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HomeMy WebLinkAbout24-5975 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EE84172oc� RA
COLLISION REPORT 1591971
CASE�# 24-5975 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`GENC'Y 4200 3
COUNTY RD E:] INVOLVED CODING
PRIVATE WAY TOTAL 1
2❑ TRIBAL UNITS#OF 02 SO BJECT TRUCK 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 - 05 - 2024 1815 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION [Z NON INTERSECTION ❑
SE 168TH ST BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e 128TH AVE SE
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4256523557 0 1 30
6❑ LAST NAME HOMER FIRST NAME RACHEL MIDDLE A 1 2 31
INITIAL
STREET ❑ 15914 SE 164TH PL CITY RENTON ST WA ZIP 98058 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NOW] INTERLOCK YEs NO�/ YES F NoF,/
8 DCIEVERS NS STATE WA SEX F MMorYY' 01 — 28 — 2000 1 2 32
9 ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 HELM
USEET 2 CLASS 1 INJURY 1 NAruRE of INJURIES 2
LICENSE, CAR8841 STATE WA VN# 1C3EL65R16N100261 3
10 PI ATF#
11[-j— TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR TRLR 7 3 33
12 0 0 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN 7 v 3 7 GOVT VEHICLE 34
13 4 2006 CHRY SEBRIN DAMAGE YES ONO MEYERS YEs❑ No
REGISTERED OWNER INFO MARILYNN MONTENEGRO 15914 SE 164TH PL RENTON WA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 3 4
14 USAA 01718 46 57U 7102 9
IN EFFECT &POLICY# 4TOP
CHARGE 5 36
Lemur yes❑NO❑ CITATION# 7 o BOTTOM
15❑ STM ING I s 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YE:
No D:2064758476
16�
LAST NAME BEYENE FIRST NAME SENAIT MIDDLEI T
INITIAL
STREET ❑
17 ❑ 17218 130TH AVE SE CITY RENTON ST, WA ZIP 98058 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYEs No INTERLOCK YES NoF,/
19 DRIVER'S STATE WA SEX F I D.O.B. 07 15 1982 39
LICENSE# MMDDYY —
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H UET 2 SE CLA 1 Y NATURE OF INJURIES 40
21 LICEN� ANJ6409 TATE WA VIN# 2T3RFREVXDWO44765 � 41
PLATE 22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2013 MAKE TOYT MODEL RAV4 STYLE VEHICLE TOWED TO BLIN TOWED BY GO, HI 44
24 DAMAGE YE
�/ No GENE MEYERS ves NO�/
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCE CO SAFECO H2491289
IN EFFECT &POLICY# 4TOP
VEHICLE ❑ ,.I—I CITATION# CHARGE 10 BOTTOM
LE—�Y YES NCO J
25 s7 F
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
NOAH GIRELLO 12607 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EE84172
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5975
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME TADELE ARSEMA
(LAST,FIRST,MIDDLE INITIAL}
ADDRESS&PHONE# D O
17218 130TH AVE SE RENTON WA 98058 SEX LI MMooYYYv 04 — 10 — 2019
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
Q Q 2 POS. 9 6 12 1 USE 2 +CLASS 1
'NAME
(LAST FIRST,MIDDLE INITIAL) TADELE MAYA
ADDRESS&PHONE#
17218 130TH AVE SE RENTON SEX' U D.O.B. 10 _ 09 _ 2020
MMDDYYYY
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER �WITNESS UNIT# i 2 POS. 7 AIRBAG 6 RESTR. 12 EJECT 1 USE 2 CLASS 1 ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B.M � II
MDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF wJURIES
❑ Q POS USE CLASS �____ ---- I
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.
NOAH GIRELLO 06-06-24 01:52 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 6/6/2024 4:52:45 PM
BADGE OR ID# 12607 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:18 PM TIME POLICE ARRIVED 6:Y9 PM
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EE84172 CASE# 24-5975 O COLLI COLLISION TIME
OF 06/05/24 18:15
COLLI
NARRATIVE
24-5975
At about 1815 hours on 06/05/2024 1 was dispatched to a blocking collision at, 128th Ave SE/ SE
168TH ST, in the city of Renton, King County, Washington. Dispatch advised me that this was a two-
vehicle accident with no injuries, and it was blocking the roadway.
Upon arrival, Renton Fire was already on scene evaluating all occupants of the vehicles. Fire
confirmed there were no injuries. Both vehicles had heavy damage leaving both vehicles inoperable
and both would later be towed by Gene Meyers Towing.
I first contacted the driver of unit 1. The following is a summary of what that driver told be happened.
The driver of unit 1 advised she was driving east bound on SE 168TH ST, approaching 128th Ave
SE. The driver unit 1 advised as she got to the intersection, she advised she attempted to make a left
-hand turn to go north bound onto 128th Ave SE. The driver of unit 1 advised she was in the east
bound lane of 168th and was not clear on if she stopped at the stop sign or not. The driver advised
unit 2 came from 128th Ave SE but was unsure on the details of what cause the collision. The vehicle
came to a rest on the shoulder of the west bound lane of SE 168TH ST, with heavy damage to the
front passenger side of the vehicle.
I then contacted the driver of unit 2. The following is a summary of what unit 2 told me. The driver of
unit 2 advised she was stopped at the stop sign on 128th Ave SE at the intersection of SE 168TH ST.
She said she made a left-hand turn to go west bound on SE 168th ST. Once she completed the turn,
she said unit 1 was driving right at her in the wrong lane. Unit 2 advised she could not move out of the
way and both units collided on the front passenger side.
Based on the damage to both vehicles and some tire marks in the road, I believe the proximate cause
for the accident to be unit 1 either driving in the wrong lane or swerving hard into oncoming traffic and
colliding with unit 2. This resulted in both units having damage to the front passenger side. Photos of
the damage and tire marks were taken and uploaded via AXON capture.
This incident was captured by my body worn video camera. This report is a summary of the events
that occurred and is not an exact sequencing of events. Statements have been summarized and
paraphrased.
This concludes my involvement with this case.
declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by N. GIRELLO #12607 on 06/05/2024 at 2300 Renton, WA
PAGE 3 OF 4
REPORT NO. EE84172 CASE# 24-5975 DATE AND TIME i 06/05/24 18:15
OF COLLISION
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