HomeMy WebLinkAbout24-11679 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF35260OLCERA
COLLISION REPORT 1591971
CASE# 24-11679 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2 TOTAL#OF OBJECT o 5 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E
eDL�ISION' 11 - 10 - 2024 1947 17 �.�� S W OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE SUNSET BLVD BLOCK ST e
4a MILE POST 4400 .�
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 1.1 FEET e S 8 W e ANACORTES AV NE
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254969466 0 4 30
5 LAST NAME VOLKOVSKIY FIRST NAME MARKUS MIDDLE N 1 1 2 31
INITIAL
STREET ; ] 13616156THAVESE CITY; RENTON ST; WA ZIP; 980596709 2�
NEW ADDRESS
7 CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYES NOR] INTERLOCK YEs NO�/ YES No�/
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 07 — 26 — 2007 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USE ET CLASSY 1 [NATURE of INJURIES 2
LICENSE, CNG3961 STATE WA VIN# WAUE8GFF7G1114632 3
10 Fl I as ATP rt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR rRLR 7 1 3 33
12 3 5 VIN# vIN#
FROM TO
13 4 VEH.YEAR 2016 MAKE AUDI MODEL A3 STYLE SD VEHICLE TO YED NOIyS46LIN diW9YMEYER GESr`-IVT ENp LE 3 5 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO EUJEN VOLKOVSKIY 13616156TH AVE SE RENTON WA 98059 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
4 LIABILITY INSURANCE INSURANCE CO
14 Z SAFECO H2581330
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE 5 36
LEcgLLY yes❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ nWNER D:4255334073
16�
LAST NAME MUNOZ CAMARILLO FIRST NAME ROSALINDA MIDDLE N
INITIAL
17 F1 STREET ❑❑ 1213 N 35TH ST CITY RENTON ST, yyq ZIP 980561965 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. ❑ 38
INTERLOCKYEs No INTERLOCK YES ryo vEs No
19 DRIVERS STATE WA SEX F I D.O.e. 06 17 2006 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT '1 7 ❑
USE CLASS MINOR LACERATIONS
21 LICENSEPLATE# ATS9288 raTE WA vIN# 2T1 BURHE3FC279167 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR r RLR 43
UIN#. 'IN#
VEH.YEAR 2Q15 MAKE TOYT MODEL COROLL STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YES �/ No GENE MEYER
REGISTERED OWNER INFO ARTURO MUNOZ 1213 N 35TH ST RENTON WA 98056 VEHICLE NO.2
SHADFjy DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO STATE FARM 2934386A1247F
IN EFFECT &POLICY# 9TOP
"HiaE ❑ ,J—I CITATION11 CHARGE t080TTOM
LEGALLY YES N
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
HANSEN HSU 12651 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF35260
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11679
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) VOLKOVSKIY MARIUS
ADDRESS&PHONE# D�
13616 156TH AVE SE RENTON WA 980596709 4254969466 SEXi M M D.O E3.DD' Y 06 - 24 - 2009
PASSENGER Z WITNESS UNIT# SEAT ;AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1 POS. 3 2 4 1 USE CLASS 1 ----�
:NAME
Lnsr EIRST,MIDDLE INITIAL) POPESCU SAMUEL
ADDRESS R PHONE# D O B
13616 156TH AVE SE RENTON WA 980596709 4254969466 SEX M MMDDYvvr 12 _ 07 _ 2009
S
PASSENGER a WITNESS UNIT# EAT HELMET INJURY NATURE OF INJURIES
1 SOS. ' 9 AIRBAG 1 RESTR. 2 EJECT 1 USE CLASS 1 ----�
NAME MIDDLE INITIAL) POPESCU DANIEL
(LAST,FIRST,
AQQREss a PHONE# 13616 156TH AVE SE RENTON WA 980596709 4254969466 SEX M D.O.B• 06 _ 22 _ 2011
MMDDYYYY
PASSENGER WITNESS UNIT# I 1 SEAT g gIRBAG'1 RESTR. 4 EJECT 1 HELMET INJURY I 1 NATURE OF INJURIES
a � POS. USE CLASS
NARRATIVE
Unit 1 speeding eastbound along 4400 block of NE Sunset Blvd approaching the intersection of
Anacortes Av NE. Unit 2 traveling west on NE Sunset Blvd making a left turn onto Anacortes Av NE at
the intersection. Unit 2 failed to yield right of way, on a left turn, and was the proximate cause of
collision. Traffic signal at intersection appeared to functioning correctly. Unit 2 had a caution yellow
left turn arrow. However, Unit 1's excessive speed was also a factor in the collision. Unit 2 sustained
heavy reportable disabling front end damage. Unit 1 sustained heavy reportable disabling front driver
and driver side damage. No injuries reported save for driver of Unit 2, minor lacerations, likely from
the airbag deployment. Involved parties were assessed and treated on scene by Renton Fire.
