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HomeMy WebLinkAbout24-9792 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-9792 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 7 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# COLLISION.. O9 - 18 - 2024 0850 17 . N E IN� S 8 W H OF e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAIN AVE S BLOCK NO. e ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1.❑ FEET e S ❑ W e S 3RD ST 0 3 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:6028288095 0 3 30 6� INITIAL LAST NAME BRIGGS-HAND FIRSTNAME CHERISE MIDDLE D 1 1 2 31 STREET ❑✓ 601 BURNETT AVE S CITY RENTON ST WA 2jp, 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO YES R No�/ $❑ LICENS DRIVER # STATE WA SEX'F MID .O B 10 — 22 — 1986 1 2 32 —, [NATURE OF INJURIES 9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 . EJECT 1 H U EET CLASS 7 I COMPLAINT OF BACK PAIN z❑ 3 10 1❑ P1 ATE 14 CHS2270 sTATe WA v N# ZACCJABB4JPH83365 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM ro TRLR. TRLR. 5 3 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 3 34 13 2018 JEEP RENEG DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO SHANNON ADISKA 3206 E LEXINGTON WAYAPT 215 MERCER ISLAND WA 98040 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO GEICO 4554-86.88.79 3 4 IN EFFECT &POLICY# STOP VE—L' CHARGE 1 36 LEGALLY Yes❑NO❑ CITATION# 10 BOTTOM 15❑ ......G MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YEs NO 1/ D:2533291054 16 a LAST NAME EDWARDS FIRST NAME RUBERT MIDDLE A INITIAL 17❑ STREET �' 2824 D PL SE APT D CITY AUBURN ST WA ZIP 98002 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NO� INTERLOCK Y�EsI I I NOF YEs t l NO� 19� DRIVERS # STATE WA SEX M MMor w 01 08 _ 1981 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 1 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I C737346 TATe I WA VIN1t 1FVACWCS26HW43587 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2006 MAKE FRHT MODEL M2 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO�/ YES NO✓ REGISTERED OWNER INFO A-TEAM RELOCATION LLC PO BOX 5459 KENT WA 98064 VEHICLE NO.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU&PORGY#E CO VANLINER INS CO MMA301170001IN 1GQ 5 VEHICLE ❑ ,.I—I CITATION# CHARGE LEGALLY YES N`LJ 25 s � a 7.111CjEo-S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HNSON 0505 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF16375 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9792 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) NELSON DES/REE N (LAST FIRST, ADDRESS&PHONE# 2824 D PL SE APT D AUBURN WA 98002 2537365554 SEXi F MMDovyry 12 - 04 - 1991 PASSENGER I�I WITNESS❑ UNIT# 2 pOS ' 3 AIRBAG 1 RESTR. 4 EJECT ? I HELMET LASS NAruRE of INJURIEs L�!1 USE CLASS '1 NAME (LAST,FIRST,MIDDLE INITIAL) JARED ADDRESS&PHONE# DOB 405 S 7TH ST BANKERS TOWING RENTON WA 98057 4252553448 SEX M MMoovvvv - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ 0 POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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. CO.JOHNSON 09-19-24 10:55 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 9/19/2024 12:00:01 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED', 8:53 AM TIME POLICE ARRIVED',8:53 AM PART I PAGE 2�OF❑ E AND REPORT NO. EF16375 CASE# 24-9792 OF COLLISION 09/18/24 08:50 OF COLLISION NARRATIVE U1 NB In #1, U2 NB In #2; both vehicles turned right at intersection; passenger rear corner of U2 impacted driver side of U1 On 09-18-2024 at about 0853 hours, I was flagged down about a collision that occurred at the intersection of Main Ave S and S 3rd St in the City of Renton, County of King, Washington State. Bankers Towing driver Jared said he witnessed a collision in the area while looking in his mirror. Jared said a car went into the lane of a truck and the vehicles collided. Jared directed my attention to the parking lot of 200 Mill Ave S where the involved vehicles had stopped. The driver of Unit 02 was identified by WA DL and admitted to driving the listed vehicle. The driver said he was not injured as a result of the collision and was wearing a seatbelt. Unit 02 was northbound in lane #2 of the 300 block of Main Ave S. Unit 02 intended to turn right (eastbound) onto S 3rd St which becomes Houser Way South shortly after the intersection. Lane #2 of Main Ave S is intended for vehicles continuing northbound or turning eastbound with markings on the roadway and signs on the traffic signal pole. The driver of Unit 02 said Unit 01 came into his lane travel while turning and collided with his vehicle. The passenger of Unit 02 was identified by WA DL and said she was not injured as a result of the collision and was wearing a seatbelt. The driver and sole occupant of Unit 01 was identified by WA DL and admitted to driving the listed vehicle. The driver complained of back pain as a result of the collision and said she was wearing a seatbelt. Unit 01 was northbound in lane #1 of the 300 block of Main Ave S and intended to turn right (eastbound) onto S 3rd St. Lane #1 is intended only for vehicles turning eastbound with markings on the roadway and signs on the traffic signal pole. The driver of Unit 01 said Unit 02 collided with her vehicle while in the turn. The driver of Unit 01 said she was new to the area, not familiar with the roads and did not know where the vehicles were on the roadway at the time of the collision. I did not observe any significant new damage to Unit 02. The driver of Unit 02 said the passenger side rear corner of Unit 02 collided with the driver side of Unit 01. Unit 02 is a large commercial box truck. I observed moderate damage to the driver side of Unit 01 from the rear to the front of the vehicle. The damage appeared to have been caused by the rear corner of Unit 02 moving forward along the side of Unit 01. There are no City of Renton traffic cameras that record video at this intersection. I know of other collisions that have occurred under similar circumstances at this intersection. In the past, I have been the driver of a vehicle in lane #2 making a right turn and observed the vehicle in lane #1 make a lane change without a signal into lane #2 while in the turn or immediately after on numerous occasions. I have also observed large vehicles in lane #2 cross the lane dividing lines while making a right turn. Based on my experiences at this intersection, I exercise caution and maintain focus on all vehicles while making a right turn from either lane. I was unable to determine the precise location of the vehicles at the time of the collision. No citations or infractions issued. Report for information and insurance purposes. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF16375 r` POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-9792 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 2 USDOT 077949 ICC# VEHICLE TYPE 2 CARGO BODY 2 TYPE 2 ❑ 1 28 CARRIER NAME UNITED VAN LINES ....... 3 CARRIER ADDRESS ` CITY ST' ZIP' PLACARD 4 ❑ NAME # : :❑ NAME IF NO NUMBER SOURCE 1 AXLES 02 GI26000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NEW AnnRFrtP. CITY ST ZIP 6 5 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-I ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREET"[—] ❑ 16 NEn+AnnRFs.�' CITY'. ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER' TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. CO,JOHNSON 09-19-24 10:55 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 0505 O#I,WA0171300 JOHNSON 9/19/2024 PAGE F OF 3000-345-013(R 11118) REPORT NO.! EF16375 CASE# 24-9792 DATE AND TIME 09/18/24 08:50 OF COLLISION Text Not to S t t � tt s t � am pt rrz•• t, s I �t t� t PAGE 5 OF 5