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HomeMy WebLinkAbout23-13418 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-13418 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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 11 - 1-- 2023 1647 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ DUVALL AVE NE BLOCK NO. e✓ 400 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 394 00 FMILES N EET e S B W e NE 4TH STREET 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YES ,/NO D:9164256980 0 11 30 6� LAST NAME CHERNEY FIRSTNAME VERA MIDDLE 1 2 31 INITIAL STREET ❑, 3216 SE 6TH ST CITy RENTON ST WA Zlp' 980582814 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10 9❑ P1 aT�S� LEM885M sTArI WAVIN# 5N1AR2MMXFC695223 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR. 3 5 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 1 34 13Fal 2015 NISS PATHFIN SV DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO NIKOLAY CHE 13211 SE 6THST RENTON WA 98058 D:9164256980 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO STATE FARM 541 5643-F26-47 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLv res❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ 16 a : OWNER ❑ YES 1/ NO D:4253655758 LAST NAME SLONE FIRST NAME TEGAN MIDDLE W INITIAL 17❑ STREET IKENYON ST APT D301 CITY' SEATTLE ST WA ZIP 981064062 37 NEW ADDREs�' 600 SW 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INERLOCKYEs❑No� INTERLOCK ves No� YEs NOF 19 DRIVER'S STATE WA SEX F D.C... 01 28 _ 1991 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 LICENSE ❑21❑ PLA E# BFY2395 TArE WA VIN# 41 KNDJN2A22E7014062 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. TOWED BY GOV HI 44 VEH YEAR 2014 MAKE EqA MODEL SOUL STYLE $V DAMAGE TOWED TOO✓ BLIN YES NO 1/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAGED AREA 2 4 LIABILITY INSURANCE INSU&PORGY#E CO PROGRESSIVE 915-657-669IN I STOP 5 VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N J 25 s e =UGENT (PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 11498 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE23161 COLLISION REPORT III III III III III 111 1591972 CASE# 23-13418 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. MATTHEW NUGENT 11-21-23 06:31 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 11/25/2023 7:46:24 AM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 4:51 PM TIME POLICE ARRIVED',5:10 PM PART I PAGE IT]OF 4� TIME REPORT NO. EE23161 CASE# 23-13418 OF COLLISION11/21/23 16:47 NARRATIVE 23-13418 On 11/21/2023 at approximately 1651 hours, I was dispatched to a non-injury and non-blocking vehicle collision in the 400 block of Duvall Ave NE, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I confirmed there were no complaints of injury requiring immediate medical response at the time of report. While on scene, I collected each involved party's driving documents and independent involvement leading up to the collision. The driver of Unit#1 stated she was the sole occupant of her vehicle and was attempting to exit a private property parking lot, located in the 400 block of Duvall Ave NE, on the east side of the roadway. The driver of Unit#1 stated that she was intending to make a left turn out of the parking lot with the intent to proceed southbound onto Duvall Ave NE following the turn. The driver of Unit#1 believed all northbound traffic on Duvall Ave NE was clear and therefore proceeded out into the roadway. As Unit#1 pulled out in the roadway, Unit#1 was met by another vehicle - Unit#2. The driver of Unit#1 stated that she was unable to avoid the collision after having pulled out into the roadway and that both vehicles collided causing moderate damage to the front passenger side bumper of Unit#1. The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling northbound in about the 400 block of Duvall Ave NE in lane 2 of 2. The driver of Unit#2 stated she was intending to continue north. Upon reaching the location where Unit#1 was turning out from, Unit#2 observed Unit #1 pull out into her lane of travel. The driver of Unit#2 stated that she attempted to swerve to the left to avoid the collision but was ultimately unable to avoid the collision. Both vehicles collided in the roadway and Unit#2 suffered moderate damage to the passenger side of the vehicle. Based on the above statements, 1 believe that the driver of Unit#1 (Cherney) was the predominant factor for the cause of collision as Cherney is required to comply with RCW 46.61.190(2) which states that every driver of a vehicle approaching the point nearest the intersecting roadway where the driver has a view of approaching traffic of the intersecting roadway must stop before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in the intersection or approaching on another roadway so closely as to constitute an immediate hazard during the time when such driver is moving across or within the intersection or junction of roadways. Unit#2 was already underway in the roadway and had right of way. Both Unit#1 and Unit#2 were able to be driven away without further incident. An exchange of information was provided to all involved parties. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer M. Nugent#11498 11/21/2023 6:18 PM Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EE23161 CASE# 23-13418 DATE AND TIME 11/21/2316:47 OF COLLISION 07 wI � Ell t. HE ALP', sl; PAGE 4 OF 4