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HomeMy WebLinkAbout24-12039 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 24-12039 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 6 0 28
TRIBAL 1 02 STRUCK
RESERVATION
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 11 - 1-- 2024 2120 17 ❑.= S IN 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
N 3RD ST BLOCK NO. e ❑
MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e PARKAVEN
OF,1 29
MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE
NIT 01 VEHICLE ❑ CYCLE. ❑ YES NO F D:9856027684 0 1 30
6❑ LAST NAME MENDOZA-LAZO FIRSTNAME MANUEL MIDDLE M 1 1 2 31
INITIAL
STREET ❑, 12205 93RD AVE NE CITY KIRKLAND ST WA Zjp, 98034 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'M MID
LOB 11 - 23 - 2001 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 ATNFS14 CLN7667 STATE WA u N# WAUAVAFD9BN020384
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 1 5 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2011 MAKE AUDI MODEL A8 STYLE SD VEHICLE TOWED 0 TO J]1.SQBLIN T,ID BY GOVT❑VEHICLE 7 3 34
13❑ DAMAGE YES 1I NO ILJI tV/ YES NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILI INSURANCE INSURANCE CO NATIONAL GENERAL 2016924822
IN EFFECT &POLICY# 9TOP
vECeHA"Le 5 36
LLLv res❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
1/ NO D:2063086892
16 a
LAST NAME ATKINS FIRST NAME ALEXIS MIDDLE M
INITIAL
17❑ STREET ❑', 2106 NE 7TH ST CITY RENTON ST WA ZIP 98056 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'S STATE WA ]SEX IF D.C.B. 03 _ 29 _ 2007 39
LICENSE# MMDDYY
WELMET INJURY 7 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 9 EJECT 1 USE CLASS HEAD PAIN ❑
21❑ LICENSE I CMS5845 TATE WA VIN# 3N1A67AP9GY277011
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2016 MAKE /HISS MODEL SENTRA STYLE SO VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO (,ENE MEYER YES NO
REGISTERED OWNER INFO RACHEL ATKINS 2106 NE 7TH ST RENTON WA 98056 VEHICLE NO.2
SHADE,IN DAMAGED AREA
4� 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 4979386G247BIN STOP 5
VEHICLE YES[:] N
C[:] CITATION# CHARGE 1oBOTTOM
LEGALLY
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
N.ODALOV/C 11628 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF37873
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12039
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) LAYNE MICHAEL
(LAST FIRST,
ADDRESS&PHONE#
3039943814 SEX' M MMDDYYYY -❑
--------------------------------
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) BOHNE CYNTHIA
ADDRESS&PHONE# DOBYVYu
220 PARK AVE N RENTON WA 98057 4256525301 SEX IF MMDD 09 _ 15 _ 2000
PASSENGER WITNESSZ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) CEOUIN SHERI
AooREss&PHONE# 220 PARK AVE N RENTON WA 98057 2539518947 SEX F D.O.B. 10 _ 01 _ 1973
MMDDYYYY
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[:]WITNESS 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.
N.ODALOVIC 11-21-24 12:45 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 1112112024 2:03:56 AM
BADGE OR ID# 11628 ORI# WA0171300 TIME POLICE DISPATCHED 9:20 PM TIME POLICE ARRIVED',9:23 PM
PART PAGE IT]OF
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF37873
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12039
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) NEAR BRANDON
(LAST FIRST,
ADDRESS&PHONE#
RENTON 4258914869 SEX i M MMDOYyry 02 - 26 - 1986
PASSENGER WITNESS UNIT# ' SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
' ❑ ❑✓ ; POS. USE 4CLASS '
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYY -
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
N.ODALOV/C 11-21-24 12:45 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 1112112024 2:03:56 AM
BADGE OR ID# 11628 ORI# WA0171300 TIME POLICE DISPATCHED 9:20 PM TIME POLICE ARRIVED',9:23 PM
PART PAGE IT]OF
REPORT NO. EF37873 CASE# 24-12039 OF LNa 11/20/24 21:20
F coy�isI©�ON u
NARRATIVE
24-12039
Unit 1 -WA Lic/ CLN7667 silver 2011 Audi A8
Driver/registered owner of unit 1 -Manuel M Mendoza-Lazo (DOB 11-23-2001)
Unit 2 -WA Lic/CMS5845 black 2016 Nissan Sentra
Driver-Alexis M Atkins (DOB 03-29-2007)
Registered Owner-Rachel Atkins
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 11-20-2024 at approximately 2120 hours I was dispatched to a collision that occurred in the
intersection of N 3rd St/ Park Ave N.
