 1738 hours. 1 contacted all involved parties and confirmed that
only party #3, Morcos, sustained minor injuries that required immediate medical response. I collected
the involved parties driving documents and their independent recollection of events leading up to the
collision.
The driver of Unit#1 stated he was traveling westbound on NE 3rd St. just west of the intersection of
Jefferson Ave. NE in lane 2. The driver of Unit#1 stated that he observed unit#2, that was driving
eastbound in the #2 lane, cross over double yellow lines, enter into his lane and sideswiped his
vehicle. Driver#1 stated the collision caused Unit#1 to rotate into the eastbound #2 lane and collide
head on into unit#3, which was following directly behind unit#2. Unit#1 came to a stop, sideways,
blocking the westbound #2 lane as well as partially blocking the eastbound #2 lane.
The driver of Unit#2 stated that he was driving east in the east#2 lane of NE 3rd St. just west of the
intersection of Jefferson Ave. NE. He stated that he observed unit#1 swerve from the westbound #1
lane, across the westbound #2 lane, coming directly at him. Unit#1 continued across the double
yellow lines and collided into the left rear side of unit#2. This caused unit#2's rear end to rotate right
and slide across double yellow lines into westbound traffic. Unit#2 slid across both westbound lanes
and came to a stop up against the sidewalk curb along the north edge of the westbound lanes.
The driver of Unit#3 stated he was traveling eastbound directly behind unit#2 on NE 3rd St. just west
of the intersection of Jefferson Ave. NE. The driver of Unit#3 stated suddenly and without warning,
unit#1 came across double yellow lines and collided into the left side of unit#2. He could not stop in
time as unit#1 continued farther into the eastbound #2 lane and collided head on into his vehicle, unit
#3. Unit#3 veered right, due to the collision and came to a stop along the south edge of eastbound
NE 3rd St. party Morcos advised me if his injuries. Morocs was transported to the hospital.
There was also a witness to the collision that also had a video recording device in their vehicle that
captured the collision. The witness and video both corroborated the statements of both party#2 and
party#3, as to what occurred. Refer to Officer Long's supplemental report.
Based on all party and witness statements and the damages to the vehicles involved, I determined
that the Driver of Unit#1 (Banda) was the contributing factor to this collision by making an unsafe
turning movement and allowing unit#1 to leave the safety of his lane of travel and collide into both
units #2 and #3 causing significant damages to all three vehicles and injuring party#3 (Morcos).
All involved vehicles were towed from the scene without further incident. An exchange of information
was provided to all involved.
PAGE 3 OF 5
SUPPLEMENTAL REPORT No. EF23242
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-9585
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
❑ 1 28
2
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- PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YEs NO
D:2015154913
rF0 1 29
LAST NAME MORCOS FIRST NAME MICHEL MIDDLE' ',, A
INITIAL
STREET 30
❑ NEW AnDRFSP 466 ILWACO AVE NE CITY RENTON ST WA ZIP 98059
6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31
INTERLOCK YEs NO NTERLOCK YES❑N0� vES N
DRIVER'S
LICENSE STATE I WA SEX U MMDDYYv 11 - 28 - 1976
7
HELMET INJURY NATURE OF INJURIES
ON DUTY STATUS AIRBAG 3 RESTR. 4 EJECT 1 USE 2 CLASS 6 SHOULDER,NECK,BACK
8 ❑ 1 32
LICENSE BLRO194 TAT WA VIN JTHBF30G420080989
PLATE#
9 TRAILER TRAILER 91 PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2002 MAKE LEXS MODELES STYLE SD I VEHICLE TOWS E T SABLI anvi vEH11' P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFOMICHEL MORCOS 650 DUVALL AVE NEAPT U1414 RENTON WA 98059 3 33
12 � SHADE IN DAMAGED AREA
7 j 4 FROM TO
LIABILITY INSURANCE INSURANCE CO PEMCO ZA1841578 q"i"Olx
IN EFFECT &POLICY# 1
VEHICLE 34
CITATION# CHARGE 10 BOTTUM
13 LEG YES NO
❑ STANDING VdIRO PROPERTY Y
❑ 35
14 U D PEDESTRIAN W MNTHROE
r E CYCLE OWNER
j PHONE
15 LAST NAME FIRST NAME INITIAL
36
MIDDLE ❑
STREET
16 NEW An "[-] CITY ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
NTERLOCK YES No INTERLOCK YEs NO YEs NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY -� II
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38
USE CLASS
19 ❑ LICENSE TAT VIN# 39
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ ❑ 41
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
3 a 71
LIABILITY INSURANCE INSURANCE CO '
VEHICLE
EFFECT &POLICY# i 970P - 4 44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEG E
E:l
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.
PAUL BUDROW 09-22-24 10:22 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 13153 O#IL WA0171300 JOHNSON 10/10/202 PAGE F OF 5
3000-345-013(R 11118)
REPORT NO. EF23242 CASE# 24-9585 DATE AND TIME 09/12/2417:25
OF COLLISION
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PAGE 5 OF 5