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HomeMy WebLinkAbout24-5770 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-5770 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK NONE 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 1740 17 ❑.= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SUNSET BLVD NE BLOCK e✓ 650 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET ❑ S ❑ W❑ ON RAMP 1-405 NIB 1 9 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YES �/No D:4254170189 0 11 30 6[i LAST NAME JAIN FIRSTNAME VASUNDHARA MIDDLE 1 2 31 INITIAL STREET ❑ 3628 116TH AVE NE CITY BELLEVUE ST WA 2jp, 980047614 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 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ ❑10 9❑ P1 aTES� CEP1512 sTArI WWAurN# 7SAYGDEE3NF504354 3 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 2 1 33 12 3 5 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34 13 6 2022 TESL MODEL SD DAMAGE vE8 ONO f �AWkkRS vEs❑ No REGISTERED OWNER INFO RAHUL KUMAR 3628116THAVENE BELLEVUE WA 98004 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 807387184 3 IN EFFECT &POLICY# 9TOP VEwcL RGE 1 5 36 LFIA Lv res No CITATION# 4A0505776 CHA FAIL TO YIELD MOTOR VEHICLE o aorrom 15❑ STANDING 8 6 MOTOR ✓ PEDAL-: '.PEDESTRIAN PROPERTY DAM THR OLD MET PHONE �U_NIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2065916463 16 a LAST NAME SANEY FIRST NAME ABDOLLAH MIDDLE INITIAL 17❑ NEW STREETR 7' 3939 S OTHELLO ST APT 500 CITY SEATTLE ST WA ZIP 981183565 4❑ 37 18� CDL ., IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK v�Esl❑NOF YES ❑NO� 19[ DRIVER'S STATE WA SEX M D.C.B. 02 _ 11 1994 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 ❑21❑ PLATE# CFX2515 TArE WA VIN It 5TDKRKEC7MS027373 41 1 42 22❑ PILER LATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2021 MAKE TOYT MODEL SIENNA STYLE VN VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO PV HOLDING CORP 15820INTERNATIONAL BLVD TUKWILAWA 98188 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#ECO SELF-INSURED SELF-INSURED THROUGH KC METRIN t 9TOP 5 VEHICLE yes NC[:] CITATION# NONE CHARGE NIA to BOTTOM 25LIIAI s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 J.CHR/STIANSEN 10437 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE82270 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5770 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,FIRS 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.CHRISTIANSEN 05-31-24 06:39 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 5/31/2024 6:53:09 PM BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED 5:43 PM TIME POLICE ARRIVED]5:47 PM PART I PAGE IT]OF TIME REPORT NO. EE82270 CASE# 24-5770 OF COLLISION05/31/24 17:40 NARRATIVE RENTON POLICE CASE #: 24-5770 RECORDED ON AXON *This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. * On 05.31.2024, at approximately 1743 hours, I was dispatched to a two-vehicle, blocking, unknown if injury collision at the intersection of Sunset Blvd NE and the on-ramp to 1-405 N/B, in the City of Renton, WA, the County of King. I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was operating a fully marked Renton Police Tahoe #304, equipped with "POLICE" markings, overhead exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with "POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious to any reasonable person I was a police officer. I was assigned as 302. At the time of this collision, it was clear and sunny, the roadways were dry and free from debris, it was daylight, and no streetlights were illuminated, and it was approximately 69 degrees. Officer Phillips and I responded, and I arrived on scene at approximately 1747 hours. Both vehicles had obvious damage and Unit 01, later identified, had a broken axle on the passenger side rear tire. Dispatch was updated and Bankers was notified to send a flat-bed tow truck. Unit 01 was identified as a dark blue in color Tesla Model Y bearing WA Plate: CEP1512. Unit 01 had damage to the rear passenger tire and '/ panel and it was not operable. NO airbags were deployed. Unit 01's driver was identified by her WADL as JAIN, VASUNDHARA (DOB: 03.08.1978). JAIN matched the photo shown on her WADL. JAIN stated she was traveling northbound on Sunset Blvd NE and as she approached the left turn to enter the on-ramp to 1-405 N/B, she believed she had enough time to turn in front of Unit 02, who she stated was "speeding", and traveling southbound on Sunset Blvd NE. Unit 01 was struck in the rear passenger tire by Unit 02, who was traveling southbound on Sunset Blvd NE, and had the right of way. This on-ramp is equipped with a visible yield sign for vehicles attempting to turn onto 1-405 N/B. A WACIC/NCIC/DOL query on JAIN returned clear and valid. Unit 02 was identified as a white in color Toyota Sienna Passenger Van bearing WA/CFX2515. Unit 02 had moderate damage to the front passenger side bumper/undercarriage and was operable. Unit 02 is a King County Metro Flex vehicle. Unit 02's driver was identified by his WADL as SANEY, ABDOLLAH (DOB: 02.11.1994). SANEY matched the photo shown on his WADL. SANEY stated he was traveling southbound on Sunset Blvd NE, going straight ahead when Unit 01 made a left turn directly in front of his vehicle. A WACIC/NCIC/DOL query on SANEY revealed he was clear and valid. Both involved parties had valid insurance and no injuries were reported. Unit 01's driver, JAIN, VASUNDHARA (DOB: 03.08.1978) is the causing party in this collision by failing to yield the right of way to Unit 02, causing a collision. JAIN was issued SECTOR citation 4AO505776 for violation of RCW 46.61.180.1: Fail to yield motor vehicle. The following citation will be mailed to JAIN via the courts. Unit 01 was privately towed by Bankers towing. Both involved parties were given the exchange of information forms and left the scene without incident. 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 J. Christiansen #10437, on May 31, 2024, at approximately 1833 hours, in Renton, WA. PAGE 3 OF 5 TIME REPORT NO. EE82270 CASE# 24-5770 OF COLLISION05/31/24 17:40 NARRATIVE **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: CITY STREET Motor Vehicle Unit 1 Action Code: ATTEMPTING TO ENTER 1-405 N/B ONRAMP **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 5 REPORT NO. EE82270 CASE# 24-5770 DATE AND TIME 05/31/2417:40 OF COLLISION Renton 7 05.3 L2024 (t)NX Officer J. Christiansen # 10437 *NOT TO SCALE* y y � �kF \\ PAGE 5 OF 5