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HomeMy WebLinkAbout24-8704 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF07527 170 27 COLLISION REP FIT 1591971 SASE 24-8704 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT 8 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 CITY# COLLISION'. OS - 18 - 2024 2039 17 . N E IN� S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ DUVALL AVE NE BLOCK NO. e✓ 100 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e NE 1ST CT 1 2 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2065049460 0 11 30 6� LAST NAME MATSUI FIRSTNAME CAMERON MIDDLE A 1 1 2 31 INITIAL STREET ❑ 2535 S EDDYST CITY SEATTLE ST WA ZIP 98108 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVERS STATE WA SEX'F MM DAY' 09 1- 05 - 2006 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� CKF4814 sTATI WAvIN# 3VWLL7AJOCM359710 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FRom To TRLR. TRLR 3 7 33 12 2 5 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 1 5 34 13 4 2012 VOLK JETTA I'4 YES NO � �MEYERS TOWING YES[:] No✓ DAMAGE REGISTERED OWNER INFO BRENT MATSUI 2535 S EDDYST SEATTLE WA 98108 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE Z INSURANCE CO SAFECO INSURANCE H1820080 3 4 IN EFFECT &POLICY# 9TOP vE—LE CHAR 5 36 LECALLv YES❑NO❑ CITATION# 4A0579051 GE FAIL STOP AT STOP 1 o BOTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066641926 16 a LAST NAME AGUILAR FIRST NAME MARIA MIDDLE JE INITIAL 17 STREET❑ NEW ADDRESS❑' 14051 145TH AVE SE CITY RENTON ST WA ZIP 98059 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES t l NOF,/ 19 STATEWSEXF .CB. _ 39 LICENSE# M . 20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 H EET 2 NJAURSY 7 COMPLAINT OF NECK/L SHOULDER PAIN ❑F—NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# BRH7972 TATE 41 WA VIN# 1C4RDJDG4JC451960 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2018 MAKE DODG MODEL DURANG STYLE P4 I VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE ves l/ No GENE MEYERS TOWING YFS No./ REGISTERED OWNER INFO DONALD PRITCHETT 14051145TH AVE SE RENTON WA 98059 VEHICLE NO.2 SHADE DA GEbAREA LIABILITY INSURANCE❑ 8 PORGY#E CO pROGRESSIVE 917074179 Cdd IN CTOP vEwCLe ❑ ,J� CITATION# CHARGE I BOTTOM LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 D.NELSON 12421 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF07527 COLLISION REPORT III III III III III 111 1591972 CASE# 1 24-8704 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MATSUI MCKENZIEA (LAST FIRST, ADDRESS&PHONE# D O.B. ' 2535 S EDDY ST SEATTLE WA 98108 2067321458 SEXi F MMDovyry 03 - 03SEAT - 2008 PASSENGER Z WITNESS�''UNIT# USE 2 CLASS 1 POS. 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET LASS NATURE OF INJURIES ' '1 NAME (LAST,FIRST,MIDDLE INITIAL) AGUILAR JESSE R ADDRESS&PHONE# D O B 14051 145TH AVE SE RENTON WA 98059 SEX: M MMoovvvv 12 _ 08 _ 1951 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER ZWITNESS� UNIT# 2 POS 3 AIRBAG'6 RESTR. 4 EJECT 1 USE 2 CLASS 5 COMPLAINT OFPA(NTO NAME (LAST FIRST,MIDDLE INITIAL) MCADORY SHARON D AooREss&PHONE# 2716 32ND AVE S SEA TTLE WA 98144 2062914217 SEX, F D•O•B• 08 _ 26 _ 1965 MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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. D.NELSON 08-18-24 10:21 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE TIM GUMMING 11488 1 8/22/2024 2:00:49 PM BADGE OR ID# 12421 OR]#' I WA0171300 TIME POLICE DISPATCHED; 8:40 PM TIME POLICE ARRIVED]8:43 PM PART I PAGE IT]OF 4] REPORT NO. EF07527 CASE# 24-8704 OF COLLISION 08/18/24 20:39 OF CbLLI510N NARRATIVE 24-8704 COLL On 8/18/2024 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. I was dispatched to a report of a two-vehicle collision with subjects trapped in the intersection of Duvall Ave NE and NE 1st Ct Renton/King/WA. I arrived on scene and located both involved vehicles and all involved occupants. I spoke with the driver of the Volkswagen Jetta WA/CKF4814, identified by her WADL as Cameron A Matsui DOB: 9/5/2006. She advised she was driving east on NE 1st Ct and had stopped at the stop sign before crossing Duvall. She said that she did not see the Durango driving southbound and entered the intersection. She said this was when she struck the Durango. Neither Cameron nor her passenger, Mckenzie A Matsui DOB:3/3/2008, were injured. They were evaluated by RRFA personnel at the scene and cleared. I spoke with the driver of the Dodge Durango WA/BRH7972, identified by her WADL as Maria E Aguilar DOB: 11/18/1981. Maria said that she was driving south on Duvall Ave NE and never even saw the Jetta enter the intersection. The north/south lanes of Duvall Ave NE do not have a stop sign in this intersection. Only the east/west lanes of NE 1st Ct have a stop sign to cross Duvall. Maria had pain to her left shoulder and neck and advised she would be going to the hospital for treatment. Maria's passenger, Jesse R Aguilar DOB: 12/8/1951 had pain to his abdomen. He was evaluated by RRFA personnel on scene and transported to Valley Medical Center for further treatment. Both Maria and Jesse had to be extricated from the vehicle by RRFA. The Volkswagen had damage to the front bumper and the Durango had impact damage to the rear driver's side quarter panel and wheel well. Based on the driver accounts and damage it appeared as if Cameron entered the intersection without properly clearing it and struck the Durango on the rear driver side quarter panel. The Durango also had damage to the entire passenger side and the roof was caved in. This indicated that the Durango had rolled once and landed back on its wheels before coming to a stop south of the intersection. A WADOL check showed that Cameron was clear and valid to a Seattle address. I completed a Sector Citation for Vehicle Entering a Stop or Yield Intersection RCW 46.61.190.3 for Cameron. This citation should be mailed to Cameron's DOL address. Gene Meyers Towing removed both vehicles from the scene. Nothing further. PAGE 3 OF 4 REPORT NO. EF07527 CASE# ' 24-8704 DATE AND TIME 08/18/24 20:39 OF COLLISION k s PAGE 4 OF 4