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HomeMy WebLinkAbout24-8819 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF07472 170
27
COLLISION REP FIT 1591971
SASE 24-ee19 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3
HIT 8 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'. OS - 1-- 2024 1532 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ 100 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e RAINIER AVE S
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2067650128 0 11
30
6� LAST NAME NGO FIRSTNAME SON MIDDLE T 1 2 31
INITIAL
STREET ❑ 3506 NE 9TH ST CITY RENTON ST WA ZIP 98059 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� CMC1237 sTArI WAvIN# W1K5J4HBXNN322550
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 4 2022 MERZ CLA DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO TRANG VU 15810 SE 128TH ST RENTON WA 98059 D:2067650128 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICY# � 9TOP 5
VE"'CLE CHARGE 10 BOTTOM 36
LEGALLY YES❑NO❑ CITATION# 4A0567897,4A0567897 FLD SIGNAL STOPS/TURNS-UNSAFE
15❑ STANDING 7 6
MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]FA.
YES 1/ NO D:2063218139
16 a
LAST NAME ROBERTSON FIRST NAME BONNIE-LYNN MIDDLE N
INITIAL
17 STREET❑ NEW ADDRESS❑' 5126 S BRIGHTON ST CITY SEATTLE ST WA ZIP 981183425 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[—] LDI IVERI # STATE WA ]SEX IF M D.C.B. 09 _ 24 1958 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# ATC4951 TArE 41
WA VINE 5N1ANONW9DN822285 1
42
22❑ PILER LATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2013 MAKE NIS5 MODEL XTERRA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO BONNIE-LYNN ROBERTSON 5126 S BRIGHTON ST SEATTLE WA 98118 D:2063218139 VEHICLE NO.2
SHADE DAGELLAREA
LIABILITY
INSURANCE I PORGY#E CO STATE FARM 069 6950-802-471IN 1GQI
VEHICLE ❑ ,.I—I CITATION# CHARGE
LEGALLY YES N`LJ
25 —TA
s � e
7p-,
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TAGNE 12575 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF07472
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8819
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) VU TRANG H
(IAST FIRST,
ADDRESS&PHONE# D O.B. '
15810 SE 128TH ST RENTON WA 98059 2067650128 SEXi F MMDOYyry 09 - 23 - 2000
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑; 1 Pos. 3 2 4 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
P.LANTAGNE 08-21-24 06:14 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1 8/22/2024 12:30:04 PM
BADGE OR ID# 12575 OR]# WA0171300 TIME POLICE DISPATCHED'; 3:58 PM TIME POLICE ARRIVED',4:35 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. EF07472 CASE# 24-8819 OF COLLISION08/21/24 15:32
NARRATIVE
24-8819
On 08/21/2024 at approximately 1558 hours, I, Officer Lantagne, responded to a non-blocking, non-
injury collision which occurred in the 100 block of SW Grady Way near the intersection of Rainier AVE
S, which is located in the City of Renton, County of King, and the State of Washington. I responded in
my fully marked police vehicle, wearing my patrol uniform and body worn camera. I was advised by
Dispatch both vehicles had pulled into the Les Schwab parking lot.
I arrived on scene and observed Unit#1, a 2022 Mercedes CLA 250 with license plates CMC1237
issued out of Washington State, and Unit#2, a 2013 Nissan Xterra with license plates ATC4951
issued out of Washington State, parked in the lot. I was advised there were no injuries.
I contacted the driver of Unit#1, Son T. Ngo (DOB 06/05/1996), who told me the following: Ngo was
driving eastbound in the 100 block of SW Grady Way in lane #2 and needed to make a left turn onto
northbound Rainier AVE S. Ngo turned his signal on and merged into the left turn lane. While merging
into the lane, the left front corner of Ngo's vehicle struck the right side of Unit#2, which Ngo could not
see.
I contacted the driver of Unit#2, Bonnie Lynn-Robertson (DOB 09/24/1958), who told me the
following: Lynn-Robertson was driving eastbound on SW Grady Way in the left turn only lane and was
about to make a left turn onto northbound Rainier AVE S. As Lynn-Robertson was driving, the vehicle
to her right merged into her lane and struck her vehicle.
I observed the damage to the vehicles and other physical evidence was consistent with the
statements made by both drivers. Unit#1 had significant damage to the left front bumper and fender
which included a broken headlight and crumpling. Unit#2 had minor damage along the majority of the
right side which included scrapes and dents, along with red paint transfer from Unit#1.
The collision diagram is an accurate illustration of the events leading up to the collision.
I provided an exchange of information to Lynn-Robertson and Ngo. During the investigation, I
reviewed Ngo's insurance policy, which was a photo of a Progressive card, policy number
09468264839 which expired on 08/15/2024. 1 asked Ngo if he could get another copy of the updated
card and he said he could get it from Trang H. Vu (DOB 09/23/2000), who was the owner. I contacted
Progressive and was advised their policy numbers are only nine digits long and they could not locate
a record for Trang Vu using the provided number. I returned to Ngo and looked again at the insurance
card he provided which now showed a date of 08/15/2025, which was clearly in a different font and
appeared to have been photoshopped or altered onto the card.
I asked Ngo about the alterations, and he stated the card was sent by Vu's mother and he didn't know
anything about the alterations.
I issued Ngo an infraction, infraction 4A0567897, for making an unsafe lane change and for operating
a motor vehicle without insurance. I provided Ngo with a copy of the citation and explained it to him.
I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State
of Washington, the foregoing is true and correct.
Electronically signed by Officer P. Lantagne #12575 at 1800 hours on 08/21/2024 at Renton, WA.
PAGE 3 OF 4
REPORT NO. EF07472 CASE# 24-8819 DATE AND TIME 08/21/2415:32
OF COLLISION
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