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HomeMy WebLinkAbout24-5395 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-5395 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 05 - 1-- 2024 1429 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
PARK AVE NORTH BLOCK NO. e✓ 3400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑ W❑ FEET e NORTH 34TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4257866644 0 11
30
g� LAST NAME NA FIRSTNAME YUANYUAN MIDDLE 1 2 31
INITIAL
STREET ❑✓ 1426 N 34TH ST CITY RENTON ST WA ZIP 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CJK2988 sTArI WAurN#' 1HGCY2F57PA000541
10 F91 PI ATE#
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 2 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 5 1 34
13 2 2023 HOND ACCOR 4D DAMAGE vE5 0NO agW�MEYERS ves❑ No
REGISTERED OWNER INFO YONGGANG 1111126 N 34TH ST RENTON WA 98056 D:4257866644 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO TRAVELERS 611 6537472031
IN EFFECT z &POLICY# STOP
15❑ LE
vECALLv HICLe 1 5 36
res❑NO❑ CITATION# 4A0344168 CHARGE FAIL STOP AT STOP 10 BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:4
16 a 254953808
LAST NAME MARTINEZ FIRST NAME MARIA MIDDLE Z
INITIAL
17 STREET I❑ 1120 N 35TH ST CITY' RENTON ST WA ZIP 980561966 37
NEW ADOREss❑'
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'S STATE WA ]SEX IF D.O.B. 09 _ 22 _ 1978 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ 41
ILICENSE PLA E# AFV5163 TArE WA VIN# 2GIWC5E30C1142898 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
%
RLR
'I
VEH YEAR 2012 MAKE CHEV MODEL IMPALA STYLE 4D VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MARIA ANCIRA 511 AVENUE H GRANDVIEW WA 98930 D:4254953808 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO DAIRYLAND 11409282550IN STOP 5
'E""LE ❑ ,J� CITATION# CHARGE to BOTTOM
LEGALLY YES N J
25 e
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE79848
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5395
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 05-22-24 01:49 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 5/23/2024 3:50:03 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 2:32 Pry TIME POLICE ARRIVED 2:40 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EE79848 CASE# 24-5395 OF COLLISION05/21/24 14:29
NARRATIVE
24-5395
On 05/21/2024 at approximately 1432 hours, I was dispatched to an unknown-if-injury vehicle
collision at the intersection of Park Avenue North and North 34th Street, within the City Limits of
Renton, County of King, State of Washington.
Upon my arrival, I noticed airbag deployment on one of the involved vehicles therefore I requested
the Renton Regional Fire Authority (RRFA) respond for evaluation. RRFA later responded and
evaluated the involved parties who were treated at the scene and released. While on scene, I was
able to collect each involved party's information and independent summary of the events leading up
to the collision.
The driver of Unit#1 said she was the sole occupant of her vehicle and was traveling eastbound on
North 34th ST approaching the controlled intersection of Park Ave North. The driver of Unit#1 stated
that she was intending to proceed straight at the intersection to continue eastbound. The driver of
Unit#1 stated that she stopped at the intersection to yield to approaching traffic. The driver of Unit#1
stated that she believed traffic was clear and proceeded. The driver of Unit#1 stated that while
traveling forward, Unit#2 suddenly appeared and that both Unit#1 and Unit#2 collided in the
intersection causing significant damage to the passenger side doors and rear fender of Unit#1.
The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling northbound on
Park Ave North approaching the uncontrolled intersection of North 34th ST. The driver of Unit#2
stated she was intending to continue straight through the intersection but that just prior to reaching
the intersection, Unit#1 failed to yield to her vehicle and pulled out in front of her vehicle. Both
vehicles collided causing significant damage to the front of Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (Na) was the predominant
factor for the cause of collision as Na did not grant the right of way to traffic already in the roadway
and underway. Na violated RCW 46.61.190(2) as every driver of a vehicle approaching an
intersecting roadway shall stop where the driver has a view of approaching traffic on the intersecting
roadway before entering the roadway, and after having stopped shall yield the right-of-way to any
vehicle in the intersection or approaching on another roadway so closely as to constitute an
immediate hazard during the time when such driver is moving across or within the intersection or
junction of roadways.
I cited Na via mail for Failing to Stop/Yield at an intersection causing a collision.
Unit#1 was able to be driven away without further incident. Unit#2 had to be impounded due to
extensive damage. 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 1:46 PM 5/22/2024 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE79848 CASE# ' 24-5395 DATE AND TIME 05/21/24 14:29
OF COLLISION
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PAGE 4 OF 4