HomeMy WebLinkAbout25-1524 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF68540OLCERA
COLLISION REPORT 1591971
CASE# 25-1524 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LdCCODIOENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT o 5 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 IN cDLLISION' 02 - 17 - 2025 10?2 17 =.= S 8 W e OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e .�
4a
N 3RD ST MILE POST
❑
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------ 1.1 FEET e S 8 W e PARKAVEN
0 1 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2065549518 0 1 30
6 LAST NAME GONG FIRST NAME GUOXIN MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 15619 9TH AVE SW CITY; BURIEN ST I WA ZIP; 981662105 2
NEW ADDRESS
7 CDL IGN RES IGNITION REQUIRED IGNITION PENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs No INTERLOCKYEs N YES F NO
8 DRIVER'CENS # STATE WA SEXI M MMDDYY' 10 — 23 — 1962 1 2 32
9� ON DUTY STATUS' AIRBAG 4 RESTR 4 EJECT 1 N USEET 2 CLASSY ? [NATURE of INJURIES 2
10 LI ENSE' ATZ6714 STATE WA VIN#; 4T1BD1EBXEU033483 3
TRAILER STATE TRAILER STATE ROM To 11 3 5 PLATE# PLATE#
TRLR zRLR 5 1 33
12 3 5 VIN# vIN#
FROM TO
13 2 VEH.YEAR2014 MAKE TOYT MODEL AVALON STYLE VEHICLE TOYED NO�iS46LIN Tv4 EBYMEYERS GOS❑ENICLE p 7 3 34
DAMAGE IIII._IIII
REGISTERED OWNER INFO GUOXIN GONG 156199TH AVE SW BURIEN WA 98166 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 3 4
2 LIABILITY INSURANCE INSURANCE CO
14 Z ALL STATE 820 250 645
IN EFFECT &POLICY# 4TOP
CHARGE t S 36
VEHICLE
Lemur yes❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2068534928
16�
LAST NAME HANSON FIRST NAME RACHEL MIDDLE M
INITIAL
17 STREET ❑ 12511 69TH AVE S APT 31 CITY SEATTLE ST, WA ZIP 37
98?784165
NEW ADDRESS I I I I I I [I
18❑ CDL IGNITION REGtU1RED (GNITION PRESENT MEDICAL TRANSPORTED' 38
INTERLOCK YES NO INTERLOCK YES NO YES NO
19 DRIVERS ' STATE WA SEX F I D.O.B. 12 _ 10 1982 � 39
LICENSE# MMDDYY —
HELMET INJURY: NATURE OF INJURIES 40
20❑ ON DUTY : STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ? ❑
21 LICEN E A8166234 rare WA vIN# 5XYZT3LB3GG328109 41
22❑ PLATE# STATE[TILER I PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2016 MAKE HYUN MODEL SANTA STYLE LIT VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO HARLEY MANNEY UNIVERSITY PLACE SEATTLEWA98466 VEHICLE NO.2
SHADE DAMAGED AREA
3 4
LIABILITY INSURANCE INSURANCE CO GEICO 6171547331
IN EFFECT &POLICY# 9TOP
VEHICLE ❑ ,J—I CITATION11 CHARGE OUR,
EEEILY YES N J
25 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.CATALAN 12007 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF68540
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1524
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE
SEXi D.O.B. —
MMDDYYYY
PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES
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 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.
C.CATALAN 02-17-25 12:05 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
C.JACOBS 1953 2/24/2025 12:24:51 PM
BADGE OR ID# 12007 ORI# WA0171300 TIME POLICE DISPATCHED 10:12 AM TIME POLICE ARRIVED i 10:12 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF68540 CASE# 25-1524 OF DATE AND r�N + 02/17/25 10:12
O�COLLISION
NARRATIVE
On February 17, 2025, at approximately 1012 hours, I was dispatched to a non-injury and blocking
vehicle collision at the intersection N 3rd St and Park Ave N, within the City Limits of Renton, County
of King, State of Washington.
While en route, Officer Jokela had arrived on scene and requested a tow to respond due to airbag
deployment.
Upon my arrival, I confirmed that both drivers were unharmed. 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, identified as Guoxin N. Gong, said he was traveling northbound on Park Ave N
and had approached the controlled intersecting roadway of N 3rd St. Guoxin stated that he was
intending to continue straight at the intersection to proceed northbound onto Park Ave N. Guoxin
stated that he had a green light at the intersection, so he continued straight through the intersection
when the collision occurred. Both Unit 1 and Unit 2 collided in the roadway causing significant
damage to the driver's side doors of Unit 1.
The driver of Unit 2, identified by her WADL as Rachel M. Hanson, said she was the sole occupant of
her vehicle and was traveling eastbound on N 3rd St approaching the intersection of Park Ave N.
Rachel stated she was intending to continue straight on the one-way road through the controlled
intersection for her direction of travel. Rachel stated that upon reaching the intersecting driveway
which she had a green light, 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 front of Unit 2.
Based on the above statements, I was unable to determine who committed the traffic violation. Both
drivers stated that they had a green light through the intersection.
Unit 1 had to be privately towed due to extensive damage. An exchange of information was provided
to all involved parties.
PAGE 3 OF 4
REPORT NO. EF68540 CASE# 25-1524 DATE AND TIME 02/17/2510:12
OF COLLISION
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