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HomeMy WebLinkAbout24-4520 oucE WASHING ON II I f I) 11�1ll�111�111�INf( I I REPORT NO. 1 0 27
COLLISION REP FIT 1591971
SASE 24-4520 2
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 04 STRUCK
RESERVATION
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# z
COLLISION.. 04 - 26 - 2024 0755 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BENSON DR S
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV e SE 172ND ST
0 4 29
UNIT
01 MMO tOR� Z PEDAL- ElDACYCLE MAGE NHORESHOLD MET PHONE 0 6 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY Sr ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYES NO INTERLOCK YES NO YES No
8❑ DRIVERS
STATE SEX u MMDOBYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 1 H USE
ET 9 CLA Y 0 NATURE OF INJURIES z❑
3
LICENSE sTATI urN#'
10 PI ATE 14
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# ROM TO
TRLR 5 7. TRLR 33
12 4 0 vIN If VIN#'
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2 DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO [NEW] VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ NSURANCE CO 3 4
LI EFFECT &POLICY#VEwcLE CHARGE 36
LECALLvYEs❑NO CITATION# EQ,
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:5629129182
a
LAST NAME MARIANO FIRST NAME CELESTE MIDDLE N
INITIAL
17❑ STREET SS❑' 10608 S
NEW ADDREE 250TH PL UNIT A205 CITY KENT ST WA ZIP 980308297 37
18� CDL IGNITION REQUIRED IGNITION PRESENT tSENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCK YES❑NoR INTERLOCK YES It1 I NOF YES l NO❑
19 DRIVER'S STATE WA ]SEX IF I D.C.B. 03 _ 19 _ 1991 39
LICENSE# MMDDYY
HELMET I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
❑ILICENSE 21❑ PLA E# A7198045 TATe 41
WA VIN# 1GKNKLASKZ231893 4
42
22 [TRAILER T
❑ PLATE# STATE PLATE#ILER STATE
23❑ 43
TRLR RLR
VIN#. IN#.
YEAR 2019 MAKE GMC MODEL ACADIA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
VEH
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO KAREN MARIANO 10608 SE 250TH PL UNITA205 KENT WA 980308297 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP
V'""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 777T�NCY
26
M.LEVERTON 2517 0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO.
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4520
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
POS. 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.
M.LEVERTON 04-26-24 09:48 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 5/23/2024 6:02:59 PM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 7:55 AM TIME POLICE ARRIVED',7:58 AM
PART I PAGE IT]OF
REPORT NO. CASE# 24-4520 OF COLLISION
04/26/24 07:55
OF CbLLI510N
NARRATIVE
UNIT 1/UNKN ILLEGAL LEFT UNIT2 WHT SUV UNIT 3 BLUE SUV BRAKE UNIT 4 BLK TRK
RTF- Insurance/information only
Within the city limits of Renton/King/Wa I responded to a mutil car blocking crash at Benson Dr S at
SE 172nd St.
When I arrived 2 vehicles were blocking northbound lane 2 and one had pulled off the roadway facing
west on 172nd.
Turns out a 4th vehicle involved but that was not contacted had caused the initial collision by fail to
comply with a traffic control device/posted no left turn.
All four vehicles were northbound on Benson Dr S lane 2. Unit 1/unknown white SUV made a late
and sudden left turn onto west SE 172nd.
I contacted the driver of unit 2. She told me soon as the suv braked to make the turn she slowed
quickly to avoid contact with unit 1. She said while she was still slowing she was hit from behind by
unit 3. She did not complain of injury and damages did not require a tow truck. She declined a check
by fire/6 months pregnant.
I contacted the driver of unit 3 who told me she was slowing to avoid contact with unit 2, but saw unit
4 and panic braked when she was hit from behind by unit 4, pushing her into unit 2. She initially did
not complain of injury but later said her back was sore. Damages required a tow truck. Unit 3 told me
from past experience she learned to brake hard to avoid getting pushed into a vehicle in front of her.
She said she braked hard because she saw unit 4 "coming in hot".
I contacted unit 4 who told me he had a dash camera and prepared it for me to view. He told me he
saw vehicles in front of him rapidly slowing as he was too. He told me that unit 3 seemed to have
suddenly braked rather than hard slowing and he made contact with her car from behind. He did tot
complain of injury and damages did not require a tow truck.
Unit 4 did not provide me a copy of his recording. I watched unit 4 dash cam video from 108th Ave
SE at SE Carr Rd as he proceeded NB lane 2 on Benson Dr S. I counted his following distance at
between 2-2.5 seconds behind unit 3. The video showed unit 1 make the turn and unit 2 braking. It
shows unit 4 slowing and responding to the emergency braking in front of him. It showed unit 3
braking and what appeared enough space to avoid unit 2, however, unit 3 made a rapid/sudden stop
and unit 4 contacted her from behind and unit 3 rolled forward into unit 2. Unit 4 was stopped at the
back of unit 3 when I arrived on scene.