It should be noted that the area of King County and other portions of the Pacific Northwest
experienced extremely unusual windy and stormy conditions within the prior twenty-four hours of this
incident. The conditions caused significant power outages which impacted several intersections in the
city. This intersection which is controlled by traffic signals was completely dark at the time of police
arrival.
I arrived at approximately 2123 hours and contacted Alexis. Alexis was hysterically crying and could
not tell me if she was injured. I did not observe obvious trauma to her person, but she could not
articulate if she was in pain. Alexis was on the phone with her mother who was also on her way to the
scene. Alexis was evaluated by the Renton Fire Authority (RFA) who did not find any obvious injuries.
After several minutes of being at the scene, I was able to somewhat speak to Alexis. She was able to
tell me she was traveling eastbound on N 3rd St approaching Park Ave N. Alexis stated she "came to
a little bit of a stop" as she approached the intersection and didn't see anyone coming in other
directions. She did not remember which of the two straight lanes she was in. Alexis stated she had
head pain, but it did not warrant the need for ambulatory transport to a nearby hospital.
Witness Michael Layne approached me while at the scene and provided his contact information
stating he was driving behind Alexis. Michael later told me via phone that Alexis did not come to a
stop at the intersection when she approached. He stated that generally no one in the intersection was
coming to a stop as they should have been.
Manuel was contacted by Ofc Rivera during the incident. Manuel's vehicle did not have airbag
deployment but was not drivable. Manual arranged to have the vehicle privately towed. Manuel does
not speak English. Using translation services, Manuel told Ofc Rivera that he was traveling
southbound on Park Ave N when unit two collided with him at the intersection. Manuel stated he was
not injured. Manuel's vehicle had an empty crushed "Coors Light" alcoholic beverage can in the rear
passenger area. Manuel stated he had not consumed alcohol today. For precautionary reasons,
Standardized Field Sobriety Tests were conducted. Manuel complied with the tests and provided a
portable breath test sample. All results indicated Manuel was not impaired. Manuel was told that he
would be receiving citations in the mail related to this incident.
Witness Brandon Near approached me at the scene and provided his contact information. Brandon
later told me via phone that he was behind Manuel at the intersection of N 4th St/ Park Ave N
traveling southbound. As the light turned green, he described that Manuel "took off' speeding, which
he estimated to be approximately 50 miles per hour, and told me he did not see Manuel slow as he
approached N 3rd St/ Park Ave N. After the impact between both vehicles, Brandon stated Manuel's
vehicle spun three to four times before coming to a stop south of the intersection and was making
PAGE 4 OF 6
REPORT NO. EF37873 CASE# 24-12039 OF LNa 11/20/24 21:20
F coy�isI©�ON u
NARRATIVE
"skidding noises" trying to brake.
Witnesses Cynthia Bohne and Sheri Ceguin reside at 220 Park Ave N. They approached me at the
scene and provided their contact information. Both heard the collision from their residence and came
outside. They identified Manuel as the driver and stated they saw him walk over to where the Nissan
was. He loitered momentarily, looked up to see the dark traffic signal lights, and then went back to
this vehicle.
Manuel and Alexis were both cited for not treating the inoperable traffic signals as an all-way stop as
described in RCW 46.61.183. Additionally, Manuel was cited for traveling with speeds too fast for
conditions (RCW 46.61.400). Citation numbers: Manuel 4AO405370 /Alexis 4A0405371.
There is damage to the front side of unit two and there is passenger side damage to unit two
consistent with the information I was told about the incident.
Both vehicles were photographed, and images were uploaded to evidence.com.
During this incident I was equipped with body-worn camera which records both audio and video.
Portions of the incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by N. Odalovic#11628 on 11-20-2024 at 2345 hours in Renton,
WA.
PAGE 5 OF 6
REPORT NO. EF37873 CASE# 24-12039 DATE AND TIME 11/20/2421:20
OF COLLISION
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PAGE 6 OF 6