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HomeMy WebLinkAbout24-8561 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
SASE 24-8561 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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'. 0$ - 1-— 2024 1705 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 3RD ST BLOCK NO. e✓ 1900
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 220 00 FMILES EET ❑ S ❑ W❑ MONTEREYDR NE
2 0 29
R PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO D:2063808622 0 11
30
6� LAST NAME STOVALL FIRSTNAME TIANA MIDDLE J 1 2 31
INITIAL
STREET ❑ 411 NW 7TH ST CITY RENTON ST WA ZIP 980573409 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO YEs No�/
8❑ LRIIVER # STATE WA SEX'F MM DI,Y' 05 - 24 - 1997CENS 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
❑P1 aT�S� /afE2598 sTAr� WWAVrN# KNDJT2A25A7046083 3
10 9❑
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 4 8 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 4 $ 34
13 2 2010 KIA SOUL DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO EDITH BROWN411 NW 7TH ST RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICV# 9TOP 1 o BOTTOM
vEHlcl.e CHARGE 5 36
LEGALLv res NO CITATION# 4A0687860 OP MOT VEH W/OUT INSURANCE
15❑ NDING 8 7 6
MOTOR PEDAL- PEDESTRIAN
16 a PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2535458407
LAST NAME FEDKO FIRST NAME MYKYTA MIDDLE
INITIAL
17❑ STREET � 10930 SE 172ND ST APT J306 CITY RENTON ST WA Zip 98055 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YES
❑NOF%/
19 F] DRIVER #
INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 1
USE CLASS ❑
21❑ LICENSE I CGK9777 TAre WA VIN# JTDKARFUOG3018740
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
roweD By Gov HI 44
VEH YEAR 2016 MAKE 7'Oy7' MODEL pRIUS STYLE 4H
24 DAMAGETO ES WED TOO✓ BLIN YE S NO
❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO PROGRESSIVE 957971050IN I STOP 5
--E ❑ E[j CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 $ '
7.FF1CJEO-S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
HNSON 0505 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF05715
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8561
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.
CO.JOHNSON 08-16-24 09:45 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 8/16/2024 3:36:08 PM
BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 5:11 PM TIME POLICE ARRIVED]5:16 PM
PART I PAGE IT]OF
REPORT NO. EF05715 CASE# 24-8561 OF COLLISION
08/14/24 17:05
OF CbLLI510N
NARRATIVE
WB NE 3rd St near lane separation from 2 to 4
On 08-14-2024 at about 1711 hours, I was dispatched to non-injury blocking Collision in the vicinity of
NE 3rd St and Bronson Way NE in the City of Renton, County of King, Washington State. Dispatch
advised that both parties would be waiting in the Burger King (311 Sunset Blvd N) parking lot. I
arrived in the area at about 1716 hours, but did not observe any vehicles in the parking lot resembling
the involved vehicles nor did anyone flag me down. I located the involved vehicles blocking lane #4
(of 4) of westbound NE 3rd St with Unit 02 stopped in front of Unit 01. The driver of Unit 02 was
between the vehicles and talking on a telephone. Both vehicles appeared drivable so I directed the
drivers to move off the roadway and into the Burger King parking lot.
The driver of Unit 01 was identified by WA DL as Tiana J. Stovall (DOB 05-24-1997) and said she
was the only person inside the vehicle. Stovall said she was wearing a seatbelt and not injured as a
result of the collision. Stovall was unable to provide proof of liability insurance. Stovall said she was
coming down the hill (westbound NE 3rd St) in the left hand lane with the intent to turn and later get
onto southbound 1-405. Stovall said Unit 02 came around her, swiped the side of her vehicle and
then got in front of her vehicle. Stovall initially said her vehicle was stopped during the collision but
then said she was rolling.
The driver of Unit 02 was identified by WA DL, admitted to driving the listed vehicle and provided
digital proof of liability insurance. The driver indicated he was coming down the hill (westbound NE
3rd St) in the left lane with the intent to get onto 1-405. The driver said Unit 01 was behind him when
both vehicles approached the area where westbound NE 3rd St goes from two (2) lanes to four (4)
lanes. Unit 02 continued in his lane of travel which eventually becomes lane #3 (of 4). Before lane
#4 started, Unit 01 went to the left to enter the far left lane and collided with the left rear corner of Unit
02. The driver of Unit 02 indicated his vehicle was stopped during the collision and he moved in front
of Unit 01 because he thought they would leave.
The driver of Unit 02 indicated his primary language was Ukrainian. I did not experience any difficulty
communicating with him during the collision investigation
I observed moderate damage to the passenger side of Unit 01 from the fender to the quarter panel.
There was white paint transfer along the passenger side of Unit 01. There also appeared to be old
damage to the passenger side of Unit 01 that was not caused by this collision. I observed moderate
damage to the driver side quarter panel and driver side rear tire rim of Unit 02 and no other obvious
damage to the vehicle. The information provided by both drivers about what occurred during the
collision was different. The damage to the vehicles did not appear consistent with the information
provided by the driver of Unit 01. The damage to the vehicles was consistent with the information
provided by the driver of Unit 02.
1 later reviewed the City of Renton traffic camera which is mounted to the traffic light pole on the
southwest corner of the intersection of NE 3rd St and Sunset Blvd N. The camera was pointed to the
east towards NE 3rd St, but did not capture the collision which occurred outside of the image frame. I
was able to see both units and my patrol vehicle as we entered the frame and drove to the parking lot
of Burger King.
A Notice of infraction was sent to the Renton Munich Court to mail to the driver of Unit#1 (Stovall) for
violating RCW 46.30.020 -Liability Insurance as no person may operate a motor vehicle subject to
registration under chapter 46.16A RCW in this state unless the person is insured under a motor
vehicle liability policy with liability limits of at least the amounts provided in RCW 46.29.090, is self-
insured as provided in RCW 46.29.630, is covered by a certificate of deposit in conformance with
PAGE 3 OF 5
REPORT NO. EF05715 CASE# 24-8561 OF COLLISION
08/14/24 17:05
OF CbLLI510N
NARRATIVE
RCW 46.29.550, or is covered by a liability bond of at least the amounts provided in RCW 46.29.090.
Proof of financial responsibility for motor vehicle operation must be provided on the request of a law
enforcement officer in the format specified under RCW 46.30.030.
PAGE 4 OF 5
REPORT NO. EF05715 CASE# ' 24-8561 DATE AND TIME 08/14/24 17:05
OF COLLISION
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PAGE 5 OF 5