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HomeMy WebLinkAbout25-9477 j ITFC II IIIII III IIIII II IIII IIIII I . 27I OOLCERAF EG45843 COLLISION REPRT 1591971 CASE# 25-9477 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENC'Y 4100 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 cDUISION' 11 - 01 - 2025 1351 17 =.= S 8 W E OF IN M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. GARDEN AVE N 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET e S 8 W e N 10TH PL 1 2 29 MOTOR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2538860436 0 1 30 6 LAST NAME KOROVNIK FIRST NAME JULIA MIDDLE H 1 1 2 31 INITIAL STREET ❑ 5301 25TH ST NE CITY TACOMA ST WA ZIP 98422 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs No%/ INTERLOCKYEs NO�/ YES R NoF,/ 8 DRIVER'S STATE WA SEx F MMorYY' 10 - 13 - 1998 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS 1 NAruRE of INJURIES 2 10 LI ENSrtEI BJV2228 STATE WA VN# 1N4AL3AP2HC483581 3 11[-j— TRAILER STATE TRAILER ..STATE ROM TO 11 2 5 PLATE# PLATE# rRLR TRLR 7 3 33 12 2 5 VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 2 2017 N/SS ALTIMA P4 DAMAGE YES NO ✓ YEs❑ No 1 5 34 REGISTERED OWNER INFO JULIA KOROVNIK530125THSTNE TACOMAWA98422 D:2538860436 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 LIABILITY INSURANCE❑ INSURANCE CO 2 3 4 14 STATE FARM 490-6898-D24-470 IN EFFECT &POLICY# 4TOP 5 VEHICLE CHARGE 36 Ec LgLLY YES❑NO❑ CITATION# 70 80TTOM 15❑ nNowc e MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE UNIT 02 Q ❑ PEDESTRIAN ❑ D:7026895791 VEHICLE CYCLE nWNPR YES NO 16� LAST NAME HARRIS FIRST NAME GABRIELLE MIDDLEI D INITIAL STREET ❑ 17 ❑ 1405 N 20TH ST UNIT 201 CITY RENTON ST, Wq ZIP 98056 4 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTEDI 38 INTERLOCKYEs No INTERLOCK YES No YEs No 19 DRIVER' # ❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 SE CLAY 1 NATURE OF INJURIES 40 SS 21 LICENSLATE E TSX0983 rarE TX vIN# KNADM4A34H6047964 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2Q17 MAKE KJA MODEL RIO STYLE P4 VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES �/ No GENE MEYER ves No REGISTERED OWNER INFO GABRIELLE HARRIS 1405 N 20TH ST UNIT 201 RENTONWA 98056 D:7026895791 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIAEFFEC7NSURANCE &.POLINSUIBILITY # CO HOMESTATE COUNTY GNS402146130000 VEH10LE YES NC❑ CITATION# 5AO823398 CHARGE WASH LIC SUSPEND/USING LICUQ `IHICLY25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 RAYMOND WATSON 13127 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG45843 COLLISION REPORT III III III III III 111 1591972 CASE# 25-9477 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL} HINOJOS HALLIE M (LAST,FIRST ADDRESS&PHONE# 13723 SABLE LN HOUSTON TX 77014 8329065521 SEX' F MMooYYYv 03 - 20 - 1998 SEAT : HELMET INJURY NATURE OF INJURIES PASSENGER�WITNESS UNIT# 2 POS 3 AIRBAG i g RESTR. 4 EJECT 1 USE 1 2 CLASS 7 LEFT ARMAND LEFT FACE 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMODYYYY 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.M -T L----------� MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NAT URE OF INJURIES❑ Q' POS. USE CLASS r— ----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. RAYMOND WATSON 11-06-25 09:55 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 11/6/2025 3:24:36 PM BADGE OR ID# 13127 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 1:54 PM TIME POLICE ARRIVED 2:02 Pfl1 PART B 3 Do-3mx-,ao(Rtrras) PAGE 27 OF 47 REPORT NO.` EG45843 CASE# 25-9477 O COLLI COLLISION TIME OF 11/01/25 13:51 COLLI NARRATIVE 25-9477 This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 11/01/2025 at approximately 1354 hours, myself, Officer R. Watson, was dispatched to a blocking accident with injuries, at the intersection of Garden AVE N and N 10th PL, within the City Limits of Renton, County of King, State of Washington. Dispatch notes stated that there were two vehicles involved, injuries, airbag deployment. Leaking fluid, and they were blocking, unable to move out of roadway. When I arrived on scene, I observed on vehicle on Garden AVE N, facing south with front end damage. The second vehicle was parked in the Lowes parking lot. Unit#1 driven by Julia H. Korovnik (DOB 10/13/1998) verified by WA DOL photo, was driving a White 2017 Nissan Altima, WA plate #BJV2228. There was one other male occupant in the vehicle who did not identify himself. Julia stated she stopped for a stop sign on N 10th PL, attempted to merge onto Garden AVE N north bound, when she said she thought she didn't see any traffic coming, but collided with unit#2 in the number two lane of Garden AVE N south bound. Juliana and her passenger both stated they had no injuries and declined aid. When I asked for Julia's license, registration and insurance she was able to provide all documentation. Unit#1 had moderate left side damage, no airbag deployment and was able to be driven from the scene. Unit#2 driven by Gabrielle D. Harris (DOB 02/26/1993) verified by NV DOL photo, stated she was driving a Gray 2017 Kia Rio, TX plate #TSX0983. There was one other passenger in the front right seat, Hallie M. Hinojos (DOB 03/20/1998). Gabrielle stated she was driving south bound on Garden AVE N in the number 2 lane when unit#1 pulled in front her and she was not able to stop. Gabrielle did not complain of any pain while Hallie stated she had left arm and left face pain. Both were assessed by Renton Fire Department on scene and declined further treatment. When I asked for Gabrielle's license, registration and insurance she was able to provide all documentation, but a return of her license showed it as suspended. Unit #2 had moderate front end damage, front airbag deployment and was towed from the scene by Gene Meyer Towing. An exchange of information was completed and provided to each party. Pictures were taken of each vehicle and uploaded to evidence.com. Gabrielle was cited for Operating a motor vehicle with a suspended license (citation #5A0823398) which was forwarded to the Renton Prosecutors Office. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Watson #13127 11/06/2025 0940 hours, Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EG45843 CASE# 25-9477 DATE AND TIME i 11/01/25 13:51 OF COLLISION 3; �} r of n`n a i` Y i � y ��� �ti�f�ztt� 'S?• 4 s�,� a'�' t�, 5F j flu t � a i i Z �Pwr PAGE 4 OF 4