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HomeMy WebLinkAbout24-11197 ("7—
STATECETRAFFicNREPORT NO. EF29388 7 2 127
,tat COLLISION REP F 1591971
CASE# 24-11197 2
INTERSTATE CITY STREET El
STATE ROUTE OTHER ❑ LOCAL ING 4100 3COUNTY RD CODING
PRIVATE WAY
2 TRIBAL UNITS#OF 02 STRUCK 1 8 28
TOTAL:RESERVATION '
2
3 4 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
coLc s oN' 10 - 28 - 2024 1920 17 �. S e W 8 IN OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
NE SUNSET BLVD M1000 .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �. FEET B S B W 8 NE 10TH ST
0 1 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YEs ,/No D:2062491486 0 4 30
6 LAST NAME RAUDALES MARADIAGA FIRST NAME GAB/NO MIDDLE N 1 2 31
INITIAL
STREET El 555 JEFFERSON AVE NE CITY RENTON WA
NEW ADORESS ST ZIP 980563704 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 3
INTERLOCKYEs NO�/ INTERLOGKYES Np�/ YES NO
8 LICENERS SE# STATE WA SEX!M MMDDYY' 06 - 18 - 1972 1 K2 32
9 ON DUTY S AIRBAG 9 RESTR 9 EJECT 1 H U SET 2 CLASSY 1 NATURE OF INJURIES 2
TATUS
3
10 1❑ PiDkTFS# CHN7934 STATE WA YIN# 4T16E46KX7U021902
11 3 5 TRAILER
PLATE# STATE PLATE# STATE FROM TO
TRLR TRLR. 7 3 33
12 3 5 VIN YIN#'
FROM TO
VEH,YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 3 5 TOWED BY GOVT.VEHICLE 34
13 4 2007 TOYT CAMRY SD DAMAGE YES NO YES❑ NO
REGISTERED OWNER INFO OWNED BYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14❑ NSURANCE CO 2 4
LIABILITY INSURANCE
IN EFFECT &POLICY# i 9TOP 5
V,L 36
, YES❑NO❑ CITATION# 4A0359630,4AO359630 CHARGE OPERATION W/O HEADLIGHTS WHEN o BOTTOM
15❑ srAnomc 7 e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHtCLE CYCLE OWNER YES NO D:4258901599
16�
LAST NAME PAYNE FIRST NAME DREYA MIDDLE M
INITIAL
17 STREET ❑ 3715 NE 10TH CT CITY RENTON ST! WA ZIP 98056 4� 37
NEW ADDRESS
18� COL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTEll 38
INTEE�LOCKYEs NO INTERLOCK YE s NO YES NO
19 n LCIEN S STATE WA SEX,F MM 03 _ 08 2007 39
NATURE OFINJURIES 40
HELMET INJURY 3
20 ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT '1 USE 2 CLASS 6 CUT TO MOUTH/ADVISED STITCHES REQUIRED ❑
21❑ PLATE#ILICEN A7788109 _WA VIN# JNKCV54E23M212203 41
42
TRAILER
22❑ PLATE# STATE PLATE# STATE
23 43
TREK kRLRI
VIN#. IN#.
VEH.YEAR 2003 MAKE /Np/ MODEL G35 STYLE CP VEHICLE TOWED TO BLIN TOWED BY GO HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO AMISSA CORMIER 3715 NE 10TH CT RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE 8 POLRICY#E CO PROGRESSIVE 983972876
IN EFFECT I 4TOP
I-CLe ❑ ,.I�I CITATION# CHARGE tO BOTTOM
_ALLYYES N 7 6
25 OFFICER'S NAME(PRINT) OFF ICER PHONE BADGE OR ID# AGENCY
26 C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF
3000-345-159(R 17l18)
POLICE TRAFFIC" CORRECTION REPORT NO. I EF29388
COLLISION REPORT III III III 111111111
1591972 CASE# 24-11197
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) REANOS FAJARDO ELVIS A
(LAST,FlRSt
ADDRESS&PHONE It MM 0.13 D a B
11431 14TH AVE SW SEA TTLE WA 981463501 2068502940 SEX i M Y 08 - 21 1983
PASSENGER❑WITNESS ,UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
,/ 1 POS. 3 9 9 1 USE 2 CLASS ,1
NAME
Lust FIRST,MIDDLE INITIAL) METEFE-RODRIGUEZ MARTIN
ADDRESS&PHONE# D a Et
12221 SE 165TH ST RENTON WA 98058 4257610756 SEX M MMDDrnvv 07 - 15 - 2005
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z' POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
MM
sEx' D.a.B. -
DDYYYY
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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.ARNOLD 10-28-24 08:27 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1012812024 8:45:15 PM
BADGE OR ID# 12509 ORI#' WA0171300 TIME POLICE DISPATCHED 7:21 Pry] TIME POLICE ARRIVED;7:25 PM
PART 191 3000-3+x.,so(R„M� PAGE 27 OF
E AND
REPORT NO. EF29388 CASE# 24-11197 OF COLLISION 10/28/24 19:20
6F COLLISION
NARRATIVE
On 10/28/2024 at 1921 hours, I was dispatched to a motor vehicle collision at NE 10th St and NE
Sunset Blvd.
Pre-Collision
Unit 1's driver stated that he was traveling East on NE 10th St approaching NE Sunset Blvd and was
preparing to continue East on NE 10th St through the intersection in the number 1 lane.
Unit 2's driver stated that she was proceeding West on NE 10th St in the number 1 lane crossing the
intersection of NE 10th St and NE Sunset Blvd, and preparing to perform a lefthand turn onto NE
Sunset Blvd.
Witness 1 was behind Unit 2 and advised that Unit 1 did not have their headlights activated while
operating a vehicle. Notably, it was dark at the time of the collision at a time and condition that would
require headlights to be activated.
Collision
Unit 1's driver stated that he proceeded through the intersection without headlights on at a time and
condition required, and the front drivers side bumper of Unit 1 made contact with the front drivers side
bumper of Unit 2.
Unit 2's driver stated that she attempted to perform a lefthand turn from NE 10th St onto NE Sunset
Blvd, and was unable to see Unit 1 as its headlights were off. Unit 2's driver stated that while
attempting to perform her lefthand turn onto NE Sunset Blvd, the front driver side bumper of Unit 2
collided with the front drivers side bumper of Unit 1.
Injuries
The driver of unit 2 was transported via ambulance for stitches that were required after sustaining a
minor injury to her mouth during the collision.
Vehicle dispositions
Both vehicles were towed from the scene
Proximate Cause
I found that Driver 1 was at proximate cause for the collision because Driver 1 violated RCW
46.37.020 by operating a motor vehicle without headlights at a time with insufficient light.
Final disposition
Driver 1 was cited for RCW 46.37.020 because every vehicle upon a highway within this state at any
time from a half hour after sunset to a half hour before sunrise and at any other time when, due to
insufficient light or unfavorable atmospheric conditions, persons and vehicles on the highway are not
clearly discernible at a distance of one thousand feet ahead shall display lighted headlights.
Driver 1 was also cited for RCW 46.30.020 because No person may operate a motor vehicle subject
to registration under chapter 46.16A RCW in this state unless the person is insured under a motor
vehicle liability policy with liability limits of at least the amounts provided in RCW 46.29.090.
1 certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer C. Arnold #12509 on 10/28/2024 at 20:20 hours in the City of Renton.
PAGE 3 OF 4
REPORT NO. EF29388 CASE# 24-11197 DATE AND TIME 10/28/2419:20
OF COLLISION
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