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HomeMy WebLinkAbout24-9949 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-9949 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 4100 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 1705 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S.GRADY WY BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e SHATTUCKAVE S
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064093934 0 11
30
6❑ LAST NAME SANTOS FIRSTNAME EDWARD MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 3734 S 162ND ST CITY SEATAC ST WA 2jp, 98188 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
LOB 11 1- 10 - 1970 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMET CfSS 1 NATURE OF INJURIES z❑
3
10 $❑ PI ATE 14 ADX6251 JBTATIJ WA u N If YV4952CZ96159413
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13❑8 2011 VOLV XC9O UT DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO GEICO 4226-97.3222 3
IN EFFECT &POLICY# 9TOP
VIC CHARGE 1 5 36
LECALLEHLEv res❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ No D:2065515000
16 a
LAST NAME UANON FIRST NAME YONGYUT MIDDLE
INITIAL
17 NEW STREETREs7' 14708 SE 165TH PL CITY RENTON ST WA ZIP 98058 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 LDI IVERS STATE WA SEX M M D.C.B. 11 10 _ 1956 39
F—NATURE OF INJURIES
20❑ ON DUTY STATUS AIRBAG,3 RESTR 9 EJECT 1 H U NE ET LAU SY 6 RIGHT WRIST AND LEG PAIN DUE TO THE AIRB ❑ 40
❑21❑ PLATE# 801ZCX TATE 41
WA VIN1 4S3BH665027601751 1
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED eY Gov HI 44
VEH YEAR 2002 MAKE S(JB�Q MODEL LEGACY STYLE GA DAMAGE TOWED✓ NOO BLIN BANKERS YES!TN-
REGISTERED 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO PEMCO INSURANCE CA2192193IN STOP 5
VEHICLE YES[:] N
C[:] CITATION# CHARGE io BOTTOM
LEGALLY
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
YUSUF XBRIL 12490 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF17517
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9949
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SANTOS JESUSA L
(IAST FIRST,
ADDRESS&PHONE# D O.B.
3734 S 162ND ST SEATAC 2064191255 SEX F MMDDYyry 12 - 24 - 1969
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ 1 POS, 3 2 9 1 USE CLASS '1
NAME
(LAST,FIRST,MIDDLE INITIAL) UANON EMON N
ADDRESS&PHONE# DOB
14708 SE 165TH PL RENTON WA 98058 2065515000 SEX F MMDDYVYv 02 _ 07 _ 1960
SEAT HELMET INJURY NATURE of INJURIES
PASSENGER �WITNESS� UNIT# 2 POS 3 AIRBAG'3 RESTR, 9 EJECT 1 USE CLASS 6 CHESTPAtNDUETOAtRBAG
NAME
(LAST FIRST,MIDDLE INITIAL) MARSHALL ALICIA
AppRESS&PHONE# 2532273350 _
SEX V. D.O.B.I. _
MDDYYYY
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.
YUSUF JIBRIL 09-22-24 09:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 9/23/2024 1:26:08 PM
BADGE OR ID# 12490 ORI# WA0171300 TIME POLICE DISPATCHED 5:07 Pry] TIME POLICE ARRIVED',5:12 PM
PART I PAGE IT]OF 5�
REPORT NO. EF17517 CASE# 24-9949 OF COLLISION
09/22/24 17:05
OF CbLLI510N
NARRATIVE
On 09/22/2024 at approximately 1707 hours, I was dispatched to a vehicle collision with reports of
injury at the intersection of South Grady Way and Shattuck Ave S., within the City Limits of Renton,
County of King, State of Washington.
Upon my arrival, I observed heavy front-end damage to unit 2. Occupants of Unit 2 were complaining
of pain. The Renton Regional Fire Authority (RRFA) responded to the scene for evaluation. While on
scene, I collected each of the involved party's information and their independent recollection of the
events leading up to the collision.
The driver of Unit#1 stated that he had one passenger in the front seat and prior to the collision he
was traveling eastbound in about the 400 block of S. Grady Way approaching the controlled
intersection of Shattuck Ave South in lane 3 of 3 (left-turn lane). The driver of Unit#1 had pulled into
the left-turn lane and slowed to yield to traffic for an upcoming left-turn at the intersection. T The
driver of Unit#1 stated he intended to turn northbound onto Shattuck Ave south. The driver of Unit#1
stated that his traffic light was yellow and the traffic traveling westbound was backed up. The driver of
Unit 1 said a driver in lane 2 traveling of westbound traffic waved him to make the left turn. The driver
of Unit 1 not seeing Unit#2 traveling in the westbound lanes of South Grady Way which Unit#1
needed to traverse across. The driver of Unit#1 proceeded to make the left turn across the
westbound lanes of travel. While Unit#1 was turning, he noticed Unit#2 approach the same
intersection. The driver of Unit#1 stated that both vehicles collided in the intersection causing
significant damage to the rear passenger side quarter panel. The driver of Unit#1 and the passenger
of unit#1 did not report any injuries.
The driver of Unit#2 said he had passenger in the front seat and was traveling westbound in about
the 400 block of South Grady Way approaching the controlled intersection of Shattuck Ave S. in lane
1 of 3. The driver of Unit#2 stated he was intending to continue west. The driver of Unit#2 stated as
he continued going straight ahead through the intersection, the driver of Unit#2 saw Unit#1 turn in
front of his vehicle. The driver of Unit#2 stated he tried to swerve was unable to avoid the collision
and both vehicles collided causing significant damage to the front of Unit#2. The driver of Unit#2's
said his right hand and leg was in pain but was treated and released at the scene. The passenger of
Unit#2 was complaining of pain to her chest due to the airbag deployment. She was treated and
release on scene.
Based on the above statements, I determined that the Driver of Unit#1 (SANTOS) is the proximate
cause for the collision due to not granting the right of way during a left turn causing a collision. The
driver of Unit#1 violated RCW 46.61.185(1) by being the driver of a vehicle intending to turn to the
left within an intersection and not yielding the right-of-way to any vehicle approaching from the
opposite direction which is within the intersection or so close thereto as to constitute an immediate
hazard. The driver of Unit#1 (Santos) did not grant the right of way to Unit#2 traveling in the roadway
which had the right of way and was already underway. Due to Unit#1 having to traverse across
oncoming traffic, the driver of Unit#1 must wait until the intersection is clear of hazard prior to
proceeding.
Both involved vehicles had to be towed due to extensive damage cause. A business card and case
number 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.
PAGE 3 OF 5
REPORT NO. EF17517 CASE# 24-9949 OF COLLISION
09/22/24 17:05
OF CbLLI510N
NARRATIVE
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Traffic Control: TRAFFIC LIGHT
Motor Vehicle Unit 2
Traffic Control: TRAFFIC LIGHT
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO.! EF17517 CASE# ' 24-9949 DATE AND TIME 09/22/24 17:05
OF COLLISION
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