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HomeMy WebLinkAbout24-10121 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF19014oc� RA COLLISION REPORT 1591971 CASE# 24-10121 2 INTERSTATE CITY STREET FIRE I RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LDCAI-AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 09 - 27 - 2024 1153 17 =.[� S 8 W e OF IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW 16TH ST BLOCK NO. e 500 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ C------ 1.1 FEET e S 8 W e LIND AVE SW 0 1 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:9044031643 0 1 30 5 LAST NAME VASOYA FIRST NAME KUSHAL MIDDLE A 1 1 2 31 INITIAL STREET ❑ 10913 SE 187TH LN CITY; RENTON ST I WA ZIP; 980558113 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO✓ INTERLOCKVEs NO✓ YES NO✓ 8 DRIVER # STATE WA SEXI M MMDDYY' 09 - 14 - 1990 1 2 32 9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELM USEET 2 CLASSY 1 NATURE of INJURIES 2 LICENSE, CLV5203 STATE WA VIN# 2HKRS6H54RH807559 3 10 Fl I as ATP rt TRAILER STATE TRAILER STATE 11 3 0 PLATE# PLATE# ROM To TRLR TRLR. 3 7 33 12 3 5 VIN# vIN# FROM TO 13 4 VEH.YEAR2024 MAKE HOND MODEL CR-V STYLE VEHICLE TOYED NO�iS46LIN T�VyED.6LRS CLE 1 5 34 DAMAGE IIII._IIII HHttVVii((tt REGISTERED OWNER INFO KUSHAL VASOYA 10913 SE 187TH LN RENTON WA 980558113 D:9044031643 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE INSURANCE CO 14 PROGRESS/VE 971115735 IN EFFECT &POLICY#V""' CHARGE 36 LEGALLY YES❑NO❑ CITATION# <14, 15 STM ING MOTCYR ✓ PEDAL- PEDESTRIAN1:1 PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR YES�/ NO D:4255286800 16� LAST NAME NALUBUULWA FIRST NAME SHAM11MA MIDDLE M INITIAL 17 STREET ❑ 37 NEW ADORE SS❑ 16159 126TH AVE SE CITY RENTON ST, WA ZIP 980585562 4 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYES ND✓ INTERLOCI£YEs No✓ YES NO✓ 19 DRIVER'S STATE WA SEX F D.O.B. 04 04 1989 39 LICENSE# MMDL}YY - 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40 USE CLASS KNEE PAIN 21 LICENSE CKF3305 rare WA VIN 5N1DLOMM7KC509523 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2019 MAKE /pJF/ MODEL (,�X6Q STYLE VEHICLE TOWED✓ No BLIN BANKERS ves No✓ 24 REGISTERED OWNER INFO SHAMUMA NALUBUULWA 16159126THAVE SE RENTON WA 98058 D:4255286800 VEHICLE NQ.2 SHADFjy DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCE CO THE GENERAL 53-WA6197003 IN EFFECT &POLICY# 9TOP L'—L ❑ ,J—I CITATION11 CHARGE t080TTOM LEGALLY YES N 25 a 7 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 P.KORDEL 9676 WA0171300 PART A PAGE 01 OF 3000-348-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF19014 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10121 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) NOEL ANOREJ C ADDRESS&PHONE# D O 26627 188TH AVE SE COVINGTON WA 98042 2064126373 SEXi M MMDDYYYY B. 05 — 26 — 1977 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS ----� :NAME (LAST FIFS7 MIDDLE INITIAL) ADDRESS R PHONE# SEX MMDDYYYY D.O.B. — PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES 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. P.KORDEL 09-27-24 01:36 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 9/27/2024 1:49:06 PM BADGE OR ID# ; 9676 ORI# WA0171300 TIME POLICE DISPATCHED 11:54 AM TIME POLICE ARRIVED i 11:56 AM PAST B a Do-3m5—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF19014 CASE# 24-10121 OF DATE AND r�N + 09/27/24 11:53 O�COLLISION NARRATIVE On 09-27-2024 at 1154 hours, I was dispatched to a collision at SW 16th St and Lind Ave SW in the City of Renton, King County, WA State. I activated my emergency equipment, which activated my dash and body cams. I arrived at 1156 hours. In the southbound lane of Lind Ave SW was vehicle 2, a silver Infinity with front left damage and airbag deployment. Just ahead of this was vehicle 1, a white CRV with front end damage and airbag deployment. Both vehicles had been driven by solo occupants. I identified driver 1 as Kushal Vasoya via WA DOL picture license. I identified driver 2 as Shamiima Nalubuulwa. Both were owners of their respective vehicles, and both had valid insurance. Driver 2 had knee pain, so I had Renton Fire assess her. They did not require/recommend hospitalization. I spoke with an independent witness, whom I identified verbally as Andrej Noel. He told me that he was driving westbound on SW 16th St approaching Lind Ave SW. He was sure there was a red light for him. He was not sure exactly how the collision occurred ahead of him, but all of a sudden the collision occurred. Either way, he told me that the light for westbound traffic on SW 16th St at Lind Ave SW was red. I spoke with driver 1. He showed me that one of his shoes had untied laces. He realized this as he was driving westbound on SW 16th St approaching Lind Ave SW. He bent down to tie his laces, taking his sight off the roadway. This is when the collision occurred. He was not certain if he had a red or green light. I spoke with driver 2. She told me that she was driving southbound on Lind Ave SW, approaching SW 16th St. She told me that her light was green. When she drove through the intersection, vehicle 1 ran the red light westbound on SW 16th St and collided with her. Based on all the above accounts, coupled with my observation of damages to the vehicles, I determined that vehicle 1 was the proximate cause of the collision. Driver 1 did not yield for the red light. I gave him a verbal warning, and let both drivers know what my report/investigation would document. They were each provided information exchange sheets. PAGE 3 OF 4 REPORT NO. EF19014 CASE# 24-10121 DATE AND TIME 09/27/24 11:53 OF COLLISION> ' �i 1 n, t�s n ^ 33 s w � w u s e c s � PAGE 4 OF 4