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HomeMy WebLinkAbout24-11209 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. EF43968 170 27 COLLISION REP FIT 1591971 SASE 24-11209 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 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 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 0933 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ NE 3RD ST BLOCK NO. e✓ 1901 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e BRONSONWAYNE 1 2 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2065142919 0 11 30 6� LAST NAME GERMAN FIRSTNAME YANA MIDDLE R 1 1 2 31 INITIAL STREET ❑ 2148 NOBLE CT SE APT B CITY AUBURN ST WA 2jp, 980926232 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ L I'VER # STATE yyq SEX'F I D.MM D Y' 08 — 19 — 1979 1 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 ATNES# LEM883L sTAr WAV N# 2T2BCMEAORC016478 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN#i ;.... FROM TO VEH.YEAR 2024 MAKE LEXS MODEL RX STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 2 DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO ROSTISLAVGERMAN 2148 NOBLE CTSEAPTB AUBURN WA 98092 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO STANDARD FIRE 19070 3 4 IN EFFECT &POLICY# 9TOP VE—LE 5 36 LEGALLY Yes❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2086025580 16 a LAST NAME PROCTOR FIRST NAME EVERETT MIDDLE I E INITIAL 17❑ STREET ❑', 914 W 2ND ST CITY' MERIDIAN ST ►D ZIP 836422214 37 NEW ADDRESS ❑ 18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—TRANSPORTED ❑ 38 INTERLOCKYES�NOF INTERLOCK YES I I NOF YES t l NO❑ 19[—] DRIVER'S STATE ID SEX M D.O.B. 07 16 _ 1979 0 39 LICENSE# MMDDYY HELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ 21❑ LICENSE AM73151 TAre AZ VIN# USE ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR 2025 MAKE FORD MODEL F650 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO EVERETT PROCTOR 914 W 2ND ST MERIDIAN ID 836422214 D:2086025580 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO UHAUL SELF INSUREDIN 1GQI VE"'LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 7CA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26LAN 12007 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF43968 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11209 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) KHANSIVAROVA IRYNA N (LAST FIRST, ADDRESS&PHONE# D O.B. ' 2148 NOBLE CT SE APT B AUBURN WA 980926232 SEXi F MMDovyry 07 - 04 - 1959 PASSENGER Z WITNESS❑ UNIT# ' 1 PQs 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES USE 2 CLASS '1 NAME (LAST,FIRST,MIDDLE INITIAL) BENZLEY TREVOR ADDRESS&PHONE# D O B AUBURN 2087244516 SEX M MMDDvvvv -F _ PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES [:]WITNESS POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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. C.CATALAN 11-06-24 11:43 AM INVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE C.JACOBS 1953 1 12/9/2024 12:44:06 PM BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED', 9:35 AM TIME POLICE ARRIVED',9:50 AM PART I PAGE IT]OF 5� REPORT NO. EF43968 CASE# 24-11209 OF COLLISION 10/29/24 09:33 OF CbLLI510N NARRATIVE On October 30, 2024, at approximately 0933 hours, I was dispatched to an unknown-if-injury vehicle collision at the intersection of NE 3rd St and Bronson Way NE, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, 1 confirmed there were no complaints of injury requiring immediate medical response at the time of report. There, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit 1 said she and her adult passenger were traveling eastbound in about the 1800 block of NE 3th St and approaching the intersection of Bronson Way NE in right merge lane 1 of 3. The driver of Unit 1 stated that she needed to get into the left lane (lane 2 of 3). The driver of Unit 1 stated that she believed Unit 2 was behind her, so she proceeded to merge left. The driver of Unit 1 stated that while making the lane change, Unit 1 and Unit 2 collided in lane 2 of 3 causing moderate damage to the driver's rear side bumper of Unit 1. The driver of unit 1 said that the driver of unit 2 purposely struck her vehicle once she attempted to merge. The driver of Unit 2 said he was the sole occupant of his vehicle and was also traveling eastbound in about the 1800 block of NE 3rd St approaching the intersection of Bronson Way NE in lane 2 of 3. The driver of Unit 2 stated he was intending to continue straight when Unit 1 changed lanes from lane 1 of 3 and into lane 2 of 3 which Unit 2 was occupying. The driver of Unit 2 said he was unable to avoid the collision and Unit 1 subsequently collided with Unit 2. Unit 2 suffered minor damage to the front passenger bumper due to the collision. The driver of unit 2 believes unit 1 tried to pass him before the merge lane ended. An independent witness, identified as Trevor Benzley, remained at the scene. Trevor said he knows the driver of unit 2 and confirmed the above statements claiming that Unit 1 changed lanes into Unit 2. He also mentioned that the driver attempted to pass unit 2 before the merge lane ended. Based on the above statements, 1 determined that the Driver of Unit 1 is the proximate cause for the cause of collision as the driver violated RCW 46.61.140(1) which states that a vehicle shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such lane until the driver has first ascertained that such movement can be made with safety. The driver made a lane change into Unit 2's lane of travel which had the right of way and was underway. The driver of unit 1 did not ensure that traffic in lane 2 of 3 was clear of hazard before making the unsafe lane change. I gave the driver of unit 1 a verbal warning for Improper Lane Usage causing a collision. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. EF43968 r`I POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-11209 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE G UNIT# 2 USDOr ICC# I VEHICLE TYPE 9 CARGO BODY 2 TYPE 2 ❑ 1 28 CARRIER NAME UHAUL ...... 3 CARRIER ADDRESS 2727 N CENTRAL AVE CITY PHOENIX ST AZ I ZIP 85036 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 02 GwvR 26000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET I PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnDRFrtP. CITY ST ZIP 6 2 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No INTERLOCK YESE]NO� 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 I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHII' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 � SHADE IN DAMAGED AREA 7GQl j4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# t VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE ❑ STANDING dRD PROPERTY PEDESTRIAN 1:1Y NOHRESHOD PHONE 8 7 6 35 VEHICLE CYCLE OWNER ESG 14 UNITr L ❑ MIDDLE 15 LAST NAME FIRST NAME ': INITIAL36 STREETIAL ❑ 16 NFln+AnntxFs.� CITY'. ST ZIP CDL IGNITION REQUIRED IGNITtGN 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 VEHICLE TOWED DUE T SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 z s 4 F-1 LIABILITY INSURANCE INSURANCE CO ' IN EFFECT &POLICY# i BOOT - 4 E 44 24 vewcLe YES❑ NO❑ CITATION# CHARGE iq 60TiON1 LeGALIv 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. C.CATALAN 11-06-24 11:43 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12007 O#IL WA0171300 JACOBS 12/9/2024 PAGE F41 OFF 3000-345-013(R 11118) REPORT NO. EF43968 CASE# 24-11209 DATE AND TIME 10/29/24 09:33 OF COLLISION PAGE 5 OF 5