HomeMy WebLinkAbout25-2695 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 25-2695 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 6 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 03 - 1-- 2025 1734 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RANTER AVE N
BLOCK NO. e✓ --- ----�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 500 00 FMILES EET e S B W e AIRPORT WAY S
0 1 29
R PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ,/NO D:2062505406 0 7 30
6� LAST NAME DIOP FIRSTNAME KHADIJA MIDDLE 1 1 2 31
INITIAL
STREET ❑1 10654 FOREST AVE S CITy SEATTLE ST WA 2jp, 981782721 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑
3
,OF
P1 ATNES# 5776NSC sTAr TN v N# 1 C4JJXFG4PW518991
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. ro
TRLR. TRLR. 5 1 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE J 9 34
13 4 2023 JEEP WRG P4 DAMAGE YES NO �LII� RS YES❑ No
REGISTERED OWNER INFO KHADIJA DIOP 10654 FOREST A VE S SEA TTLE WA 981782721 D:2062505406 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE INSURANCE CO STATE FARM 5698176-E01.47A 3 4
IN EFFECT &POLICY# 9TOP
LEHICLE CHAR 1 5 36
YES No CITATION# 5A0108764
15 NO VALID OPER LICENSE WITH o aorroM
❑ GE STANDING 7 6
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2062401881
VEHICLE CYCLE '. OWNER YES�/ NO
16 a
LAST NAME YEE FIRST NAME STUART MIDDLE M
INITIAL
17 STREET I❑ s❑' 2616 NE 5TH CT CITY' RENTON ST WA ZIP 980564006 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YEs❑NOF,/
19 LDI IVER # STATE WA SEX M M .C... 09 02 _ 1962 39
20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 WEB SET 2 NJAU Sy 7 SHOULDER AND NECK PAIN ❑ 40
❑ILICENSE 21❑ PLA E# 569WGR rare 41
WA VIN# 2HNYD2H31DH507471 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
VEH YEAR 2013 MAKE /a C(fR MODEL MDX STYLE 117- VEHICLE TOWED TO BLIN TOWED eY GOV HI 44
24❑ DAMAGE YES�/ NO BAKERS YES NO
REGISTERED OWNER INFO STUART YEE 2616 NE 5TH CT RENTON WA 980564006 D:2062401881 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#E CO ALLSTATE 076235135IN STOP 5
VEHICLE NC[:]
CITATION# CHARGE i o BOTTOM
LEGALLY YES N(l I 6
25❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# [ZoNCY
26
KEV/N PETERSON 12808 171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF77338
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2695
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'
I was dispatched to a collision on 03/25/25 at 1735 hours in the 200 block of Rainer Ave N, in city
Renton, King County WA.
Unit 1 577BNSC Driver: Khadija Diop (DOB 04/24/2009)
Unit 1 569WGR Driver: Stuart M. Yee (DOB 09/02/1962)
Unit 2 was facing South on Rainer Ave N in the far left turn lane waiting in traffic for the light when he
was hit by unit 1. Unit 1 was traveling North on Rainer Ave N when she stated she was tired. Unit 1
stated they closed their eyes for a second and then hit Unit 2. Unit 1 said they only had a learners
permit and did not have their license. I spoke with the father of Unit 1 who I identified as Papa M. Diop
(DOB 02/26/1976) who told me that she was driving by herself due to having passed her test. Even
though she had a permit only he did not understand she could not drive by herself and had to have an
licensed operator with her.
I spoke with a witness who I identified as Connie M. Acosta (DOB 05/09/1963) who told me that she
was behind Unit 1 and that Unit 1 swerved out of her lane and hit Unit 2.
Driver of Unit 2 stated some shoulder and neck pain. Unit 1 stated no injuries and did not need
medical attention. Unit 2 was seen on scene by Fire Department.
Both Units were given the case number and information exchange as reference.
Driver of Unit 1 Khadija Diop was cited with driving without a valid driver's license due to being on the
road by herself with a permit only.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed: Officer Kevin L. Peterson Date and Place: 03/25/2025, 2209 hours at Renton,
WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
KEVIN PETERSON 03-25-25 10:29 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 312612025 10:03:14 PM
BADGE OR ID# ( 12808 OR]# WA0171300 TIME POLICE DISPATCHED 5:35 PM TIME POLICE ARRIVED 5:37 PM
PART I PAGE IT]OF
REPORT NO. EF77338 CASE# ' 25-2695 DATE AND TIME 03/25/25 17:34
OF COLLISION
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