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HomeMy WebLinkAbout24-10127 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-10127 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#
cawsloN 09 - 1-- 2024 1501 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
108TH AVE SE BLOCK NO. e✓ 17808 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e SE PETROVITSK/RD
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO ✓ I D:7027289762 0 11
30
6 LAST NAME SOLORIO ASAELI FIRST NAME VINCENT MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 14054 SE 195TH PL CITY RENTON ST WA ZIP 980589418 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� BSL7768 sTArI WAvIN# 1FMHK8D87CGA20880
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 5 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2012 FORD EXPLOR DAMAGE YES NO ✓ YES[:] No
✓
REGISTERED OWNER INFO HUGO SOLORIO 14054 SE 195TH PL RENTONWA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 925222196 3 4
IN EFFECT &POLICY# 9TOP
VE—LE 5 36
LEGALLY
Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 7 6
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑
16 a OWNER ❑ YES✓ NO D:4259817920
LAST NAME NUNEZARMENTA FIRST NAME LILIANA MIDDLE N
INITIAL
17❑ STREET ❑', 18650 SE 216TH ST CITY' RENTON ST WA ZIP 980580418 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 5 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 USE 2 CLASS INJURY TO LEFT ARM
21❑ LICENSE I CER0570 TAre I WA vIN# 3VWRM71K88M130991
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE VOLK MODEL JETTA STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES✓ NO BANKERS TOWING YES No✓
REGISTERED OWNER INFO WARD MOOOE 10031 SE 258TH PL,#B102 KENT WA 98030 VEHICLE NO.2
SHADE DAGED AREA
4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO
C�TOP _ 5
vE"'LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N J E
25 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. EF22187
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10127
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) V►LLARREAL EMILY G
(LAST FIRST,
ADDRESS&PHONE#
22870 SE F/R ST APT L104 BLACK DIAMOND WA 980105146 SEXi F MSEAT IMDOYyry 12 - 02 - 2004
PASSENGER Z WITNESS❑'UNIT# 1 POS USE 2 CLASS 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET LASS NATURE OF INJURIES
'1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D 0 B
SEX: MMDDVYYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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 12:33:57 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED; 3:02 Pry] TIME POLICE ARRIVED',3:05 PM
PART I PAGE IT]OF 4�
REPORT NO. EF22187 CASE# 24-10127 OF COLLISION
09/27/24 15:01
OF CbLLI510N
NARRATIVE
On September 27, 2024, at approximately 1501 hours, I was dispatched to a blocking vehicle
collision in the 17808 108th Ave SE, within the City Limits of Renton, County of King, State of
Washington.
While en route, Dispatch advised that a vehicle had rolled over.
Upon arrival, I confirmed that the driver of the rolled over vehicle had sustained an injury and Renton
Fire was on scene assessing the driver. Later, 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 he was operating his vehicle and was exiting the parking lot of Fred Meyer,
near the 17800 block of 108th Ave SE. The driver of Unit 1 stated that he stopped at the exit and
looked both ways (north and southbound). He did not notice any vehicle traffic, so he proceeded
forward and made a right into the southbound traffic of 108th Ave SE. Unit 1 and Unit 2 unexpectedly
collided in the roadway causing the unit 2 to roll over. The driver of Unit 1 sustained moderate
damage to its front left bumper.
The driver of Unit 2 said she was the sole occupant of her vehicle and was also traveling southbound
in about the 17700 block of 108th Ave SE approaching the entrance of Fred Meyer but in lane 2 of 2.
The driver of Unit 2 stated she intended to continue southbound past the entrance, but upon
approaching the entrance where Unit 1 was located at, Unit 2 saw as Unit 1 had turned in front of her
and into her lane of travel. The driver of Unit 2 attempted to avoid the collision but was unable to and
subsequently collided with Unit 1, causing unit 2 to rollover. Unit 2 suffered major damage to the front,
sides, and roof of the vehicle.
One witness confirmed that Unit 1 turned right from the exit of Fred Meyer to farthest lane of travel
(lane 2 of 2) and directly in front of Unit 2.
Based on the above statements, 1 determined that the driver of Unit 1 is the proximate cause for the
collision as he violated RCW 46.61.290 which covers right turns and stated that "both the approach
for a right turn and a right turn shall be made as close as practicable to the right-hand curb or edge of
the roadway."
Unit 1 was drivable after the collision. Unit 2 was not able to be driven away, so it was towed away by
Gene Meyers Towing. An exchange of information was provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF22187 CASE# ' 24-10127 DATE AND TIME 09/27/24 15:01
OF COLLISION
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PAGE 4 OF 4