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HomeMy WebLinkAbout25-4413 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF92956oc� RA COLLISION REPORT 1591971 CASE# 25-4413 2 INTERSTATE ❑ CITY STREET FIRE I RESULTEDLVED STOLENSTATE ROUTE OTHER VEHICLE LOC'AI-A`GENC'Y 4100 3 COUNTY RD NT&RUN ©DING PRIVATE WAY 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# eDCL s on' 05 - 19 - 2025 1825 17 =.= S 8 W❑ OF e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION BLO❑ SWGRADYWAY MILE POST e 400 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ C------ 1.1 FEET e S 8 W e LIND AVE SW 0 4 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:5743045989 0 1 30 6 LAST NAME DHALIWAL FIRST NAME SHELLY MIDDLE N 1 1 2 31 INITIAL STREET ❑ 14717 SE 187TH CT CITY; RENTON ST WA ZIP; 980589310 2 NEW ADDRESS 7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 3 INTERLOCKYEs NO✓ INTERLOCKY Na✓ YES NO✓ 8❑ DCIENSE# STATE WA SEXI F MMDDYY' 01 - 01 - 1981 t 1 2 32 -NJUR 9 ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NAruRE of INJURIES 2❑ 10 PI ENSttEI BUH1478 STATE WA VIN# 5FNYF6H57LB009398 3 11❑ TRAILER STATE TRAILER STATE 3 5 PLATE# PLATE# FROM To TRLR rRLR 7 1 1 33 12 3 5 VIN# vIN# FROM TO 13 4 VER YEAR 2020 MAKE HOND MODEL PILOT STYLE SV VEHICLE TO YED NO fj'4 IN TgAWIZLRS GES❑END $ 7 34 DAMAGE IIII._IIII HHttVVii((tt REGISTERED OWNER INFO SHELLYDHALlWAL 14717 SE?87TH CT RENTON WA 98058 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE[ NSURANCE CO STATEFARM4758425C0347A IN EFFECT &POLICY# 9TOP _ VEs srnALLY ❑NO❑ CITATION# 5A0394699 CHARGE FAIL YIELD LEFT TURN MOTOR s taoorrob s 36 15❑ MOTCYR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE CYCLE nWNFR D:4255486205 16� LAST NAME BOLANCO FIRST NAME MELISSA MIDDLE INITIAL 17 F1 STREET ❑ ❑ 7855 S 126TH ST CITY SEATTLE ST, WA ZIP 98178 q 37 NEW ADDRESS 18❑ IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38 CDL INTERLOCKYES NL ✓ INTERLOGKYEs No✓ YEs No✓ 19❑ DRIVE # STATE SEXIF MrtaDD� 07 29 2000 39 ❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES 40 USE CLASS SCRAPES TO THE ARMS 21 LICENSEPLATE# CKV4577 rare WA VIN# 1 NXBA02E7VZ577912 41 22❑ PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# TOWED BY GOV HI 44 VEH.YEAR 1997 MAKE TOYT MODEL COROLL STYLE SD DAMIAGE TOWED✓ No BLIN BANKERS ves No✓ 24❑ REGISTERED OWNER INFO EtPIDlO ZAMBRAN0310 S HENDERSON ST SEATTLEWA 98108 VEHICLE NO.2 SHADFjy DAMAGED AREA 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY#1-1— YES❑ N,JI CITATION# CHARGEUR 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 JAMAAL KEARSE 12994 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF92956 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4413 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) ZAMBRANO ELPIDIO ADDRESS&PHONE# 7855 S 126TH ST SEATTLE WA 98178 SEXi M MMDDD BYYY 04 - 06 - 1995 SEAT HELMET I INJURY NATURE OF INJURIES PASSENGER z WITNESS El UNIT# 2 POS. 3 AIRBAG j 6 RESTR. 4 EJECT 1 USE 2 CLASS ;6 COMPLAINTOF PAIN TO FOOT :NAME Lnsr EIRST,MIDDLE INITIAL) i FLORES ESMERALDEH T ADDRESS R PHONE# 7855 S 126TH ST SEATTLE WA 98178 SEX' F D•O.B. 01 _ 16 _ 2025 MMDDYYYY SEAT HELMET NJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# 2 POS. ' 7 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 1 ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX/ D.O.B. - MMDDYYYY 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. JAMAAL KEARSE 05-19-25 11:48 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE QUINT TIBEAU 7691 512012025 2:23:38 AM BADGE OR ID# 12994 ORI# WA0171300 TIME POLICE DISPATCHED 6:28 PM TIME POLICE ARRIVED i 6:32 PM PAST B 3 aDo-lmx-attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EF92956 CASE# 25-4413 OF DATE AND r�N + 05/19/25 18:25 O�COLLISION NARRATIVE Unless otherwise noted, all events took place in the City of Renton, in the County of King, in the State of Washington. This incident was captured on my body worn video camera and in-car cameras. This report is a summary of events that occurred and is not an exact sequencing of events. On 5/19/2025, at approximately 1828 hours I was dispatched to a report of a collision at the intersection of SW Grady way and Lind Ave SW. Dispatch advised 2 vehicle collision blocked the roadway. At approximately 1832 hours I arrived on scene. I observed both Unit 1 and 2 in the intersection. Unit 1 had significant damage to the passenger side. Unit 2 had significant damage to front bumper. All involved parties were out of the vehicle and on the sidewalk when I arrived. Unit 1 had one occupant and Unit 2 had 2 adults and 1 infant in the car. Renton Fire responded and evaluated all parties involved. I spoke with the driver of Unit 1 and she relayed the following information. She was eastbound on SW Grady Way approaching Lind Ave SW. She got into the northbound turn lane, lane 3 of 3. She had a flashing yellow light. She saw Unit 2 west bound on SW Grady Way approaching Lind Ave SW. She believed Unit 2 was far enough away that she could make the turn. She entered the intersection and began to turn northbound. She realized that Unit 2 was entering the intersection but did not have enough time to react. Unit 2 struck the passenger side of Unit 1 with the front bumper of Unit 2. The driver of Unit 1 stated she was not injured. Unit 1 had airbag deployment. I spoke to the driver of Unit 2 and she relayed the following information. She was driving westbound in lane 2 of 3 on SW Grady Way approaching Lind Ave SW. She had a green light and entered the intersection. She saw Unit 1 eastbound in the northbound turn lane of SW Grady Way. Unit 1 entered the intersection turning northbound onto Lind Ave SW. She did not have enough time to react. Unit 2 struck the passenger side of Unit 1 with the front bumper of Unit 2. The driver of Unit 2 stated she was had scrapes on her arms. The front right passenger of Unit 2 advised that he injured his foot. The infant was unharmed. Unit 2 had airbag deployment. I issued the driver of Unit 1 a notice of infraction for failing to yield when making a left-hand turn RCW 46.61.185(1). 1 certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer J. Kearse #12994 3/1/2025 0938 Hours Renton, King County, Washington PAGE 3 OF 4 REPORT NO. EF92956 CASE# 25-4413 DATE AND TIME 05/19/2518:25 OF COLLISION i ..0 4 4 e � � r it } a y �t { �YR it p } t 3 i PAGE 4 OF 4