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HomeMy WebLinkAbout24-10829 j ITFC II IIIII III IIIII II IIII IIIII I . 27I
OOLCERAF EF27717
COLLISION REPRT 1591971
CASE# 24-10829 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4100 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 - 17 - 2024 1440 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
SE PETROV/TSKY RD BLOCK NO. e 11700 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET H S 8 W e 117TH AVE SE
OF 4 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:8174898503 0 1 30
6 LAST NAME JILANI FIRST NAME SHEILA MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 2100 S 260TH ST APT D101 CITY DES MOINES ST WA ZIP 98198 2
NEW ADDRESS
7 CDL IGNITION REQUIRE IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK Yes NOD] INTERLOCKYES NO YES
NO
8� LICIENS# STATE WA SEX F MMo YY' 03 - O6 - 1972 1 2 32
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT, 1 HELMET INJURY 7 of INJURIES 2
USE ;CLASS C/O M MINOR PAIN.EVAL'D BY RRFA
LICENSE CND0096 STATE WA VN# KM8JM12B37U588150 3
10[9� PI ATF#'
11[—j— TRAILER STATE TRAILER ,STATE ROM TO
11 3 5 PLATE# PLATE#
TRLR TRLR 7 1 33
12 3 5 VIN# vN#
FROM TO
VERYEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyEWI GOVT VEHICLE 34
13 8 2019 HYUN TUCSO $V DAMAGE YES TO
"'"J R$ 3 7 YES❑ NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE� INSURANCE CO PROGRESSIVE 984486381
IN EFFECT &POLICY# ®TOP
VEHICLE ❑NO❑ CITATION# 4A0612153 CHARGE FAIL YIELD LEFT TURN MOTOR ooTrom ❑ 36
Yes
15❑ owc
MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE' ❑ ❑ nWNFR D:2064965924
16�
LAST NAME VONG FIRST NAME CAN MIDDLE'
INITIAL
17 F1 STREET ❑❑ 14742 SE 185TH PL CITY RENTON ST, WA ZIP 37
980589327
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED 38
INTERLOCKYE No INTERLOCK YES 0No YEs No'
19[ DRIVER'S STATE WA SEXM D.O.B. 03 19 1952 39
LICENSE# D.02.Y
HELMET INJURY NATURE OF INJURIES 4Q
20❑ ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 7 ❑
USE CLASS C/O MINOR PAIN.EVAL-D BY RRFA
21 LICENSLATE E BST3477 rarE WA vIN# JTMNIRFV8KD521943 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
TOWED BY GOV HI 44
VEH.YEAR 2019 MAKE TOYT MODEL RAV4 STYLE $V IVE DAMIAGE TOWED No BLIN BANKERS YES NO
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY 41055-19124.56
IN EFFECT &POLICY#`HineLEGAlL,v ❑ N`LJ,.I—I CITATION# CHARGEUR
25
YES
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
MATTHEW NUGENT 11498 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF27717
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10829
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME BUI PHI N
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
14742 SE 185TH PL RENTON WA 980589327 2064965924 SEX' F MMooYYYv 11 - 09 - 1961
SEAT HELMET I INJURY NATURE OF INJURIES
PASSENGER F,-/1 WITNESS Ej UNIT# 2 1 POS. 3 AIRBAG 3 RESTR. 4 EJECT 1 USE CLASS 7 C/O MINOR PAIN.EVAL'D BYRRFA
'NAME
LAsr F RST,MIDDLE INITIAL) TRAN HANG
ADDRESS&PHONE# D(�B '.
14742 SE 185TH PL RENTON WA 98058 2064965924 SEX' F MMoovvYv 03 _ 30 _ 2007
SEAT HELMET INJURY
NATURE OF INJURIES
PASSENGER �WITNESS UNIT# i 2 POS. 9 AIRBAG 3 RESTR. 4 EJECT 1 USE CLASS 1
NAME MIDDLE INITIAL) SMITH DENISE M
',(LAST,FIRST,
AODREss a PHONE# 19411 133RD AVE SE RENTON WA 98058 2533159100 SEX F I D.O.B. 09 _ 14 _ 1963
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q', 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.
MATTHEW NUGENT 10-21-24 05:21 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1012312024 2:16:50 PM
BADGE OR ID# 11498 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:41 PM TIME POLICE ARRIVED 2:48 PM
PART B 3oDo-345-,aR(RI1Y1s) PAGE 27 OF 47
REPORT NO.` EF27717 CASE# 24-10829 O COLLI COLLISION TIME
OF 10/17/24 14:40
COLLI
NARRATIVE
24-10829
On 10/17/2024 at approximately 1441 hours, 1 was dispatched to a rollover vehicle collision with
reports of injury at the intersection of SE Petrovitsky Road and 117th Ave SE, within the City Limits of
Renton, County of King, State of Washington.
Upon my arrival, I observed heavy mechanism to the involved vehicles with airbag deployment as
well as both of the involved parties 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 driving
information and their independent recollection of the events leading up to the collision.
The driver of Unit#1 stated that she was the sole occupant of her vehicle and that prior to the
collision she was traveling eastbound in about the 11700 block of SE Petrovitsky Road approaching
the uncontrolled intersection of 117th Ave SE in the center-turn lane. The driver of Unit#1 had pulled
into the center-turn lane and slowed to yield to traffic for an upcoming left-turn at the intersection. The
driver of Unit#1 stated she intended to turn northbound onto 117th Ave SE. The driver of Unit#1
stated she did not see Unit#2 traveling in the westbound lanes of SE Petrovitsky Road 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, she noticed Unit#2 approach the same
intersection. The driver of Unit#1 stated that both vehicles collided in the intersection causing Unit#1
to rollover resulting in significant damage to Unit#1. The driver of Unit#1 was treated at the scene
and released.
The driver of Unit#2 said he and his two adult passengers were traveling westbound in about the
11700 block of SE Petrovitsky Road approaching the uncontrolled intersection of 117th Ave SE in
lane 2 of 2. 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 was unable to avoid the collision and both
vehicles collided causing significant damage to the front of Unit#2. The occupants of Unit#2 were
treated at the scene and released.
A witness, identified as DENISE M JILANI, confirmed the above accounts.
Based on the above statements, 1 determined that the Driver of Unit#1 (Jilani) 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 (Jilani) 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. An exchange of information
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.
Electronically signed by Officer M. NUGENT #11498 10/21/2024 17:18 hours Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EF27717 CASE# 24-10829 DATE AND TIME i 10/17/24 14:40
OF COLLISION
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