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HomeMy WebLinkAbout24-5599 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 SASE 24-5599 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28 UNITS RESERVATION I I STRUCK z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# CowsloN 05 - 1-- 2024 1431 17 ❑-= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ NE 3RD ST BLOCK NO. e ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e BLA/NEAVENE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4252709551 N:4252601552 0 11 30 6� LAST NAME LUJAN FIRSTNAME LUCILLE MIDDLE J 1 1 2 31 INITIAL STREET ❑ 13311 191 ST AVE SE CITY RENTON ST WA 2jp, 98059 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aTES� CLR5769 sTATI WAurN# 3VWB17AJ4EM412848 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 2 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TAW/g[ GOVT.VEHICLE 34 13 4 2014 VOLK JETTA SD D AMA G 3 7 E YES NO YES❑ No✓ REGISTERED OWNER INFO LEANN BOSCOE 11111191STAVE SE RENTON WA 98059 D:4252601552 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ABILI V INSURANCE INSURANCE CO BRISTOL WEST GO1.3234557.01 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES 1/ No D:6305187353 16 a LAST NAME VASU FIRST NAME SRINIVASA MIDDLE P INITIAL 17 STREET❑ NEW ADOREss❑' 509 SHADOW AVE NE CITY RENTON ST WA ZIP 98059 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑NO� INTERLOCK yEs It I NOF YES t l NOF,/ 19 DRIVER'S STATE WA SEX M D.C.B. 04 23 _ 1979 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40 USE CLASS TIGHT BACK ❑21❑ PLATE# APJ2921 TATE 41 WA VIN# 2T3BFREVODW040886 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' GoI VEH YEAR 2013 MAKE ]'DY)' MODEL RA V4 D STYLE UT AMAGE TOWED NOO✓ BLIN TOWED BY v HyES NO 1/ 44 24❑ fj REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU&PORGY#E CO ESURANCE INSURANCE COMPANY PAWA-005099974 I STOP IN EFFECT 'E""LE ,J� CITATION# CHARGE 25 i o BOTTOM LEGALLY YES❑ N`L I $ ' OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 TIM CUMMING 11488 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE81137 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5599 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SRINIVAS SHRIMAN (LAST FIRST, ADDRESS&PHONE# 509 SHADOW AVE NE RENTON WA 98059 6305187353 SEX M MMDOYyry 11 - 08 - 2010 PASSENGER I�I WITNESS 'UNIT# 2 POS 3 AIRBAG!2 RESTR. 4 EJECT ? 1 H U SE 2 CLASS 1 NATURE of INJURIES NAME L�1 (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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. TIM CUMMING 05-27-24 03:47 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.KORDEL 9676 1 512812024 2:24:18 PM BADGE OR ID# 11488 OR]# WA0171300 TIME POLICE DISPATCHED; 2:37 Pry] TIME POLICE ARRIVED',2:39 PM PART I PAGE IT]OF 4� REPORT NO. EE81137 CASE# 24-5599 OF COLLISION 05/27/24 14:31 OF CbLLI510N NARRATIVE 24-5599 On 05/27/2024 at approximately 1437 hours, I was working as a Police Officer for the city of Renton. While I was working, I was dispatched to a blocking collision at NE 3rd St and Blaine Ave NE, in the City of Renton, the County of King, State of Washington. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. My involvement in this incident was captured on my department issued Axon body camera. For exact statements made during my investigation please see my Axon camera footage. According to the notes in the call, there was a two-vehicle collision with no injuries. They were blocking the westbound lanes. Both parties pulled over to Blaine Ave NE. The first vehicle (unit 1) was a gray 2014 Volkswagen Jetta 4 door sedan (WA LIC# CLR5769). The second vehicle (unit 2) was a black Toyota Rav4 SUV (WA LIC#APJ2921) I arrived on scene around 1439 hours. When I arrived on scene, I saw 2 damaged cars matching the description that dispatch provided. Unit 1 had damage to the front of the vehicle. The airbags all around the interior of the vehicle had gone off. The driver of the car was identified as Lucille Juanita Morrison Lujan (DOB 10/06/2006). Her identity was later confirmed by WADL/WAID photo. Unit 2 had damage to the rear of the vehicle. No airbags had gone off. The driver of the car was identified as Srinivasa Prabhu Vasu (DOB 04/23/1979). His identity was later confirmed by WADL/WAID photo. The passenger of Unit 2 was identified as Shriman Srinivas (DOB 11/08/2010). Shriman told me that Srinivasa was his father. Neither party complained of pain but since airbags had been deployed for Unit 1, Renton Fire was called to the scene. All parties were given a chance to seek medical attention. I met with the driver of Unit 1. The following is Lujan's statement; Unit 1 was traveling west along NE 3rd St in lane 2. She saw traffic start to slow so she did. As she was slowing, she heard what sounded like a crash behind her, so she took her eyes off the road to see what happened. She believed that someone had collided with her. When she took her eyes off the road, she collided with Unit 2. She told me that she later found a scratch on the rear passenger side of her car that was new. She believed that a car following her scratched her car while they went around her car to avoid the traffic slow down. She showed me a scratch on her rear passenger side that she said was new and was likely caused by the unidentified car that went around her to avoid the traffic. Lujan stated she was wearing her seatbelt at the time of the crash. I met with the driver of Unit 2. The following is Vasu's statement; Unit 2 was traveling west along NE 3rd St in lane 2. He saw traffic start to slow so he did. As he came to a stop, Unit 1 collided with the back of his vehicle. He told me that his back was tight but he was not injured. He told me that he was wearing his seatbelt at the time of the collision. 1 talked to his son, Shriman who confirmed Vasu's statements. Shriman said he was wearing his seatbelt at the time of the collision. Both parties stated that they did not see a car collide with the back of Unit 1. All parties provided me with their required information. Photos were taken of the scene and uploaded to evidence.com. Unit 1 was leaking fluids and all the airbags had gone off. Bankers towing was called at the owner's request. Based on all of the information gathered, I am not able to determine which driver was at fault. Neither Unit 1 or Unit 2 could provide any details regarding the possible 3rd car that was involved in the incident. There is no further information available at this time. 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 T. Cumming #11488 on 05/27/2024 @ 1532 hours in Renton WA. PAGE 3 OF 4 REPORT NO. EE81137 CASE# ' 24-5599 DATE AND TIME 05/27/24 14:31 OF COLLISION trtl } PAGE 4 OF 4