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HomeMy WebLinkAbout24-11440 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 24-11440 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 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# ❑
cowsloN 11 - 1-- 2024 1256 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW 7TH STREET BLOCK NO. e✓ 1100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e POWELL AVE SW
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4252556065 0 11
30
6� LAST NAME LANE FIRSTNAME MARIE MIDDLE K 1 1 2 31
INITIAL
STREET ❑ 16429 125TH AVE SE CITY RENTON ST WA 21p 980585560 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YEs NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10� Pi aT�S� ATJ5055 sTATe WA urN# 3HGGK5G55FM720599
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 5 1 33
12 3 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2015 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 34
13 4 HOND FIT 4H DAMAG 3 7 E YES NO YES❑ No✓
REGISTERED OWNER INFO MARIE LANE 1.21125TH AVE SE RENTON WA 98058 D:4252556065 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO COMMERCE WESTACPA-001718571 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 4A0612165 FAIL STOP AT STOP 1 o BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE El PEDESTRIAN OWNER ❑ YES 1/ NO D:20
16 a 62809290
LAST NAME MILLER FIRST NAME JANNIE MIDDLE I L
INITIAL
17❑ STREET ❑', 3726 S 180TH ST APT C202 CITY SEATAC ST WA ZIP 981886501 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑NOR INTERLOCK YEs❑NOF YES
❑NO❑
19 LDI IVER # STATE WA ]SEX IF M .C... 05 _ 05 _ 1947 El 39
—NATURE OF INJURIES
W USE
EET LASSY C/O ABDOMINAL AND SIDE PAIN 40
20 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 6
21❑ LICENSE I DP62782 TATe WA VIN# 1N46L4EV8LC163080
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2020 MAKE NIS8 MODEL ALTIMA STYLE 4D VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO BANKERS YES NO
REGISTERED OWNER INFO JANNIE MILLER 3726 S 180TH ST APT C202 SEATAC WA 98188 D:2062809290 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 366 0302-E21-47CIN 1UR
"""LE ❑ ,.I— CITATION# CHARGELEGALLY YES N J
25 =UGENT
(PRINT) OFFICER PHONE BADGE OR ID# 77P�1300
26 11498
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF36704
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11440
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) RAMPKE JULIEA
(LAST FIRST,
ADDRESS&PHONE# D O.B.
PO BOX 1858 RENTON WA 98057 4257656673 SEX F MMDOYyry 06 - 21 - 1964
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDVYYY
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.
MMDDYVYY.
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.
MATTHEW NUGENT 11-07-24 12:06 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1111812024 10:17:59 AM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED! 12:59 PM TIME POLICE ARRIVED',4:05 PM
PART I PAGE IT]OF 4�
REPORT NO. EF36704 CASE# 24-11440 OF COLLISION
11/04/24 12:56
OF CbLLI510N
NARRATIVE
24-11440
On 11/04/2024 at approximately 1304 hours, I was dispatched to a blocking vehicle collision with
reports of injury at the intersection of SW 7th Street and Powell Avenue SW, within the City Limits of
Renton, County of King, State of Washington.
While en route, Officer P. Lantagne had arrived on scene prior to me. The Renton Regional Fire
Authority (RRFA) was simultaneously dispatched due to one of the involved parties complaining of
injury.
Upon my arrival, 1 confirmed that the driver of Unit#2 was complaining of abdominal and side pain.
RRFA evaluated the involved parties prior to my arrival. All parties were treated at the scene and
released by RRFA. While on scene, 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 was the sole occupants of her vehicle and had been traveling
northbound in about the 700 block of Powell Ave SW and had approached the stop-sign controlled
intersection of SW 7th ST. The driver of Unit#1 stated that she could not recall what happened and
that she entered the intersection. Both Unit#1 and Unit#2 collided in the intersection causing
significant damage to the front of Unit#1.
The driver of Unit#2 said she was the sole occupant of her vehicle and was traveling westbound on
SW 7th ST approaching the intersection of Powell Ave SW. The driver of Unit#2 stated she was
intending to continue straight through the uncontrolled intersection for her direction of travel. The
driver of Unit#2 stated that upon reaching the intersecting roadway of Powell Ave SW, Unit#1 failed
to yield to her vehicle at the intersection. The driver of Unit#1 was unable to avoid the collision and
subsequently collided into Unit#1 causing significant damage to the driver's side of Unit#2.
Based on the above statements, 1 determined that the Driver of Unit#1 (Lane) is the proximate cause
for the cause of collision as Lane did not grant the right of way to traffic already in the roadway and
underway. Lane violated RCW 46.61.190(2) as every driver of a vehicle approaching an intersecting
roadway shall stop where the driver has a view of approaching traffic on the intersecting roadway
before entering the roadway, and after having stopped shall yield the right-of-way to any vehicle in
the intersection or approaching on another roadway so closely as to constitute an immediate hazard
during the time when such driver is moving across or within the intersection or junction of roadways.
A witness identified as Rampke, Julie A (DOB 06/21/1964) confirmed that Unit#1 entered the
intersection without stopping and collided into Unit#2. Rampke believed Unit#2 had the right of way.
I cited Lane via mail for Failing to Stop/Yield at an intersection causing a collision.
Both Unit#1 and Unit#2 had to be towed due to extensive damage. 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 M. NUGENT#11498 11/7/2024 11:36 AM Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EF36704 CASE# ' 24-11440 DATE AND TIME 11/04/24 12:56
OF COLLISION
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