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HomeMy WebLinkAbout24-5046 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 24-5046 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y50 3 HIT 8 RUN ✓ CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 2$ TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION'. 05 - 1-- 2024 0015 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ FERNDALE AVE SE BLOCK NO. e✓ 1608 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET MILES e S ❑ W V SE 16TH ST 1 4 29 UNIT MOTOR Z PEDAL ElD DYESAMAGE NHORESHOLD MET PHONE 01 1 4 30 6 LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 31 INITIAL STREET ❑ CITY RENTON ST ZIP 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ vEs No✓ DRIVERS STATE SEX D - 328 LICENSE MMDYY❑ 9❑ ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 10❑ P1 ATE 14 AUV9557 sTAT WA V N# JF2GPASC4FH216193 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# IR.. ro TRLR. TRLR m 33 12 0 0 VIN#' VIN#' 2015 SUBA CROSST 4D ❑ RO�34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO ✓ YES NO✓ 13 REGISTERED OWNER INFO VICKYVOELLER1.1FERNDALEAVESERENTONWA98058 D:2067159158 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILIT INSURANCE INSURANCE CO IN EFFEC ALL STATE 964408282 T &POLICY# D vE—LE CHARGE ❑ 36 LEGALLv YES❑NO CITATION# 15❑ STANDING THR UNIT 02 VEHICCLE CYCLE ❑ PEDESTRIAN ❑ OWN RRTY ❑ DYES✓ NO rJOLD MET PHONE 16❑ LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET CITY RENTON ST ZIP 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YES It1 I NoF t l YES NO 19 LLIICENS # STATE SEX U MMDDYY —=_ 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 9 CLASS 0 ❑ ❑21❑ PLATE# BMG6921 TATe 41 WA VIN# 5J8YD4H54KL003159 `1 42 22 [TRAILER TILER ❑ PLATE# STATE pLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2019 MAKE /aC(fR MODEL MDX STYLE QD VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 L4❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO QUYEN NGUYEN 1611 FERNDALE AVE SE RENTONWA98058 D:2068224354 VEHICLE NO.2 SHADE DAGELLAREA LIABILITY INSURANCE INSU8PORGY#ECO AMERICAN FAMILY INSURANCE 41053-31859-91 CTOP IN EFFECT VE""LE ❑ ,J� CITATION# CHARGE I BOTTOM LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 J RAYGOZA 12503 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE78733 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5046 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. J RAYGOZA 05-12-24 07:52 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE GREGORY BILLS 12495 512012024 6:02:16 PM BADGE OR ID# 12503 ORI# WA0171300 TIME POLICE DISPATCHED 4:09 AM TIME POLICE ARRIVED',4:02 AM PART I PAGE IT]OF 5� REPORT NO. EE78733 CASE# 24-5046 OF COLLISION 05/12/24 00:15 OF CbLLI510N NARRATIVE RPD CASE#: 24-5046 On 05/12/2024 at approximately 0401 hours, I responded to 1608 Ferndale Ave SE, in the City of Renton, King County, Washington, for a hit and run report involving three vehicles. Upon arrival I was flagged down by a male subject who was later identified by his WADOL as Nguyen, Quyen Trong DOB (12/03/1999). 1 identified Quyen as the owner of unit 3 identified as a white 2019 Acura MDX WA/LIC BMG6921 VIN#5J8YD4H54KL003159 that was not occupied and parked legally during the incident. Quyen informed me that he didn't see anything and only found out about the incident when he returned home and noticed that his vehicle was damaged along with his neighbor's car that was parked behind his. Unit 3 sustained major damage to the rear bumper of the vehicle and Quyen provided me with his license, registration and insurance. I noticed a second vehicle unit 2 identified as a blue 2015 Subaru Crosstrek WA/LIC AUV9557 VIN#JF2GPASC4FH216193 behind unit 3 that collided with the rear bumper of unit 3. 1 knocked on the door of 1608 Ferndale Ave SE and contacted the reporting party and owner of unit 2 identified by her WADOL as Voeller, Vicky Ann DOB (01/20/1962). Vicky said she just returned home from a vacation with her husband and noticed that her vehicle was damaged and decided to call the police. Vicky wasn't home during the incident and said that she didn't see anything or didn't know when it happened. I walked Vicky outside and she told me her vehicle was parked a few feet away from unit 3 and that the impact of the collision most likely pushed her vehicle towards unit 3 causing it to collide with it. Unit 2 sustained major damage to the entire back side of the vehicle and Vicky provided me with her license, registration and insurance. The suspect vehicle unit 1 was not located when I arrived but there were small parts of the vehicle left at the scene that indicated it was a red or maroon colored vehicle. Based on the damages sustained to unit 2, 1 was able to determine that unit 1 was driving westbound on Ferndale Ave SE at a high rate of speed and collided with the back side of unit 2 causing it to move foreword and collide with unit 3. Unit 1 continued driving west on Ferndale Ave SE without attempting to stop and contacting the oweners of unit 2 or unit 3. Quyen then informed me that a neighbor called him and told them that they heard a loud crashing noise at approximately 0015 hours but that they never went outside to check what it was because they didn't feel safe to do so. Both the owners of unit 3 and unit 2 were given my business card with the case number. I took pictures of the vehicles and cleared the scene. No information of the driver of unit 1 is available. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by J. Raygoza on 05/12/2024 at 2000 hours in the City of Renton. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE78733 r`) POLICE TRAFFIC 1 5 1 27 COLLISION REPORT CASE# 24-5046 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR CYCLE PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES� NO 0 1 29 LAST NAME : UNKNOWN FIRST NAME , MIDDLE INITIAL STREET 30 NEW AnDRFSP CITY RENTON ST ZIP 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 1 31 INTERLOCK YES[:]NO zERLOCK YES E]Na� YEs N DRIVER'S STATE I SEX U M��DYSYv' -� 2 LICENSE 7F-ION DUTY STATUS AIRBAG 9 RESTR. 9 EJECT 1 HELMET 9 INJURY 0 NATURE OF INJURIES F� USE CLASS 8 ❑ ' 1 32 LICENSE+ rar V1N.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 1-1TRLR TRLR VIN.#. VIN.#. 11 0 0 VEHL YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH11' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO.UNKNOWN RENTON 3 ] 33 12 � SHADE IN DAMAGED AREA LIABILITY INSURANCE❑ INSURANCE CO FROM TO IN EFFECT &POLICY# ❑ P 13 ELE YES❑ NO❑ CITATION# CHARGE BOTTO M m 34 LEGALLY STANFING G O Q �} 14 ❑ UNIT Tr MOTOR d 1RE O PEDDLE OWNERRTY DAMYESAGE THRESHOLD MET PHONE ❑ 35 PEDESTRIAN ❑15 LAST NAME FIRST NAME I I 35 ITIAL INITIAL STREET 16 NEW AnnREET"� CITY ST I ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 5 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ [441 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J RAYGOZA 05-12-24 07:52 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 25 OR ID# 12503 O#I WA0171300 BILLS 5/20/2024 PAGE�OF 3000-345-013(R 11118) REPORT NO. EE78733 CASE# 24-5046 DATE AND TIME 05/12/24 00:15 OF COLLISION r £., t � i 1£ g 1 yt PAGE 5 OF 5