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HomeMy WebLinkAbout24-10557 )STATE TFC 6 0 27I OCERAF EF71838 COLLISION REPRT 1591971 CASE# 24-10557 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3 COUNTY RD ❑ NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsloN' 10 - 09 - 2024 1119 17 =.= S 8 W e IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION DUVALL AVE NE BLOCK NO. e 1200 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 C------�.� FEET e S B W 0 1 29 MOTtlR PEDAL- DAMAG THRESHOLD MET PHON UNIT 01 E VEHICLE ❑ CYCLE ❑ YES No �/ D:7149443834 0 8 30 5 LAST NAME LEE FIRST NAME GRACE MIDDLE 1 1 2 31 INITIAL STREET 7954 GAYLEN RD CITY SAN DIEGO ST CA ZIP 92126 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES NO INTERLOCKYES No YES NO. 8 DRIVER'CENSE STATE CA SEX F MMOCSYY 03 - 10 - 1993 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 JHELM USEET 2 CLASS 1 NAruRE of INJURIES 2 I INJURY 10 as ENSrtEI BKT5033 STATE WA vN# WAIBNAFY7J2167162 3 11[—j-- TRAILER STATE TRAILER ,STATE 11 3 5 PLATE# PLATE# FROM TO TRLR TRL.R 5 1 33 12 3 5 VIN# vI. FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 9 9 34 13 4 201$ AUDI Q5 UT DAMAGE YES�NO� YES NO REGISTERED OWNER INFO ZHAOQING YANG 4600144TH PL SE BELLEVUE WA 98006 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ INSURANCE CO 2 3 4 14 TRAVELERS INSURANCE 979018448 IN EFFECT &POLICY# <DQ, VEHICLE CHARGE 36 YES❑NO❑ CITATION# 15❑ sTnNowc B 7 e MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT OZ VEHICLE ❑ OYDLE' ❑ ❑ PROPnWNFR YEs / No D:4254770917 16� LAST NAME TSYATSKA FIRST NAME YULIIA MIDDLE N INITIAL 17 F1 STREET ❑'❑ 31061 117TH PL SE CITY AUBURN ST, yyq ZIP 980923 37 375 NEW ADDRESS 1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 38 INTERLOCKYEs X YES0-01 YEs NO' 19 DRIVER'S STATE WA SEX F MDDY 05 _ 19 1997 39 LICENSE# DO.B. - HELMET INJURY' NATURE OF INJURIES 40 20❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT I USE 2 CLASS 1 ❑ 21 ILICENSE PLATE# 9NEB191 TATE CA VIN# WVGTMPE25MP062815 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2024 MAKE VOLT( MODEL FgSTBAC STYLE $D VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO YULIIATS1A1SRA31061117THPLSE.4..WA980923375 D:4254770917 VEHICLE NO.2 SHADE IN DAMAGES2AREA 2 3 �d LIABILITY INSURANCE INSURANCE CO TESLA INSURANCE TLA-CA-A-R-9992DMTC IN EFFECT &POLICY# t 9TOP veeicLe ,J—I CITATION# CHARGE tO BOTTOM Lecnttr YES N`[ 25 a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 C.CATALAN 12007 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF71838 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10557 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME YANG CHARLOTTE (LAST,FIRST,MIDDLE INITIAL} ADDRESS&PHONE# D O 207 LYONS AVE NE RENTON WA 98059 SEX' F MMoovvvv 01 - 03 - 2023 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES Q E] 1 POS. 9 2 11 1 USE 2 GLASS '1 ---� 'NAME (LAST FIRST,MIDDLE INITIAL) TSYATSKA DENYS ADDRESS&PHONE# 31061 117TH PL SE AUBURN WA 98092 SEX' M D.O.B. 12 _ OS _ 1993 MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER �WITNESSF-I UNIT# i 2 POS. 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B.M _T L----------� MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q' POS. USE GLASS r— ----j 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.CATALAN 10-10-24 11:58 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 31712025 2:23:57 PM BADGE OR ID# 12007 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 11:19 Aryl TIME POLICE ARRIVED 11:19 Aryl PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47 REPORT NO.` EF71838 CASE# 24-10557 O COLLI COLLISION TIME OF 10/09/24 11:19 COLLI NARRATIVE On October 09, 2024, at approximately 1119 hours, I was dispatched to a non-injury and non- blocking two-vehicle collision at the intersection of NE 12th St and Duvall Ave NE, within the City Limits of Renton, County of King, State of Washington. Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring immediate medical response at the time of report. There, I collected the involved parties driving documents and their independent recollection of events leading up to the collision. The driver of Unit 1 said she was traveling northbound in about the 1100 block of Duvall Ave NE just south of the intersection of NE 12th St. The driver of Unit 1 stated she was traveling directly behind Unit 2 and saw as Unit 2 was slowing for a flashing yellow light. The driver of Unit 1 stated that the driver of Unit 2 slowed faster than expected and attempted to stop her vehicle in time but was unable to and subsequently collided with the rear of Unit 2 causing minor damage to the front of Unit 1. The driver of Unit 2 said she was traveling northbound in about the 1100 block of Duvall Ave NE just south of the intersection of NE 12th St. The driver of Unit 2 stated she saw the yellow flashers (indicating that children were attempting to cross the road), so she brought her vehicle to a complete stop. While Unit 2 was stopped, Unit 1 collided with the rear of Unit 2 causing moderate damage to the rear of Unit 2. Based on the above statements, I determined that the Driver of Unit 1 is the proximate cause for the collision due to inattention causing a collision. The driver should have been paying closer attention to the movement of traffic in front of her. Unit 1 and unit 2 were able to be driven away without further incident, so an exchange of information was provided to all involved parties. No citation. Information only. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. C. Catalan 03/07/2025 Renton PAGE 3 OF 4 REPORT NO. EF71838 CASE# 24-10557 DATE AND TIME i 10/09/24 11:19 OF COLLISION �n 3 z a 4 { i v �t t PAGE 4 OF 4