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HomeMy WebLinkAbout22-13442 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 3 27c COLLISION REP FIT 1591971 CASE 22-13442 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 6 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# ❑ COLLISION.. 12 - 19 - 2022 1737 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ MONSTER ROAD SW BLOCK NO. e✓ 501 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 0 ,❑ FEET e S B W eEACON COA MILES BL MINE RD 1 9 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2067725482 0 11 30 6� LAST NAME KOBUKI FIRSTNAME FRANK MIDDLE K 1 1 2 31 INITIAL STREET ❑, 6630 S 128TH ST CITY SEATTLE ST WA ZIP 98178 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/iNTERLOCKYEs NO INTERLOCKYEs Z/NO YES 1/ NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES 2❑ USE CLASS UNKNOWN MEDICAL EVENT-POSSIBLY HEART 3 10 9❑ PI AT 14 DP47495 STATE WA VIN#' 2T18U4EE4CC878128 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR. TRLR 5 1 33 12 3 5 VIN#' VIN# ROM TO ❑ VEH.YEAR 2012 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 34 13 4 TOYT COROL SD DAMAGE YES NO �MEYER 1 5 YES❑ No✓ REGISTERED OWNER INFO YOSHIKOKOBUKI6630S128THST SEATTLEWA98178 D:2067725482 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14LIABILI INSURANCE INSURANCE CO UNKNOWN UNKNOWN 3 4 IN EFFECT &POLICY# 9TOP VEHICLE L 15 CHARGE 5 36 EGALLY YES❑NO❑ CITATION# NONE NIA I o BOTTOM ❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES�/ NO D:2067241898 16 a LAST NAME KAHIKINA FIRST NAME CHRISTINE MIDDLE IS INITIAL 17❑ NEW ADDRE_ 32213 1STREET 94TH AVE SE CITY KENT ST WA ZIP 98042 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 DRIVER # STATE WA SEX F M D.C.B. 01 30 _ 1975 39 20 ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 HE 2 INJURY 7 NATURE of INJURIES 40 USE CLASS CHEST PAIN ❑ILICENSE 21❑ PLA E# BTW8832 TATE 41 WA VIN# JTEBU14R268061318 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' VEH YEAR 2006 MAKE TOYT MODEL 4 STYLE UT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24 DAMAGE YES 1/ NO (,ENE MEYER YES NO REGISTERED OWNER INFO CHRISTINE KAHIKINA 32213194TH AVE SE KENT WA 98042 D:2067241898 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO USAA 014783581 7103IN 9TOP - 5 VEHICLE ❑ ,.I—I CITATION# CHARGE �BOTTOM LEGALLY YES N 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 J.CHR/STIANSEN 10437 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED17044 COLLISION REPORT III III III III III 111 1591972 CASE# 22-13442 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 PM 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. J.CHRISTIANSEN 12-19-22 09:47 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1212112022 5:47:09 PM BADGE OR ID# 10437 OR]#' WA0171300 TIME POLICE DISPATCHED I` 5:41 PM TIME POLICE ARRIVED',5:45 PM PART I PAGE IT]OF REPORT NO. ED17044 CASE# 22-13442 OF COLLISION 12/19/22 17:37 OF CbLLI510N NARRATIVE RPD CASE#: 22-13442 RECORDED ON AXON *This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. * On 12.19.2022, at approximately 1741 hours, I dispatched to a two-vehicle, injury, blocking collision in the area of 501 Monster Road SW, in the City of Renton, WA, the County of King. I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was operating a fully marked Renton Police Tahoe #277, equipped with "POLICE" markings, overhead exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with "POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious to any reasonable person I was a police officer. I was assigned as 3r22. At the time of this incident, it was snowing/sleeting, approximately 36 degrees, the roadways were wet, and it was dark, streetlights were illuminated. Monster Road SW, is a two-lane roadway running north/southbound and the posted speed limit is 35 mph. At approximately 1740:38 hours, dispatched updated the call notes with the following: "Name: OLSON, MATT/PSRBY Phone: 425/273-5864 RPCon?: O IDCCode: 25R4 Comment: BLOCKING BOTH DOTS, OCCUPANTS ARE UNABLE TO GET OUT OF VEHS." I arrived on scene at 1745 hours and observed both vehicles were heavily damaged, the roadway was blocked in both directions and neither involved driver could exit their respective vehicles. I updated dispatch and asked for additional units for traffic control and asked Renton Fire Authority to expedite. Unit 01 was identified as a white in color Toyota Corolla bearing WA/DP47495. Unit 01 had extensive damage to the driver's side front tire, front bumper, '/ panel, undercarriage and had a combination of airbag deployments. Unit 01 was operable -Gene Meyer towing was notified. Unit 01's driver was identified by his WADL as Kobuki, Frank Kunio (DOB: 01.01.1938; 206/772- 5482). Kobuki matched the photo shown on his WADL. Kobuki appeared to have suffered from a medical emergency or event; he was extremely slow to answer questions, stated he had a multitude of medical issues, was currently taking several prescription medications and had dialysis yesterday. Further, Kobuki said his chest hurt and he was medically transported to Valley Medical Center for additional medical evaluation and treatment. Kobuki could not tell me what happened leading up to the collision; he stated he had insurance but could not answer any further questions. Unit 02 was identified as a black in color Toyota 4Runner bearing WA/ BTW8832. Unit 02 had extensive damage to the front driver's side, the front driver's side tire and axle were ripped from the vehicle and laying in the roadway. Unit 02 had damage to the front bumper and undercarriage and was inoperable. Gene Meyer towing was notified to send an additional flatbed tow. Unit 02's driver was identified by her WADL as Kahikina, Christine S. (DOB: 01.30.1975; 206/724- 1898). Kahikina matched the photo shown on her WADL. Kahikina was complaining of chest pain and had front airbag deployment. Kahikina's husband arrived on scene and transported her to Valley Medical Center for additional medical evaluation and treatment. Kahikina stated she was traveling southbound on Monster Road SW, following in a line of cars when Unit 01, who was traveling northbound on Monster Road SW, crossed over the yellow line, veered into her lane of travel and struck her vehicle on the front driver's side. Unit 01's driver, Kobuki, appeared to have a medical event proceeding this collision. Both Unit 01 and 02 were towed by Gene Meyer towing, privately. Both drivers' were transported to Valley Medical Center for additional medical evaluation. No citations were issued. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. PAGE 3 OF 5 REPORT NO. ED17044 CASE# 22-13442 OF COLLISION 12/19/22 17:37 OF CbLLI510N NARRATIVE Electronically signed by Officer J. Christiansen #10437, on December 19, 2022, at approximately 2132 hours, in Renton, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Location Character: CITY STREET Motor Vehicle Unit 1 Action Code: VEERED INTO ONCOMING LANES **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 5 REPORT NO.! ED17044 CASE# ' 22-13442 DATE AND TIME 12/19/22 17:37 OF COLLISION *NOT TO SCALE* Renton. D4: 2 -1 442 12.19.2022 Officer J. Christiansen 410437 0 Renton Concrete Recyclers a a PAGE 5 OF 5