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HomeMy WebLinkAbout24-9951 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
SASE 24-9951 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 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 1758 17 =-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
VASHONAVENE BLOCK NO. M500 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S B W e NE 5TH CT
OF 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
No ,/ I D:2064461319 0 11
30
6� LAST NAME TRAN FIRSTNAME MICHELLE MIDDLE N 1 2 31
INITIAL
STREET ❑, 512 QUEEN PL NE CITY RENTON ST WA Zjp, 980563989 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO,/ INTERLOCKYEs NO�/ YEs No�/
8❑ D
RI
VERS STATE WA SEX'F MM DAY' 07 - O6 - 1994 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 1HELM
U EET 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CLV8416 STATE WA uN# 1HGCR3F81FA010820
10 9❑ pr ATE�
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM ro
TRLR. RLR 1 7 33
12 2 5 VIN#j VIN#
:: FROM TO
VEH.YEAR 2015 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 7 3 34
13 4 HOND ACCOR SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO PEMCO CA1001469 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 1 5 36
LEGALLY YES❑NO❑ CITATION# 4A0359620 IMPROPER PASSING ON LEFT Io BorroM
15❑ STANDING 7 6
MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�NiT 02 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES,/ NO D:2532413787
16 a
LAST NAME JOYCE FIRST NAME JADE MIDDLE I T
INITIAL
17❑ STREET NEW ADOREss❑' 565 CHELAN PL NE CITY RENTON ST WA ZIP 980595700 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑NO INTERLOCK yEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 07 01 1965 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLA E# AWS9051 TATE 41
WA VIN# WMWXM5C55F3A60161 1
42
22❑ PLATE# STATE PLATE ILER# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED BY Gov HI 44
VEH YEAR 2015 MAKE MNNI MODEL COOPER STYLE HB DAMAGE TOWED NOO✓ BLIN YES
NO,�
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO PEMCO CA0720846IN I 970E 5
'E""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF18457
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9951
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R 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.
C.ARNOLD 09-22-24 06:52 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 9/26/2024 4:00:41 AM
BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED; 6:01 PM TIME POLICE ARRIVED 6:11 PM
PART I PAGE IT]OF 4�
REPORT NO. EF18457 CASE# 24-9951 OF COLLISION
09/22/24 17:58
OF CbLLI510N
NARRATIVE
On 9/22/2024 at 1801 hours, I was dispatched to a motor vehicle collision at Vashon Ave NE and NE
5th Ct.
Pre-Collision
Unit 1's driver stated that she was traveling South on Vashon Ave NE approaching NE 5th Ct.
Unit 2's driver stated that he was traveling East on NE 5th Ct approaching Vashon Ave NE.
Collision
Driver 1 stated that as she entered the intersection, she performed a righthand turn to proceed West
on NE 5th Ct from Vashon Ave NE. While doing so, Driver 1 stated that she was looking at a couch
that was on the South side of the roadway on NE 5th Ct. Driver 1 stated that she did not see Unit 2
and the front drivers side bumper of Unit 1 collided with the rear driver's side quarter panel of Unit 2.
Driver 1 then proceeded to pull to the South side of NE 5th Ct and park awaiting Police. Driver 1 later
claimed that there was a vehicle parked near a no parking within 15 feet sign that obstructed her
view. Based on the location of the collision, there was ample space for her to maneuver her vehicle
without crossing left of center of the roadway.
Driver 2 stated that as he was approaching Vashon Ave NE from NE 5th Ct, he observed Unit 1 cross
left of center when performing a righthand turn. Driver 2 stated that the front drivers side bumper of
Unit 1 collided with the rear driver's side quarter panel of Unit 2. Driver 2 stated that Driver 1 crossed
left of center of the roadway when entering the turn.
Injuries
Neither driver complained of injuries.
Vehicle dispositions
Both vehicles were drivable.
Proximate Cause
Based on the above statements, 1 determined that Driver 1 is the proximate cause for the collision
due to violating RCW 46.61.120 for crossing left of center of the roadway while the left side of the
roadway was not free of oncoming traffic.
Final disposition
Driver 1 was cited with SECTOR citation #4A0359620.
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 C. Arnold #12509 on 9/22/2024 at 18:40 hours in the City of Renton.
PAGE 3 OF 4
REPORT NO.! EF18457 CASE# ' 24-9951 DATE AND TIME 09/22/24 17:58
OF COLLISION
2
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PAGE 4 OF 4