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HomeMy WebLinkAbout24-7219 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 24-7219 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 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 07 - 10 - 2024 1845 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
SUNSET BLVD NE M400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ e S ❑ W❑ FEET e NB ON RAMP 405
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:6022908143 0 11
30
6� LAST NAME SHORT FIRSTNAME BRITNEY MIDDLE L 1 1 2 31
INITIAL
STREET El15312 SE 179TH ST CITy RENTON ST I WA ZIP' 980589043 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 9 INJURY 7 NATURE OF INJURIES 2❑
USE CLASS SMALL PATCH OF REDNESS BY COLLAR/STBLT
3
10 9❑ PlATE14 CHE3831 STATE WA vN#' 4T1BF1FK3FU879769
TRAILER STATE TRAILED STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#
>;. FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 3 ] 34
13 3 2015 TOYT CAMRY 4D DAMAGE vE6 0NO agW�MEYERS ves❑ No
REGISTERED OWNER INFO BRITNEY SHORT 1204 N 10TH PL APT 2436 RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 6127835459 4
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLY HICLE 5 36
res�No D CITATION# 4A0344219 CHARGE FAIL YIELD AT YIELD 1 o sorroM
STANDING 8 7 6
UNIT MOTOR PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ PHON
DAM THR OLDMET E
1 VEHICLE CYCLE OWNER YES�/ NO
16 a
LAST NAME KOLER FIRST NAME ROZANNA MIDDLE M
INITIAL
17 STREET❑ NEW ADOREss❑' 1033 SUNSET BLVD NE APT 12 CITY RENTON ST WA ZIP 980562994 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES
F% NO❑
19 STATEWASEXF .C.. _ 39
LICENSE# M .
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 WEB SET 2 NJAU SY 6 SEVERE PAIN TO RIGHT KNEE,PAIN IN SHLDR ❑F—NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# BKJ3003 TATE 41
WA VIN# 1N4AL3AP7FC150029 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 2015 MAKE NIS6 MODEL ALTIMA STYLE 4D VEHICLETOWED TO BLIN TOWEDII GOV HI 44
24❑ DAMAGE YES" NO GENE MEYERS YES NO
REGISTERED OWNER INFO ROZANNA KOLER 1033 SUNSET BLVD NE APT 12 RENTON WA 98056 D:2063106531 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO STATE FARM 3351469AO147JIN STOP 5
'E""Le ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N`L J
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 77AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE97371
COLLISION REPORT III III III III III 111
1591972 CASE# 24-7219
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R 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.
MATTHEW NUGENT 07-11-24 04:22 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1
711912024 2:38:36 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 6:47 PM TIME POLICE ARRIVED]6:52 PM
PART I PAGE IT]OF 4�
REPORT NO. EE97371 CASE# 24-7219 OF COLLISION
07/10/24 18:45
OF CbLLI510N
NARRATIVE
24-7219
On 07/10/2024 at approximately 1748 hours, I was dispatched to a two-vehicle collision with possible
injury in the 500 block of Sunset Boulevard NE at the on-ramp to northbound 1-405, within the City
Limits of Renton, County of King, State of Washington.
Upon arrival, I noticed both involved vehicles had airbag deployments and significant damage
suffered to both vehicles because of a recent collision. Due to the condition of the two vehicles,
Renton Regional Fire Department was dispatched as well as two tows due to neither vehicle being in
operational condition. Upon contacting the involved parties, both parties were asked if they had any
injuries. The driver of Unit#2 stated she was shaken up and could not say if she was injured but her
right knee was in a lot of pain, I also noticed driver of Unit#2 was having a hard time removing herself
out of her vehicle due to the pain. I advised her that Renton Regional Fire Department was already
dispatched, and they will be examining her injuries upon their arrival. I helped remove driver of Unit
#2 out of the vehicle and away from the site of crash and roadway. The driver of Unit#2 was later
transported to Valley Medical via ambulance for further evaluation.
The driver and sole occupant of Unit#1 (Britney Short) was positively identified by providing her
WADL. The driving of Unit#1 stated she was traveling northbound on Sunset Boulevard NE and had
proceeded into the left-turn lane to proceed onto the on-ramp for northbound 1-405. The driver of Unit
#1 proceeded out into the intersection which was controlled by a posted Yield sign where she was
met by Unit#2 which was in the oncoming lane of travel. Both vehicles collided in the intersection
causing airbag deployment and significant damage to both Unit#1 and Unit#2.
The driver and sole occupant of Unit#2 (Rozanna Koler) was positively identified via providing WADL
and stated that she was traveling southbound on Sunset Boulevard NE approaching the 1-405
overpass. The driver of Unit#2 stated she was intending to continue south on Sunset Boulevard NE.
The driver of Unit#2 stated that while continuing south, she observed Unit#1 pull out into her lane of
travel. The driver of Unit#2 stated she did not have enough time to react to Unit#1 which resulted in
a collision.
Based on the above statements, 1 believe that the driver of Unit#1 (Britney Short) was the
predominant factor for the cause of collision as Britney Short is required to comply with RCW
46.61.190(3) which states that every driver of a vehicle approaching the point nearest the intersecting
roadway where the driver has a view of approaching traffic of the intersecting roadway must stop
before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in
the intersection or approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways.
Unit#2 was already underway in the roadway and had right of way.
I cited Short via mail for violation of 46.61.190(3).
Both Units had to be towed off scene due to extensive damage. 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 3:43 PM 07/11/2024 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE97371 CASE# ' 24-7219 DATE AND TIME 07/10/24 18:45
OF COLLISION
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