HomeMy WebLinkAbout25-2029 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF72930 170
27
COLLISION REP FIT 1591971
CASE 25-2029 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 03 - 1-- 2025 1409 17 ❑.❑ S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
VICTORIA AVE SW BLOCK e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 3 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/ENHORESHOLDMET PHONE 1 4 30
6� LAST NAME TWUM-BARIMAH FIRSTNAME NANCY MIDDLE 1 2 31
INITIAL
STREET ❑, 2715 62ND ST E#L33 CITY FIFE ST WA 2jp, 98424 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER # STATE WA SEX'F MID
.O B 03 — 27 — 1996 1 32
CENS [NATURE OF
9 ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 7 I UNKNOWNNJURIES CHEST INJURY z❑
3
10❑ P1 ATNES# CNt 3905 sTAr WAu N# W41 C2AFP5GA111143
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 3 33
12 0 0 VIN#' VIN#
FROM
34
13� VEH.YEAR 2O16 MAKE AUDI MODEL Q5 STYLE UT IV
AMAGE TOWED NOO pLSABLIN T� I� RS TOWING VEHICLE�
DAMAGE IILLJJII
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑
14❑ LIABILITY INSURANCE INSURANCE CO STATE FARM 5699946 E0647 35
IN EFFECT &POLICY# 9TOP
VEHCLE
15❑ 5 36
LEGALLY YES❑NO❑ CITATION# CHARGE 1 o BOTTOM
STANDING
MOTOR PEDAL- [:]EA.
YES PEDESTRIAN PROPERTY DAM THR
16 OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER �/ NO D:2065308197
❑
LAST NAME LAY FIRST NAME HEAP MIDDLE N
INITIAL
17❑ STREET ❑', 25211 119TH PL SE CITY' KENT ST WA ZIP 980306645 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 LDIIVEW # STATE WA SEX M M .C.B. 03 _ 01 1966 0 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
21❑ LICENSE I CDK9990 TAre WA VIN# 4S4BTGUD8N3215116
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2022 MAKE SUBA MODEL OUTBAC STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO HEAP LAY 25211119TH PL SE KENT WA 98030 VEHICLE NO.2
SHADE DAGELLAREA
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 6118 5716 34IN 1GQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF72930
COLLISION REPORT III III III III III 111
1591972 CASE# 25-2029
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. 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 03-04-25 03:34 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
M.LEVERTON 2517 311112025 3:24:08 PM
BADGE OR ID# 12007 OR]#` WA0171300 TIME POLICE DISPATCHED 2:10 PM TIME POLICE ARRIVED',2:15 PM
PART I PAGE IT]OF 4�
REPORT NO. EF72930 CASE# 25-2029 OF COLLISION
03/04/25 14:09
OF CbLLI510N
NARRATIVE
On March 4, 2025, at approximately 1409 hours, I was dispatched to a vehicle collision with reports of
injury at the intersection of 200 SW Victoria St within the City Limits of Renton, County of King, State
of Washington.
Upon my arrival, I observed heavy mechanism to one of the involved vehicles. It had airbag
deployment, and the driver was complaining of chest pain. The Renton Regional Fire Authority
(RRFA) responded to the scene for evaluation. While on scene, I collected each of the involved
party's driving information and their independent recollection of the events leading up to the collision.
The driver of Unit#1 stated that she was the sole occupant of her vehicle and that prior to the
collision she was exiting the Renton Nursing and Rehab Center located at 80 SW 2nd St. She was
exiting the parking lot on the southside of SW Victoria St and planned to make a right turn. As she
proceeded to make a right turn, she observed another vehicle driving at a high-rate speed going
westbound on SW Victoria St. The driver over corrected and lost control of their vehicle. Unit 1 drove
up an embankment and sideswiped unit#2 which was legally parked.
The driver of unit 2 stated she felt chest pain and requested to be transported to VMC.
Unit 2 was legally parked and unoccupied at the time of collision, but I contacted the owner.
Based on the above statements, I determined that the rider of Unit#1 is the proximate cause for the
collision as the driver violated RCW 46.61.290 which covers right turns and stated that "both the
approach for a right turn and a right turn shall be made as close as practicable to the right-hand curb
or edge of the roadway."
Unit 1 had to be towed due to extensive damage cause. An exchange of information was provided to
all involved parties.
No citation. Information only.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 03/07/2025 Renton
PAGE 3 OF 4
REPORT NO. EF72930 CASE# ' 25-2029 DATE AND TIME 03/04/25 14:09
OF COLLISION
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