Video did not provide enough detail for additional information ref unit 1. Unit 2 could not provide any
information other than unit 1 was a white SUV who made a late left turn where it is posted no left turn
on both sides of the roadway.
Information/Insurance only
Unit 2 driver did call back with a possible match and plate to suspected unit 1. 1 located that vehicle
and contacted the R/O. Post Miranda the RO described his day and as the sole operator and
occupant in charge of that vehicle. He did not make an illegal left contributing to the crash listed
above. His vehicle was later confirmed to be mis-identified by the grainy video provided by unit 4.
PAGE 3 OF 6
REPORT NO. CASE# 24-4520 OF COLLISION
04/26/24 07:55
OF CbLLI510N
NARRATIVE
Clearly does not match the suspect vehicle/unit 1. The video does not reveal enough information for
additional follow up on unit 1. Wht SUV.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 4/26/2024
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Traffic Control: NO TURN/TURN PROHIBITED
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 6
SUPPLEMENTAL REPORT NO.
r`) POLICE TRAFFIC 1 1 7 27
COLLISION REPORT CASE# 24-4520
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 7 28
CARRIER
NAME
3 CARRIER
ADDRESS `❑
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
UNIT# 3 �✓ � PEDESTRIAN YES NO
5 VEHICLE CYCLE OWNER ✓ D:4253060911
OF 6 29
LAST NAME LAMBERT FIRST NAME LISA MIDDLE J
INITIAL
+I 6 30
STREET
NFW AnDRFSP 25043 144TH PL SE CITY KENT ST WA ZIP 980423425
6
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31
INTERLOCK YEs No zERLOCK YES[:]NO[:] YES N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv', 01 - 11 - 1973
7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET INJURY 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 1 2 32
LICENSE CBX5524 TAr Wq VIN# JA4AT4AA6JZ047311
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 TRLR TRLR 91 VIN.#. VIN.#.
11 4 0 VEH.YEAR2018 MAKE MITE MODELECLIPSE STYLE VEHICLE TOWE E T SABLI �d�i' anvi vFH1O P FROM TO
DAMAGE YES✓NO YES NO ✓
33
REGISTERED OWNER INFOLISA LAMBERT 25043 144TH PL SE KENT WA 980423425 D:4253060911 rj 1
12 4 O SHADE IN DAMAGED AREA
3 FROM TO
LIABILITY INSURANCE INSURANCE CO ST FARM 548 2008-D17.47 Top
IN EFFECT &POLICY# 5 1
I—ELe 10 BOTTOM 34
2 ❑ ❑ CITATION# CHARGE
13 (FANG YES NO gg�@
STANDING l:�9 7
DAMAGE THRESHOLD MET PHONE ❑ 35
14 UNIT# 4 MOTOR ❑✓ PEDAG ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO
VEHICLE CYCLE OWNER ✓ D:4259431669
15 ❑ LAST NAME ORTIZ GARC/A FIRST NAME CHRISTIAN MIDDLE p
❑ 36
INITIAL
2 STREET
16 ❑ ❑ 11116 SE 225TH ST CITY KENT ST WA ZIP 980312627
NFln+AnnRFSS
CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICAL TANSPORTED
17 ❑ INTERLOCK YES NO INTERLOCK YEs NO YEs No 1:1
DRIVER'S STATE WA SEX M D.O.B 37
LICENSE# MMDO'YY` 12 1987
18 ❑ El38
ON DUTY� STATUS' AIRBAG 2 RESTR, 4 EJECT 1 HELMET INJURY'1 NATURE OF INJURIES
USE CLASS
19 ❑ LICENSE ❑
PLATE# C73467W TAr WA v!N# 1 GCRYBEH3LZ218668 39
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ TRLR TRLR 1-141
ViN# YIN#i
42
22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE
2020 CHEV SILVER DAMAGE YES NO ✓ YES NO ✓
23 ❑ REGISTERED OWNER INFO_VANESSA SMITH 816 E SHELBYST SEATTLEWA 98f02 SHADE IN DAMAGED AREA F 43
LIABILITY INSURANCE INSURANCE CO TRAVELERS BA-3A956594-20-SEL
❑ IN VEHICLE
&POLICY# 4��,
E:l
44
24 LE LE ALE LLY YES❑ NO❑ CITATION#
.STANDING a 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 04-26-24 09:48 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OI BADGE 2517 O#I',WA0171300 JOHNSON 512312024 PAGE❑OF❑
3000-345-013(R 11118)
REPORT NO. CASE# 24-4520 DATE AND TIME 04/26/24 07:55
OF COLLISION
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PAGE 6 OF 6