HomeMy WebLinkAbout24-5234 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-5234 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFH1C;l F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 28
0 5
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION: 05 — 16 — 2024 1613 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e✓ 4800
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4253000375 0 4 30
6❑ LAST NAME VOLKOVSKIY FIRSTNAME MARKUS MIDDLE 1 2 31
INITIAL
STREET ❑ 13616 156TH AVE SE C{TY RENTON ST WA ZIP 98059 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
-O B 07 1— 26 — 2007 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aTES� CFU7477 sTArr WAurN# WDDGF8BB9CA642182
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 0 0 VIN#' VIN#'
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 1 34
13 A 2012 MERZ 300 SD DAMAGE YES NO ves❑ No
REGISTEREDOWNERINFO EUJENVOLKOVSKIY13616156THAVESERENTONIVA98050 0:4255338376 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
A INSURANCE CO 4
14 LIABILITY INSURANCE� FARMERS 189151267IN EFFECT &POLICY# TOPVEI" CHARGE <1�3
OTTOM 5 36
LEGALLv Yes❑NO❑ CITATION# 5
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064752517
16 a
LAST NAME BOLAR FIRST NAME ALVIN MIDDLE L
INITIAL
17 NEW ADDRE— 330 VUEMSTREET ONT PL NE#109 CITY' RENTON ST WA Zip 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs❑NOF YEs❑NOF,/
19 DRIVER'S STATE WA SEX M D.C.B. 07 30 _ 1986 39
LICENSE# MMDDYY
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
❑
21❑ PLATE# CGV7831 TAre WA VIN# WDDGF5EB7AF491000 41
1
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2010 MAKE MERZ MODEL 300 STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ D AMA GE YES NO BANKERS YES NO
REGISTERED OWNER INFO ALVIN BOLAR 330 VUEMONT PL NE RENTON WA D:2064752517 VEHICLE NO.2
SHADE DAGED AREA
4
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO VEHICLE ❑ C[:] CITATION# CHARGEC�Ql
LEGALLY YES N`LJ
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
SLAKE BOWIE 12105 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE79669
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5234
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) VOLKOVSKIY EUJEN
(LAST FIRST,
ADDRESS&PHONE#
13616 156TH AVE SE RENTON WA 98050 4255338376 SEX M MMDoyyvv 01 - O6 - 1985
{� SEAT HELMET INJURY NATURE OF INJURIEs
PASSENGER Z WITNESS❑',UNIT# I 1 POS. 3 AIRBAG;2 RESTR. 4 EJECT 1 USE 2 CLASS +6 LEGPAIN
NAME
(LAST,FIRST,MIDDLE INITIAL) VOLKOVSKIY MARIUS
ADDRESS&PHONE# D O B
13616 156TH AVE SE RENTON WA 98059 SEX: M MMDDvvvv O6 _ 24 _ 2009
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS UNIT# 1 POS. 7 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
SLAKE BOWIE 05-22-24 05:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 5/23/2024 8:43:37 AM
BADGE OR ID# ! 12105 (DR]# WA0171300 TIME POLICE DISPATCHED! 4:16 PM TIME POLICE ARRIVED 4:23 PM
PART I PAGE IT]OF 4�
REPORT NO. EE79669 CASE# 24-5234 OF COLLISION
05/16/24 16:13
OF CbLLI510N
NARRATIVE
On 05-16-2024 at 1616 hours I was dispatched to the area of NE 4th St/ Duvall Ave NE, in the City of
Renton, County of King, State of Washington, for a reported blocking collision.
While enroute, dispatch advised that there were two vehicles involved in the collision, they were
blocking the road, and there were no injuries reported at the time. Unit 1 was in a black 2012
Mercedes 300 (WA LIC: CFU7477) and Unit 2 was a black 2010 Mercedes 300 (WA LIC: CGV7831).
Upon arrival, I contacted the driver of Unit 1, later identified as Markus Volkovskiy (DOB: 07-26-
2007), next to his Mercedes. Markus stated he was driving westbound in the right turn lane on NE 4th
St. There was nobody in front of him but the other lanes were stopped for a red light. Unit 2 turned in
front of him from the drivers side, Unit 1 was unable to stop in time, and hit the front passenger side of
Unit 2.
1 contacted the driver of Unit 2, later identified as Alvin L. Bolar (DOB: 07-30-1986), which was
standing next to his vehicle. Alvin stated he was traveling eastbound and wanted to turn left into the
QFC parking lot so he got into the center turn lane. Traffic was stopped going the other direction and
a few vehicles left room for Alvin to turn into the parking lot. Alvin started turning north into the lot and
as he entered the last lane he was struck by Unit 1. Alvin says Unit 1 was driving to fast and he never
saw him coming.
Both drivers were given my business card which contained the case number for their records. See
diagram for further information.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electrically signed by Officer B. Bowie / 12105 on 05-22-2024 at 1717 hours in the City of Renton.
PAGE 3 OF 4
REPORT NO. EE79669 CASE# ' 24-5234 DATE AND TIME 05/16/24 16:13
OF COLLISION
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PAGE 4 OF 4