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HomeMy WebLinkAbout24-10360 (j/".w�- .:.. II I III III I I II11 I IIII III II I SUPPLEMENTAL STATE OF EF22839 ' 7 27 . "i ,one COLLISION REP F 1591971 CASE 24-10360 2 INTERSTATE CITY STREET FIRE ❑ RESULTED STOLEN 1 1 STATE ROUTE ❑ OTHER ❑ VFHICIF ❑ LOCAL AGENCY 41UU 3[� HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED OBJECT 1 2 1 TRIBAL UN 75#OF 02 STRUCK 1 8 2$ RESERVATION I 2 3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY# coAT sloN 10 - 03 7- 2024 1446 17 a. S 8 W❑ OF IN 8 1070 3❑ 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SOUTH CARR ROAD BLOCK NO. 8✓ 700 .� 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 6❑ 142 00 FEET e✓ S ❑ W❑ 98TH AVE SDUTH OF11 29 MOTOR PEDAL- DAM ETHRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs ,/NO D:7177898888 0 7 30 6 LAST NAME YE FIRST NAME LONG MIDDLE 1 2 31 INITIAL STREET E:1' 73 CARMELLA DR CiTy CRYSTAL LAKE IL NEW ADDRESS S7 ZIP 600120000 z 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 IN7ERLOCKYES No INTERLOCK YES No YES NO 8❑ LICENSE STATE /L SEX!M MM flYY 01 - 04 - 1992 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 1HELM USEET INJUR SY 1 NATURE OF INJURIES 2 LIC NSE CHN7388 TA WA WIN# 3N1AB8CV6PY303050 3 10 9❑ RA TRAILER 11 3 0 PLATE# STATE PLATE# STATE FROM To TRLR TRLR. 3 7 33 12 3 0 VIN#' VIN# FROM TO VT,VEHICLE VEH.YEAR 2023 MAKE NISS MODEL SENTRA STYLE 4D VEHICLE TOWED TO BLIN TOWED BY GO g 9 34 13 DAMAGE YES No ✓ YES❑ 1NO REGISTERED OWNER INFO LONG YE 1621849THAVES TUKWILA WA 98188 VEHICLE NO. 1 ❑ SHADE 1N DAMAGED AREA 35 14 ABILITY INSURANCE INSURANCE CO PROGRESSIVE 984266979 4 IN EFFECT &POLICY# STOP VtwcLt 5 ❑ ecAL, YES❑No❑ CITATION# W24011669 CHARGE 36 FOLLOW VEHICLE TOO CLOSELY a BOTTo 15❑ nomc 6 MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE' ❑ OWNER ❑ YEs NO �/ D:2532300080 16� LAST NAME GARCIA FIRST NAME JELIZABETH MIDDLE' INITIAL 17 STREET El 25608 98TH PL S APT A105 CITY KENT I ST WA ZIP 980306 37 126 NEW ADDRESS ❑ 1$❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDfCALTRANSPORTED ❑ 38 1NTERLOCKvEs No INTERLOCK YES NO YES NO 19❑ DRIVER'# ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM USEET CLASS 1 NATURE OF INJURIES ❑ 40 21❑ LICENSE,D08098F TATf'WA VIN# 2HJYK16576H517950 ❑ 41 PLATE# TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42 23 43 TRLR RLR VIN#. '[N#, VEH.YEAR 2006 MAKE HOND MODEL RlDGEL►N STYLE TR DAMIAGE TOWED NOO✓ BLIN TOWED BY GO YES N HI 44 O 24 YES REGISTERED OWNER INFO JOVANNY GARCIA f35SW 143RD ST BURIEN WA 98166 D:2068805122 VEHICLE NO.2 SHADE IN DAMAGED AREA LIABILITY INSURANCE INSURANCE CO E 3 4 IN EFFECT &POLICY# t 4TOP venue .1-1 CITATION# CHARGE tOBOTTQM �ecnsLv YES N J 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MATTHEW NUGENT 11498 WA0171300 PARTA 9000-345-159. (R 11(181 PAGE 01 OF STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF22839 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10360 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) GUZMAN ALVARO ADDRESS&PHONE N, 135 SW 143RD ST BURIEN WA 98166 SEXi M MMDDD BYYY 04 - 09 - 1994 PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATUREOFINJURIES ❑' 2 POS. 19 2 4 1 USE I CLASS i1 ----� :NAME Lnsr FIPST,MIDDLE INITIAL) GARCIA ZURI C ADDRESS R PHONE# 135 SW 143RD ST BURIEN WA 98166 SEX' F MMDo BYr 06 _ 23 _ 2023 SEAT HELMET NJURY NATURE OF INJURIES PASSENGER a WITNESS❑!UNIT# 2 POS. ' 5 AIRBAG 2 RESTR. 11 EJECT 1 USE CLASS 1 U ----� NAME MIDDLE INITIAL) GARCIA ARIEL G (LOST,FIRST, AooREss a PHONE# 135 SW 143RD ST BURIEN WA 98166 SEXM I D.O.B. 10 _ 09 _ 2021 MMDDYYYY PASSENGER Z WITNESS UNIT# 1 2 SEAT 7 AIRBAG 2 RESTR. 