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HomeMy WebLinkAbout24-10801 )STATE
TFcN 5 0 27i 1
Oc� RA EF27042
COLLISION REPRT 1591971
CASE# 24-10801 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 ❑STATE ROUTE OTHER STOLEN VEHICLE ❑ LOCAL AGENCY 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY ❑ INVOLVED
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SOBJECT 7RUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
COLLISION' 10 - 17 - 2024 0744 17 =.= S 8 W e IN OF e 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
NE 4TH ST BLOCK NO. e 3131 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------�.� FEET e S B W
0 1 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4256526965 0 1 30
6❑ LAST NAME SOSA NINO FIRST NAME NARAHI MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 15414 SE 128TH ST CITY RENTON ST I WA ZIP 980598502 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NOW] INTERLOCKYEs NO�/ YEs No,/
8 DRIVERS
STATE WA SEX F MMoCSYY' 04 - 10 - 1991 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET INJURY
CLASS 1 NAruRE of INJURES 2
10 LI ENS1tEI BSS2284 STATE WA VIN# 1FAHP3FN1AW267879 3
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 0 0 PLATE# PLATE#
rRLR rRLR, 3 7 33
12 0 0 VIN# VIN#
FROM TO
VEH.YEAR 2010 MAKE FORD MODEL FOCUS STYLE VEHICLE TOWED ONOP
LS46LIN Tv4 �BYMEYERS G�Sr`-IENp 3 7 34
DAMAGE II_II I_I
13 REGISTERED OWNER INFO NARAHI SOSA NINO 15414 SE 128TH ST RENTON WA 98059 VEHICLE NO. 1 ❑
❑ SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO SAME 3 4
IN EFFECT &POLICY# 4TOP
vEnicLE 5 36
LEcgLLY YES[:]NO[:] CITATION# CHARGE
7 0 80TTOM
15❑ STM ING 7 e
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE' ❑ ❑ nWNFR YEs,/ No D:2069533642
16�
LAST NAME HAKE FIRST NAME KENT MIDDLE' q
INITIAL
STREET ❑ 37
17 '❑ 16320 SE 13 8
5TH PL CITY RENTON ST, Wq ZIP 98059623
NEW AbORESS
1g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED' 38
INTERLOCKYEs ND jNTERLOCK YES No rEs NO
19 DRIVER' # STATE WA SEX,M MMDDYY 11 26 1974 ❑ 39
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICEN LATE� SH13462 rare WA vIN# KNDRKDLGOP5209138 41
22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2023 MAKE KJA MODEL SORENT STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO DONNA HAKE 16320 SE 135THPL RENTON WA 98059 VEHICLE NO.2
SHADE IN DAMAGEAREA
2 3
LIABILITY INSURANCE INSURANCE CO GEICO KNDRKDLGOP5209138
IN EFFECT &POLICY# 9TOP
HICL
LIAIL YES❑ N CL J CITATION# CHARGE CID BOTTOM
VEE
25 s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
ISABELLA DANILYUK 13001 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF27042
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10801
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD —F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----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.
ISABELLA DANILYUK 10-17-24 01:35 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY E
DAT
S.WOODWARD 11528 1012212024 5:05:39 AM
BADGE OR ID# 13001 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 7:44 AM TIME POLICE ARRIVED 7:44 AM
PART B 3 Do-345-,ao(Rtrras) PAGE 27 OF 47
EAN
REPORT No.` EF27042 CASE# 24-10801 OF COLLI COLLISION TIME 10/17/24 07:44
COLLI
NARRATIVE
24-10801
On 10/17/2024 at approximately 0744 hours, 1, Officer Danilyuk responded to an on-view accident at
3131 NE 4TH ST in the City of Renton, County of King, and the State of Washington.
Unit 1 was a black 2010 Ford Focus (LIC BSS2284) with the registered owner as sole occupant and
driver, SOSA NINO, NARAHI (DOB 04-10-1991).
Unit 2 was a white 2023 Kia Sorento (LIC SH13462) with the registered owner as the sole occupant
and driver, HAKE, KENT ALAN (DOB 11-26-1974).
Both subjects were verified via WA DOL and came back clear. Both vehicles were ran and came back
clear.
As this was an on-view accident, Renton Fire Department was already on scene due to attending to a
different accident. Renton Fire checked out both drivers who both stated they were okay and did not
have any injuries.
Unit 1 did not have proof of insurance and stated that she was just shaken up so might have a policy
and is just unable to access it. An exchange of information was provided to both drivers including
contact phone numbers.
Both vehicles were towed per the owner's request and appropriate paperwork was signed.
When interviewed about the incident, both drivers stated they were traveling westbound on NE 4th ST
and were looking at the original accident that happened before hand. Driver of Unit 2 noticed the
traffic ahead of him stop and began breaking to stop according to flow of traffic. Driver of Unit 1 did
not notice Unit 2 coming to a stop and continued driving. As a result, there was a collision between
the two vehicles.
Both parties were provided with a case number relating to this incident.
Driver of Unit 2 was provided a curtesy ride to his home address of 16320 SE 135TH PL and was
transported without incident.
My involvement in this case was captured on my department-issued Axon body camera. This report is
a summary of events that occurred and is not an exact sequencing of events. Statements have been
paraphrased and summarized. At the time of this call, I was in a full police uniform equipped with a
Renton Police badge and police patches.
This concludes my involvement with this case.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. 1. Danilyuk#13001, 10/17/2024 at 1321 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO. EF27042 CASE# 24-10801 DATE AND TIME i 10/17/24 07:44
OF COLLISION
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PAGE 4 OF 4