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HomeMy WebLinkAbout24-11498 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF37923 170
27
COLLISION REP FIT 1591971
SASE 24-11498 2
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4200 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 RESERVATION STRUCK
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 11 - 1-- 2024 1017 17 ❑.= S IN 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
e✓ --- ----� ❑
N 4TH ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET) BLOCK NO.
5❑ ❑ FEET e S ❑ W e PARKAVEN
0 4 29
MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE
NIT 01 VEHICLE ❑ CYCLE. ❑ YES NO F D:4697761107 0 1 30
6 LAST NAME GITAU FIRSTNAME VERONICA MIDDLE W 1 1 2 31
INITIAL
STREET ❑ 24038 62ND WAY S APT 19-202 CITY KENT ST WA 2jp, 980324655 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YEs NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 08 — 13 — 1966 1 2 32
9❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ P1 aT>=S�t CE21476 sTATI WA urN#' KNMAT2MV7FP549028
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 5 33
12 3 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE IVEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 7 34
13 2 2015 NISS ROGUE DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO VERONICA GITAU 2403862ND WAYS APT I9-202 KENT WA 98032 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 rI LIABILITY INSURANCE U INSURANCE CO PROGRESSIVE 945049752 4
IN EFFECT &POLICV# TOPVEHICLE CHARGE36
LECALLv YES❑NO CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ : PROPERTY
❑ YES 1/ No D:8088403590
16 a
LAST NAME CHAR FIRST NAME WILLIAM MIDDLE G
INITIAL
17❑ STREET ❑', 2214 NE 9TH PL CITY RENTON ST WA ZIP 980562938 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YES t l NO❑
19 DRIVER'S STATE WA SEX M I D.C.B. 04 13 _ 1993 39
LICENSE# MMDDYY
HELMET {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS 1 ❑
21❑ LICENSE NP13899 TATE I WA VIN# 5TFCZ5ANXLX236421
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2020 MAKE TOYT MODEL TACOMA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO WILLIAM CHAR 2214 NE 9TH PL RENTON WA 98056 VEHICLE NO.2
SHADE IN DAGAAGELIAREA
z add
LIABILITY
INSURANCE INSU8 POLICY#E CO USAA 01150 0678CIN 1GQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF37923
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11498
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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 11-06-24 11:26 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1112112024 7:15:13 AM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 10:18 AM TIME POLICE ARRIVED',10:43 AM
PART B PAGE IT]OF 4�
REPORT NO. EF37923 CASE# 24-11498 OF LNa 11/06/24 10:17
F coy�isI©�ON u
NARRATIVE
On November 6, 2024, at approximately 1017 hours, I was dispatched to a vehicle collision at the
intersection of N 4th Street and Park Ave N, within the City Limits of Renton, County of King, State of
Washington.
Upon my arrival, I confirmed there were no complaints of injury requiring immediate medical response
at the time of report. 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 traveling westbound in about the 450 block of N 4th Street and
approaching the intersection of Park Ave NE in lane 2 of 4. The driver of Unit 1 stated that she
needed to make a left turn. The driver of Unit 1 stated that she did not see Unit 2 in the lane 1 of 1.
The driver of Unit 1 stated that she made a left turn from lane 2 of 4, Unit 1 and Unit 2 collided in lane
2 of 3 causing moderate damage to the driver's side bumper, fender, and quarter panel of Unit 1.
The driver of Unit 2 said he was the sole occupant of his vehicle and was also traveling westbound in
about the 450 block of NE 4th Street approaching the intersection of Park Ave N in lane 1 of 4. The
driver of Unit 2 stated he was intending to continue straight when Unit 1 made a left turn from lane 2
of 4 and into lane 1 of 4 which Unit 2 was occupying. The driver of Unit 2 was unable to avoid the
collision and Unit 1 subsequently collided with Unit 2. Unit 2 suffered moderate damage to the front
passenger fender and wheel bearing due to the collision.
Based on the above statements, I determined that the Driver of Unit 1 is the proximate cause for the
cause of collision as they violated RCW 46.61.140(1) which states that a vehicle shall be driven as
nearly as practicable entirely within a single lane and shall not be moved from such lane until the
driver has first ascertained that such movement can be made with safety. The driver of unit 1 made
an improper left turn.
Both vehicles were driven away without further incident. An exchange of information was provided to
all involved parties.
PAGE 3 OF 4
REPORT NO. EF37923 CASE#', 24-11498 DATE AND TIME 11/06/2410:17
OF COLLISION
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