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HomeMy WebLinkAbout24-8894 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-8894 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AGENC 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. O8 - 1-- 2024 1602 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE 168TH ST BLOCK NO. e✓ 12500 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 125THAVESE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:9493104297 0 11
30
6� LAST NAME MARTIN FIRSTNAME BEVERLY MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 2461 HILLIS DR CITY LANGLEY ST WA ZIP 98260 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 USE 2 1 CLASS NATURE OF INJURIES z❑
3
10 9❑ Pi ATE 14 CKC5108 STATE WA v N# YV4BCOPL1H1169382
TRAILER STATE TRAILED STATE
11 2 5 PLATE# PLATE# FROM To
TRLR. TRLR $ 1 33
12 3 0 VIN#' VIN#
>;. FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 3 7 34
13 4 2017 YOLK UTILITY SD DAMAGE YES NO �MEYER YES❑ No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO USAA 035371256G 3 4
IN EFFECT &POLICY# 9TOP
15❑ vEGAEHA"LE 5 36
LLLY YES�No D CITATION# 4A0701492 CHARGE FAIL TO YIELD MOTOR VEHICLE )o eorrom
STANDING 8 7 6
UNIT a2 VE IMOTOCLE CYCLE ❑ PEDESTRIAN ❑ OWNERTY ❑ DES 1/ NO OLD MET PHONE
16 a
LAST NAME STERNOD FIRST NAME DESTINY MIDDLE I A
INITIAL
17❑ NEW STREETR 12758 S
7 E 168TH ST CITY RENTON ST WA ZIP 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NoF,/
19 DRIVER'S STATE WA ]SEX IF D.O.B. 05 _ 20 _ 1998 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS HEAD PAIN
LICENSE I ❑21❑ PLA E# BZD6935 TATE 41
WA VIN# JTEAAAAHOMJ012639 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 2021 MAKE TOYT MODEL VENZA STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO TIFFANY STERNOD-CHILDRESS 12758 SE 168TH ST RENTON WA 98058 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO FARMERS GROUP 632134097-3IN 9TOP 5
VEHICLE I CITATION# CHARGE i o BOTTOM
LEGALLY YES❑ N
,.I—
25 ' a
7B-
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M/N FLICK 12825 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF07887
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8894
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.
BENJAMIN FLICK 08-23-24 06:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 8/23/2024 7:29:46 PM
BADGE OR ID# ! 12825 OR]# WA0171300 TIME POLICE DISPATCHED 4:04 Pry/ TIME POLICE ARRIVED',4:14 PM
PART I PAGE IT]OF 4�
REPORT NO. EF07887 CASE# 24-8894 OF COLLISION
08/23/24 16:02
OF CbLLI510N
NARRATIVE
24-8894
On 08-23-2024 at approximately 1602 hours I was working a marked Renton Police Department
patrol in full uniform in the city of Renton, King County, Washington. I responded to a motor vehicle
collision at SE 168th ST, at the cross of 125th AVE SE.
I spoke to the driver of unit 01 (driver Martin). She told me that she had stopped at the stop sign
northbound on 125th AVE SE and then accelerated forward to go straight across SE 168th ST. She
said that she did not see any approaching vehicles before she proceeded.
I spoke to the driver of unit 02 (driver Sternod). She told me that she had been proceeding westbound
on SE 168th ST when unit 01 pulled out from the stop sign. Driver Sternod told me that she did not
have time to stop and she swerved to attempt to avoid the collision, but unit 01 still collided with her
vehicle on the driver side.
I observed that unit 02 had come to a rest by colliding with a small electrical box on the Northwest
corner of the intersection. I also observed that unit 02 did not have any traffic control devices, nor
signs, applicable to her.
I determined that the proximate cause of this collision was that unit 01 driver failed to yield right of
way to unit 02.
Both parties were provided with the case number and an exchange of info.
I wrote driver Martin a Sector citation for failure to yield right of way and served her the citation.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by B. Flick 12825 on 08-23-2024 in Renton, WA.
PAGE 3 OF 4
REPORT NO. EF07887 CASE# ' 24-8894 DATE AND TIME 08/23/24 16:02
OF COLLISION
Unit 01 N
not to scale Unit02
SE 188th ST
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u,
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PAGE 4 OF 4