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HomeMy WebLinkAbout240038800 iiTFi " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EE95945oc� RA COLLISION REPORT 1591971 CASE# 240038800 2 INTERSTATE CITY STREET FIRE I RESULTEDLVED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3 COUNTY RD NT&RUN CODING PRIVATE WAY 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E cDLLISION' 07 - 14 - 2024 1245 17 =.= S 8 W e INOF 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ DUVALL AVE NE BLOCK NO. e 700 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 56 00 FEET e✓ S 8 W e NE 7TH PL 2 0 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4254288453 0 1 30 6 LAST NAME SHERANI FIRST NAME MASHAL MIDDLE 1 1 2 31 INITIAL STREET ❑ 18405 W LAKE DESIRE DR SE CITY; RENTON ST WA ZIP; 98058 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 3 INTERLOCK YEs No./ INTERON KVEs NO✓ YES No✓ 8 DRIVER # STATE WA SEXI F MMDDYY' 05 — 11 — 2006 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET US 2 CLA S'NJURST 7 I I STIFFNECKJURIEs 2 LICENSE, CLM5888 STATE WA VIN# WDCOG4KBXKV193193 3 10 Fq I PI ATE# TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR zRLR 5 1 33 12 3 5 VIN# vIN# FROM TO VEH.YEAR 2O19 MAKE MERZ MODEL SLG 300 STYLE SV VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE g 1 34 13� DAMAGE YES II_II NO YESII_I) NO✓ REGISTERED OWNER INFO MASHAL SHERANI 19405 W LAKE DESIRE DR SE RENTON WA 98058 D:4254288453 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 4 LIABILITY INSURANCE NPC Cy,ECO 4 14 ALLSTATE 820377082 IN EFFECT &POLICY# 9TOP CHARGE 5 36 Lemur yes[:]NO[:] CITATION# 80TFOM 15❑ STANDING s 7 6 MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:4253270352 16� LAST NAME SALO FIRST NAME SHANNA MIDDLE C INITIAL 17 STREET ❑ 2202 SOPER HILL RD CITY ❑LAKE STEVENS ST, WA ZIP 98258 4 37 NEW ADDRESS 18 —1CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs No✓ INTERLOCK Yes No✓ vEs No✓ 19 DRIVER'S MMDDYY — 20❑ ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES 40 USE CLASS STIFFNECK 21 LICEN# BAB9677 rArE WA vIN# 1FM5K8D89GGDO3869 41 22❑ PLATE# STATE PLAAILER TE# STATE 42 23 TRLR r RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 2016 MAKE FORD MODEL EXPLORE STYLE $V VEHICLE TOWED✓ No BLIN BANKERS ves No✓ 24 REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NC}.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO FIRST NATIONAL INSURANCE F3892937 IN EFFECT &POLICY# 9TOP ,—L ❑ ,J—I CITATION# CHARGE CID BOTTOM EEGnEEY YES N 6 Z5 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JAMAAL KEARSE 12994 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE95945 COLLISION REPORT III III III III III 111 1591972 CASE# 240038800 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) BOYCAN HALLE ADDRESS&PHONE RENTON SEXi F MMDooYBYYY 08 - 17 - 2008 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 3 3 4 1 USE 2 CLASS ;1 ----� :NAME (LAST EIFST,MIDDLE INITIAL) { SALO LAINY ADDRESS&PHONE# RENTON SEX' F D.O.B. 11 _ 30 _ 2016 MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 POB. 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 NJURCLAS 1 �----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX I D.O.B. - MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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. JAMAAL KEARSE 07-14-24 07:13 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE P.KORDEL 9676 7115/2024 2:44:18 PM BADGE OR ID# 12994 ORI# WA0171300 TIME POLICE DISPATCHED 12:48 PM TIME POLICE ARRIVED i 12:52 PM PAST B 3 Do-3mx-attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EE95945 CASE# 240038800 DATE OF COLLI r�510NN + 07/14/24 12:45 L1 NARRATIVE Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State of Washington. This incident was captured on my body worn video camera and in-car cameras. This report is a summary of events that occurred and is not an exact sequencing of events. On 07/14/2024, at approximately 1245 hours 1 was dispatched to a report of a collision at the 700 block of Duvall Ave NE. Dispatch advised 2 motor vehicles were involved in a collision. The reporting party's airbags deployed. At approximately 1252 hours 1 arrived on scene with my FTO, Officer Weber. Both involved parties remained on scene. Both involved parties had complaints of minor stiffness in the neck and both parties were evaluated and cleared by Renton Fire. The reporting party vehicle had two additional occupants and the other involved vehicle had one occupant. While on scene, I was able to collect one of the involved party's information and independent summary of the events leading up to the collision. The driver of Unit 1 advised the following information. She was driving northbound on Duvall Ave NE in lane 2 of 2. As they were approaching the cross street, NE 7th PI she saw the driver of Unit 2, also driving northbound in lane 1 of 2, swerve to the left into her lane and hit the front passenger fender and wheel well of her car with the front driver side fender and wheel well of Unit 2. Her car then jolted to the left. She stopped and pulled over to the right side of the road. The driver of Unit 2 advised the following information. She was driving northbound on Duvall Ave NE in lane 1 of 2. As they were approaching the cross street, NE 7th PI she saw the driver of Unit 2, also driving northbound in lane 2 of 2, swerve to the right into her lane and hit the front driver side fender and wheel well of her car with the front passenger side fender and wheel well of Unit 1. She stated both of her daughters were in the car with her. One daughter was in the front passenger seat and one daughter was in the rear passenger seat. She stated her daughter in the front passenger seat told her the driver of unit 1 was on her phone when the collision took place. She also stated that there was a witness to the collision and provided their information to me. I spoke to the witness over the phone. He verbally identified himself as Alexander S. Voag DOB 05/21/1997. He advised that he was an independent witness to the collision. Alexander relayed the following information. He was driving behind black Unit 1 in lane 2 of 2. As Unit 1 was approaching NE 7th place he noticed Unit 1 take a hard right turn into lane 1 of 2 colliding into Unit 2. 1 observed damage to the front driver side fender and wheel well of Unit#2. 1 also observed damage to the passenger side fender and wheel well of Unit# 1. Based on the above statements, 1 believe that the driver of Unit#1 (Sherani) was the predominant factor for the cause of collision as Sherani is required to comply with RCW 46.61.140(1) which states, 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. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer J. Kearse #12994 07/14/2024 Hours Renton, King County, Washington PAGE 3 OF 4 REPORT NO. EE95945 CASE# 240038800 DATE AND TIME 07/14/24 12:45 OF COLLISION Y� ir,�y3 PAGE 4 OF 4