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HomeMy WebLinkAbout24-5904 )STATE TFcN 2 0 27i t Oc� RA EE85647 COLLISION REPRT 1591971 CASE# 24-5904 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE LOCAL AGENCY 4200 3 COUNTY RD INVOLVED CODING PRIVATE WAY EJECT 2❑ TRIBAL UN TS#OF 02 SO7RUCK 1 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsloN' 06 - 04 - 2024 0718 17 =.= S 8 W e OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION NE 12TH ST BLOCK NO. e Y900 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 0 5 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE CYCLE' YES ✓NO D:2064291264 0 1 30 5 LAST NAME LOPEZ RAMIREZ FIRST NAME GERMAN MIDDLE 1 1 2 31 INITIAL STREET 12115 SE 174TH LN APTHH301 CITY RENTON ST WA ZIP 98058 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No INTERLOCKYEs NO YES NO 8 LICIENS# STATE WA SEx M MMDCSYY' 01 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEE7 INjURy CLASS 1 NAruRE of INJURIES 2 3 10� pj��5�' BQZ4305 STATE WA VIN# 19XFC2F62KE205239 TRAILER STATE TRAILER ,STATE 11 2 5 PLATE# PLATE# FROM TO TRLR TRLR 7 7 33 12 2 5 VIN# VIN# ( FROM TO VER YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT VEHICLE 13 4 2019 HOND CIVIC SD DAMAGE YES NO ✓ ves� No 7 3 34 REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ INSURANCE CO 2 3 4 14 GEICO 6157-08-72-45 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE t 5 36 Lemur yes❑NO❑ CITATION# 7 0 80TTOM 15❑ nNowc s e MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 PEDESTRIAN ❑ D:2067142822 VEHICLE CYCLE (7WNPR YES NO 16� LAST NAME CH►NN FIRST NAME ' DESIREE MIDDLE': F INITIAL STREET ❑ 17 'O 2101 NE 17TH CT CITY RENTON ST, WA ZIP 98056 37 NEW ADDRESS 18� CDL IGNITION REQUIRED3 (GNI7ION PRESENT MEDICALTRANSPORTED 38 INTERLOCKYEs No JNTERLOCK YES NO Es ND 19 DRIVER' # INJURY' NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICENSE I PATE# BBK2672 TATE WA VIN# JTHBJ46GX72135159 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2007 MAKE LEXS MODEL ES 300 STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCE CO GEIC04427700879 IN EFFECT &POLICY# 9TOP `Hine Lec ❑ N,.I—J I CITATION# CHARGE 25 nLLr YES t08OTTOM `.L e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 J.WISNIEWSKI 12598 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EE85647 COLLISION REPORT III III III III III 111 1591972 CASE# 24-5904 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME PANELO OLIVIA (LAST,FIRST MIDDLE INITIAL} ADDRESS&PHONE# 2101 NE 17TH CT. RENTON 2067142822 SEX' F MMDDYYYv 04 - 10 - 2007 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 3 2 4 1 USE CLASS 1 ---� 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# S ' D.O EX .B.MMOD -F L----------� YYYY EAT HELMETNJURY URE OF PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M —F L----------� MDDVVYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q' POS. USE CLASS r— ----� NARRATIVE On Tuesday, June 4, 2024 at 0720 hours, I was dispatched to a two-vehicle collision in the area of the NE 12th St and Harrington Ave NE. The following occurred within the City of Renton, King County; Unit 1 - WA/ BQZ4305 was being driven by German Lopez-Ramirez and headed east on NE 12th St in the 2900 block. Unit 2 - WA/ BBK2672 was driven by Desiree Chinn and was traveling eastbound on NE 12th St in the 2900 block. German stated he was driving eastbound on NE 12th St when he turned on his left turn signal and moved to the right side of the roadway. German stated he was anticipating the vehicle behind him the stop as he abruptly made a U-Turn. However, Unit 2 was driven by Desiree Chinn stated Unit 1 slowed down to the side of the street as if he was going to parallel park. Unit then attempted to pass Unit 1 and then Unit 1 abruptly made a U-Turn in front of Unit 2 and the collision occurred. The front bumper of Unit 2 made contact with the driver's side door of Unit 1 causing significant damage to both Unit 1 and Unit 2. Based on both statements, I was unable to determine who was at fault. Both involved sustained significant damage but, neither vehicle needed to be towed. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.WISNIEWSKI 06-04-24 10:53 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 6/11/2024 4:21:48 PM BADGE OR ID# 12598 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:20 AM TIME POLICE ARRIVED 7:32 AM PART IS 3aaa-345-,aa(R11Y1s) PAGE 27OF 37 REPORT NO. EE85647 CASE# 24-5904 DATE AND TIME 06/04/24 07:18 OF COLLISION SCALE y w. 2� PAGE 3 OF 3