10 EJECT 1 HELMET INJURY 5 NATUREOFINJURIES PGS USE CLASS C/O HEAD PAIN.EVAL'D SYRRFA 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. MATTHEW NUGENT 12-30-24 12:21 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 11812025 7.58:28 AM BADGE OR ID# ! 11498 ORI#1 WA0171300 TIME POLICE DISPATCHED 1 2:48 Pry/ TIME POLICE ARRIVED i 2:54 PM PART B 3000-345-100(R1Vt8) PAGE 0 OF F5 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF22839 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10360 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) GARCIA JOVANNY ADDRESS&PHONE# D� 135 SW 143RD ST BURIEN WA 981661529 2068805122 SEX' MMDDYYYY 12 - 08 - 1993 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑' 2 POS. 13 2 4 1 USE CLASS ;1 ----� :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. MATTHEW NUGENT 12-30-24 12:21 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1/8/2025 7:58:28 AM BADGE OR ID# ! 11498 ORI#1 WA0171300 TIME POLICE DISPATCHED 2:48 Pry/ TIME POLICE ARRIVED i 2:54 PM PART B 3000-345.160(R1Vt8) PAGE 3�OF F5 REPORT NO.1 EF22839 CASE# 24-10360 OF COLLI ION 10/03/24 14:46 OF COLLISION NARRATIVE 24-10360 On 10/03/2024 at approximately 1448 hours, I was dispatched to a two-vehicle collision with reports of injury just east of the intersection at South Carr Road and 98th Avenue South, within the City Limits of Renton, County of King, State of Washington. Officer C. Catalan arrived on scene prior to me and determined that one of the juvenile passengers of Unit#2 was complaining of head pain. The Renton Regional Fire Authority (RRFA) later arrived on scene and treated the involved driver. RRFA released all involved parties at the scene. Upon my arrival, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling westbound in about the 700 block of South Carr Road just east of the intersection of 98th Ave S. The driver of Unit #1 stated he was traveling directly behind Unit#2, and was within one car length of following distance, and saw as Unit#2 had come to a stop for queued traffic at the upcoming intersection. The driver of Unit#1 stated that he simply was unable to stop in time and subsequently collided with the rear of Unit#2 causing moderate damage to the front of Unit #1. The driver of Unit#1 claimed that they recently purchased the vehicle and have not obtain insurance for the vehicle yet. The driver of Unit#2 said she and four other occupants (1 adult and 3 juvenile) were also traveling westbound in about the 700 block of South Carr Road just east of the intersection of 98th Ave S. While Unit#2 was stopped for traffic, Unit#1 collided with the rear of Unit#2 causing minor damage to the rear of Unit#2. The driver of Unit#1 (Ye) violated RCW 46.61.145(1) Follow Vehicle Too Closely by being the driver of a motor vehicle and following another vehicle more closely than is reasonable and prudent, having due regard for the speed of such vehicles and the traffic upon and the condition of the highway. Based on the above statements, I determined that the Driver of Unit#1 (Ye) is the proximate cause for the collision due to following too closely causing a collision. Ye should have provided at least 3 car lengths following distance for the speed limit on that particular stretch of roadway. I issued Ye a Written Warning for Following Too Closely. I also issued the driver of Unit#2 a written warning for having no proof of motor vehicle insurance. Both involved vehicles were able to be driven away without further incident. An exchange of information was provided to all involved parties. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer M. Nugent#11498 10/3/2024 5:35 PM Renton, King County, WA. PAGE 4 OF 5 REPORT NO. EF22839 CASE# 24-10360 DATE AND TIME 10/03/2414:46 OF COLLISION ts � e f � �y st a ae�, yt;lt1 "� t } �l t sc t� t Y 3 � t �i �A v` PAGE 5 OF 5