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HomeMy WebLinkAbout24-10125 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 24-10125 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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# ❑
cowsloN 09 - 1-- 2024 1416 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
EASTVALLEYRD ST e✓
MILEPOST 4225
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 5 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:3232446005 0 11
30
6� LAST NAME CANDLER FIRSTNAME MARQUTA MIDDLE I T 1 1 2 31
INITIAL
STREET ❑ 1024 CENTRAL AVE N APT D4 CITY KENT ST WA 2jP, 980323062 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 4 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� 9EJS976 sTATI CA vrN# 3N1AB8CV9NY314167
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 5 33
12 3 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2 2022 NISS ALTIMA 4C DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO TYRONE STAFFORD 2245 AUTUMN CT CHULA VISTA CA 91912 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# OP MOT VEH W/OUT INSURANCE, 10 BOTTOM
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2062270888
16 a
LAST NAME NIS FIRST NAME HANNY MIDDLE I N
INITIAL
17❑ STREET ❑', 7234 212TH ST SW UNIT C CITY EDMONDS ST WA ZIP 980267756 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t- l NO❑
19[—] DRIVER #
{NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE I CMJ0826 rare.WA vlN. KNDPUCDG5R7139573
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2024 MAKE KJA MODEL SPORTAG STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DJUNI ANDREANI 13007 SE 212TH ST KENT WA 98031 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 9TOP 5
VE""LE ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N`L J
25 ' e
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF22186
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10125
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ANDREANI DJUN►N
(IAST FIRST,
ADDRESS&PHONE# D O.B.
13007 SE 212TH ST KENT WA 980312382 SEX F MMDOYyry 06 - 26 - 1999
PASSENGER Z WITNESS UNIT# 2 SEA 3 AIRBAG 2 RESTR. q EJECT ? HELMET INJURY NATURE OF INJURIES
POS, USE 2 1 CLASS !1
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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.
C.CATALAN 10-02-24 10:45 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 101712024 12:32:24 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED; Y:99 Pry] TIME POLICE ARRIVED',2:26 PM
PART I PAGE IT]OF 4�
REPORT NO. EF22186 CASE# 24-10125 OF COLLISION
09/27/24 14:16
OF CbLLI510N
NARRATIVE
On October 2, 2024 at approximately 1416 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at 4224 East Valley Rd, within the City Limits of Renton, County of King, State of
Washington.
Upon my arrival, the occupants of unit 2 stated they needed medical attention. Renton Fire arrived
and medically accessed the two individuals. There, I was able to collect each involved party's
information and independent summary of the events leading up to the collision.
The driver of Unit 1 said she was the sole occupant in her vehicle and was traveling northbound in
about the 4200 block of East Valley Rd. The driver of Unit 1 stated that she needed to make a U-turn
to go southbound on East Valley Rd. She explained that she made U-turn from (lane 2 of 2), but in
doing so, she was struck by unit 2. Unit 1 and Unit 2 collided in lane 2 of 2 causing major damage to
the front driver's side bumper, wheel, and quarter panel of Unit 1.
The driver of Unit 2 said he was accompanied by her front passenger and was also traveling
westbound in about the 4200 block of East Valley Rd, but in lane 2 of 2. The driver of Unit 2 stated
she was intending to continue straight when Unit 1 made an improper U-turn from lane 1 of 2 which
Unit 2 was occupying. Unit 2 was unable to avoid the collision and subsequently collided with Unit 1.
Unit 2 suffered moderate damage to the front bumper.
Later, I was approached by a property manager from 232 SW 43rd St and presented a video footage
of the collision. The video showed both vehicles going southbound on East Valley Rd. It also showed
Unit 1 making an improper U-turn from lane 1 of 1 into lane 2 which was being occupied by unit 2.
Based on the above statements and video, I determined that the Driver of Unit 1 is the proximate
cause for the cause of collision as she violated RCW 46.61.295(1) which states that the driver of any
vehicle shall not turn such vehicle so as to proceed in the opposite direction unless such movement
can be made in safety and without interfering with other traffic.
I cited the driver of unit 1 for not having insurance and improper U-turn causing a collision.
Both Unit 1 was not drivable and was towed away by Banker Towing. An exchange of information
was provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF22186 CASE# ' 24-10125 DATE AND TIME 09/27/24 14:16
OF COLLISION
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