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25-2652
IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF77009OLCERA COLLISION REPORT 1591971 CASE# 25-2652 2 INTERSTATE CITY STREET FIRE I RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 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# eaCL s on' 03 - 24 - 2025 0939 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ 123RD AVE SE BLOCK NO. e 16000 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e SE 160TH ST 0 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2062619625 0 1 30 5 LAST NAME YOUNG FIRST NAME LAVANON MIDDLE L 1 1 2 31 INITIAL STREET ❑ 15812 124TH AVE SE CITY; RENTON ST I WA ZIP; 98058 2 NEW ADDRESS 7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 3 INTERLOCKYES NO✓ INTERLOCK YES N©✓ YES No F✓ 8 DCIENSE# STATE WA SEXI M MMDDYY' 07 — 02 — 1984 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR CLASSY',1 NATURE of INJURIES 2 LICENSE, CGN4101 STATE WA VIN# WDCTG4GB2HJ315163 3 10 Fq I PI ATP rt TRAILER STATE TRAILER STATE ROM To 11 2 5 PLATE# PLATE# TRLR TRLR. 7 1 33 12 2 5 VIN#' VIN# FROM TO VEH.YEAR 2017 MAKE MERZ MODEL GLA-45 STYLE U�- VEHICLE TOWED[n TO ZBLIN TOWED BY GOVT VEHICLE 1 5 34 13� DAMAGE YES II_II NO YESII_I) NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14� LIABILITY INSURANCE NSURANCECO STATE FARM531-2588-Ft6-47B IN EFFECT &POLICY# 4TOP sVEHICLE rgNo YES NG ❑ ❑ 5A0345852 CHARGE FAIL STOP AT STOP s o ooTrom z 36 NO CITATION# 15 UNIT 02 MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE VEHICLE CYCLE nWNRR YES�/ NO 16� LAST NAME VOZIAN FIRST NAME RODICA MIDDLE' INITIAL 17 F1 STREET ❑ ❑ 17412 159TH AVE CITY RENTON ST, WA ZIP 98058 37 NEW ADDRESS 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38 CDL INTERLOCKYEs No✓ INTERLOCK YEs No✓ YEs No✓ 19 DRIVERS STATE WA SEX F I D-O.e. Flo 05 1963 � 39 LICENSE# MMDDYY I — : 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑ 21 LICENSE CHM9023 TATe WA VIN# 4TiG31AK3PU615670 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23= TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2023 MAKE TOYT MODEL Cgry1Ry STYLE 4p VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO✓ REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE N0.2 SHADFY DAMAGED AREA 3 4 LIABILITY INSURANCE INSURANCE CO TRAVELERS 614589349 203 1 IN EFFECT &POLICY# 9TOP vewaE ❑ ,J—I CITATION# CHARGE t080TTOM EEVnEEY YES N 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 R.ONISHI 5738 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF77009 COLLISION REPORT III III III III III 111 1591972 CASE# 25-2652 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 GLASS 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 Unit 1 making left turn from eastbound SE 160th St to northbound 123rd Ave SE. Unit 2 southbound on 123rd Ave SE, approaching SE 160th St. Driver 1 Young stopped at stop sign controlling SE 160th St, then started turn onto 123rd Ave SE. 123rd Ave SE traffic has no traffic control at this intersection; driver 2 Vozian was travelling south into intersection, and struck Unit 1. Young told me that he had fully stopped; he saw Vozian approaching, but believed that she had time to see his car and to stop. Young did not believe that Vozian was driving over the speed limit, and the damage to the vehicles did not indicate to me that Vozian was over 25 miles per hour. I explained to Young that, because his entry into the intersection was controlled by the stop sign, cross traffic that did not have any traffic control had no obligation to stop in this case. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. R.ONISHI 03-24-25 10:57 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 3/26/2025 3:58:51 AM BADGE OR ID# 5738 ORI# WA0171300 TIME POLICE DISPATCHED 9:42 AM TIME POLICE ARRIVED i 9:48 AM PAST B 3 Da-3mx—attar(txIMR) PAGE 2�OF F3 REPORT NO. EF77009 CASE# 25-2652 DATE AND TIME 03/24/2509:39 OF COLLISION It �yt 1�1 S s i\ s i ,�• �4�f���ff�$i ��J� ey °0 S 4 dY `ti,��zz s sz 3 Y, i tr r } t 4 � a 4i v \ a til� mmyS� PAGE 3 OF 3