HomeMy WebLinkAbout24-7382 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-7382 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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# ❑ COLLISION: 07 — 1—— 2024 0438 17 ❑.❑ S 8 W Li OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ BLOCK NO. e✓ --- ----� SE 116TH ST MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET ❑ S ❑ W e 168THAVESE 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El No ,/ I D:4252898604 0 11 30 6� LAST NAME DUONG FIRSTNAME THANH MIDDLE V 1 1 2 31 INITIAL STREET ❑ 18204 116TH AVE SE CITY RENTON ST WA 21p 98058 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YEs NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES 2❑ ❑ 10 1❑ PI ATE CKS8429 sTArr WA VIN#' 19XF62F56DE287568 3 TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# FROM TO TRLR. TRLR $ 7 33 12 0 0 VIN#' VIN#' FROM TO VEH.YEAR 2013 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 4 HOND CIVIC SD DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO GEICO 4417-70.34.64 3 4 IN EFFECT &POLICY# 9TOP vECALLv HICLE 5 36 Yes❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ LE STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ cvcLE, ❑ ❑ OWNER ❑ YEs No ,/ D:7162485699 N:4254456365 16 a LAST NAME SONGSANGWORN FIRST NAME JAMES MIDDLE A INITIAL 17 STREET❑ NEW ADOREss❑' 636 140TH CT SE#C100 CITY BELLEVUE ST WA ZIP 98007 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INTERLOCK YES❑NO� INTERLOCK yEEsIII❑NOF YES ❑NO� 19 IVELICENSE STATE WA SEX U MDior w 04 02 _ 1993 39 20 ON DUTY STATUS AIRBAG, 1 RESTR 13 EJECT 2 HELMET 7 INJURY 5 NATURE OF INJURIES 40 USE CLASS LEG FRACTURES LICENSE I ❑21❑ PLATE# NONE TArE VIN 41 1 J18LA000812 1 42 22❑ PILER LATE# STATE pLATE# STATE 23❑ 43 TRLR RLR VIN#. 'IN#. VEH YEAR MAKE MODEL STYLE NIS VEHICLE TOWED TO BLIN TOWEDBY GOV HI �44 24❑ DAMAGE YES NO,/ YES NO,� REGISTERED OWNER INFO JAMES SONGSANGWORN 636140TH CT SE BELLEVUE WA 98007 D:7162485699 N:4254456365 VEHICLE NO.2 SHADE DAGELLCCddAREA LIABILITY INSURANCE❑ &POINSURGY#E CO UNKNOWN UNKNOWN IN CTOP —ICLE ❑ ,J� CITATION# CHARGE I BOTTOM LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MI 1AAM LONG 7 12790 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE96196 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7382 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 POS. 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. MIRIAM LONG 07-15-24 04:39 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 711612024 10:36:23 AM BADGE OR ID# 12790 ORI# WA0171300 TIME POLICE DISPATCHED; 4:38 AM TIME POLICE ARRIVED',4:43 AM PART I PAGE IT]OF 4� REPORT NO. EE96196 CASE# 24-7382 OF COLLISION 07/15/24 04:38 OF CbLLI510N NARRATIVE 24-7382 On 7/15/2024 at approximately 0438 hours, while working as a commissioned police officer for the City of Renton, I was dispatched to an injury accident that took place at SE 168th ST/116th Ave SE. Initial information was a vehicle verses a motorcyclist. While enroute, dispatch advised the motorcyclist was sitting on the ground screaming. Upon arrival, Renton Fire Department was on scene evaluating the motorcyclist, later identified by WA DOL photo as James A Songsangworn (DOB 4/2/1993), who appeared to have a significant injury to his leg. In the middle of the intersection, I observed an unlicensed Razor motorized scooter (Serial/J 1 8LA000812) partially under the front end of the other involved vehicle (WA/BZN9875), which had the license plate broken off, minor dents on the bumper, and a large dent on the hood. The battery was detached from the Razor motorized scooter. I spoke to the driver of the vehicle, identified by WA DOL photo as Thanh V Duong (DOB 5/10/1959). Thanh advised me that he was driving north on 116th Ave SE where he came to the intersection at SE 168th St and got into the left-hand turn lane. Thanh said he had a green light where he could take a left turn yielding to oncoming traffic. He said he did not see any vehicles coming and proceeded to take a left turn to drive east on 168th St. Thanh said he did not see anything until he struck the motorcyclist that was driving south on 116th Ave SE. He advised he was not injured and declined medical treatment. I was unable to speak to the motorcyclist as medics had arrived and advised he was being transported to Harborview Medical Center for possible fractures in his legs. I contacted the motorcyclist girlfriend, verbally identified as Alaina Coken (DOB 9/14/1993), who arrived on scene. She advised me James was likely driving south on 116th Ave SE from her house. Alaina advised that the headlights on James' scooter were in operating condition. Alaina took possession of James Razor motorized scooter. James was transported to Harborview Medical Center for his injuries. Thanh provided his WA DOL identification, registration, and proof of insurance. Photos of the incident were taken and uploaded to Axon. I provided Thanh and Alaina the case number. I later contacted the manager of Seven Eleven located at 11505 SE 168th St, verbally identified as Baby Thapa (903-303-9949) to inquire about surveillance footage. I reviewed surveillance footage and observed Thanh driving north on 116th Ave SE where he proceeded to take a left turn at SE 168th St at a green light. As Thanh was halfway through the intersection, I observed the Razor motorized scooter seconds before the collision. I was able to see the incident from two angles and did not see the motorcyclist until he was in the intersection. I was able to see working headlights on the Razor motorized scooter on one of the angles only once the collision had occurred. No further information. My involvement in this case was captured on my department-issued Axon body camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. 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 M Long#12790 on 7/15/2024 @ 1622 hours in Renton WA. PAGE 3 OF 4 REPORT NO. EE96196 CASE# 24-7382 DATE AND TIME 07/15/24 04:38 OF COLLISION Y1\ � r � r� t .�... _rv,... .,=.,o ., .^, ... , .a, < „.� A�,�t4�a�: a �r �A�t.4�",..akc*`,.i+�1�**s„ `,..,.Sa�a3�w.5,.��:,a'i� sib:,u=„a1�s,�,• M1;aa PAGE 4 OF 4