HomeMy WebLinkAbout22-13168 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED14678 170
27
COLLISION REP FIT 1591971
CASE 22-13168 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
cowsloN 12 - 13 - 2022 0733 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
OAKESDALEAVESW MILEPOST ST e✓ 0 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e MONSTER RD SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES
�/No D:2064602463 0 11
30
6� LAST NAME TIDWELL FIRSTNAME KELLIE MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 339 BURNETT AVE S APT#205 CITY RENTON ST WA 2jp, 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� CAS1369 sTArI WAurN# 2HNYD18673H514590
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR $ 7 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 1 $ 34
13 4 2003 ACUR MDX DAMAGE YES NO �MEYER YES❑ NO✓
REGISTERED OWNER INFO KELLIE TIDWELL 339 URNETTAVE S APT#205 RENTON WA 98057 D:2064602463 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 4
14 IN EF IT INSURANCE GENERAL 53-WA 5810875
IN EFFECT &POLICY# 9TOP
10 BOTTOM
15 2 LE
vECAIIv wcLE YES❑NO❑ 2A0557162 CITATION# CHARGE $ 36
FAIL YIELD LEFT TURN MOTOR
STANDING 8 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT(12 ❑ PEDESTRIAN ❑ ❑ YES,/ NO D:2065190446
VEHICLE CYCLE OWNER 16 a
LAST NAME CHAN FIRST NAME CARLOS MIDDLE T
INITIAL
17❑ STREET Is❑' 4715 S 124TH ST CITY' SEATTLE ST' WA ZIP 98178 4❑ 37
NEW ADDREs
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ 41
LICENSE I PLA E# CBF7752 TArE WA VIN# JTNK4RBE1K3028879 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2019 MAKE TOYT MODEL COROLL STYLE HB VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO CARLOS CHAN 4715 S 124TH ST SEATTLE WA 98178 D:2065190446 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE 8 POLICY#E CO GEICO 6082-42-98-50IN 9TOP 5
0(
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N`L J
25 ' e
7NE
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
ON 12327 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED14678
COLLISION REPORT III III III III III 111
1591972 CASE# 22-13168
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R 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.
T.NELSON 12-13-22 09:18 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 12/15/2022 5:54:05 AM
BADGE OR ID# 12327 ORI# WA0171300 TIME POLICE DISPATCHED 7:38 AM TIME POLICE ARRIVED',7:50 AM
PART I PAGE IT]OF 4�
REPORT NO. ED14678 CASE# 22-13168 OF COLLISION
12/13/22 07:33
OF CbLLI510N
NARRATIVE
22-13168
On 12-13-2022 at approximately 0741 hours I was dispatched to Oakesdale AVE SW and Monster
Rd SW, in the City of Renton, County of King, WA for a collision.
I arrived and located units 1 and 2 which had relocated just west of the collision location. Unit 1 had
sustained significant damage to the front passenger side and appeared to have a broken front
passenger side axle. Unit 2 had significant front-end damage.
I contacted the driver of unit 2, Chan, who advised that he was travelling south on Oakesdale AVE
SW in lane 1. Unit 1 was travelling north on Oakesdale AVE SW and attempted to make a left turn to
travel west on SW Monster RD in front of unit 2. Chan advised that he was unable to stop, or
maneuver his vehicle, to avoid striking unit 1.
The driver of unit 1, Tidwell, relayed a similar account of the collision however she alleged unit 2 was
at fault. Tidwell did not articulate how unit 2 was at fault.
My observations of the collision were consistent with what both drivers advised. Based on my
evaluation of the damage to the vehicles, and what each driver advised, 1 determined Tidwell's failure
to yield the right of way to unit 2 was the proximate cause of the collision.
Both drivers were provided with an exchange of information along with my card and the Renton
Police case number.
Tidwell was advised that she would be receiving a citation for failing to yield to unit 2.
Both vehicles were inoperable, unit 1 was towed by Gene Meyer and unit 2 was towed by Banker's
Towing.
Tidwell was cited for violating RCW 46.61.185.
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 T. Nelson #12327 on 12-13-2022 0836 hours Renton, WA
PAGE 3 OF 4
REPORT NO.! ED14678 CASE# 22-13168 DATE AND TIME 12/13/22 07:33
OF COLLISION
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