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