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HomeMy WebLinkAbout24-10961 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-10961 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENC 4100 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.. 10 - 1-- 2024 1529 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
108TH AVE SE BLOCK NO. e✓ 18600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 2751. 00 FEET MILES e S B W e SE187TH PL
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:7145195975 N:7145195975 0 7 30
6� LAST NAME MAVULETI FIRSTNAME SITA MIDDLE S 1 1 2 31
INITIAL
STREET ❑✓ 23523 114TH PL SE CITY KENT ST WA ZIP 98031 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ pl ATFSit AZW1524 sTAr� WA urN# 2HKRM4H32GH648986
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 4 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 4 2016 HOND CR-V SV DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO ANJANEYA KAPALLI21523114TH PL SE KENT WA 98031 D:7145195975 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO CONNECT SX12417893 3 4
IN EFFECT &POLICY# 9TOP
VErIICLE CHARGE 5 36
LEGALLY YES No CITATION# 4A0612154 FOLLOW VEHICLE TOO CLOSELY o eorrom
15❑ STANDING 8 6
1,1 MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ PEDESTRIAN ❑ ❑ D:2067797205
VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME YANG FIRST NAME HUI MIDDLE X
INITIAL
17❑ STREET ❑', 20446 104TH AVE SE CITY KENT ST WA ZIP 980311592 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs❑NOF YES
❑NoF,/
19[—] DRIVER'S STATE WA ]SEX IF D.C.B. 07 19 _ 1974 39
LICENSE# MMDDYY
H USE
ET LASS6
Y [-�A—TUREOF INJURIES C/O HEADACHE.EVAL'D BY RRFA ❑ 40
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1
21❑ LICENSE I BIH7649 TAre WA vIN# JTMRFREV2JD228025
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE TOYT MODEL RAV4 STYLE SV VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO HUIXIAN YANG 20446104TH AVE SE KENT WA 98031 D:2067797205 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE &POINSURGY#ECO STATE FARM 2073806-1307-47DIN 1 9TOP
'EwCLE CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES NEI
❑ s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF27713
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10961
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 10-21-24 06:28 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 1012312024 2:09:36 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 3:31 PM TIME POLICE ARRIVED',3:35 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EF27713 CASE# 24-10961 OF COLLISION10/21/24 15:29
NARRATIVE
24-10961
On 10/21/2024 at approximately 1531 hours, I was dispatched to a two-vehicle collision in the 18600
block of 108th Ave SE (JNO SE 187th PL), within the City Limits of Renton, County of King, State of
Washington.
Upon arrival, I contacted the involved parties and determined that the driver of Unit#2 was
complaining of head pain. I requested the Renton Regional Fire Authority (RRFA) who later arrived
on scene and treated the involved driver. RRFA released all involved parties at the scene. While on
scene, I collected the involved parties driving documents and their independent recollection of events
leading up to the collision.
The driver of Unit#1 said she was the sole occupant of her vehicle and was traveling southbound in
about the 18600 block of 108th Ave SE just north of the intersection of SE 187th PL in lane 1 of 2.
The driver of Unit#1 stated she was traveling directly behind Unit#2 and saw as Unit#2 had come to
a stop for queued traffic. The driver of Unit#1 stated that she was about one car length behind Unit
#2 and that due to the wet and rainy road conditions, Unit#1 simply was unable to stop in time and
subsequently collided with the rear of Unit#2 causing moderate damage to the front of Unit#1.
The driver of Unit#2 said she was the sole occupant of her vehicle and was also traveling
southbound in about the 18600 block of 108th Ave SE just north of the intersection of SE 187th PL in
lane 1 of 2. While Unit#2 was stopped for queued traffic and a bus that had stopped, Unit#1 collided
with the rear of Unit#2 causing moderate damage to the rear of Unit#2.
The driver of Unit#1 (Mavuleti) was following the vehicle in front of her too closely violating RCW
46.61.145. RCW 46.61.145 states that the driver of a motor vehicle shall not follow another vehicle
more closely than is reasonable and prudent, having due regard for the speed of such vehicles and
the traffic upon and the condition of the highway.
Based on the above statements, I determined that the Driver of Unit#1 (Mavuleti) is the proximate
cause for the collision due to following too closely causing a collision.
I cited Mavuleti via mail for Following Too Closely. 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 10/21/2024 6:27 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EF27713 CASE# ' 24-10961 DATE AND TIME 10/21/24 15:29
OF COLLISION
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PAGE 4 OF 4