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HomeMy WebLinkAbout24-5106 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 SASE 24-5106 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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# cowsloN 05 - 1-- 2024 1944 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� ❑ TALBOT RD S MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ V\e S 43RD ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:9176131136 0 11 30 6� LAST NAME LUM FIRSTNAME SHAN MIDDLE M 1 1 2 31 INITIAL STREET ❑ 198 SEMTON BLVD CITY FRANKLIN SQUARE ST NY 2jp, 11010 z NEW ADDRESS ]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 1HELM U EET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10[1 PI ATNE 14 BZJf 608 sTAr WAv N# KMHDH4AE3DU803181 5 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR 2013 HYUN ELANTR SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34 13 4 DAMAGE YES No �LII� RS YES[:] No REGISTERED OWNER INFO XIE MINCON.11221 SE 179TH ST RENTON WA 98058 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 ❑ INSURANCE CO <53 4 LIABILITY INSURANCEIN EFFECT &POLICV# TOPVEIF" CHARGE OTTOM 5 36 LEGALLY YEs❑NO CITATION# 4A0426428,4AO426428 OP MOT VEH W/OUT INSURANCE, 15❑ STANDING 7 6 MOTOR PEDAL-: PEDESTRIAN : PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:3017873478 LAST NAME LIAN FIRST NAME JAWTI MIDDLE M INITIAL 17❑ STREET NEW ADDREss❑' 1428 WHITWORTH AVE S CITY RENTON ST WA ZIP 98055 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCKYES�NO INTERLOCK YEs I I NOF YEs t l NOF,/ 19 DRIVER # ❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑ILICENSE 21❑ PLA E# BIF2867 TArE 41 WA vIN# KMHE14L26HA059904 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' TOWED BY Gov HI 44 VEH YEAR 2017 MAKE yyU/4 MODEL $O�IA7-A STYLE $D DAMAGE TOWED✓ NOO BLIN BANKERS YES No�/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#E CO ALLSTATE 820721838IN 1UR VEHICLE ❑ ,.II CITATION# CHARGELEGALLY YES N J 25 7B- S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 MIN FLICK 12825 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE80515 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5106 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. BENJAMIN FLICK 05-13-24 11:20 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 5/26/2024 9:46:40 AM BADGE OR ID# 12825 ORI# WA0171300 TIME POLICE DISPATCHED; 7:44 PM TIME POLICE ARRIVED 7:48 PM PART Ei PAGE IT]OF 4� REPORT NO. EE80515 CASE# 24-5106 OF COLLISION 05/13/24 19:44 OF CbLLI510N NARRATIVE 24-5106 On 05-13-2024 at approximately 1944 hours I was working a marked Renton Police Department patrol in full uniform in the city of Renton, King County, Washington. I responded to a motor vehicle collision in the intersection of Talbot RD S and S 43rd ST. Upon arrival I made contact with the 2 vehicles involved. The involved units and drivers were identified as follows: Unit 1 (WA/BZJ1608) driver Shan Ming Lum (DOB: 05-22-1969 via WADOL) Unit 2 (WA/BIF2867 driver Jawti Mawi Lian (DOB: 04-20-1992 via WADOL) Unit 02 driver informed me that she was driving northbound on Talbot RD S through the intersection of S 43rd ST. She stated her light was green and there was one other car already proceeding through the green light in front of her. When she proceeded through the intersection, her driver side was struck by unit 01 which was alleged to have proceeded through the intersection eastbound through a red light. Unit 01 driver told me that she was indeed proceeding eastbound through the intersection. I asked her what the status of her light was. She did not have an answer for me initially. She thought about it and then stated that the light was changing, and she tried to stop the car, then unit 02 drove into the intersection where they collided. There were no independent witnesses. There were no apparent injuries, and no complaint of injuries with either party. I provided both parties with a business card which contained the case number. I observed that the damage to the vehicles was consistent with what both parties had told me. At the conclusion of my investigation, I determined that the proximate cause of the collision was when driver Shan Ming Lum proceeded into the intersection after the light had changed to red. I confirmed with driver Shan Ming Lum that her DOL address was current. I informed her that she would be receiving a citation for failure to obey a traffic control device via mail. Additionally, driver Shan Ming Lum was only able to provide her son's insurance card. Nowhere on the insurance card provided was her own name under that policy. She then wanted me to speak with her husband about insurance. I spoke with her husband over the phone. I asked if she was an insured driver. He told me that he did not know. I also cited driver Shan Ming Lum for failure to provide proof of insurance. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by B. Flick 12825 on 05-13-2024 in Renton, WA. PAGE 3 OF 4 REPORT NO. EE80515 CASE# ' 24-5106 DATE AND TIME 05/13/24 19:44 OF COLLISION 'Am Not to scale � . R 7 . 1 i PAGE 4 OF 4