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HomeMy WebLinkAbout25-1023 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 25-1023 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F E: LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 2$ 5 RESERVATION 1 TRIBAL UNITS 03 STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# 0 9 CowsloN 02 - 01 - 2025 0838 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH ST BLOCK NO. e✓ 4615 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2533943665 2 01 30 6� LAST NAME EDGINGTON FIRSTNAME RACHEL MIDDLE E 1 1 2 31 INITIAL STREET ❑✓ 818 S 3RD ST CITY RENTON ST WA 21p 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO 8❑ LRIIVERS STATE WA SEXI F MM DAY' 02 1— 08 — 1982 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑ 3 10❑ P1 ATE 14 150XXE STATE WA u N# JA3AU86WX90007531 11[-j- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# IR.. ro TRLR. TRLR 7 3 33 12 3 5 VIN#j VIN# :: FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 7 3 34 13 4 2009 MITS LANCER SD DAMAGE YES NO �MEYERS YES❑ No✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO PATRIOT GI INS 11408486393 4 IN EFFECT &POLICY# TOPVEHICLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064577853 16 a LAST NAME FOFANA FIRST NAME MUSA MIDDLE I L INITIAL 17❑ STREET ❑', 4207 MARTIN LUTHER KING JR WA CITY' SEATTLE ST WA ZIP 981081683 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICALt—T�RANSPORTED 38 INTERLOCK YEs❑NOR INTERLOCK YYEEsI I I NoF YES t l NO❑ 19 D IVEW # STATE WA SEX M MMDDW O6 _ 11 2006 0 39 HELMET I {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 1 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE I CKG5114 TATe WA VINIi 19XF62F57EE258596 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE pLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. GI VEH YEAR 2014 MAKE HOND MODEL CIVIC STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY ov HYES NO 44 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU&PORGY#E CO NATIONAL GENERAL 2025178431 1 STOP IN EFFECT VE""LE ❑ N`L J ,J� CITATION# CHARGE LEG i o BOTTOM ALLY YES 25 ' =Kl (PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12598 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF61708 COLLISION REPORT III III III III III 111 1591972 CASE# 25-1023 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) KASSIM SALAH (IAST FIRST, ADDRESS&PHONE# 2066474004 SEX' M MMDDYYYY 11 - 25 - 2007 PASSENGER WITNESS UNIT# 2 SEAT 3 AIRBAG 2 RESTR. 1 EJECT ? 1 HELMET INJURY11 NATURE OF INJURIES L`!1 USE CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX' MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B. MMDDYYYY. PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' On Saturday, February 1, 2025 at 0841 hours, I was dispatched to a motor vehicle collision in the area of the 4600 block of NE 4th St. The following occurred within the City of Renton, King County; Unit 1 - WA/ 150XXE was being driven by Rachel Edgington and was traveling west in the #2 lane left of NE 4th St in the 4600 block. Unit 2 - WA/ CKG5114 was driven by Musa Fofana and was traveling west in the #2 lane on NE 4th St in the 4600 block. Unit 3 -WA/ BGL7229 was driven by Vimal Selvam and was stopped at the intersection of NE 4th St and Duvall Ave NE in the left turn lane. I spoke with Rachel who stated she was driving straight and the vehicle (Unit 2) in front her abruptly braked and attempted to change lanes, when she was unable to stop and collided with the rear bumper of Unit 2 causing significant damage to both vehicles. After Unit 2 was struck it continued straight on NE 4th St and collided with the passenger side door and fender of Unit 3 cause significant damage to both vehicles. I spoke with Musa who stated he was driving straight on NE 4th and was struck from behind and the force of the collision caused his vehicle to collide with Unit 3. 1 spoke to Vimal who stated he was in the left turn lane and noticed a vehicle driving erratically and attempting to get behind him when that vehicle was struck from behind and continued into the passenger side of his vehicle causing significant damage. Based on all statements it appeared that Unit 2 failed to slow properly and signal in enough time to allow Unit 1 time to slow which contributed to the collision. Based on the fact of the descriptions of effects are feasible, without any evidence to prove one way or another, I am unable to determine proximate cause of the collision. All vehicles sustained significant damage but only Unit 1 needed to be towed. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J.WISN/EWSKI 02-01-25 10:12 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 2/2/2025 1:57:23 PM BADGE OR ID# 12598 OR]# WA0171300 TIME POLICE DISPATCHED 8:41 AM TIME POLICE ARRIVED 8:45 AM PART I PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. EF61708 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 25-1023 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r ICC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J CYCLE _) PEDESTRIAN � OWNER � YES� NO D:4256174004 0 4 29 LAST NAME :. SELVAM FIRST NAME VIMAL MIDDLE'.. ,.. K INITIAL r:j STREET 30 NEW AnDRFrtP 260 BREMERTON AVE NE CITY RENTON ST WA ZIP 98059 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No zERLOCK YES[:]NO[:] YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 07 - 12 - 1982 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BGL7229 [TAT WA VIN# 1HGCR2F75EA050673 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 3 5 VEH.YEAR2014 MAKE HOND MODELACCORD STYLE SD I VEHICLE TOWS E T SABLIN TOWED BY anvi vFH1G P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER ] 1 33 12 � SHADE IN DAMAGED AREA 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO TRAVELLERS 616441580 IN EFFECT &POLICY# 5 4 TCSP S. vEHICLE 10 60T1Y)M 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1 RE O CYCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 El PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ STREET"[-] 16 NEW nnR CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No NTERLOCK 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 ICLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41 ViN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LecALLv 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. J,WISNIEWSKI 02-01-25 10:12 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 OBADGE R ID# 12598 O#II,WA0171300 APPROVED BY 2/2/2025 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. EF61708 CASE# 25-1023 DATE AND TIME 02/01/25 08:38 OF COLLISION l w, i a } t `tl w� a� y, 4 p, L 8 i1 i} Fry S {l;{3 o�t; u^ k( J µD� Y�1Vluq�i Ali. PAGE 4 OF 4