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HomeMy WebLinkAbout24-10480 ("7—
STATE.w,-" .:.. TFFiNCERA �I I ��� III I I Iil I I�I1 II{ II I 6 27c .
COLLISION REP F 1591971
CASE# 24-10480 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4100 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
coATL s ory 10 - 08 - 2024 0254 17 a. S e W 8 IN
OF 8 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NONINTERSECTION ❑
TALBOT RD S BLOCK NO.
4a❑
MILE POST 8
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.= FEET e S e W 8 S RENTON VILLAGE PL
0 1 29
MOTOR PEDAL- DAM E THRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE YES ,/NO D:2063494142 0 4 30
6 LAST NAMESIMMONS FIRST NAME KATHLEEN MIDDLE A 1 1 2 31
INITIAL
STREET E:1' 1411 GRANTAVE S APT D202 CITY RENTON WA
NEW ADDRESS ST ZIP 98055 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED a
INTERLOCK YEs No,/ INTERLOCKYEs NOW YES Na,/
DRIVE STATE WA SEX'F MM flYY 09 - 10 - 1984 1 2 32
8❑ L
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES 2
LICnNSE BJK6824 STATE
WA WIN# 3G1BE6SM3JS548901
10 1❑ s
11 3 5 PLATE# STATE PLATE# STATE ROM To
RA
rRLR TRLR 5 1 33
12 3 5 VIN#' v1N#
FROM TO
13 4 VEH.YEAR2018 MAKE CHEV MODEL CRUZE STYLE HB VEHICLE TOWED 2NOn fBLIN TvR FBYMEYERS GOVV�ENOLI 3 5 34
❑ DAMAGE II1I._IIII -IIJJ
REGISTERED OWNER INFO OWNED BY DR/VER VEHICLE NO. 1
SHADE 1N DAMAGED AREA ❑ 35
4 LIABILITY INSURANCE INSURANCE CO ft 4
14 GE/CO 4502169321 �y
IN EFFECT &POLICY# 4.�TOP
VtwCLt CHARGE 5 ❑ 36
EGALl v YES❑NO❑ CITATION# ftOTTOM
15❑ --Nc e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE OWNER YES NO D:2064878591
16�
LAST NAME GARCIA FIRST NAME HILDA MIDDLE M
INITIAL t
17 STREET El 23240 88TH AVE S APT GG203 CITY KENT ST', Wq I ZIP 98031 4
NEW ADDRESS ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION pRESEIJT MEDfCALTRANSPORTED 38
W7ERLOCKYEs No INTERLOCkCvEs no YES No,�
19 DRIVER'#
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 40
USE CLASS COMPLAINT OF PAIN/N LEFT ARM
❑21❑ LICENSE CGS5477 TATE,WA vIN# 3FA6POLU7HR356967 41
1
PLATE#
42
22 PLATE#TRAILER STATE PLATE TRAILER STATE
23 43
TRLR RLR
VIN#. '[N#,
TOWED BY GO HI 44
VEH.YEAR 2017 MAKE FORD MODEL FUSIONS STYLE $D DAMIAGE TOWED✓ NOO BLIN GENE MEYERS YES NO�/
24
REGISTERED OWNER INFO HILDA GARC/A 2324088TH AVE SAPT GG203 KENT WA 98031 D:206487859f VEHICLE NO.2
SHADE IN DAMAGED AREA
LIABILITY INSURANCE INSURANCECO STATEFARM5392995E1347 2 3 4
IN EFFECT &POLICY# t ®TOP 5
venue ❑ .1-1 CITATION# CHARGE Cib BOTTOM
�ecn��v YES N J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
JAMAAL KEARSE 12994 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF24798
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10480
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE 0,SS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' NATURE OF INJURIES
❑ ❑ POS. I 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 10-08-24 04:36 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1011512024 11:52:06 PM
BADGE OR ID# 12994 ORI# WA0171300 TIME POLICE DISPATCHED 2:57 Aryl TIME POLICE ARRIVED i 3:00 AM
PART B 3000-345.160(R1Vt8) PAGE 0 OF 47
REPORT NO.1 EF24798 CASE# 24-10480 OF COLLI ION 10/08/24 02:54
OF COLLISION
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 10/08/2024, at approximately 0257 hours I was dispatched to a report of a collision with possible
injury at Talbot Rd S and S Renton Village Pl. Dispatch advised two motor vehicles involved with
airbag deployment and no injuries inside the vehicles. The two vehicles were blocking the roadway.
At approximately 0300 hours I arrived on scene. I observed 2 cars with significant damage to each of
them. Fire was called evaluated both parties. The driver of Unit 2 was complaining of pain in her left
arm but refused to go to the hospital. The other involved party was medically cleared by fire with no
complaints of injury.
The driver of Unit 1 relayed the following information to me. She was driving in lane 2 of 2 heading
northbound on Benson Dr S approaching the intersection of S Renton Village PI. The light turned red
just before she entered the intersection. She attempted to hit the brakes but somehow lost control of
the vehicle. She collided with Unit 2. She hit the driver side front wheel well and driver side door of
Unit 2 with the front bumper of Unit 1. Her vehicle had airbag deployment.
The driver of Unit 2 relayed the following information. She got off of 1-405 and was driving west bound
on the off ramp towards Talbot Rd S. As she was approaching the intersection she saw she had a
green light. She entered the intersection attempting to turn southbound on Talbot Rd S. She noticed
Unit 1 enter the intersection and was not able to break or move out of the way. The Driver of Unit 1 hit
the driver side front wheel well and driver side door of her car with the front bumper of Unit 1. Her
vehicle did not have airbag deployment.
Based on the information above, I believe the driver of Unit 1 to be the proximate cause of the
collision due to them failing to obey the traffic signals and running the 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 10/08/2024 0358 Hours Renton, King County,
Washington
PAGE 3 OF 4
REPORT NO. EF24798 CASE# 24-10480 DATE AND TIME 10/08/2402:54
OF COLLISION
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