HomeMy WebLinkAbout24-11080 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF28936 170 27 COLLISION REP FIT 1591971 SASE 24-11080 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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 N E IN CITY# COLLISION'. 10 - 1-— 2024 1345 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S GRADY WAY BLOCK NO. e✓ ----� ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e RAINIER AVE S 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:2063076514 0 81 30 6❑ LAST NAME ALl FIRSTNAME SEYIFUDINE MIDDLE J 1 2 31 INITIAL STREET ❑ 14577 NE 35TH ST APT B311 CITY BELLEVUE ST WA 2jp, 98007 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'M MID LOB 09 1— 02 — 1975 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� D05607F sTATI IN vIN# 4V4N99EH5HN974106 TRAILER 7254FP STATE OK TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR TRLR 5 7 33 12 3 5 vIN# LJRC5426571002668 YIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 2 2017 VOLT VN SE DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14� LIABILITY INSURANCE❑ INSURANCECO GREAT WEST CASUALTY COMPANYMCP75052C 3 4 IN EFFECT &POLICY# 9TOP 15❑ LE vECALLv Hla.e 5 36 res❑NO❑ CITATION# CHARGE 10 BOTTOM STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES 1/ NO D:4255590679 16 a LAST NAME LIU FIRST NAME BINGLIN MIDDLE N INITIAL 17❑ STREET Z 2018 ROLLING HILLS AVE SE C{TY' RENTON ST Wq Zlp 98056 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALt—T�RANSPORTED ❑ 38 INTERLOCK ES❑No� INTERLOCK YEs I I NoF YEs t l NOz 19[ LDI IVEW # STATE WA SEX M M D.C.B. 08 _ 14 2002 39 WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE I CLF5461 rare.WA vlN. 5TDZA22C46S462705 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE pLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. GI VEH YEAR 2006 MAKE 7'Oy7' MODEL SIENNA STYLE VN DEHICLE AMAGE TOWED✓ TOO BLIN TOWED BY ov HYES NO 1/ 44 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO pROGRESSIVE 980445273IN STOP 5 vE""LE LEGAL CITATION# CHARGE to BOTTOM 25 LY YES Nu ❑ J a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 HUNTER DEIGHAN 13030 WA0171300 PART A PAGE 01 OF 3000-345-159 fR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF28936 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11080 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HOLMES MARGARETJ (LAST FIRST, ADDRESS&PHONE# D O.B. ' 7918 S LAKRIDGE DR SEATTLE WA 98178 2062931571 SEXi F MMDOYyry 02 - 24 - 1954 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES �✓ POS. USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY 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. HUNTER DEIGHAN 10-24-24 04:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.KORDEL 9676 1012712024 10:52:28 AM BADGE OR ID# 13030 OR]# WA0171300 TIME POLICE DISPATCHED 1:46 PM TIME POLICE ARRIVED 1:48 PM PART I PAGE IT]OF 5� REPORT NO. EF28936 CASE# 24-11080 OF COLLISION 10/24/24 13:45 OF CbLLI510N NARRATIVE 24-11080 On 10/24/2024 at approximately 1326 hours, I was dispatched to a vehicle collision with unknown injury at the intersection of S Grady Way and Rainier Ave S, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I noticed a Toyota mini-van facing eastbound on S Grady Way in the left turn lane. The vehicle was slightly canted to the left and I could see damage to the front left side of the vehicle and debris in the road behind the solid white line. There was a semi truck parked in westbound lane 1 on S Grady Way. The driver of Unit#1 stated that he was the sole occupant of his vehicle and that prior to the collision he was traveling northbound on 167 N as it turns into Rainier Ave S approaching the controlled intersection of S Grady Way in the left-turn lane. The driver of Unit#1 said he had a green left turn arrow and proceeded through the intersection headed west on S Grady Way. The driver of Unit#1 stated that the mini van that he collided with was driving eastbound on S Grady Way. The driver of Unit#1 said the mini van seemed farther away before he turned and that when he turned it was closer. The driver of Unit#1 said that Unit#2 drove into that back left side of his trailer as he went through the intersection. The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling eastbound on S Grady Way approaching the controlled intersection of Rainier Ave S in the left turn lane. The driver of Unit#2 stated he came to a complete stop as he had a red light and was waiting to head north on Rainier Ave S. The driver of Unit#2 stated that as he was stationary a semi truck was turning west on S Grady Way. The trailer of the semi truck struck the front of his vehicle as it was turning. Neither driver was injured. A woman who identified herself as Margaret J. Holmes (02/24/1954) was stopped next to Unit#2 in eastbound lane 2 of S Grady Way said she witnessed the accident. She said Unit#2 was fully stopped behind the white line of the left turn lane and that Unit#1 turned into Unit#2. Based on the above statements, I determined that the Driver of Unit#1 is the proximate cause for the collision due to improperly turning too sharply left. Unit#1 had to be towed by Gene Meyers Towing due to extensive damage to the front of the vehicle. 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 H. Deighan #13030 3:53 PM 10/24/2024 Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EF28936 r`I POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-11080 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE G UNIT# 1 USDOT 3712463 ICC# 0 VEHICLE TYPE 6 CARGO BODY 3 TYPE 2 ❑ 1 28 CARRIER NAME GALICHUU TRANSPORT SYSTEM ....... 3 CARRIER ADDRESS 1519 SW 308TH ST CITY FEDERAL WAY ST WA ZIP'', 98023 4 ❑ NAME # PLACARD: :❑ SOURCE 3 AXLES 05 GwvR 68000 + NAME IF NO NUMBER 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No INTERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NFln+AnntxFs.� CITY'. ST 21P CDL IGNITION REDUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. HUNTER DEIGHAN 10-24-24 04:02 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY 026 � BADGE O#IIWA0171300 12 PAGE OF 3000-345-013(R 11118) REPORT NO. EF28936 CASE# ' 24-11080 DATE AND TIME 10/24/24 13:45 OF COLLISION � I a. Yi k 1 4 silk t� ti it 2 e � n i t 4 3 S c, L PAGE 5 OF 5