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HomeMy WebLinkAbout24-11126 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 CASE 24-11126 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 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 - 26 - 2024 1148 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ TALBOT RD S BLOCK NO. e✓ 900 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ W e S RENTON VILLAGE PL 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2533166617 0 4 30 6� LAST NAME NEPO FIRSTNAME JEZEMIAH MIDDLE 1 2 31 INITIAL STREET ❑ 207 MAIN AVE S,APT 621 CITY RENTON ST WA ZIP 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs No�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 9 H USE SS 9 CLASS 0 NATURE OF INJURIES z❑ 3 LICENSE CDB8578 sTATe WAurN# 2T18R32E67C830328 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR. TRLR 5 7 33 12 3 5 VIN#' VIN# ROM TO VEH.YEAR 2007 MAKE MODEL STYLE VEHICLE TOWED TO BLIN 3 5 TOWED BY GOVT.VEHICLE 34 13 4 TOYT COROL 4D DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO ANNASTACIA VAlLOA 207 MAINAVE S,APT420 RENTON WA 98057 D:2533371169 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 ❑ INSURANCE CO 4 LIABILITY INSURANCE IN EFFECT &POLICV# � 9TOP 5 VEF" CHARGE 10 BOTTOM 36 ECALLY YES No CITATION# 4A0740796,4A0740796 OP MOT VEH W/OUT INSURANCE,NO 15❑ STANDING 8 6 MOTOR PEDAL-: PEDESTRIAN PROPERTY DAMHR OLD MET PHONE UNIT a2 VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ TNO D:2068514032 16 a LAST NAME PUIM FIRST NAME LEONITA MIDDLE Ij INITIAL 17❑ STREET ❑', 12610 SE 185TH PL CITY' RENTON ST WA ZIP 98058 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCK YES❑No� INTERLOCK YEs I I NOF YEs t l NOF,/ 19[ DRIVER'S STATE WA SEX F D.C.B. 11 09 _ 1975 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HEJ EET NJAURSY 1 NATURE OF INJURIES ❑ 40 21❑ LICENSE I CFD8217 TATE WA VIN# JHMZE2H34DS004922 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' rowed ev Gov HI 44 VEH 24 YEAR 2013 MAKE HOND MODEL INSIGHT STYLE 5D DAMAGETOWED TOO✓ BLIN YES NO 1/ ❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGED AREA 3 4 LIABILITY INSURANCE &POINSURGY#E CO STATEFARM 475 1419-B24-47DIN STOP 5 VEHICLE ❑ ,.I—I CITATION# CHARGE 25 OQ to BOTTOM LEGALLY YES N s � a 7p-, S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 TAGNE 12575 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF36888 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11126 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) UNDSDERFER DAVID S (LAST FIRST, ADDRESS&PHONE# D O.B. ' 1818 MORRIS AVE S RENTON WA 98055 4253516074 SEX M MMDOYyry 10 - 04 - 1965 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D 0.8 SEX' MMDDYVYV PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY POS. NATURE OF INJURIES USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B.MMDD -❑ YYYY. 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. P.LANTAGNE 11-04-24 09:01 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 1111812024 3:23:53 PM BADGE OR ID# 12575 OR]# WA0171300 TIME POLICE DISPATCHED 11:53 AM TIME POLICE ARRIVED',11:56 AM PART I PAGE IT]OF 4� REPORT NO. EF36888 CASE# 24-11126 OF COLLISION 10/26/24 11:48 OF CbLLI510N NARRATIVE 24-11126 On 10/26/2024 at approximately 1148 hours, I, Officer Lantagne, responded to a non-blocking, non- injury collision which occurred at the intersection of Talbot RD S and S Renton Village PL, which is located in the City of Renton, County of King, and the State of Washington. I responded in my fully marked police vehicle, wearing my patrol uniform. Dispatch advised a witness, David S. Undsderfer (DOB 10/04/1965) stated one of the vehicles, Unit#1, a 2007 Toyota Corolla with license plates CDB8578 issued out of Washington State, had left the scene. I arrived on scene and observed Unit#2, a 2013 Honda Insight with license plates CFD8217 issued out of Washington State, parked on the southwest corner of the intersection. I was advised by the driver of Unit#2, Leonita J. Puim (DOB 11/09/1975), there were no injuries. Puim told me the following: Puim was making a left turn from the 1-405 offramp to southbound Talbot RD S after the traffic signal turned green. As Puim made the left turn, a vehicle driving northbound on Talbot RD S ran through the red light and started making a left turn onto S Renton Village PL. Puim could not stop her vehicle in time and the front of her vehicle struck the right rear side of Unit#1. I observed the damage to the vehicle and other physical evidence was consistent with the statements made by Puim. Unit#2 had minor damage to the front of the vehicle which consisted of a heavily dented and cracked front bumper and grill. Unit#2 had blue paint transfer on the front. The collision diagram is an accurate illustration of the events leading up to the collision. I provided an exchange of information to Puim. I contacted the registered owner of Unit#1, Annastacia M. Vailoa (DOB 12/30/1979), and she advised me she knew her vehicle had been in a collision and that the driver, Jezemiah Nepo (DOB 02/03/2000), was on his way back to the scene. Vailoa and Nepo arrived on scene in a different vehicle. I contacted Nepo who advised me he was driving northbound on Talbot RD S. As Nepo attempted to stop the vehicle for the red light, his brakes were barely working and he made a left turn onto S Renton Village PL to avoid getting into a direct collision. As Nepo's vehicle made the left turn, the right rear of his vehicle was struck by Unit#2. Nepo stated he did not have a driver's license and Vailoa said she did not have insurance for her vehicle. I provided an exchange of information to Nepo. Vailoa later sent me photographs of her vehicle and the damage which I uploaded into evidence. 1 confirmed the damage to the vehicle was consistent with the statements made by both drivers. The damage to Unit#1 consisted of a heavily dented right rear door with white paint transfer. I issued Nepo an infraction for operating a motor vehicle without a license or proof of insurance. I, Officer P. Lantagne #12575, certify (or declare) under penalty of perjury, under the laws of the State of Washington, the foregoing is true and correct. Electronically signed by Officer P. Lantagne #12575 at 0815 hours on 11/04/2024 at Renton, WA. PAGE 3 OF 4 REPORT NO. EF36888 CASE# ' 24-11126 DATE AND TIME 10/26/24 11:48 OF COLLISION ou qllpi \1R, � 3 �1 { to� zit f 1 t } t _ � a 1� ttt Y � n Mt !"II r L � Y 4 xt' 4' PAGE 4 OF 4