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HomeMy WebLinkAbout24-10350 ("7—
STATE.w,-" .:.. TFFiN27CERAc REPORT NO. EF22190 570
00LLISION REP F 1591971
CASE 24-10350 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 $ 2$
RESERVATION z
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
coAT sloN 10 - 03 - 2024 1044 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE S BLOCK NO. 8✓ 77 .�
4a❑ MILEPOST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S e W B
OF 3 29
MOTOR PEDAL- DAM E THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ,/No D:8312568373 0 1 30
6 LAST NAME CADELINA FIRST NAME AMELYN MIDDLE' S 1 2 31
INITIAL
STREET E:1' 416 LIND AVE NW CITY RENTON WA
NEW ADDRESS S7 ZIP 980573444 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALNO TRANSPORTED 3
INTERLOCK YES No INTERLOCKvES No YES Na
DRIVE STATE WA SEX'F MM flYY 08 - 20 - 1985 1 1 2 32
8❑ L
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES 2
LICnNSE BHW5805 STATE WA WIN# 3MZBM1K78FM136084
10 1❑ 3
11 3 5 PLATE# STATE TRAIPLATE# STATE ROM To
RA
TRLR TRLR 3 1 33
12 3 5 VIN#' v1N#
FROM TO
13 4 VERYEAR2015 MAKE MAID MODEL 3 STYLE VEHICLE TOWED 2NOn fBLIN tIHNK RSTDWING GOVT,VEHIOCL✓ 1 5 34
❑ DAMAGE II1I�_IIII tlAlVt(t ccJllu—'II
REGISTERED OWNER INFO AMELYN SUGA80416 L/ND AVE NW RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE 1N DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO ft 4
14 TRAVELERS INSURANCE 6073804142031
IN EFFECT &POLICY# STOP
VEHICLE CHARGE 5 ❑ 36
EGALl v YES[:]NO[:] CITATION# 10 ftOTTOM
15❑ GT—N. 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE OWNER YES 1/ NO D:2063547836
16�
LAST NAME RISER FIRST NAME GARRETT MIDDLE L
INITIAL
17 F1 STREET El 5901 S LANGSTON RD CITY SEATTLE I ST', WA ZIP 981783 37
559
NEW ADDRESS ❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK ND IN7ERLOCKvEs uo vE5 NOR I
19❑ DRIVER'#
❑ ON DUTY[:]I I STATUS AIRBAG'.6 RESTR 4 EJECT 1 H U MEET 2 CLA SY 7 HEAD,BACK,NECK INJURY ❑ 40
21❑ LICENSE 1 CMK0365 TATf WA vIN# KNAE15LA1J6031368
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN#. '[N#,
44
VEH.YEAR 201$ MAKE K/A MODEL STINGER STYLE DAMIAGE ✓TOWED NOO BLIN TOWED BY GO BANKERS TOWING YES N HI O
Ct
24
REGISTERED OWNER INFO GARRETT RISER 5901 S LANGSTON RD SEATTLE WA 98178 VEHICLE NO.2
SHAD DAMAGED AREA
LIABILITY INSURANCE ✓ INSURANCE CO PATRIOT GENERAL 11408571368 3 4
IN EFFECT � &POLICY# O�;IQI
Venice ❑ UCITATION# CHARGELEGALLYYES N J25
71FFIIER�S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
TALAN 12007 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF22190
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10350
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) CADELINA JUBERT G
ADDRESS&PHONE# D�
1835 S 216TH ST APT B301 DES MOINES WA 981986586 SEX' MMDDYYYY B. 10 — 05 — 1986
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑ UNIT# , 1 POS. 3 AIRBAG 2 RESTR. 4 EJECT I USE 5 CLASS 7 Heap,aacK,aNn N CrcWJ.l
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS R PHONE#
SEX D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE OF INJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ ❑ POS. I 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.
C.CATALAN 10-03-24 02:13 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 10/7/2024 12:24:21 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 10:45 AM TIME POLICE ARRIVED i 10:48 AM
PART B 30e0-345.160(R1Vt8) PAGE 0 OF 47
REPORT NO. EF22190 CASE# 24-10350 OF COLLI ION 10/03/24 10:44
OF COLLISION
NARRATIVE
On October 3, 2024, at approximately 1044 hours, I was dispatched to a blocking vehicle collision at
the Brown Bear Car Wash, 77 Rainier Ave S, within the City Limits of Renton, County of King, State
of Washington.
Upon arrival, I confirmed that the collision was injury involved collision. There, I was able to collect
each involved party's information and independent summary of the events leading up to the collision.
The driver of Unit 1 said she was exiting the parking lot of Starbucks 68 Rainier Ave S and intended
to make a right turn (go north) so she could approach the upcoming intersection of Airport Way and
make a left turn. The driver of Unit 1 stated that there was traffic accumulating along the roadway and
in attempt to avoid the traffic, she drove around the line of vehicles and drove into the oncoming
(southbound) lane. The driver of Unit 1 stated she proceeded to make a right turn, but Unit 1 and Unit
2 collided in the roadway causing the severe damage to unit 1's vehicle.
The driver of Unit 2 said he was the sole occupant of his vehicle and was also traveling southbound
on Rainier Ave S. The driver of Unit 2 stated he was intending to continue straight towards S 2nd St.
Upon Unit 2 approaching where Unit 1 was located at, Unit 2 saw as Unit 1 had turned in front of him
and into his lane of travel. The driver of Unit 2 attempted to avoid the collision but was unable to and
subsequently collided with Unit 1. Unit 2 suffered severe damage to the front of the vehicle.
Based on the above statements, I determined that the driver of Unit 1 is the proximate cause for the
collision as they violated RCW 46.61.290 which covers right turns and stated that "both the approach
for a right turn and a right turn shall be made as close as practicable to the right-hand curb or edge of
the roadway."
Unit 1 and unit 2 sustained severe damage to the front of their vehicles, so they were towed away by
Bankers Towing.
An exchange of information was provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF22190 CASE# 24-10350 DATE AND TIME 10/03/2410:44
OF COLLISION
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PAGE 4 OF 4