HomeMy WebLinkAbout24-10120 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF22197oc� RA
COLLISION REPORT 1591971
CASE# 24-10120 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 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 IN cDLLISION' 09 - 27 - 2024 1151 17 =.= S 8 W e OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
S 3RD ST MILE POST
❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ . FEET e S 8 N e RAINIER AVE S
OF 3 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2066587846 0 3 30
6 LAST NAME HANADA FIRST NAME DIEU MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 4830 S 146TH ST CITY; TUKWILA ST I WA ZIP; 981684449 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYES No INTERLOCKVEs NO YES No
8 DRIVERI # STATE WA SEXI F MMDDYY' 04 — 05 — 1964 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
10 LI ENSE' AFC9884 STATE WA VIN# JTMBF4DV5B5044022 3
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR TRLR 1 1 7 33
12 3 5 VIN# VIN#
FROM TO
VEH.YEAR 2011 MAKE TOYT MODEL RAV4 STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 1 7 34
13� DAMAGE YES II_II NO `/ YESII_I) NO
REGISTERED OWNER INFO DIEU HANADA 4830 S 146TH ST TUKWILA WA 98168 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO
14 CONNECT INSURANCE A10 0 79 9 9 84
IN EFFECT &POLICY# 9TOP
vewcle CHARGE t 5 36
LEGALLY yes❑NO❑ CITATION# t a 80TFOM
15❑ STANDING s 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:2066197476
16�
LAST NAME YUSUF FIRST NAME GULEID MIDDLE' /
INITIAL
STREET ❑ 37
17 ❑ 37654 18TH PL S CITY' FEDERAL WAY ST, WA ZIP 980037574
NEW ADDRESS
18❑ ...: IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
CDL INTERLOCKYEs No INTERLOCKYEs NO yEs No
19 DRIVER'S' STATE WA SEX M D.O.B. 01 _ 01 _ 1989 � 39
LICENSE# MMDDYY
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 LICENSE CDK4493 TATE WA VIN# JTDKN3DUOC1530878 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2012 MAKE TOYT MODEL PR/US STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO GULEID YUSUF 3765418TH PL S FEDERAL WAY WA 98003 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO STATEFARM 565 2170-B22.47
IN EFFECT &POLICY# t
VEHICLE ❑ ,.I—I CITATION# CHARGE UQ
LEGALLY YES N
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF22197
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10120
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. —
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I 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.
C.CATALAN 09-27-24 01:58 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 10/7/2024 12:37:39 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 11:51 AM TIME POLICE ARRIVED i 11:51 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF22197 CASE# 24-10120 OF DATE AND r�N + 09/27/24 11:51
O�COLLISION
NARRATIVE
On September 27, 2024, at approximately 1151 hours, I was dispatched to a blocking vehicle
collision at the intersection of S 3rd PI and Rainier Ave S, within the City Limits of Renton, County of
King, State of Washington.
Upon arrival, I confirmed the collision was non-injury and was able to have both involved vehicles
move off the roadway. There, I was able to collect each involved party's information and independent
summary of the events leading up to the collision.
The driver of Unit 2 said he was operating his vehicle and was traveling southbound in about the 361
block of Rainier Ave S and approaching the entrance to Fred Meyer (on S 3rd PI). The driver of Unit 2
stated that he was attempting to make a right turn onto S 3rd PL therefore he remained in right turn
lane 1 of 4. The driver of Unit 2 stated he proceeded to make a right turn but unit 2 who drove in the
through lane (lane 2 of 40) made an unexpected right turn. Unit 1 and Unit 2 collided in the roadway.
Unit 2 suffered moderate damage to the front driver's side quarter panel, fender, and headlight.
The driver of Unit 1 said she was also traveling southbound in about the 361 block of Rainier Ave S
approaching the intersection of S 3rd PL, but in lane 2 of 4. The driver of Unit 1 stated she was
intending to make a right turn into Fred Meyer at S 3rd PI. As she approached the intersection, she
made a right turn, but from lane 2 of 4. Upon making the right turn, she subsequently collided with
Unit 2. Unit 1 suffered moderate damage to the vehicle's right passenger doors.
Based on the above statements, 1 determined that the driver of Unit 1 is the proximate cause for the
collision as she violated RCW 46.61.290 which covers right turns and stated that "both the approach
for a right turn and a right turn shall be made as close as practicable to the right-hand curb or edge of
the roadway."
PAGE 3 OF 4
REPORT NO. EF22197 CASE# 24-10120 DATE AND TIME 09/27/24 11:51
OF COLLISION
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PAGE 4 OF 4
