Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout24-8926 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 24-8926 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT 8 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 N E IN CITY# ❑
COLLISION.. 08 - 1-- 2024 1536 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ 1200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET ❑ S ❑ W❑ OAKSDALEAVESW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063307299 0 4 30
6❑ LAST NAME NUH FIRSTNAME MAHAD MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 3035 S 204TH ST APT 122 CITY SEATAC ST WA ZIP 98198 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ LDRIVER # STATE WA SEX'M MID
-O B 01 1- 12 - 1983 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3❑10 1❑ PI ATE 14 CJD1732 STATE WA V N# 4T1G31AK5PU613287
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR N MAKE TOYT MODEL CAMRY STYLE SD VEHICLE TOWED fn TO VBLINJ TOWED By I GOVT.VEHICLE 1 7 1 34
13❑ DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE INSURANCE CO PEMCO INSURANCE CA 1909455 4
LI EFFECT I SUR N# TOPVEHCLE CHARGE 36
LEGALLYYES NO CITATION# 4A0683871 FAIL TO OBEY TRAFFIC CONTROL <1�3
orroM
15❑ STANDING 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT ' ❑✓ ❑ PEDESTRIAN ❑ ❑ YES,/ No RO 2533590989
VEHICLE CYCLE OWNER
16 a
LAST NAME OBERLANDER FIRST NAME HANNAH MIDDLE N
INITIAL
17❑ STREET �' 18622 GREENWOOD PL E CITY BONNEY LAKE ST WA ZIP 98391 37
NEW ADDRESS I I I I I ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs❑NOF YES
❑NO❑
19[—] LICENSE# STATE I WA ]SEX IF M D.C.B. 01 10 _ 1998 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 2 EJECT 1 USE CLASS ❑
21❑ LICENSE I D315496 TATe WA VIN1t 5TFMA5EC9RX025742
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
GI
VEH YEAR 2024 MAKE 7'Oy7- MODEL TUNDRA STYLE PK DAMAGE TOWED NOO✓ BLIN TOWED BY ov HyES NO,/ 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE INSU PORGY#ECO STATE FARM 5564304-C18-47IN 9TOP 5
VE"LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N`L J
25 ' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
SlTIVEN/TAMAIVENA 12812 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF09959
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8926
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SCARFF CHANNING M
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
24405 142ND AVE SE KENT WA 98042 2537975195 SEXi F MMDOYyry 01 - 22 - 1997
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 2 POS, 3 2 2 1 USE CLASS 11
NAME
'(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
SITIVENI TAMAIVENA 08-24-24 05:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 8/30/2024 12:25:24 AM
BADGE OR ID# 12812 OR]# WA0171300 TIME POLICE DISPATCHED 3:39 PM TIME POLICE ARRIVED',3:43 PM
PART I PAGE IT]OF 4]
REPORT NO. EF09959 CASE# 24-8926 OF COLLISION
08/24/24 15:36
OF CbLLI510N
NARRATIVE
On 08/24/2024, at approximately 1536 hours, while employed as a uniformed Patrol Officer for the
City of Renton, I was dispatched to an accident at SW Grady Way and Oakesdale Ave SW, within the
City of Renton, County of King, State of Washington.
The Driver of Unit 2 is Oberlander, Hannah N (DOB 10-10-1998). Oberlander is the registered owner
of a 2024 Toyota Tundra with license plate WA/ D31549B.
The Driver of Unit 1 is Nuh, Mahad A(DOB 01-12-1983). Yow is the registered owner of a 2023
Toyota Camry with license plate WA/CJD1732.
Unit 2 stated that she was driving eastbound on SW Grady Way, turning left into Oakesdale Ave SW.
Unit 2 had a left turn signal that was blinking yellow. The yellow flashing light with an arrow turned to
a solid yellow. Unit 2's vehicle was already in the middle intersection, waiting for a blue vehicle to
pass. Once the blue vehicle passed, she continued making the left turn when Unit 1 struck Unit 2's
vehicle.
Unit 1 stated that he was traveling westbound on SW Grady Way, crossing Oakesdale Ave SW, when
Unit 2 struck Unit 1 s vehicle. Unit 1 stated that he had a green light, and Unit 2 turned into his vehicle.
After watching the Shell gas station surveillance, I observed a blue vehicle crossing Oakesdale Ave
SW going westbound on a yellow light. The light turned red, going westbound and crossing
Oakesdale Ave SW. I then observed Unit 1 also crossing Oakesdale Ave SW while Unit 2 was in the
middle of the intersection, making the left turn into Oakesdale Ave SW going northbound.
Unit 1 was cited for failing to comply with traffic-controlled devices (RCW 46.61.050), Citing
4A0683871. He understood that he would receive his ticket by mail.
The video surveillance for this incident will be uploaded to this case file.
There were no injuries.
There was minimal damage to Unit 2 and Unit 1's vehicle.
My Axon camera was on for this call.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer Si. Tamaivena #12812,
August 24, 2024, at 1745 Renton, WA.
PAGE 3 OF 4
REPORT NO. EF09959 CASE# ' 24-8926 DATE AND TIME 08/24/24 15:36
OF COLLISION
"v
s
Y{
z
Ya
PAGE 4 OF 4