HomeMy WebLinkAbout24-10838 )STATE
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Oc� RA EF27043
COLLISION REPRT 1591971
CASE# 24-10838 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 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
coLLISIGN' 10 - 17 - 2024 1753 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION [Z NON INTERSECTION ❑
HARDIE AVE SW BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET S 8 w e SW 5TH PL
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:2069736179 0 1 30
5❑ LAST NAME YEMANE FIRST NAME LYDIA MIDDLE D 1 2 31
INITIAL
STREET ❑ 10648 20TH AVE S
NEW ADDRESS CITY SEATTLE ST WA ZIP 981681715 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES ✓NO INTERLOCKYES NO✓ YES D NO✓
8 DRIVER'CENS
STATE WA SEx F MMOCSYY' 09 - 30 - 2006 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET INJURY
CLASS 1 NAruRE of INJURES 2
10 al ENS1tEI BIU1866 STATE WA VIN# JTNBB46K983048394 3
11[-j— TRAILER STATE TRAILER ,STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR TRLR 7 1 33
12 0 0 VIN# VIN#
FROM TO
VERYEAR 2008 MAKE TOy. MODEL CAMRY STYLE VEHICLE TOWEDY ,DLI�TO BLIN TOWED By GOVT VEHICLE 5 1 34
DAMAGE YES II_II NO ✓ YESII_I) NO✓
13 REGISTERED OWNER INFO RAHEL ADANE 6940 MARTIN LUTHER KING JR INA SEATTLE WA98118 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE� INSURANCE CO STATEFARM 554722881547 4
IN EFFECT &POLICY# 9TOP
vEnic�E 5 36
Lemur YES[:]NO[:] CITATION# CHARGE 7 o BOTTOM
15❑ STANDING I
7 e
11
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:2064279856
VEHICLE CYCLE OWNER YES✓ NO
16�
LAST NAME SARR FIRST NAME JACQUES MIDDLEI M
INITIAL
17 F1 STREET ❑❑ 7505 S 122ND ST CITY SEATTLE ST, yyq ZIP 981783706 37
NEW AbbRESS
1 g CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTEDI 38
INTERLOCKYES No✓ INTERLOCKYEs No✓ YES No',✓
19 DRIVER'S STATE WA SEX M MDDY 03 27 1960 ❑ 39
LICENSE# MMDDYY -
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICEN� BLP4187 TATE WA VIN# 5TDJZRFH5JS843119 41
PLATE 22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2Q1$ MAKE TOYT MODEL HIGHLAN STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO JACQUES SARR7505 S 122ND ST SEATTLE WA 98178 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO GEIC04594862452
IN EFFECT &POLICY# t 9TOP
vewae ❑ CITATION# CHARGE to BOTTOM
LEGALLv YES N 6
25 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. EF27043
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10838
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL} BECERRA-MACEDO ANGEL A
(LAST,FIRST
ADDRESS&PHONE# SEX' U DOB
RENTONWA MMDDYVVv 12 — 12 — 2006
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
�' 1 POS. 3 '9 4 1 USE +CLASS
'0
'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.M —T L----------�
MDDVVYY
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.
ISABELLA DANILYUK 10-17-24 08:57 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY QATE
S.WOODWARD 11528 10/22/2024 5:03:26 AM
BADGE OR ID# 13001 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:53 PM TIME POLICE ARRIVED 5:53 PM
PART B 3 Do-lmx-,ao(Rtrras) PAGE 27 OF 47
EAN
REPORT NO.` EF27043 CASE# 24-10838 O OF COLLI COLLISION TIME 10/17/24 17:53
COLLI
NARRATIVE
24-10801
On 10/17/2024 at approximately 1731 hours, 1, Officer Danilyuk responded to a nonblocking non
injury accident at the intersection of Hardie AVE SW and SW 5th in the City of Renton, County of
King, and the State of Washington.
Dispatch advised that RP and involved party SARR, JACQUES MARTIN (DOB 03-27-1960) stated
that there are no injuries to neither party but will be waiting for contact at location as damage is above
$1,000.
Arriving on scene Sarr waved me down as another officer assisted both parties in moving their
vehicles off the roadway.
Unit 1 was a gold 2008 Toyota Camry (LIC BIU1866) with the registered owner being ADANE,
RAHEL M (DOB 01-01-1983) who was not present at the time of the collision. The driver was
YEMANE, LYDIA DAWIT (DOB 09-30-2006) and her brother who was in the passenger seat
BECERRA-MACEDO, ANGEL ANTONIO (DOB 12-12-2006).
Unit 2 was a grey Toyota Highlander (LIC BLP4187) with the registered owner as the sole occupant
and driver, SARR, JACQUES MARTIN (DOB 03-27-1960).
Both subjects were verified via WA DOL and came back clear. Both vehicles were ran and came back
clear.
Sarr requested to be checked out by Renton Fire Department as his left-hand thumb felt like it was in
pain. Renton Fire was requested to check out Sarr. The driver of Unit 1 Yemane stated she was
uninjured, not in pain and did not need to be checked out.
When interviewed about the incident, both parties stated that Unit 2 was proceeding his traveling
northbound on Hardie AVE as Unit 1 was waiting to turn northbound on Hardie AVE off SW 5th PL.
Due to there being a vehicle in the eastbound turn lane on Hardie AVE, it blocked Unit 1 s view of site
of the second lane which was traveling straight northbound. Unit 1 began proceeding through the
intersection as the vehicle in the turn lane signaled that it was clear for her to turn. Unit 1 proceeded
and due to that there was a collision between the two vehicles.
Both vehicles were provided with an exchange of information which contained both phone contacts
as well as insurance. Both parties were provided with a case number.
Renton Fire cleared Sarr providing him with an icepack. Sarr stated he will be driving himself to the
hospital.
Neither party requested a tow and had alternate modes of transportation.
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 1919 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO. EF27043 CASE# 24-10838 DATE AND TIME i 10/17/24 17:53
OF COLLISION
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