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HomeMy WebLinkAbout24-10876 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 24-10876 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF; M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# COLLISION.. 10 - 18 - 2024 2314 17 . N E IN� S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RENTON AVE S BLOCK NO. e✓ 200 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e TAYLOR AVE NW 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2534558026 0 11 30 6� LAST NAME PONZE FIRSTNAME MACAIAS MIDDLE U 1 2 31 INITIAL STREET ❑ 27013 216TH AVE SE CITY MAPLE VALLEY FT WA 2jp, 98038 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVERS STATE WA SEXI M MM DAY' 11 1- 18 - 2003 2 32 CENSE 9 ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 EJECT 1 H USE 2 7 CLASS LEFT LEG[NATURE OF INJURI PAIN ES 2❑ 3 10 1❑ P1 ATE 14 CHT5844 BTAT WA uN# 1HGCP26338A166624 0 0 TRAILER STATE PLAILE# STATE 11 PLATE# PLATE ROM ro TRLR. A'RLR. 1 3 33 12 0 0 VIN#' VIN# :: FROM TO ❑ VEH.YEAR 2008 HOND ACCOR SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN TLI I� RS GOVT.VEHICLE 5 1 34 13 4 DAMAGE YES No � YES[:] No REGISTERED OWNER INFO MACAIAS PONZE 27013216TH AVE SE MAPLE VALLEY WA 98038 D:2534558026 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 4 14 LIABILITY INSURANCE❑ INSURANCE CO NONE 3 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY res No CITATION# 4A0383482 FAIL TO YIELD MOTOR VEHICLE o sorrow 15❑ NDING 6 MOTOR PEDAL-: :PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062454609 16 a LAST NAME GIDEY FIRST NAME ADIAM MIDDLE INITIAL 17 STREET NEW ADOREs7 8108 S 121ST ST CITY l SEATTLE ST WA ZIP 98178 4❑ 37 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/ 19 LICENSE# STATE WA SEX F MMDDW 01 11 1974 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 LICENSE I ❑21❑ PLA E# BIG2577 TATE 41 WA VIN# JTMJJREV9JD163525 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2018 MAKE TOYT MODEL RAV4 STYLE HB VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES�/ NO BANKERS YES NO REGISTERED OWNER INFO ADIAMGIDEY8108 S 121STST SEATTLE WA 98178 D:2062454609 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE I PORGY#ECO STATE FARM 534-1235-B22-47CIN 5VE."Le ❑ ,J� CITATION# CHARGE 25 UQ, LEGALLY YES N J =AS NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 GOODWIN 12884 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF26061 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10876 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ 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. NICHOLAS GOODWIN 10-19-24 12:39 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1011912024 3:29:13 AM BADGE OR ID# 1Y884 ORI# WA0171300 TIME POLICE DISPATCHED 11:14 PM TIME POLICE ARRIVED',11:21 PM PART I PAGE IT]OF 4� REPORT NO. EF26061 CASE# 24-10876 OF COLLISION 10/18/24 23:14 OF CbLLI510N NARRATIVE 24-10876 Unless otherwise noted, the following took place within the city limits of Renton, County of King, WA. On 10/18/2024 at approximately 2316 hours, I was dispatched to a non-injury, blocking collision at the intersection of Renton Ave S and Taylor Ave NW. Dispatch advised "2 MVA....NI...BLOCKING INTERSECTION OF LOC...VEHS NOT OPERABLE". I arrived on scene and observed a two-vehicle collision with one vehicle having extensive front-end damage. I identified Unit 1 as a 2008 Honda Accord bearing WA/CHT5844, driven by Micaias U. Ponze (11/18/2003). Micaias was complaining of left leg pain and RRFA was dispatched to evaluate his condition. Micaias was wearing his seat belt and had front airbags deploy in his vehicle. Micaias' vehicle sustained moderate damage to the front end and was not drivable. Micaias advised he was traveling southbound on Taylor Ave NW and was preparing to turn left and go eastbound on Renton Ave S. Micaias had a green light as he approached the intersection but failed to yield to oncoming traffic. Micaias proceeded with his left-hand turn and collided with Unit 2. 1 identified Unit 2 as a 2018 Toyota RAV4 bearing WA/BIG2577, driven by Adiam Gidey (01/11/1974). Adiam was not complaining of any injuries and had no airbag deployment. Adiam's vehicle sustained moderate damage to the front driver's side fender, and it appeared her front driver's side wheel had been pushed in; her vehicle was not drivable. Adiam advised she was traveling northbound on Hardie Ave SW and approached the intersection of Renton Ave S. She intended to proceed straight through the intersection and continue northbound on Taylor Ave NW. Adiam had a green light, and the right of way as she entered the intersection. In the middle of the intersection, she collided with Unit 1 who was making his left-hand turn. Banker's towing arrived and towed both vehicles. Unit 1 was cited for failing to yield. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer N. Goodwin 12884 at 0020 hours on 10/19/2024 in Renton, WA. PAGE 3 OF 4 REPORT NO. EF26061 CASE# 24-10876 DATE AND TIME 10/18/24 23:14 OF COLLISION 'q4 r� { y ti t \1 l 4f s PAGE 4 OF 4