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