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HomeMy WebLinkAbout24-5798 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-5798 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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# ❑
COLLISION'. 06 — 01 — 2024 1715 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 43RD ST BLOCK NO. e✓ 330
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 A❑ 500 00 FEET MILES e S ❑ W e LIND AVE SW
1 9 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2067780618 0 11
30
5� LAST NAME NELSON FIRSTNAME AZIA MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 19019 100TH AVE NE APT 2 CITY BOTHELL ST WA 2jp, 980116012 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES z❑
3
10 9❑ P1 ATE 14 BON4746 STATE WA -# YS3FD49Y971139703
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 9 3 33
12 3 5 VIN#' VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 9 2007 SAA 9-3 SD DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO TINA TERRY 17731105TH PL SE APT E201 RENTON WA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3 4
14 LIABILITY INSURANCE❑ NO INSURANCE NONE
IN EFFECT &POLICY# � 9TOP 5
VEwcI.E CHARGE 10 BOTTOM 36
LE-ALLv YES No CITATION# 4A0505780,4A0505780, FLD TO YIELD FROM DRIVEWAY OR
15❑ STANDING 6
MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4252219656
16 a
LAST NAME JOHNSON FIRST NAME ERIKA MIDDLE M
INITIAL
17 STREET NEW ADOREs7 1406 WESTERN AVE APT 806 CITY SEATTLE ST WA ZIP 981012064 � 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NoF,/
19[—] LDI IVERI # STATE WA ]SEX IF M D.C.B. 04 02 _ 1971 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# AVG1980 TATE 41
WA VIN# 3FAHPOHA1CR239742 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2012 MAKE FORD MODEL FUSION STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO RON ESDAILLE 2050783RD ST E BONNEY LAKE WA 98391 VEHICLE NO.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE 8 POINSURGY#E CO STATE FARM 489-4893-D15-47IN 9TOP
VEHICLE Yes Nc❑ CITATION# 4A0505782 CHARGE NO VALID OPER LICENSE WITH VALID GD aoTroM- s
GALLY
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
J.CHRISTIANSEN 10437 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE82485
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5798
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.
J.CHRISTIANSEN 06-01-24 06:41 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 6/1/2024 6:45:28 PM
BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED 5:16 PM TIME POLICE ARRIVED',5:22 PM
PART I PAGE IT]OF
TIME
REPORT NO. EE82485 CASE# 24-5798 OF COLLISION06/01/24 17:15
NARRATIVE
RPD CASE#: 24-5798
RECORDED ON AXON
Unit 01: black in color Saab 9-3 bearing expired WA/BON4746 -expired 03.11.2022
Unit 01's driver: NELSON, AZIA AIYANNAH (DOB: 06.01.2004) -driving status: Suspended/revoked
in the 3rd degree. ISSUED SECTOR citations: 4AO505780-781
Unit 02: gray in color Ford Fusion bearing WA/AVG1980
Unit 02's driver: JOHNSON, ERIKA MICHAEL (DOB: 04.02.1971) -driving status: clear "Not Licensed
-Eligible". ISSUED SECTOR citation 4AO505782
*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 06.01.2024, at approximately 1721 hours, I was dispatched to a two-vehicle, non-injury, blocking
collision in the area of 330 SW 43rd ST, 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 3r12.
At the time of this incident, it was overcast, the roadway was clear and dry, and it was daylight,
streetlights were not illuminated.
Prior to my arrival, dispatch advised both vehicles moved in the parking lot of the 76 gas station on
the south side of the roadway.
I arrived on scene at approximately 1723 hours and met with both parties, who confirmed they were
not injured.
Unit 01 was identified as black in color Saab 9-3 bearing expired WA/BON4746 -expired 03.11.2022.
Unit 01 had damage to the front driver's side bumper and '/ panel, but it was operable.
Unit 01's driver was identified by her WAID as NELSON, AZIA AIYANNAH (DOB: 06.01.2004)
NELSON matched the photo on her Identification Card and when asked what happened leading up to
the collision, NELSON stated she was leaving the nail salon in the 330 block of SW 43rd ST,
attempting to make a left turn, eastbound, onto SW 43rd ST. NELSON observed Unit 02 traveling
westbound on SW 43rd ST, with the right turn signal activated, and she believed the vehicle was
attempting to turn into the driveway at 330 SW 43rd ST, so NELSON pulled out and struck Unit 02 on
the front passenger side tire/wheel well and 1/4 panel.
NELSON confirmed she did not have insurance on the vehicle.
A WACIC/NCIC/DOL query on NELSON was clear and her driving status is listed as
suspended/revoked in the 3rd degree (DRIVER LICENSE NON-COMMERCIAL CLASS:
Suspended/Revoked 3rd Degree).
Unit 02 was identified as a gray in color Ford Fusion bearing WA/AVG1980. Unit 02 had damage to
the passenger side front tire/wheel well and 1/4 panel and it was not operable.
Unit 02's driver was identified by her WA State Enhanced Identification Card as JOHNSON, ERIKA
MICHAEL (DOB: 04.02.1971). JOHNSON stated she was westbound on SW 43rd ST and had `just
activated' her right turn signal to turn right, northbound, onto Lind Ave SW. As JOHNSON was
bypassing the driveway to 330 SW 43rd ST, Unit 01 pulled out into the side of her vehicle.
A WACIC/NCIC/DOL query on JOHNSON revealed she was clear, and her driving status was "Not
Licensed -Eligible."
Unit 01's driver, NELSON, AZIA AIYANNAH (DOB: 06.01.2004) was in violation of RCW 46.61.365:
Fail to Yield ROW to vehicle while exiting private driveway. Further, she was in violation of RCW
46.30.020: Operating a motor vehicle without proof of insurance, violation of RCW 46.16A.030.5.0:
Fail to renew expired vehicle registration, greater than 2 months, and violation of RCW 46.20.342.1 C:
PAGE 3 OF 5
TIME
REPORT NO. EE82485 CASE# 24-5798 OF COLLISION06/01/24 17:15
NARRATIVE
Driving while license suspended/revoked in the 3rd degree.
NELSON was issued the following citations: ISSUED SECTOR citations: 4A0505780-781, for the
above listed violations. The criminal citation will be forwarded to the City of Renton Prosecuting
Attorney's Office for review and the infraction will be mailed via the courts.
In addition, Unit 02's driver, JOHNSON, was issued SECTOR citation 4A0505782, via the mail, for
violation of RCW 46.20.015: No VOL with valid ID as she did not have a valid license. It should be
noted JOHNSON was confused about her driving status, so I printed the return from DOL and gave it
to her, clearly showing she was not licensed, but `eligible' to become licensed.
Unit 01 was removed from the scene by a valid driver and Unit 02 was towed privately.
No injuries were reported.
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 June 1, 2024, at approximately 1839
hours, in Renton, WA.
**** 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 MAKE A LEFT TURN ONTO ROAD
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EE82485 CASE# 24-5798 DATE AND TIME 06/01/2417:15
OF COLLISION
'Renton Police Case#.-, 24-5798
06.01 -2024
OfficeT J. Cliristiansen
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PAGE 5 OF 5