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HomeMy WebLinkAbout24-6943 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 24-6943 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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# ❑
cawsloN 07 - 1-- 2024 1739 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 43RD STREET BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES❑ 71 00 FEET e S ❑ W e LIND AVE SW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES NO D:2065492571 0 7 30
6� LAST NAME FARAH FIRSTNAME ASHA MIDDLE A 1 2 31
INITIAL
STREET ❑✓ 921 S 34TH PL CITY RENTON ST WA ZIP 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs 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
10❑ P1 aT�S� CAR8712 sTAr� WAvIN# 19XFC2F79JE016448
-- TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 7 3 33
12 3 5 VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE g 9 34
13 2 2018 HOND CIVIC 4D DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO JAMA NUR 921 S 34TH PL RENTON WA 98055 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 6159-01.49.65 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLYYES NO CITATION# 4AO344206 INATTENTIVE DRIVING <1�3
orrom
15❑ STANDING 7 6
MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2063347907
16 a
LAST NAME TRAN FIRST NAME ALEXIS MIDDLE
INITIAL
17 STREET❑ NEW ADDRESS❑', 11833 SE 189TH PL CITY RENTON ST WA ZIP 980587103 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LDIIVER # STATE WA ]SEX IF M .C.B. 05 _ 04 2008 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# AYL8751 TArE 41
WA VIN# JTJBARBZ5G2053861 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2016 MAKE LEXS MODEL NX STYLE SV VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO LOAN TRAN 11833 SE 189THPL RENTON WA 98058 D:2063347907 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO ALLSTATE 817-645-490IN I GD
LEGAL25
LY YES Nu
❑ s e
=UGENT
(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26 11498
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE94098
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6943
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MATTISON KRYSTAL L
(LAST FIRST,
ADDRESS&PHONE#
10418 SE 188TH CT RENTON WA 98055 2534559181 SEXi F MMDOYyry 10 - 23 - 1988
PASSENGER WITNESS UNIT# ' SEAT Al ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. RBAG RESTR. EJECT USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
MATTHEW NUGENT 07-03-24 10:34 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 7/9/2024 11:23:28 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 5:45 PM TIME POLICE ARRIVED 5:56 PM
PART I PAGE IT]OF 5�
REPORT NO. EE94098 CASE# 24-6943 OF COLLISION
07/02/24 17:39
OF CbLLI510N
NARRATIVE
24-6943
On 07/02/2024 at approximately 1745 hours, I was dispatched to a non-injury and non-blocking
vehicle collision at the intersection of South 180th Street (aka SW 43rd Street) and Lind Ave SW,
within the City Limits of Renton, County of King, State of Washington.
While en route, Dispatch advised that the collision involved two vehicles and that the involved parties
had moved off the roadway into a nearby parking lot where they would be waiting for police contact.
Upon arrival, I contacted all involved parties and confirmed no injuries had occurred requiring
immediate medical response at the time of report. I collected each of the involved parties driving
information and an independent summary of their involvement leading up to the collision.
The driver of Unit#1 said she was the sole occupant of her vehicle and was traveling eastbound in
about the 300 block of SW 43rd Street in lane 2 of 2. The driver of Unit#1 stated she was traveling
directly behind Unit#2. While continuing eastbound, the driver of Unit#1 stated that traffic had come
to an abrupt stop and that Unit#2 "brake checked" her and that she was unable to avoid collision.
The driver of Unit#1 stated that her vehicle subsequently collided with the rear of Unit#2 causing
moderate damage to the front of Unit#1.
The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling eastbound in
about the 300 block of SW 43rd Street in lane 2 of 2. The driver of Unit#2 stated she had come to a
stop for queued traffic. The driver of Unit#2 stated that while stopped, Unit#1 collided with the rear of
Unit#2 causing minor damage to the rear bumper of Unit#2.
An independent witness, identified via pictured WADL as Krystal Mattison, confirmed Unit#2's
statement. Mattison stated that Unit#2 had come to a stop in traffic when Unit#1 made contact with
the rear of Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (Farah) was the predominant
factor for the collision due to inattention causing a collision.
I cited the driver of Unit#1 (Farah) via mail for Inattentive Driving. FARAH violated Renton Municipal
Code (RMC) 10-12-25 INATTENTIVE DRIVING: It shall be a traffic infraction, subject to RCW
7.80.120(1)(a), for any person to drive a motor vehicle on any public highway, street, alley, or road in
an inattentive manner in the City of Renton. "Inattentive manner" in this section means a lack of: 1)
attentiveness required to safely operate the vehicle under the prevailing conditions, including, but not
limited to, the nature and condition of the roadway, the weather conditions, the presence of
pedestrians, the presence of other traffic, or by the driver focusing or directing the driver's attention to
something other than driving the motor vehicle; or 2) attentiveness that would permit the driver of a
motor vehicle to observe anything resting on, or traveling on, or entering the roadway in time to take
appropriate action as circumstances require. (Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord.
5635, 11-14-11). The driver of Unit#1 was not safely attentive to the roadway and did not stop her
vehicle prior to colliding with other traffic.
Both Unit#1 and Unit#2 were able to be driven away without further incident. An exchange of
information was provided to all involved parties.
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 M. Nugent#11498 7/3/2024 10:26 AM Renton, King County, WA.
PAGE 3 OF 5
REPORT NO. EE94098 CASE# 24-6943 OF COLLISION
07/02/24 17:39
OF CbLLI510N
NARRATIVE
PAGE 4 OF 5
REPORT NO. EE94098 CASE# ' 24-6943 DATE AND TIME 07/02/24 17:39
OF COLLISION
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PAGE 5 OF 5