HomeMy WebLinkAbout24-9702 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF16916 170
27
COLLISION REP FIT 1591971
SASE 24-9702 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.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#
COLLISION'. O9 - 1-— 2024 1742 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
160TH AVE SE BLOCK NO. e✓ 200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV a SE 2ND ST
1 2 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:8646337980 0 11
30
6� LAST NAME GUO FIRSTNAME LIRE MIDDLE 1 1 2 31
INITIAL
STREET ❑ 16226 SE 139TH CT CITY RENTON ST WA Zlp 98059 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO Z/ YES R No�/
❑ DRIVER'S' STATE VA SEX'F MM DAY' 06 1- 28 - 1988 2 32
8 LICENSE#
9 ON DUTY❑ INJURY [NATURE OF STATUS' AIRBAG 6 RESTR 4 EJECT 1 H ELM U EET 2 CLASS 6 SMALL CUT TOIES LEFT HAND 2❑
3
10 9❑ Pi ATNES# TUL3679 srATe VA vN# 2HKRW1H50KH510303
5 TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 2 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 1 5 34
13 4 2019 HOND CRV I'4 YES NO � �MEYERS TOWING YES[:] No✓
DAMAGE
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 985672776 4
IN EFFECT &POLICY# TOPVEHCLE CHARGE 36
LEGALLYYES❑NO❑ CITATION# 4A0579052 FAIL TO YIELD MOTOR VEHICLE <1�3
orrom
15❑ STANDING 7 6
1.' MOTOR PEDAL-: PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE ❑ PEDESTRIAN ❑ OWNER ❑ YES�/ NO D:2064829728
16 a
LAST NAME MAK FIRST NAME KWAI MIDDLE S
INITIAL
17 STREET I❑ 14418 161 ST AVE SE CITY RENTON ST WA ZIP 98059 37
NEW ADDREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX M D.C... 09 _ 17 1959 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H EET 2 NJAU EY 7 COMPLAINT OF NECK/SHOULDER PAIN ❑F—NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# BAL4637 TATE 41
WA vIN# 4S4BRBHC183350470 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED eY Gov HI 44
VEH YEAR 2011 MAKE SUBA MODEL OUTBAC STYLE P4 DAMAGE TO WED✓ NOO BLIN GENEMEYERS TOWING YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO ALLSTATE 817773607IN STOP 5
IEwcLE ❑ ,J� CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES N J
' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
D.NELSON 12421 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF16916
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9702
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(/AST FIRST,MIDDLE INITIAL) ZOU MOYI
ADDRESS&PHONE# D O.B.
16226 SE 139TH CT RENTON WA 98059 SEX i F MMDOYyry 01 - 04 - 2021
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 1 pp5, 9 6 10 1 USE 1 2 CLASS 1
NAME
'(LASTr FIRS' MIDDLE INITIAL)
ADDRESS&PHONE# Ly O
SEX MMDDYvvv
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
D.NELSON 09-15-24 06:55 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 9/21/2024 5:44:29 AM
BADGE OR ID# 12421 OR]# WA0171300 TIME POLICE DISPATCHED! 5:44 PM TIME POLICE ARRIVED i 5:48 PM
PART Ei PAGE IT]OF 4�
REPORT NO. EF16916 CASE# 24-9702 OF COLLISION
09/15/24 17:42
OF CbLLI510N
NARRATIVE
24-9702
On 9/15/2024 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a two-vehicle collision in the intersection of 160th Ave
SE and SE 2nd St Renton/King/WA. Involved parties were calling in the collision.
I arrived on scene and spoke with the driver of a gray 2019 Honda CRV VA/TUL3679, she identified
herself by her Virginia DL as Lijie Guo DOB: 6/28/1988. Lijie said she was entering the intersection
heading west when she was struck by the Subaru Outback. Lijie had a stop sign before crossing
160th Ave SE, north and southbound traffic on 160th do not have any stop or yield signs. The Honda
had extensive damage to the front bumper and a combination of airbags deployed. Lijie's daughter,
Moyi Zou DOB: 1/4/2021 was in the right rear passenger seat in a forward-facing toddler car seat,
she was evaluated by RRFA personnel and cleared at the scene.
I then spoke with the driver of the 2011 Subaru Outback WA/BAL4637, who was identified by his
WADL as Kwai S Mak DOB: 9/17/1959. Kwai did not speak English but had a family member to
translate. Kwai said that he was driving south on 160th Ave SE when the Honda pulled out from the
east side of the intersection and struck him. There was damage to the driver side front quarter panel
and front bumper of the Subaru.
Kwai had a complaint of neck and shoulder pain but said he did not want to seek further medical
treatment. Lijie had a small cut on her left hand but also refused further medical treatment. Both Kwai
and Lijie were evaluated by RRFA personnel and cleared at the scene.
The damage to both vehicles was consistent with the account of events. Both vehicles were removed
from the scene by Gene Meyer Towing.
Based on Lijie's statement and the statement of the other driver I believe Lijie failed to yield to the
right of way of oncoming traffic.
I competed a sector citation #4a0579052 for RCW 46.61.180 Failure to Yield Right of Way Motor
Vehicle for Lijie.
This citation should be mailed to her.
Nothing further.
PAGE 3 OF 4
REPORT NO.! EF16916 CASE# ' 24-9702 DATE AND TIME 09/15/24 17:42
OF COLLISION
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PAGE 4 OF 4
