HomeMy WebLinkAbout24-7319 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE99548 170
27
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 24-7319 2 1 7
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3 0 5
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 07 - 1-- 2024 1434 17 ❑.= S 8 E IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
FACTORYPL N BLOCK NO. e✓ 300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e N MAR/ON ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:4258030294 0 11
30
6� LAST NAME DALA FIRSTNAME VALERIE MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 30030 30TH AVE SW CITY FEDERAL WAY ST WA 2jp, 98023 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
,/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ P1 aTES� ADH7552 sTArr WAVIN# JTEBT14R940031067
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR 5 7 33
12 0 VIN#' VIN#'
: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 4 $ 34
13 1 2004 TOYT 4RUNNE SV DAMAGE YES NO ves❑ No
REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
1 INSURANCE CO 3 4
14 LIABILITY INSURANCE� TRAVELERS 988137323 101 1
IN EFFECT &POLICY# 9TOP
0 BOTTOM
❑ VE— Yes NO CITATION# CHARGE 5 36
15 1 sTnNLiNc 4A0455988 PROH/IMPROPER TURN s
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
16 a U VEHICLE NIT U2 ❑✓ CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES,/ NO D:2066017890
LAST NAME BERNDSEN FIRST NAME VINCENT MIDDLE E
INITIAL
17 STREET NEW ADOREs7 10827 WOODLEYAVE S CITY SEATTLE ST WA ZIP 98178 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK vEs I I NOF YEs t l NOF,/
19 STATEWASEXM .CB. _ 39
LICENSE# M .
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# 41
C45128U TArE WA VIN# 1FTPW14545KE62663 1
42
22❑ PLATE# STATE TILER PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED By Gov H 44
VEH YEAR 2005 MAKE FORD MODEL F150 STYLE PK DAMAGE TOWED NOO✓ BLIN YES
N.7
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO AARP 55PHK613161IN STOP 5
VE—LE ❑ ,J� CITATION# CHARGE
25 ' a io BOTTOM
LEGALLY YES N`L J
7JUS
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26KAUPPILA 12883 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE99548
COLLISION REPORT III III III III III 111
1591972 CASE# 24-7319
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) LORENTE BRAN C
(LAST FIRST,
ADDRESS&PHONE# D O.B.
14700 SE PETROVITSKY RD APT A303 RENTON WA 98058 2069204508 SEX M MMDOYyry 10 - 17 - 1987
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑ POS, ' USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYV
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.q.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.
JUSTIN KAUPPILA 07-18-24 08:21 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
TIM GUMMING 11488 1 7/26/2024 2:56:01 PM
BADGE OR ID# 12883 OR]# WA0171300 TIME POLICE DISPATCHED! 2:35 PM TIME POLICE ARRIVED]2:35 PM
PART I PAGE IT]OF 4]
REPORT NO. EE99548 CASE# 24-7319 OF COLLISION
07/13/24 14:34
OF CbLLI510N
NARRATIVE
24-7319
Unless otherwise noted, the following occurred within the city limits of Renton, county of King, state of
Washington.
On 07/13/2024, 1 was working as a uniformed police officer for the city of Renton. At approximately
1435 hours, I was flagged down at the intersection of Factory PI N and N Marion St regarding what I
initially believed to be a blocking disabled. My involvement in the incident was captured on my
department-issued bodycam.
Upon arrival, I learned that the incident was actually a collision. I spoke with the driver of unit 1, who
relayed the following information to me:
They were traveling in lane 3 of 4 on Factory PI N. As they drove through the intersection at N Marion
St, they quickly realized that they needed to turn left in order to go to Dunn Lumber, 120 Factory Ave
N. They began the turn from lane 3, and as they entered lane 4, they were struck by unit 2 in the
driver's side of the vehicle.
I then spoke with the driver of unit 2, who advised of their account of the collision:
They were traveling lane 4 of 4 on Factory PI N. As the approached the intersection at N Marion St,
they saw unit 1 quickly turn left from lane 3. The seemingly spontaneous maneuver did not give them
enough time to hit the brakes, and the front end of their vehicle collided with the drivers' side of unit 1.
Both drivers stated they were not injured and both vehicles were still operable. Due to the improper
left turn, I generated a citation for RCW 46.61.290 -improper turn. The driver of unit 1 did make an
improper turn when they tried to turn left from lane 3 of 4, as opposed to completing the turn from the
furthest left available lane. I informed the driver of unit 1 of the citation, to which they stated they
understood.
This concludes my involvement in this incident.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer J. Kauppila at 0815 hours on 07/18/2024.
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REPORT NO. EE99548 CASE# ' 24-7319 DATE AND TIME 07/13/24 14:34
OF COLLISION
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