HomeMy WebLinkAbout25-4011 �oLcRaiTFFiN 0 5 27c REPORT NO. EF91783
"i ,one COLLISION REP F 1591971
CASE# 25-4011 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
STOLEN
1 1 STATE ROUTE OTHER VFHICI F LOCAL AGENCY 4200 3[�
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TRIBAL UN 75 TOTAL#OF STRUCK OBJECT 11 8 2$
RESERVATION z
3 M M D D Y Y Y Y TIME I2400) COUNTY# MILES CITY#
COAT sloN 05 - O6 - 2025 1748 17 a. e W 8 OF IN 8 1070 3
S
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 12 ST BLOCK NO. 8✓ 1200 .�
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.= FEET e S e W B KIRKLAND AVE NE
0 1 29
MOTOR PEDAL- DAM ETHRESHOLD MET PHONE
UNIT 01 VEHICLE CYCLE Yes ,/NO D:2067886643 0 11
30
g❑ LAST NAME DUGGINENI FIRST NAME SUNEETHA MIDDLE'' 1 2 31
INITIAL
STREET E:1' 18016 SE 147TH ST
NEW ADDRESS CITY RENTON Sr I WA 21p 98059 z
7❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES LINOZINTERLOCKYES No vEs Na,/
LDRIVE STATE WA SEX'F MM flYY 09 - 25 - 1979 1 2 32
$❑
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U5 E7 2 CLASS 1 NATURE OF INJURIES z
3
10 2❑ ucENSPI ATFtt BZY4474 STATE WA I TRAILER
WIN# JM3KFADM7J0318684
11 0 0 1 TRAILER PLATE# STATE PLATE# STATE ROM To
TRLR TRLR. 3 7 33
12 0 0 VIN#' uIN#
FROM TO
13 4 VEH.YEAR2018 MAKE MAID MODEL CX-5 STYLE UT VEHICLE TOWED 2NOn fBLIN 9NED.4LRS GOVT,VENIOCL✓ g 1 34
❑ DAMAGE II_II tlAlVt(t NO.
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO. 1
SHADE 1N DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE URANCE CO STATE FARM 5519052 F2047A 4
IN EFFECT &PINSOLICY# 4TOP _
❑ CHARGE i 5 ❑ 36
15 1 s EFFiFEC Yes❑No CITATION# 5A0128834 FAIL STOP AT STOP a BOTTab
MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑ PEDESTRIAN ❑ ❑ D:2067886643
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME CAMERON FIRST NAME CODY MIDDLE R
INITIAL
17❑ STREET El 2300 JEFFERSON AVE NE APT A201 CITY RENTON ST, INA ZIP 98056 4
NEW ADDRESS ❑ 37
1$❑ CDL IGNITION RE®UIRED IGNITION PRESENT MEDICAL TRANSPORTED 3$
W7ERLOCKve NO INTERLOCkCvEs no ves No,�
19 DRIVER'# 07 20 1992 39
20 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 N U MEET 2 INJCLAURY
1 NATURE OF INJURIES 40
❑21❑ 41
LICENSE,BYL8788 TATf'WA vIN# 4S48TACC7M3181173 1
PLATE#
42
22 PLATE#TRAILER STATE PLATE TRAILER STATE
23 TRLR RLR� 43
VIN#. '[N#,
44
VEH.YEAR 2021 MAKE $(/BA MODEL D(JTB�QC STYLE UT DAMIAGETOWED YES✓ ND BL TOWED BY GO HI IN BANKERS YES NO�/
24
REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2
SHADE IN DAMAGED AREA
LIABILITY INSURANCE[2] INSURANCE CO PROGRESSIVE 913698993 2 3 4
IN EFFECT &POLICY# t 4TOP 5
venue ❑ .1-1 CITATION# CHARGE ID tOBOTTOM
�ecn��v YES N J
25 ' e
OFFICER'S NAME(PRINT)
26 OFFICER PHONE BADGE OR # AGENCY
BRYAN GROZAV 12489 WA0171300
PART A . PAGE 01 OF
9000-345-159(R 11(181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF91783
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4011
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) UPPAL TARAN M
ADDRESS&PHONE
18016 SE 147TH ST RENTON WA 98059 SEXi (y� M DD'�'Y 10 - 20 - 2013
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
z ❑ 1 POS. : 9 6 4 1 USE 1 2 CLASS !1 ----�
:NAME
(LAST FIFS7 MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. -
MMDDYYYY
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NA7URECFINJURIES
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.
BRYAN GROZAV 05-06-25 11:20 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 511512025 6:12:54 PM
BADGE OR ID# 12489 ORI# WA0171300 TIME POLICE DISPATCHED 1 5:50 PM TIME POLICE ARRIVED i 5:54 PM
PART B 3000-345.160(R1Vt8) PAGE 0 OF 47
TIM
REPORT NO. EF91783 CASE# 25-4011 OF COLLI ION 05/06/25 17:48
OF COLLISION
NARRATIVE
CASE 25-4011
This incident was captured on my body worn video camera and/or in-car dash camera. This report is
a summary of events that occurred and is not an exact sequencing of events.
On Tuesday May 6th, 2025, at approximately 17:50, 1 responded to a 911 call regarding a two-vehicle
collision in front of Fire Station 12 located at 1209 Kirkland Ave NE within the City of Renton, King
County, Washington.
'CALL REMARKS: IFO LOC, 2 VEH MVA, APPEARS INJS, PARITALLY BLKING. 2 DRK
COLORED VEHS, LINK DESC FURTHER, RP NO LONGER IN AREA, WAS TBONE MVA, DRVR
OF ONE VEH POSS STUCK INSIDE VEH, FD OS.
Upon arriving on scene, Renton Fire was on scene, and I observed two vehicles with damage in the
middle of the intersection of NE 12th St and Kirkland Ave NE. Unit is described as a Siler Mazda CX-
5 Washington license BZY4474. Unit two is described as a blue Subaru Outback Washington license
BYL8788.
I contacted the driver of unit one who was later identified via her WADOL as Suneetha Duggineni
(DOB:9.25.1979). Suneetha and her son Taran M. Uppal (DOB: 10.20.2013) were standing on the
sidewalk when I arrived. They did not report any injuries and did not have any apparent visible
injuries. Suneetha was traveling went on NE 12th St and indicated she did not see the stop sign and
proceeded into the intersection without stopping at the posted stop sign.
After speaking to Suneetha, I contacted the driver of unit two identified as Cody R. Cameron (DOB:
7.20.1992) who indicated she was traveling north on Kirkland Ave NE. He stopped at the stop sign,
verified there no cars, and proceeded through the intersection. Cody indicated he saw unit one enter
the intersection without stopping before the collision.
Based on the circumstances and Suneetha's admission that she failed to stop at the stop sign, I
issued her a traffic infraction for violating the following offence;
RCW 46.61.190- Fail to stop at stop sign.
I gave Suneetha her copy of the citation at the scene.
This concludes my involvement 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.
Electronically signed by B. Grozav#12489 on 5.06.2025 at 23:19 hours in Renton, WA.
PAGE 3 OF 4
REPORT NO. EF91783 CASE# 25-4011 DATE AND TIME 05/06/2517:48
OF COLLISION
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PAGE 4 OF 4