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HomeMy WebLinkAbout24-9166 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 INTERSTATE ❑ CITY STREET FIRE ❑ CASE 24-slss z RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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# cawsloN 08 - 1-- 2024 2312 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SE PETROVITSKY BLOCK NO. e✓ 11600 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e 116THAVE SE 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2068527656 0 11 30 6� LAST NAME PROCTOR-MILLS FIRSTNAME RAY MIDDLE D 1 1 2 31 INITIAL STREET ❑ 19319 114TH PL SE CITY KENT ST WA ZIP 98031 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs 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 LICENSE CMR0762 sTATe WA vN# 19UUA56962A047968 10 1❑ PI ATE� 11 C 3 5.... TRAILER STATE TRAILED STATE PLATE# PLATE# IR.. ro TRLR. A'RLR. 1 5 33 12 3 5 VIN#j VIN# :: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[AWk GOVT.VEHICLE 34 13 4 2002 ACUR TL SD DAMAG 7 3 E YES NO YYES[:] ✓No REGISTERED OWNER INFO KIZZIE WRIGHT 19319114TH PL SE.KENT WA 98031 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO 4 IN EFFECT &POLICY# 9TOP VEHICLE 5 36 LEGALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065795302 16 a LAST NAME SINGLETON FIRST NAME FALON MIDDLE M INITIAL 17 STREET❑ NEW ADOREss❑' 8836 9TH AVE SW,APT 1 CITY SEATTLE ST WA ZIP 98106 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED � 38 INTERLOCKYES�NO INTERLOCK Y�EsI I I NOF YES t l NO� 19 D IVEW # STATE WA ]SEX IF M D.C.B. 10 _ 14 1983 39 20❑ ON DUTY STATUS AIRBAG,3 RESTR 2 EJECT 1 WEB SET 2 NJAU SY 6 LEFT ARM PAIN AND TINGLING ❑F—NATURE OF INJURIES 40 LICENSE I ❑21❑ PLA E# BLT7302 TATE 41 WA VIN# 1N4AL3AP8EC112629 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' I VEH YEAR 2014 MAKE j1//$$ MODEL SQL)'/Nj�Q STYLE $D DAMAGE TO ✓WED NOO BLIN TOWED BY GOV 44 Yr H BANKERS YES NO 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE I POLICY#E CO SAFECO H2502264IN STOP 5 'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM LEGALLY YES N J 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# T AGENCY 26 JAMAAL KEARSE 12994 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF10565 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9166 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ASHLEY TYLER K (LAST FIRST, ADDRESS&PHONE# D O.B. ' 2701 SE 10TH ST UNIT 1095 RENTON WA 98058 2062500621 SEX M MMDovyry 05 - 08 - 2002 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) KEKIC ISABELLE M ADDRESS&PHONE# D O B 10930 SE 172ND ST APT J206 RENTON WA 98055 3313020031 SEX' F MMopvvvv 03 _ 03 _ 2003 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. 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. JAMAAL KEARSE 09-01-24 03:13 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 91112024 8:30:20 AM BADGE OR ID# 12994 OR]# WA0171300 TIME POLICE DISPATCHED 11:12 PM TIME POLICE ARRIVED',11:13 PM PART Ei PAGE IT]OF 4� DATE AND TIME REPORT NO. EF10565 CASE# 24-9166 OF COLLISION08/31/2423:12 NARRATIVE Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State of Washington. This incident was captured on my body worn video camera and in-car cameras. This report is a summary of events that occurred and is not an exact sequencing of events. On 08/31/2024, at approximately 2312 hours I was dispatched to a report of collision with unknown injury at the intersection of SE Petrovitsky RD and 116th Ave SE. Dispatch advised it started as an automatic crash notification. Dispatch later advised a witness called in and confirmed there was an accident and one of the involved parties requested aid. The call was updated to a blocking collision with injury. At approximately 1322 hours I arrived on scene with my FTO, Officer Fajarillo. I observed 2 cars with significant damage to each of them. Fire was already on scene and evaluated both parties. The driver of Unit 2 was complaining of pain and tingling in her left arm. She was transported to Valley Medical. The other involved party was medically cleared by fire. Prior to my arrival, Officer Castain interview both involved parties. She relayed the following information to me. The Driver of Unit 1 advised the following. He was driving Southbound in lane 1 of 1 on 116th Ave SE approaching the intersection of SE Petrovitsky Rd. He drove into the intersection and realized he had a red light. The Driver of Unit 2 As she entered the intersection, she hit the front passenger fender and wheel well of his car with the front bumper of her car. The Driver of Unit 2 advised the following. She was driving eastbound on SE Petrovitsky Rd in lane 2 of 2 approaching the intersection of 116th Ave SE. As she was approaching the light at the intersection, she noticed it was green. She continued into the intersection. She saw the driver of Unit 1 was driving southbound on 116th Ave SE approaching the intersection of SE Petrovitsky Rd. He entered the intersection and she hit the front passenger fender and wheel well of his car with the front bumper of her car. I contacted a witness identified as Tyler K. Ashley DOB 05/08/2002 via WADL. He stated the following. He was driving eastbound on SE Petrovitsky Rd approaching the intersection of 116th Ave SE. He stopped at the redlight in the turn lane preparing to turn northbound onto 116th Ave SE. The Driver of Unit 1 was driving Southbound on 116th Ave SE approaching the intersection of SE Petrovitsky RD. The driver of Unit 2 was driving eastbound on SE Petrovitsky Rd approaching the intersection of 116th Ave SE. The driver of Unit 2 had a green light and entered the intersection. The driver of Unit 1 had a redlight and entered the intersection. Unit 2 hit the front passenger fender and wheel well of unit 1 with the front bumper of unit 2. 1 contacted a second witness identified as Isabelle M. Kekic DOB 03/03/2003 via WADL. She advised the following. She was driving northbound in lane 1 of 1 on 116th Ave SE. She was stopped at a redlight at the intersection of SE Petrovitsky Rd. The Driver of Unit 1 was driving Southbound on 116th Ave SE approaching the intersection of SE Petrovitsky RD. The driver of Unit 2 was driving eastbound on SE Petrovitsky Rd approaching the intersection of 116th Ave SE. The driver of Unit 2 had a green light and entered the intersection. The driver of Unit 1 had a redlight and entered the intersection. Unit 2 hit the front passenger fender and wheel well of unit 1 with the front bumper of unit 2. Both vehicles were unable to be driven of the road and had to be towed. They were both towed by Bankers. Based on the above statements, I believe that the driver of Unit#1 (Proctor-Mills) was the proximate cause for the cause of collision as he failed to obey the traffic signals running a red light. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer J. Kearse #12994 09/01/2024 0312 Hours Renton, King County, Washington PAGE 3 OF 4 REPORT NO. EF10565 CASE# ' 24-9166 DATE AND TIME 08/31/24 23:12 OF COLLISION � R t t, t r s. r w nr e „ t, a' t. t `ro, .vh•, ti t, s v � � PAGE 4 OF 4