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HomeMy WebLinkAbout24-8918 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-8918 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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.. 08 - 1-- 2024 0858 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 5TH PL BLOCK NO. e✓ 500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FMILES EET e S ❑ E e MAPLE AVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2068835153 0 11
30
6❑ LAST NAME ONG FIRSTNAME EDORLAN MIDDLE T 1 1 2 31
INITIAL
STREET ❑✓ 510 STEVENS AVE SW S104 CITY RENTON ST WA 21p 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8 LICENSE# STATE WASEX'M MMDDYY 09 — 08 — 1981 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CGG8209 sTArI WAurN# 4S46TGLD4P3167764
10 F91 PI ATE#
TRAILER STATE TRAILER STATE11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 1 3 33
12 2 5 VIN#' VIN#'
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 2 2023 SUBA OUTBA 4H DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO EDORLAN ONG 110 STEVENS AVE SWAPT S104 RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO STATE FARM 4814975E2347A 3 4
IN EFFECT &POLICY# STOP
15❑ LE
vEGALLv HICLE 5 36
YES�No D CITATION# 4A0638896 CHARGE FAIL YIELD LEFT TURN MOTOR io Borrom
STANDING 8 7 6
MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN YE
❑ OWNER ❑ S 1/ NO D:2069465540
16 a
LAST NAME URIBE DE NIZ FIRST NAME ARTURO MIDDLE M
INITIAL
17❑ STREET ❑', 10021 9TH AVE SW CITY SEATTLE ST WA ZIP 98146 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES
t l NO
19 DRIVE STATE MX SEX M MMDDYY 04 19 _ 2002 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I CDV0015 TAre WA vIN# WDDGF4H84DR265778
❑ 41
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2013 MAKE MERZ MODEL C CLASS STYLE 4D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO RICARDO MARTINEZ 100219TH AVE SW SEATTLE WA 98146 D:2064764785 VEHICLE NO.2
SHADE IN DAGELLAREA
z Cdd
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY Y.
I STOP 5
--E Yes Nc❑ CITATION# 4A0638895 CHARGE
...LY OP MOT VEH W/OUT INSURANCE 1 o BOTTOM
25 s � e
7.FF NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF08339
COLLISION REPORT III III III III III 111
1591972 CASE# 24-8918
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(LAST FIRST,MIDDLE INITIAL) ONG MARYR
ADDRESS&PHONE#
510 STEVENS AVE SW APARTMENT S104 RENTON WA 98057 2068835153 SEXi F MSEAT IMDOYyry 02 - 26 - 1987
PASSENGER Z WITNESS UNIT# USE CLASS 1 POS. 3 AIRBAG 2 RESTR. 9 EJECT 1 HELMET LASS NATURE OF INJURIES
: 11
NAME
(LAST,FIRST,MIDDLE INITIAL) ONG MARY M
ADDRESS&PHONE# DOB
510 STEVENS AVE SW APARTMENT S104 RENTON WA 98057 2068835153 SEX IF MMDDYYYY 08 _ 26 _ 2012
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS 7 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1
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.
SHAWN CROW 08-24-24 04:20 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
QUINT TIBEAU 07691 1 8/25/2024 1:41:35 PM
BADGE OR ID# ( 12618 OR]# WA0171300 TIME POLICE DISPATCHED! 9:11 AM TIME POLICE ARRIVED]9:36 AM
FART I PAGE IT]OF 4�
REPORT NO. EF08339 CASE# 24-8918 OF COLLISION
08/24/24 08:58
OF CbLLI510N
NARRATIVE
CC
On 08/24/2024 at about 0911 hours I was dispatched to a non-injury motor vehicle collision that
occurred in the 500 block of SW 5th PI within the city limits of Renton, King County, Washington.
Driver 1 (Edorlan Ong) said he turned his vehicle (Unit 1-2023 Subaru Outback with Washington
state license plate CGG8209) left onto SW 5th PI as he exited the parking lot at the Alaire Apartments
(510 Stevens Ave SW). As Unit 1 began to make the left turn its front end collided into the area of the
rear passenger side door of Unit 2 (2013 Mercedez Class C with VIN WDDGF4HB4DR265778).
Driver 2 (Arturo Misael Uribe De Niz) was traveling westbound on SW 5th PI at the time of the
collision. Neither driver (or any passengers inside Unit 1) was injured, and both vehicles were
driveable. It was raining at the time of the collision, and the roadway was wet.
Driver 1's actions appeared to contribute to the circumstances of the collision as he made a left turn
without yielding to oncoming traffic. Driver 1 claimed that Unit 2 was traveling at a high rate of speed
at the time of the collision.
Driver 2 (Arturo Misael Uribe De Niz) provided a current driver's license from the country of Mexico,
and he informed me he recently came to the United States of America. Driver 2 did not have proof of
motor vehicle insurance when I requested it. The owner (Ricardo G. Martinez) of Unit 2 was on
scene to assist his friend (Driver 2), and to assist with translating Spanish to English for Driver 2 who
spoke Spanish. It should be noted that the title for Unit 2 has not been transferred to Ricardo, but
Ricardo claimed he bought the vehicle about 10 days ago. Ricardo claimed he is working on getting
the title transferred.
I completed an infraction (4A0638896) against Edorlan T. Ong for failing to yield while making a left
turn (RCW 46.61.185.1), and the infraction was sent to the court for mailing. I also completed an
infraction (4A0638895) against Arturo Misael Uribe De Niz for operating a motor vehicle without
insurance (RCW 46.30.020), and the infraction was sent to the court for mailing.
PAGE 3 OF 4
REPORT NO. EF08339 CASE# 24-8918 DATE AND TIME 08/24/24 08:58
OF COLLISION
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PAGE 4 OF 4