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HomeMy WebLinkAbout24-4516 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE# 24-4$16 z 571 INTERSTATE CITY STREET RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3❑HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ RESERVATION STRUCK 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION.. 04 - 1-- 2024 1934 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BENSON DRIVE S BLOCK NO. e✓ 2057 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET ❑ S ❑ W❑ 21ST ST' 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2063076247 0 6 30 6� LAST NAME WU FIRSTNAME WENBIN MIDDLE 1 2 31 INITIAL STREET ❑✓ 12940 SE 185TH ST CITY RENTON ST WA 71p 98058 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 1 CLASS NATURE OF INJURIES 2❑ ❑10[1P1 ATNES# CGt 1025 sTAr WA N# 5YJ3E1 EA2PF477126 3 11 [ 4 0---- TRAILER STATE PLATE STATE PLATE# PLATE# IR.. ro TRLR. A'RLA2 1 5 33 12 4 0 VIN#' VIN#' :: FROM TO ❑ VEH.YEAR 2023 TESL MODEL SD MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY GOVT.VEHICLE 1 $ 34 13 4 DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO SAFECO H2256432 �3g4 LI EFFECT I SUR N#VE"'CLE CHARGE 36 LEGALLYYES❑NO❑ CITATION# 4AO014502 INATTENTIVE DRIVINGI 15❑ STANDING 6 MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE UNIT ❑ ❑ PEDESTRIAN ❑ ❑ D:4252089847 VEHICLE CYCLE OWNER YES�/ NO 16 a LAST NAME TA FIRST NAME VIET MIDDLE S INITIAL 17❑ NEW STREETRE— 11905 SE 198TH CT CITY KENT ST WA ZIP 98031 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YEs❑NOF,/ 19 LICENSE# STATE WA SEX M M D.C.B. 04 27 1966 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 LICENSE ❑21❑ PLA E# CAB 1732 TArE 41 WA VIN# 2HNYD1820$H538889 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2005 MAKE ACUR MODEL MDX STYLE UT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VIET TA 11905 SE 198TH CT KENT WA 98031 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE &POINSURGY#E CO AMERICAN FAMILY 41059-59495-91 IN STOP VEHICLE YES N CITATION# NONE CHARGE NIA to BOTTOM LEGALLY `LJ 25 $ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 J.CHRISTIANSEN 10437 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE71550 COLLISION REPORT III III III III III 111 1591972 CASE# 24-4516 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) TRAN KIM T (IAST FIRST, ADDRESS&PHONE# 17840 111TH AVE SE RENTON WA 980556539 SEXi F MMDOYyry 07 - OS - 1965 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 2 POS. 3 2 4 1 USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B BEd MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. J.CHRISTIANSEN 04-25-24 09:18 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 1 4/25/2024 10:58:32 PM BADGE OR ID# 10437 OR]# WA0171300 TIME POLICE DISPATCHED! 7:39 Pry] TIME POLICE ARRIVED',7:45 PM PART I PAGE IT]OF 4� REPORT NO. EE71550 CASE# 24-4516 OF COLLISION 04/25/24 19:34 OF CbLLI510N NARRATIVE RPD CASE#: 24-4516 RECORDED ON AXON *This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. * On 04.25.2024, at approximately 1945 hours, I arrived on scene of a two-vehicle, non-injury, blocking collision in the intersection of S. 21st ST and Benson Drive S., in the City of Renton, WA, the County of King. I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was operating a fully marked Renton Police Tahoe #204, equipped with "POLICE" markings, overhead exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with "POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious to any reasonable person I was a police officer. I was assigned as 3r16. At the time of this incident, it was raining steadily, the roadway was wet with saturated water, and it was daylight, streetlights were not illuminated. Unit 01 was identified as a white in color Tesla Model 3 bearing WA/CGL1025. Unit 01 had moderate damage to the front bumper and the hood was buckled but it was operable. Unit 01's driver was identified by his WADL as WU, WENBIN (DOB: 06.23.1980). Wu matched the photo on his DOL WADL and when asked what happened leading up to the collision, Wu stated he was traveling southbound on Benson Drive S., occupying the left lane of travel and was directly behind Unit 02. Unit 01 did not realize Unit 02 had stopped in front of him for a traffic signal light and he struck the rear bumper. A WACIC/NCIC/DOL query on Wu was clear and valid. Unit 02 was identified as a black in color Acura MDX bearing WA/ CAB1732. Unit 02 had damage to the rear bumper, but it was operable. Unit 02's driver was identified by his WADL as TA, VIET SON LUU (DOB: 04.27.1966). Ta stated he was traveling southbound on Benson Drive S. and as he approached the intersection with S. 21st ST, he slowed for the signal light when he was struck from behind by Unit 01. A WACIC/NCIC/DOL query on Ta revealed he was clear and valid. Unit 01's driver, WU, WENBIN (DOB: 06.23.1980) was in violation of RMC 10.12.25: Inattentive Driving. Wu was issued SECTOR citation 4AO014502 for the above listed violation. . I advised Wu he would be receiving a citation in the mail. Both vehicles were removed from the scene without incident and no injuries were reported. 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 J. Christiansen #10437, on April 25, 2024, at approximately 2116 hours, in Renton, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: CITY STREET **** END OF AUTO-POPULATED SECTION **** PAGE 3 OF 4 REPORT NO. EE71550 CASE# ' 24-4516 DATE AND TIME 04/25/24 19:34 OF COLLISION ,..t -5 Officer J. Clu-Istiartsen #10437 INTOTT x xs 5 Z � � f Y � s i N fx � ,M��x•.t���i''��a"';,� `�'*��,i,u.',���`.> �,.i� '��s�. �:`^Y_ ". >.. �` s,`'3��4tr.,.. t�, ',,. ,�.. ; t� 'vas k�sx � fe � 4 fS� r PAGE 4 OF 4