HomeMy WebLinkAbout24-12512 ("7—
STATETFF' " 27CERAc REPORT N0. EF44834 570
,one COLLISION REP F 1591971
CASE 24-12512 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4100 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 7S TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION I 2
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
coAT sloN 12 - 05 - 2024 0904 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
1
BLOCK
62ND AVE SE 8✓ .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ FEET e S e W 8 SE 140TH ST
OF 4 29
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
����0� VEHICLE CYCLE YES ,/No D:3107514084 0 3 30
6 LAST NAME ZIELINSKI FIRST NAME JENNIFER MIDDLE K 1 2 31
INITIAL
STREET E:1' 16223 SE 136TH ST CITY RENTON WA
NEW ADDRESS S7 ZIP 980596939 z
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED a
INTERLOCK YES
No INTERLOCKYEs No YES NO
LDRIVE STATE WA SEX'F MM flYY 04 - 06 - 1978 1 2 32
8❑
9� ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U5 E7 CLASS 1 NATURE OF INJURIES 2
10 9❑ Pic NsE BIV3798 STAB WA WIN# JTDKB20U653122384 3
it
TRAILER
11 2 5 TRAILER PLATE# STATE PLATE# STATE FROM To
TRLR TRLR. 1 3 33
12 2 5 VIN#' vIN#
FROM TO
13 3 VEH.YEAR2005 MAKE TOYT MODEL PRIUS STYLE VEHICLE TOWED Ftl T02fBLIN TOWED BY GOVT.VEHIICLNO✓ 3 1 34
DAMAG❑ REGISTERED OWNER INFO JENNIFER ZELINSKI t6223 SE 136TH ST RENTON WA 980596939 D:3f07514084 IL—llll VEHICLE ccNJll OO..'II 1
SHADE 1N DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO USAA 01137 94 60C 7104 6 4
IN EFFECT &POLICY# 4TOP
V""LE CHARGE i 5 ❑ 36
LEG—Y YES❑NO CITATION# 4A0765740 PROHAMPROPER TURN a BOTTOM
MOTOR PEDAL-. :PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE , OWNER YES NO D:8087413268
16�
LAST NAME FONG FIRST NAME ALICE MIDDLE I L
INITIAL
17❑ STREET El 14001 163RD PL SE CITY RENTON ST', WA 980593662 37
ZIP
NEW ADDRESS ❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
1NTERLOCKvEs No INTERLOCK YEs N YES No
19❑ DRIVER'#
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H�SET INJURY 1 NATURE OF INJURIES ❑ 40
21❑ LICENSE,CFH5828 TArE,WA vIN# 7SAYGDEF7PF591932
❑ 41
PLATE#
TRAILER TRAILER ❑22 PLATE# STATE PLATE STATE 42
23 43
TRLR RLR
VIN#. '[N#,
GO HI 44
VEH.YEAR 2023 MAKE TESL MODEL MODEL Y STYLE DAMIACLE GE TOWED YES NOO✓ BLIN TOWED BY YES NO
24
REGISTERED OWNER INFO AL/CE FONG 14001 163RD PL SE RENTON WA 980593662 D:8087413268 VEHICLE NO.2
SHADE IN DAMAGED AREA
LIABILITY INSURANCE[2] INSURANCECO PROGRESSIVE 70158435 2 3 4
IN EFFECT &POLICY# tUQ,
Venice ❑ CL] CITATION# CHARGELEGALLY YES N J25
71FFLIIER�S NAME(PRINT) OFFICER PHONE BADGE OR ID# FAOENCY
26
VERTON 2517 171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF44834
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12512
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS❑;UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES
POS. ' USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJU S' 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.
M.LEVERTON 12-05-24 10:14 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 1211112024 2:38:01 PM
BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 9:07 AM TIME POLICE ARRIVED i 9:25 AM
PART B 3000-345.160(R1Vt8) PAGE 0 OF 47
TIM
REPORT NO. EF44834 CASE# 24-12512 OF COLLI ION 12/05/24 09:04
OF COLLISION
NARRATIVE
gry/2 rt grn/1 It
CC
Within the city limits of Renton/King/WA I responded to a 2 vehicle blocking crash at the intersection
of 160th Ave SE at SE 140th St.
I contacted the driver of unit 2 who told me she was making a right turn from 140th to 160th. She said
she was on her side of the roadway when she was hit by unit 1. She told me she did move her
vehicle from the original POI. She did not complain of injury and declined to have her vehicle towed
as she lived very close and could limp the car to her house. She did allow me to see the on board
video that clearly shows her on the correct side of the roadway during POI and stopped almost
instantly.
I contacted the driver of unit 1 who said she was making a left turn from 160th to eb 140th and she
was hit by unit 2. She did not complain of injury and she declined a tow truck as she lived close by
and could limp her car home.
After looking at unit 2 lane position and her stating she stopped instantly after impact and careful
review of the video form unit 2 vehicle, unit 1 made her left turn more towards the oncoming side of
the roadway.
This is a residential street and is not painted with a center divider. Both unit 1 and 2 live in the area
and both referenced the narrow roadways and the caution required to navigate with parked cars etc.
I cited unit 1 ref RCW 46.61.290 improper turn 2 vehicle crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 12/05/2024
PAGE 3 OF 4
REPORT NO. EF44834 CASE# 24-12512 DATE AND TIME 12/05/2409:04
OF COLLISION
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PAGE 4 OF 4