HomeMy WebLinkAbout24-6273 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-6273 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 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 - 1-— 2024 1922 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S.43RD ST BLOCK NO. e✓ 180 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 A❑ 1500 MILES FEET e S ❑ W e TALBOT ROADS. 1 9 29 UNIT 01 UE tOR� PEDAL- ❑ D CYCLE AMAGE NHORESHOLD MET PHONE O 6 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY ST ZIP 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 :NTERLOCKYEs NO INTERLOCK YES NO YES No 8❑ LICIENSE# STATE SEX u MMDOB. -=-� 1 1 2 32 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEET 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI urN#' 10[9 PI ATE# TRAILER TRAILER STATE STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR 7 3 33 12 3 5 vIN#' VIN# FROM TO VEH.YEAR MAKE I MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13❑ DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEwcLE CHARGE 5 36 LECALLv YeS❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2066592824 16 a LAST NAME HOGAN FIRST NAME KATHLEEN MIDDLE IR INITIAL 17 NEW STREETR 7 11204 SE PETROVITSKY RD CITY RENTON ST WA ZIP 980555672 37 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL t-T�RANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF t l YES NO� 19 DRIVER'S STATE WA ]SEX IF I D.O.B. 10 _ 10 _ 1977 0 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 7 COMPLAINT OF CHEST PAIN ❑ 40 ❑21❑ PLATE# CGJ0425 TATE WA vIN# 41 JTDKN3DUOA0069068 4 42 22 [TRAILER T ❑ PLATE# STATE PLATE#ILER STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2010 MAKE TOYT MODEL PRIUS STYLE HB VEHICLE TOWED TO BLIN TO eY GOV S NO 44 24 DAMAGE YES NO GENE MEYERS YEO REGISTERED OWNER INFO KATHLEEN HOGAN 11204 SE PETROVITSKYRD RENTON WA 98055 VEHICLE NO.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO NATIONAL GENERAL 2018171260 IN 9TOP 5 VEHICLE YES N CITATION# NONE CHARGE NIA GD BOTTOM LEGALLY `LJ 25 ' a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 J.CHRISTIANSEN 10437 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE86725 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6273 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HOGAN ASHLIE R (LAST FIRST, ADDRESS&PHONE# D O.B. 11204 SE PETROVITSKY RD RENTON WA 98055 2064710512 SEX F MMDDYyry 09 - 17 - 1998 {� SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS UNIT# 2 Pos. 18 AIRBAG j 6 RESTR. 4 EJECT 1 USE 2 CLASS 7 COMPLAINT OF CHEST/NECK HEAD PAIN NAME '(LAST,FIRS MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDVYYV PASSENGER []WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIRST MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYVYY. 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 06-14-24 08:25 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 6/14/2024 8:31:45 PM BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED 7:23 PM TIME POLICE ARRIVED 7:Y7 Pm PART I PAGE IT]OF REPORT NO. EE86725 CASE# 24-6273 OF COLLISION 06/14/24 19:22 OF CbLLI510N NARRATIVE RPD CASE#: 24-6273 Suspect Vehicle: Black in color SUV, NOTHING FURTHER. Damage would be to rear bumper area. Suspect Driver: UNKNOWN. VICTIM VEHICLE #1: 2010 Toyota Prius bearing WA/ CGJ0425. Damage to front bumper/engine block/undercarriage and combination of airbag deployments. Privately towed by Gene Meyers towing. VICTIM Driver: HOGAN, KATHLEEN RUBY (DOB: 10.10.1977); complained of pain to chest area from seatbelt, denied transport to hospital. PASSENGER: HOGAN, Ashlie; Complained of pain to chest/neck and head area but denied transport to hospital. *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 06.14.2024, at approximately 1923 hours, I was dispatched to a hit and run, blocking collision with possible injuries that in front of Valley Medical Center's Ambulance Bay, located near 180 S. 43rd ST., in the City of Renton, WA, the County of King. At the time of dispatch, 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 1 was a police officer. I was assigned as 6r10 (OIC/Officer in Charge). At the time of this incident, it overcast and had been raining lightly throughout the day. It was approximately 58 degrees, and the roads were wet from previous rainfall. I arrived on scene at approximately 1927 and met with the driver of Unit 02, a black in color 2010 Toyota Prius bearing WA/CGJ0425. Unit 02 had extensive front end damage, a combination of airbag deployments and was inoperable. Unit 02's driver, identified by her WADL as Hogan, Kathleen Ruby (DOB: 10.10.1977) stated she was traveling eastbound on S. 43rd ST, in the left lane of travel when Unit 01, a black in color SUV (UNKNOWN FURTHER) rapidly changed lanes in front of her vehicle and applied the brakes rapidly due to traffic backup resulting from a disabled vehicle in the roadway. Hogan quickly applied her brakes but slid into the rear of Unit 01, who rapidly fled the scene, without attempting to exchange information or check the welfare of Hogan or her daughter, Ashlie, who was the front seat passenger. Unit 02 sustained moderate/significant front-end damage had a combination of airbag deployments and was not operable. Gene Meyers towing impounded the vehicle privately. Unit 01 would have extensive damage to the rear bumper. Unit 01's driver CANNOT BE IDENTIFIED. Renton Fire Authority responded to medically evaluation Hogan and her daughter, who both complained of pain to their chests/head and neck, but they denied transport to the hospital. I provided Hogan with my business card, to include the case number, and left the scene. NO F/U IS WARRANTED ON THIS CASE AS THERE IS VERY LIMITED SUSPECT VEHICLE INFORMATION AND THE SUSPECT DRIVER CANNOT BE IDENTIFIED. 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 14, 2024, at approximately 2025 hours, in Renton, WA. **** AUTO-POPULATED SECTION **** PAGE 3 OF 5 REPORT NO. EE86725 CASE# 24-6273 OF COLLISION 06/14/24 19:22 OF CbLLI510N NARRATIVE THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: CITY STREET Motor Vehicle Unit 1 Action Code: CHANGED LANES AND STOPPED ABRUPTLY **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 5 REPORT NO. EE86725 CASE# ' 24-6273 DATE AND TIME 06/14/24 19:22 OF COLLISION Renton Police C #- .4-62,7 06. 14. 202.4 C) D Officer ., # 104 3 *NOT TO SCALE* sceneUnit,0 1 fled the 'Unit 02 t �l+ � y PAGE 5 OF 5