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HomeMy WebLinkAbout24-5485 ITFF' "POLCERA II I !�� I III I III I IIII III II I . $ 27c
COLLISION REP FIT 1591971
CASE 24-5485 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.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# ❑
cawsloN 05 - 1-- 2024 1852 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BLOCK
EASTVALLEYRD ST e✓
MILEPOST 4200
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 50 00 FEET MILES e S B W e S 180TH GOT
HST
0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:5099196681 0 11
30
6� LAST NAME SMITH FIRSTNAME DANAJAH MIDDLE M 1 1 2 31
INITIAL
STREET ❑✓ 3555 S 239TH ST CITY KENT ST WA 21p, 98032 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ vEs No�/
8❑ D
RI
VER # STATE WA SEX'F MMDDYY' 09 — 05 — 2004 1 2 32
9 ON DUTY❑ STATUS AIRBAG 1 RESTR 9 EJECT 1 1HELM
U EET 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CMH9069 STATE WA uN#' 1G1ZS51846F209209
10 9❑ pr ATE�
11[-j- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. ro
TRLR. A'RL.R. 1 5 33
12 3 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2006 CHEV MAL/BU SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE❑ INSURANCE CO NONE 3 4
IN EFFECT &POLICY# STOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 4AO194725 NO VALID OPER LICENSE WITH 1 o aorrom
15❑ STANDING 7 6
MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD M PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D.8087817805
16 a ET
LAST NAME TSUKAMOTO FIRST NAME RYAN MIDDLE H
INITIAL
17❑ STREET NEW ADORE57 801 PINE ST#6B CITY SEATTLE ST' WA ZIP 98109 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'S STATE HI SEX M I D.C.B. 05 _ 18 _ 1987 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 1 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE ❑21❑ PLA E# RSE291 TATE 41
HI VIN# JTJZK18A8C2412850 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2012 MAKE LEXS MODEL RX 350 STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO KENT TSUKAMOTO 1033 MAUNANANI ST HONOLULU Hl 96825 VEHICLE NO.2
SHADE DAGED AREA
4
LIABILITY
INSURANCE INSU&PORGY#ECO STATE FARM 916987-Ali-51IN 1 STOP 5
"'LE ❑ ,.I— CITATION# CHARGE io BOTTOM
LEGALLY YES N
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
GREGORY BILLS 1
12495 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE80524
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5485
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BURNS DAYSHIANA C
(LAST FIRST,
ADDRESS&PHONE#
3555 S 239TH ST KENT WA 98032 5099196681 SEXi F MMDOYyry 11 - 17 - 2006
PASSENGER WITNESS❑,UNIT# ! SOS 3 AIRBAG 2 RESTR. 9 EJECT ? HELMET INJURY NATURE OF INJURIES
USE 2 CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
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.
GREGORY BILLS 05-23-24 10:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 5/26/2024 9:46:19 AM
BADGE OR ID# 12495 ORI# WA0171300 TIME POLICE DISPATCHED 6:56 PM TIME POLICE ARRIVED:7:00 PM
PART Ei PAGE IT]OF 4�
REPORT NO. EE80524 CASE# 24-5485 OF COLLISION
05/23/24 18:52
OF CbLLI510N
NARRATIVE
On 05/23/2024 at 1856 hours I was dispatched to East Valley Rd / S 180th St, in the City of Renton,
King County, Washington. I was responding to a call of a just occurred collision.
While en route, dispatch advised the following: two vehicle collision, no injuries, and one driver could
be heard yelling at the reporting party in the background.
In this report, Unit 1 refers to a gray 2006 Chevrolet Malibu (WA/CMH9069) driven by Danajah M.
Smith (DOB 09/05/2004, DOL photo). Unit 2 refers to a gold 2012 Lexus RX (HI/RSE291) driven by
Ryan H. Tsukamoto (DOB 05/18/1987, HI DL).
At approximately 1900 hours, I arrived on scene. Unit 2 was pulling into the parking lot on the
northwest corner of S 180th St/ East Valley Rd. Unit 1 was parked in lane 2 of 2 on westbound S
180th St. Smith was trying to put the driver headlight, which had fallen out as part of the collision,
back into the car. Smith was very upset and repeatedly screamed, "HE HIT MY CAR!" 1 was unable to
get Smith to calm down and tell me what happened, so I spoke to her passenger.
The passenger of Unit 2, Dayshiana C. Burns (DOB 11/17/2006, verbal), reported the following: Unit
2 was travelling southbound in the far right lane of East Valley Rd just north of S 180th St. They
realized they were in the wrong lane and initiated a lane change from the far right to the center lane.
Unit 1 already occupied that space, which resulted in a collision.
I then spoke to Tsukamoto, who corroborated the above statement. He was in the center lane going
straight when Unit 1 changed lanes and collided with him.
Unit 1 had damage on the front driver quarterpanel / bumper area. Unit 2 had damage from the front
passenger quarterpanel and wheel back to the rear passenger side door, as if Unit 1 hit near the front
of the car then scraped back along the side of Unit 2.
Both Burns and Smith were adamant that Tsukamoto was on his phone. Tsukamoto said he was not
on his phone, but he uses his phone to listen to music in the car. When Smith got out and started
yelling, he picked up his phone to turn the volume down in order to hear her. Smith saw the phone in
his hand and believed he was on his phone during the crash.
Tsukamoto provided his license and insurance. Smith did not have an ID on her and did not have
insurance. I checked Smith in ACCESS and her DOL status showed "not licensed -eligible."
I authored Smith a citation for No Valid Operator's License with valid ID, operating a motor vehicle
without insurance, and unsafe lane change.
I confirmed her mailing address and said the citation would be mailed to her.
I provided both parties a business card and case number.
This concludes my involvement in this case.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Gregory Bills #12495, 05/23/2024 at 2150 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO. EE80524 CASE# ' 24-5485 DATE AND TIME 05/23/24 18:52
OF COLLISION
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