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HomeMy WebLinkAbout24-6367 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-6367 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 5 1 28
TRIBAL 1 OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 06 - 1-- 2024 1600 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
BENSON DR S BLOCK NO. e✓ Y900
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 400 00 FEET MILES e S B W e S 27TH ST
0 6 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2069607907 0 11
30
6� LAST NAME TAN FIRSTNAME ANNIE MIDDLE 1 2 31
INITIAL
STREET ❑ 12053 69TH AVE S CITY SEATTLE ST WA 2jp, 98178 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
,OF
Pi ATNES# BEC0126 sTAr WAv N# JM3KE2CY5G0617368
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. A'RLR. 1 5 33
12 3 5 VIN#j VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 4 2016 MAZD CX-5 UT DAMAGE YES NO YES[:] No✓
❑
REGISTERED OWNER INFO YUMEILE/1205369THAVES SEATTLEWA 98178 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE INSURANCE CO STATE FARM 4099597-811.47C 3
IN EFFECT &POLICY# 9TOP
VE—LE CHARGE 36
LEGALLY, YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONEUNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066106101
16 a
LAST NAME ALI FIRST NAME ASHO MIDDLE M
INITIAL
17 STREET I❑ 8❑' 19450 113TH PL SE CITY KENT ST WA ZIP 98031 4❑ 37
NEW ADORE8
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19� D IVE
❑ ON DUTY STATUS I
AIRBAG 3 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ 41
21❑ ILICENSE PLA E# BWP7907 TArE WA VIN 1t KMHD84LF5KU746274 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
VEH YEAR 2019 MAKE HYUN MODEL ELANTRA STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24 DAMAGE YES NO (,ENE MEYER TOW YES No�/
REGISTERED OWNER INFO MASBALDUBAT19450113THPLSEKENTWA98031 VEHICLE NO.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 6144057251IN 9TOP 5
VEHICLE YES[:] N C[:] CITATION# CHARGE to BOTTOM
LEGALLY
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
JAREN JOKELA 12805 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE91675
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6367
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) NGUYEN KR/STY
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
$EATTLE 6692110813 SEX' F MMDDYYYY 02 - 24 - 2006
PASSENGER Z WITNESS❑ UNIT# 1 SEA 3 AIRBAG 2 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES
USE 1 2 CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL) ALA ABDUL M
ADDRESS&PHONE# D O B
19450 113TH PL SE KENT WA 98031 SEX M MMDovvvv O6 f 3 _ 2002
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 3 RESTR. 4 EJECT 1 USE 1 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
JAREN JOKELA 06-17-24 06:15 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 71112024 8:21:53 AM
BADGE OR ID# 12805 OR]# WA0171300 TIME POLICE DISPATCHED; 4:02 Pry TIME POLICE ARRIVED',4:07 Pry
PART I PAGE IT]OF
REPORT NO. EE91675 CASE# 24-6367 OF COLLISION
06/17/24 16:00
OF CbLLI510N
NARRATIVE
Renton Case #24-6367
On 06/17/2024 at 1604 hours I was dispatched to the 2900 block of Benson DR S, in the City of
Renton, King County, Washington. I was responding to a call of a non-injury, blocking accident. This
incident was captured on my body worn video camera. This report is a summation of events that
occurred and is not an exact sequence of events.
While en route, dispatch advised the following: Apple crash notification, hearing female in
background. Apple reporting severe car accident.
At approximately 1615 hours, I arrived to the collision location just as both vehicles were relocating to
a safer location off the roadway. Fire was also on scene and evaluated all parties.
Both Unit 1 and Unit 2 vehicles relocated from the 2900 block on Benson Dr S to the intersection of S
27th St/Mill Ave S.
I identified Unit 1 as a 2016 Mazda CX-5 (WA LIC #BEC0126) being driven by the daughter of the
registered owner, identified by her WA DL as Annie Tan (DOB 09/21/2005). Located in the front
passenger seat of the vehicle, was Tans friend, verbally identified as Kristy Nguyen (DOB 02242006).
Unit 1 driver told me she was not injured. I asked Unit 1 driver what happened, she stated she was
traveling southbound in the number one lane of travel on Benson Dr S when traffic slowed in front of
her. When she came to a stop for traffic in front of her, Unit 2 vehicle then collided with her from
behind.
I observed substantial damage to the back end of Unit 1 vehicle as a result of the collision.
Unit 1 driver provided me with her WADL, registration and proof of insurance.
I identified Unit 2 as a 2019 Hyndai Elantra (WA LIC #BWP7907) being driven by Unit 1 driver,
identified by her WA DOL photo as Asho M Ali (DOB 04091996). Located in the front passenger seat
of the vehicle was Ali's brother, verbally identified as Abdul M Ali (DOB 06/13/2002).
Unit 2 driver told me she was not injured. I asked Unit 2 driver what happened, she too stated that
she was traveling in the number 1 lane of southbound travel on Benson Dr S. Unit 2 driver said that
the vehicle in front of her stopped, and she pressed the breaks, causing her vehicle to slide. She then
collided with Unit 1 vehicle.
I observed substantial damage to the front of Unit 2 vehicle.
Unit 2 driver provided me with her registration and proof of insurance.
I took photographs of both vehicles at the scene along with the sustained vehicle damage to each
unit. All photos were later uploaded to Axon Evidence.
I provided each involved unit with a business card, case number and answered their remaining
questions.
Gene Meyer Towing was dispatched and removed Unit 2 from the scene. Unit 1 cleared the scene
unassisted.
PAGE 3 OF 5
REPORT NO. EE91675 CASE# 24-6367 OF COLLISION
06/17/24 16:00
OF CbLLI510N
NARRATIVE
If Unit 2 had observed slowing traffic in front of her while driving southbound on Benson Dr S, and left
ample room between vehicles, then the motor vehicle collision would not have occurred.
I then cleared the scene.
This ends my report.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Jaren Jokela #12805, 06/17/2024 at 1813 hours in Renton, Washington.
PAGE 4 OF 5
REPORT NO. EE91675 CASE# ' 24-6367 DATE AND TIME 06/17/24 16:00
OF COLLISION
Cra' sh scene not observed
PAGE 5 OF 5