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HomeMy WebLinkAbout24-7297 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-7297 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 28
TRIBAL UNITS 02 STRUCK' FENCE
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CtLLISION' 07 - 1-- 2024 2107 17 ❑-❑ S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE 192ND ST BLOCK NO. e✓ 11806
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2064327089 30
6❑ LAST NAME BAKER FIRSTNAME COURTNEY MIDDLE 1 0 11
31
INITIAL
STREET ❑, 103 NW 188TH ST CITY SHORELINE ST WA ZIP 98177 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 05 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10❑ P1 ATE 14 CMC7585 JBTATIJ WAv N# JN8AT2MV9HW012691
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 3 7 33
12❑ vIN#' VIN#
2017 NISS ROGUE UT pL FROM 34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE
13 2 DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14❑ LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 980803390 4
LI EFFECT &SUR N# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2065355244
16❑
LAST NAME VARGAS FIRST NAME MARIA MIDDLE ID
INITIAL
17 NEW STREETR 11806 S
7 E 192ND ST CITY' RENTON ST WA ZIP 98058 37
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LICENSE# STATE SEX IF M .C.B. 05 _ 05 _ 196 5 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ TArE 41
IN#LICENSE V 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1GQ
VEHICLE ❑ C[:] CITATION# CHARGE
LEGALLY YES N`LJ
25 s � e
O
F
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
EDIGER 12807 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE96023
COLLISION REPORT III III III III III 111
1591972 CASE# 24-7297
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.
TYLER EDIGER 07-12-24 11:11 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
GREGORYBILLS 12495 711512024 11:12:58 PM
BADGE OR ID# 1Y807 ORI# WA0171300 TIME POLICE DISPATCHED 9:07 PM TIME POLICE ARRIVED',9:16 PM
PART I PAGE IT]OF 4�
REPORT NO. EE96023 CASE# 24-7297 OF COLLISION
07/12/24 21:07
OF CbLLI510N
NARRATIVE
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. I was operating a fully marked Police Tahoe #204 which was equipped with
dash mounted emergency lights and sirens.
Case Number 24-7297
On 07/12/2024 at approximately 2107 hours, I was dispatched to an unknown injury accident at
11806 SE 192nd St, within the City of Renton, King County, Washington.
This call originated in Kent where a reporting party advised that a vehicle was driving recklessly
westbound on SE 192nd St. This reporting party then advised that the vehicle had crashed at the
aforementioned address which is in Renton.
I arrived on scene and identified the only vehicle involved as a white 2017 Nissan Rogue (WA/Lic:
CMC7585 Vin# JN8AT2MV9HW012691). I identified the driver and only occupant of this vehicle as
Courtney Baker (DOB 05/15/1999) by her WADOL photo. Courtney explained to me that while she
was driving westbound on SE 192nd St the vehicle in front of her was continually hitting their brakes.
She believed that this vehicle was purposefully "Brake checking" her. Courtney stated that when the
vehicle braked the last time, she hit her brakes and they did not seem to have any affect. Courtney
swerved to the northside of SE 192nd St to avoid the collision. Once she swerved Courtney went off
the roadway, striking the fence at 11806 SE 192nd St, and ended up in this front yard. A combination
of her airbags deployed but she did not wish to be evaluated by fire.
The vehicle sustained minor damage to the front end but appeared drivable.
Due to the original call notes and this being a single vehicle collision I asked Courtney if she would be
willing to do voluntary field sobriety tests. She agreed and stated that she was not under the influence
of alcohol and or drugs. There was no flat spot to stand so I decided to only perform the HGN test. I
did not observe any HGN, and I did not observe anything else that would lead me to believe she was
under the influence.
Courtney called for her own tow, and I provided her with the case number.
I contacted the resident at 11806 SE 192nd St, I identified this resident as Maria D Vargas (DOB
05/05/1965) by her WADOL photo. I provided Maria with the case number for the damage to her
fence.
I am unable to determine if Courtney's brakes actually failed to activate or if this crash was a result of
her following to closely.
Officer Petty uploaded pictures of the scene.
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 T. Ediger#12807 07/12/2024 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE96023 CASE# 24-7297 DATE AND TIME 07/12/24 21:07
OF COLLISION
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PAGE 4 OF 4