Witness in the NW corner of the intersection had surveillance recording of the incident. It was initially
believed that there may have been three vehicles involved with the collision. It was later determined
that there were only two vehicles involved. The surveillance recording, which a copy was submitted
into police/Axon Evidence, clearly showed Unit 1's excessive speed relative to all other passing
motorists prior to the collision with Unit 2.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
HANSEN HSU 11-10-24 09:44 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
DAT
P.SUMMERS 8887 1111312024 4:21:49 PM
BADGE OR ID# 12651 ORI# WA0171300 TIME POLICE DISPATCHED 1 7:48 PM TIME POLICE ARRIVED i 7:49 PM
PAST B 3 aDa-3mx-attar gt 1Mffp PAGE 2�OF 4
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF35260
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11679
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) VOLKOVSKIY MICHAEL
ADDRESS&PHONE# D�
13616 156TH AVE SE RENTON WA 980596709 4254969466 SEXi M MMDDYYYY 04 - 02 - 2011
PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�, 1 POS. 7 1 4 1 USE CLASS +1
:NAME
Lnsr EIRST,MIDDLE INITIAL) MONTANO JASMIN D
ADDRESS R PHONE#
3912 NE 7TH ST RENTON WA 980563890 SEX' F D.O.B. 11 _ 29 _ 2005
MMDDYYYY
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER a WITNESS UNIT# 2 POS. ' 3 AIRBAG 6 RESTR. 4 EJECT 1 USE CLASS 1 U ----�
NAME MIDDLE INITIAL) MCKERNON SEAN M
(LAST,FIRST,
AQQREss a PHONE# 4400 NE SUNSET BLVD 4C RENTON WA 98059 2062950043 SEX' M D.0.8. 04 _ 01 _ 1991
MMDDYYYY
PASSENGER POS,WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATUREOFINJURIES
USE CLASS
NARRATIVE
Unit 1 speeding eastbound along 4400 block of NE Sunset Blvd approaching the intersection of
Anacortes Av NE. Unit 2 traveling west on NE Sunset Blvd making a left turn onto Anacortes Av NE at
the intersection. Unit 2 failed to yield right of way, on a left turn, and was the proximate cause of
collision. Traffic signal at intersection appeared to functioning correctly. Unit 2 had a caution yellow
left turn arrow. However, Unit 1's excessive speed was also a factor in the collision. Unit 2 sustained
heavy reportable disabling front end damage. Unit 1 sustained heavy reportable disabling front driver
and driver side damage. No injuries reported save for driver of Unit 2, minor lacerations, likely from
the airbag deployment. Involved parties were assessed and treated on scene by Renton Fire.
Witness in the NW corner of the intersection had surveillance recording of the incident. It was initially
believed that there may have been three vehicles involved with the collision. It was later determined
that there were only two vehicles involved. The surveillance recording, which a copy was submitted
into police/Axon Evidence, clearly showed Unit 1's excessive speed relative to all other passing
motorists prior to the collision with Unit 2.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
HANSEN HSU 11-10-24 09:44 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 1111312024 4:21:49 PM
BADGE OR ID# 12651 ORI# WA0171300 TIME POLICE DISPATCHED 1 7:48 PM TIME POLICE ARRIVED i 7:49 Pry/
PAST B 3 Da-3mx-attar gt 1Mffp PAGE 0 OF 4
REPORT NO. EF35260 CASE# 24-11679 DATE AND TIME 11/10/2419:47
OF COLLISION
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