HomeMy WebLinkAbout25-4620 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF96908oc� RA
COLLISION REPORT 1591971
CASE# 25-4620 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4200 3[--�
COUNTY RD NVOLVED CODING
PRIVATE WAY
2❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 1 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 05 - 27 - 2025 1434 17 =.= S 8 W E IN 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
RAINIER AVE S BLOCK NO. e 078 .�
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 250 00-] MILES N FEET e✓ S 8 W e TILLICUM AVE S
2 0 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2064460943 0 1 30
5 LAST NAME CANKAYA FIRST NAME BELGIN MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 11615 82ND AVE S
NEW CITY SEATTLE ST' WA ZIP 981783825 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES ND INTERLOCKYEs N vEs No
8 DRIVE # STATE WA SEX F MMDCSYY' 02 - 16 - 1975 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET CLASS 1 NAruRE of INJURIES 2
LICENSE, 824ZBZ STATE WA VN# YV4CZ852481479425 3
10[9� PI ATP tt
11[-j- TRAILER STATE TRAILER ,STATE ROM TO
11 3 5 PLATE# PLATE#
TRLR TRL.R 5 1 33
12 3 5 VIN# vI.
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE
13 2 200$ VDLV XC90 DAMAGE YES�NO� YES NO� 5 1 34
REGISTERED OWNER INFO NEVZATCANKAYA1161582NDAVES SEATTLEWA98178 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO SAME.
IN EFFECT &POLICY# i STOP _ S
L `LE CHARGE 7o BOTTOM 36
15
srn Lyc YES❑NO❑ CITATION# 5A0333586,5AO333586 FLD TO DRIVE ON RIGHT SIDE OF s 7 e
UN# MOTOR PEDAL ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
1 T 02 VEHICLE CYCLE. OWNER YES NO
16�
LAST NAME BAMBA FIRST NAME DAOUDA MIDDLE N
INITIAL
STREET ❑ 37
17 '❑ 12518 SE 232ND ST CITY KENT ST, WA ZIP 980313 638
NEW AbORESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED' ❑ 38
INTERLOCKYES NO )NTERLOCKYES No YEs NO
19 DRIVER'S STATE WA SEX M D 0 3� 08 13 1974 39
LICENSE# MMDDYY —
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21 LICENSLATE E CGF6762 TATE WA VIN# SALGV5FE4HA351606 41
22❑ PLATE# STATE PAAILER
TE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2017 MAKE LNDR MODEL RANGE STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO DAOUDA BAMBA 19509138TH AVE SE RENTON WA 98058 D:2064276745 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO SAME.
IN EFFECT &POLICY# t 9TOP
1-1— ❑ ,.I—I CITATION# CHARGE tO BOTTOM
LEGnLLv YES N J
25 a
rOFFLICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
EVERTON 2517 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF96908
COLLISION REPORT III III III III III 111
1591972 CASE# 25-4620
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. — [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. — L----------�
MMDDYYYY
PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. — L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.
M.LEVERTON 05-29-25 07:44 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 6/2/2025 7:57:53 AM
BADGE OR ID# 2517 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:34 Pry TIME POLICE ARRIVED 2:48 Pm
PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47
EAN
REPORT NO.` EF96908 CASE# 25-4620 O OF COLLI COLLISION TIME 05/27/25 14:34
COLLI
NARRATIVE
blk suv/nb sil/2/suv LOC force merge
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash near the 100 block of Rainer
Ave S.
I contacted the driver of unit 2 who told me he was in stop and go traffic. He told me he was
northbound on Rainier Ave S and in the middle of a construction zone and was going very slow at the
time of contact from unit 1. He showed me a picture from his cell phone of the point of rest very close
to point of impact that clearly showed unit 1 left of center/double yellow. He told me he believed that
her lane change/ maneuver was intentional and she was forcing her way over. He did not complain
of injury and damages did not require a tow truck.
contacted the driver of unit 1 ID'd by her picture WADL. She told me that she was making a left and
was trying to get into northbound lane. This makes her left turn unlawful and she was still left of
center and did not make her turn into the proper lane. This is not a 2WCLTL to utilize as well. This
violation took place in an active construction zone with signs, cones, barriers and construction
workers. She did not complain of injury and damages did not require s tow truck.
I cited unit 1 ref RCW 46.61.100 left of center and ref RCW 46.61.140 improper lane use/lane change
via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 5/29/2025
PAGE 3 OF 4
REPORT NO. EF96908 CASE# 25-4620 DATE AND TIME i 05/27/25 14:34
OF COLLISION
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