No preview available
HomeMy WebLinkAbout24-6371 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-6371 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 RESERVATION STRUCK z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION' 06 - 1-- 2024 1727 17 ❑-❑ S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK OAKESDALEAVESW ST e✓ MILEPOST 4100 ❑ 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e SW41ST ST 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2535696787 0 11 30 6� LAST NAME JOYNER FIRSTNAME MALEQUI MIDDLE X 1 1 2 31 INITIAL STREET ❑1 11328 SE KENT KANGLEY RD#F2 F201 CITY KENT ST WA Zjp, 980307751 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs No�/ YEs No�/ 8❑ DRIVERS # STATE WA SEX'M MMDDYY' 07 — 10 — 2000 1 2 32 9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 ATE 14 BZN5289 sTAr WAV N# 3N16C13E47L410765 - TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# 1R.. To TRLR. TRLR 3 5 33 12 3 5 VIN#' VIN# ROM TO VEH.YEAR 2007 NISS VERSA MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34 13 4 DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO MALEQU!JOYNER 113.SE KENT KANGLEYRD APT KENT WA 98030 D:2535696787 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 978277939 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY res❑NO❑ CITATION# 4AO091348 FAIL STOP AT STOP 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN ❑ PROPERTY DAM THR PHONE UNIT 02 V� IEHIC OLD MET LE ❑ CYCLE ❑ OWNER ❑ YES 1/ No D:4255235165 16 2 LAST NAME RAMOS FIRST NAME LUZ MIDDLE M INITIAL 17❑ NEW STREETR 10525 S 7 E 206TH PL CITY KENT ST WA ZIP 980311588 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES ❑NOF,/ 19 D IVERI # STATE WA SEX F M .O.B. 12 _ 08 _ 1999 39 20❑ ON DUTY STATUS AIRBAG,3 RESTR 4 EJECT 1 HELMET INJURY 6 NATURE OF INJURIES ❑ 40 USE CLASS FACE CUTS,HEAD LICENSE I ❑21❑ PLA E# BXR6111 TArE 41 WA VIN# 3KPF24AD7ME342202 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2021 MAKE KIA MODEL FORTE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO MARINA RAMOS 10525 SE 206TH PL KENT WA 98031 D:4255235165 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE &POINSURGY#E CO ALLSTATE 920301216IN VEHICLE ❑ ,.I—I CITATION# CHARGE C�Ql LEGALLY YES N`LJ 25 —TA s � a 7p-, S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 TAGNE 12575 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE92056 COLLISION REPORT III III III III III 111 1591972 CASE# 24-6371 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) O KEEFE ZACHARIAH A (LAST FIRST, ADDRESS&PHONE# 4016 39TH AVE SW SEATTlE 98116 2068590237 SEX M MMDOYyry 07 - 26 - 2010 PASSENGER L,WITNESS❑!UNIT# 3 POS 3 AIRBAG i 3 RESTR. 4 EJECT ? 1 HELMET LASS NATURE OF INJURIES USE .CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS 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. P.LANTAGNE 06-18-24 08:53 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 71212024 9:13:29 AM BADGE OR ID# 12575 OR]# WA0171300 TIME POLICE DISPATCHED 5:29 PM TIME POLICE ARRIVED',5:37 PM PART I PAGE IT]OF REPORT NO. EE92056 CASE# 24-6371 OF COLLISION 06/17/24 17:27 OF CbLLI510N NARRATIVE 24-6371 On 06/17/2024 at approximately 1727 hours, I, Officer Lantagne, responded to a blocking, injury collision in the intersection of Oakesdale AVE SW and SW 41st ST, which is located in the City of Renton, County of King, and the State of Washington. I responded in my fully marked police vehicle, wearing my patrol uniform and body worn camera. I arrived on scene and observed Unit#1, a 2007 Nissan Versa with license plates BZN5289 issued out of Washington State, Unit#2, a 2021 Kia Forte with license plates BXR6111 issued out of Washington State, and Unit#3, a 2020 Honda Odyssey with license plates CHW5779 issued out of Washington State, blocking the intersection. I was advised the drivers of Unit#2 and Unit#3 suffered injuries to their head and necks. I contacted the driver of Unit#1, Malequi X. Joyner (DOB 07/10/2000), who told me the following: Joyner was stopped at the stop sign on SW 41 st ST and was attempting to make a left turn onto southbound Oakesdale AVE SW. Joyner observed traffic traveling northbound and after it passed he began making the left turn and pulled into the roadway. Joyner did not see Unit#2 and the front of his vehicle collided with the front end of Unit#2. 