HomeMy WebLinkAbout24-9725 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-9725 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION' 09 - 1-- 2024 1600 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
NE SUNSET BLVD e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑❑ FEET VV e NE 10TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4254956791 0 3 30
6� LAST NAME HUTTON FIRSTNAME ASHLEY MIDDLE A 1 2 31
INITIAL
STREET ❑✓ 13090 EAGLE RIDGE DR S K1072 CITY RENTON ST WA 2jp, 98055 z=
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]No✓ INTERLOCKYEs NO✓ YES R No
8❑ LDRIVER # STATE WA SEX'F MID
.O B 03 1- 09 - 1990 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CLS7680 sTArI WAurN# 1GYEE637X7018680
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 6 2 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2007 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 6 3 34
13 4 CADI SRX SD DAMAGE YES NO ✓ YES[:] No✓
REGISTERED OWNER INFO ASHLEY HUTTON 13090 EQGLE RIDGE DR S K1072 RENTON WA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO eq�T3 4
IN EFFECT &POLICV# STOP
VEHICLE CHARGE 1 5 36
LEGALLv YEs❑NO❑ CITATION# 10 BOTTOM
15❑ STAIN.D'ING 8 7 6
UNIT 02 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ PROPERTY ❑ DAM
YES✓ OLD MET PHONE NO
16 a
LAST NAME MASON FIRST NAME TRICIA MIDDLE I F
INITIAL
17 STREET❑ NEW ADOREss❑' 1190 UNION AVE NE E10 CITY RENTON ST WA ZIP 98059 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK Y�EsI I I NOF YES
t l NO�
19 LICENSE# STATE WA ]SEX IF M D.C.B. 12 _ 02 _ 1968 39
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HELMET INJURY 6 NATURE OF INJURIES ❑ 40
USE CLASS LEFTARM
❑ILICENSE 21❑ PLA E# BWV3021 TArE 41
WA VIN# NKCV61E99M309644 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2009 MAKE INFI MODEL G37 STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO TRICIA MASON 1190 UNION AVE NE E10 RENTON WA 98059 D:4259431817 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU8 PORGY#E CO NATIONAL GENERAL 2024825098 I STOP
IN EFFECT
VEHICLE ❑ ,.I—I CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES N
$
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
E.CHANG 10065 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF41008
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9725
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TORRES ARIA
(I.P.ST FIRST,
ADDRESS&PHONE#
1300 EAGLE RIDGE DR S K1072 RENTON WA 98055 SEXi F MMDovyry 03 - 08 - 2017
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 1 POS. : 7 2 10 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) BARNES ELLIANA
ADDRESS&PHONE# D O B
1300 EAGLE RIDGE DR S K1072 RENTON 98055 SEX IF MMDDvvvv 09 _ 13 _ 2022
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS. 9 AIRBAG 2 RESTR. 10 EJECT 1 USE CLASS 1
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.
E.CHANG 11-26-24 01:35 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 1112912024 4:23:37 PM
BADGE OR ID# 10065 OR]# ': WA0171300 TIME POLICE DISPATCHED 4:04 PM TIME POLICE ARRIVED',4:08 Pm
PART I PAGE IT]OF 4�
REPORT NO. EF41008 CASE# 24-9725 OF COLLISION
09/16/24 16:00
OF CbLLI510N
NARRATIVE
On 09/16/2024, 1 was Officer Budrow's field training officer. The investigation was conducted by
Officer Budrow with my supervision. He and spoke about the investigation in depth and I was also
there during the investigation and I have independent recollection of the case. Officer Budrow is no
longer with the Renton Police Department.
On 09/16/2024 at approximately 1600 hours, I was dispatched to a two car, minor injury traffic
collision at the intersection of NE Sunset Blvd and NE 10th St. in the city of Renton, County of King,
Washington.
I contacted Ashley Hutton (03/09/1990) who was sitting, and seat belted in the driver seat of unit 1.
She was positively identified via a valid WADL. She stated that she did not have insurance because
it had recently lapsed, and she did not renew it. I asked how the collision occurred. She said that she
was driving unit1 in lane 1 of NE Sunset Blvd behind unit 2 at approximately three vehicle lengths.
She stated that the sun was in her eyes, and she failed to observe unit 2 slowdown in preparation to
make an eastbound turn onto NE 10th St. Hutton failed to stop in time and collided with unit 2. The
sun was behind her.
I contacted Tricia Mason (12/02/1968). She also was located sitting in the driver seat of her vehicle.
She was being attended to by Renton Fire EMS. She complained of left arm and shoulder pain. I
identified Mason via her WADL. I asked how the collision occurred. She said that she was driving in
lane 1 of NE Sunset Blvd. Mason related that she slowed, and activated her right turn signal in
reparation to make an eastbound right onto NE 10th St. As she made her right turn when she felt and
heard an impact to the rear end of her vehicle. She pulled into the parking lot of Safeway.
Based on the above statements and the physical damages to both vehicles I believe unit 2 had
collided with unit 1.
Unit 1 was a contributing factor in the collision.
PAGE 3 OF 4
REPORT NO. EF41008 CASE# ' 24-9725 DATE AND TIME 09/16/24 16:00
OF COLLISION
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PAGE 4 OF 4
