HomeMy WebLinkAbout24-12581 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-12581 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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#
COLLISION.. 12 - 1-- 2024 1418 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e✓ 700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e SW GRADYWAY
1 2 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2065714385 N:2065734285 0 11
30
6� LAST NAME SALIH FIRSTNAME WEHABEY MIDDLE M 1 1 2 31
INITIAL
STREET ❑✓ 3000 SE ROYAL HILLS DR #G19 CITY RENTON ST WA 2jp, 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE 14 CFU2997 STATE WAa VIN#' 1NXBR12E62Z613129
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 2002 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34
13 4 TOYT COROL SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
4 INSURANCE CO 3 4
14 INSURANCE GEICO 6108.45.50.12
IN EFFECT EFFEE CT &POLICY# � STOP 5
VE"'CLE CHARGE 10 BOTTOM 36
LEGALLY YES❑NO❑ CITATION# 4AO740806 FLD SIGNAL STOPS/TURNS-UNSAFE
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:8084524025
16 a
LAST NAME PAULO FIRST NAME MOSS MIDDLE
INITIAL
17 STREET I❑ s❑' 1301 S 18TH ST APT 2 CITY' RENTON ST WA ZIP 98055 4❑ 37
NEW ADDREs
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YES❑NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LICENSE# STATE WA SEX M M D.C.B. 03 _ 15 _ 1988 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HEJ EET NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# CAZ7461 TATE WA VIN 1t 2C3CDXHGOKH637694 41
1
42
22❑ PILER LATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
I
VEH YEAR 2019 MAKE DODG MODEL CHARGE STYLE $D jVEHl DAMAGE TO WED NOO✓ BLIN TOWED BY Gov 44
Yr
H YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGF6 REA
2 3 Cd
LIABILITY
INSURANCE INSU POLICY#E CO GEICO 6161-84-59-76IN 1GQ
5
VEHICLE ❑ C—I CITATION CHARGE
LEGALLY YES N`LJ
25 s � a
7.FF1S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TAGNE 12575 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF48627
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12581
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PRITCHARD VICTORIA
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B. '
1301 S 18TH ST APT 2 RENTON WA 98055 8084525976 SEXi F MMDOYyry 08 - 31 - 1999
PASSENGER Z WITNESS[ UNIT# 2 Pas 3 AIRBAG 2 RESTR. q EJECT ? 1 HELMET LASS NATURE OF INJURIES
USE CLASS '1
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# BEd MMDDYYYY DOB
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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.
P.LANTAGNE 12-08-24 08:26 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 07691 1 1212112024 12:15:24 PM
BADGE OR ID# ( 12575 OR]# WA0171300 TIME POLICE DISPATCHED 2:20 Pry] TIME POLICE ARRIVED 2:22 Pry]
FART I PAGE IT]OF 4]
REPORT NO. EF48627 CASE# 24-12581 OF COLLISION
12/07/24 14:18
OF CbLLI510N
NARRATIVE
24-12581
On 12/07/2024 at approximately 1418 hours, I, Officer Lantagne, responded to a blocking, non-injury
collision which occurred in the 700 block of Rainier AVE S, which is located in the City of Renton,
County of King, and the State of Washington. I responded in my fully marked police vehicle, wearing
my patrol uniform and body worn vehicle.
I arrived on scene and observed Unit#1, a 2002 Toyota Corolla with license plates CFU2997 issued
out of Washington State, and Unit#2, a 2019 Dodge Charger with license plates CAZ7461 issued out
of Washington State, blocking the eastbound turn lane onto S Grady WAY.
Both vehicles moved from the roadway and drove to the Chevron, 301 S Grady WAY where 1
contacted them. I was advised there were no injuries.
I contacted the driver of Unit#1, Wehabey M. Salih (DOB 06/17/1977), who told me the following:
Salih was merging onto Rainier AVE S from the Walmart parking lot, 743 Rainier AVE S, and needed
to make a left turn onto S Grady Way. After Salih crossed three lanes of travel to get to the left turn
lane, he began to ease his vehicle into the turn lane and the left front bumper of his vehicle struck the
right rear of Unit#2.
1 contacted the driver of Unit#2, Mose Paulo (DOB 03/15/1988), who told me the following: Paulo
was driving southbound in the left turn lane of Rainier AVE S in the 700 block. As Paulo's vehicle was
approaching the traffic signal at S Grady WAY, the right rear of his vehicle was struck by Unit#1
when Unit#1 merged into his lane.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by both drivers. Unit#1 had minor damage to the left front bumper which was
scraped and dented. Unit#2 had moderate damage to the right rear quarter panel, rim, and bumper
which consisted of scrapes, dents, and broken connector pieces.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to Salih and Paulo. I issued Salih an infraction for the unsafe
lane change.
1, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State
of Washington, the foregoing is true and correct.
Electronically signed by Officer P. Lantagne #12575 at 0807 hours on 12/08/2024 at Renton, WA.
PAGE 3 OF 4
REPORT NO. EF48627 CASE# ' 24-12581 DATE AND TIME 12/07/24 14:18
OF COLLISION
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