1 contacted the driver of Unit#2, Luz M. Ramos (DOB 12/08/1999), who told me the following: Ramos was traveling northbound on Oakesdale AVE SW in the inside lane. As Ramos' vehicle approached the intersection at SW 41 st ST, Unit#1 made a left turn in front of her and she was not able to stop her vehicle. The front of Ramos' vehicle collided with the front of Unit#1. I contacted the driver of Unit#3, Kenneth C. O Keefe (DOB 12/04/1973), who told me the following: O Keefe was stopped on Oakesdale AVE SW and his vehicle was facing south. O Keefe was waiting for traffic before making his left turn from Oakesdale AVE SW to SW 41 st ST. As O Keefe was waiting, he watched Unit#1 make a left turn from SW 41st ST to Oakesdale AVE SW and collide with Unit#2. Unit#2 collided with the front of O Keefe's vehicle due to the force of the collision. I observed the damage to the vehicles and other physical evidence was consistent with the statements made by all drivers. Unit#1 had significant damage to the front end of the vehicle which was crumpled in through the engine bay. Unit#2 had significant damage to the front end which was also crumpled into the engine bay. Unit#3 had damage to the front bumper consisting of dents and scrapes and was also leaking fluid. The collision diagram is an accurate illustration of the events leading up to the collision. I provided an exchange of information to all parties. I issued Joyner an infraction for RCW 46.61.190, Failing to yield to traffic from a stop sign, to be mailed through the court. I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State of Washington, the foregoing is true and correct. Electronically signed by Officer P. Lantagne #12575 at 1845 hours on 06/17/2024 at Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE920556 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-6371 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2068590237 OF 9 29 LAST NAME O KEEFE FIRST NAME KENNETH MIDDLE' ',, C INITIAL STREET r:i 30 NEW nnnRIPISP 4016 39TH AVE SW CITY SEATTLE ST WA ZIP 981163849 6 ❑ 1 1 2 31 CDL IGNITItN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTE6 INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 12 - 04 - 1973 7 HELMET I INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 3 RESTR. 4 EJECT 1 USE CLASS 6 NECK 8 ❑ ,:. 1 32 LICENSE CHW5779 TAT WA VIN# 5FNRL6H70LB019429 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1I' P FROM TO 2020 HOND ODYSSEY DAMAGE YES NO YES NO 33 REGISTERED OWNER INFOKENNETH O KEEFE 401639TH AVE SW SEATTLEWA98116 D:2068590237 SHADE IN DAMAGED AREA 1 9 12 z 3 FROM TO ((ABILITY INSURANCE INSURANCE CO AMERICAN FAMILY CONNECT BX12868605 q"i"Olx IN EFFECT &POLICY# VEHICLE 34 13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIAL MIDDLE ❑ 36 STREET 16 NEW AnnR"Fll CITY ST ZIP CDL IGNITION REdUiR rD IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK YES NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE rnr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv STANDING S 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. P.LANTAGNE 06-18-24 08:53 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OBADGE R ID# 12575 O#II,WA0171300 APBARFIELD 71212024 PAGE I OF F 3000-345-013(R 11118) REPORT NO. EE92056 CASE# ' 24-6371 DATE AND TIME 06/17/24 17:27 OF COLLISION 7Tow r, m n. s 3 �ue PAGE 5 OF 5