HomeMy WebLinkAbout22-12861 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 22-12861 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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 N E IN CITY#
COLLISION'. 12 - 1-- 2022 1215 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LIND AVE SW BLOCK NO. e✓ 1900 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e SW 79TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:5176192166 0 11
30
6� LAST NAME GANZO-CALZADA FIRSTNAME FRANK MIDDLE A 1 1 2 31
INITIAL
STREET ❑, 16550 NE 79TH ST#329 CITY REDMOND ST WA Zjp, 98052 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/iNTERLOCKYEs NO INTERLOCKYEs NO YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� CCP4956 sTArI WAvIN# 5YFT4MCE7MP073894
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2021 TOYT COROL SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 4 DAMAGE YESNo YES[:] NO
REGISTERED OWNER INFO ...MEJ/AS FERNANDEZ,16550 NE 79TH ST#329 REDMOND WA 98052 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE Z INSURANCE CO NATIONAL GENERAL 2015963746
IN EFFECT &POLICY#
ve'C ❑ 36
LECALLv res❑NO❑ CITATION# CHARGE BOTTOM
15❑ NDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM NO D:2532029650
OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO
16 a
LAST NAME ILIRIA FIRST NAME SEAN MIDDLE D
INITIAL
17 STREET❑ NEW ADOREss❑' 1223 SW 128TH ST CITY BURIEN ST WA ZIP 98146 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NO INTERLOCK YEs I I NOF YEs t l NOF,/
19 D IVEW #
{NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS ❑
❑LICENSE 21❑ PLA E# C52672K TAre WA VIN1 JAL64T173H7W 41
00605 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2017 MAKE IS(J MODEL REACH STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO DHL EXPRESS USA INC 4450 E MARGINAL WAY S SEATTLE WA 98134 VEHICLE NO.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE I PORGY#E CO NATIONAL UNION FIRE 4805399IN STOP 5
'E""LE ❑ Nu,J CITATION# CHARGE io BOTTOM
LEGALLY YES
25 ' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
R.PHILLIPS 11649 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED11438
COLLISION REPORT III III III III III 111
1591972 CASE# 22-12861
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MILLS CELESTE H
(/AST FIRST,
ADDRESS&PHONE#
755 MYRTIME ST ENUMCLAW WA 98022 5093044644 SEXi F MMDOYyry 02 - 27 - 1976
PASSENGER WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) FENKNER BRUNA
ADDRESS&PHONE# DOB
62 CEDAR ST 406 SEATTLE WA 98121 2068866893 SEX F MMDDYvvv 04 _ 12 _ 1993
PASSENGER ❑ POS. USE CLASS WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
R.PHILLIPS 12-05-22 03:54 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 12/6/2022 1:59:47 PM
BADGE OR ID# 11649 ORI#' WA0171300 TIME POLICE DISPATCHED 12:16 PM TIME POLICE ARRIVED]12:27 pM
PART Ei PAGE IT]OF 4�
REPORT NO. ED11438 CASE# 22-12861 OF COLLISION
12/05/22 12:15
OF CbLLI510N
NARRATIVE
On 12-05-2022 at 1215 hours I was dispatched to a traffic accident at Lind Ave SW and SW 19th ST
in the City of Renton, King County WA. The call notes indicated a yellow box truck collided with a blue
sedan.
I arrived on scene and contacted two witnesses, Celeste Mills and Bruna Fenkner. Fenkner was
traveling northbound on Lind Ave S behind the yellow box truck. The blue sedan was crossing Lind
Ave SW and failed to yield or didn't stop at the stop sign. The yellow truck then hit the sedan. Mills
was walking on SW 19th St when the sedan drove through the stop sign and was hit by the yellow
truck. Mills stated she had to jump out of the way to avoid being hit by the sedan.
I spoke with the driver of unit 1, the blue sedan. The driver was Frank Ganzo-Calzada. Ganzo-
Calzada was driving east on SW 19th ST. He stopped at the stop sign looked both ways, didn't see
any cars and pulled into the intersection. He saw the yellow truck at the last minute but it was too late
and he was struck.
I contacted the driver of unit 2, Sean Iliria who told me the following:
Iliria was driving north on Lind Ave SW. Unit 1 ran the stop sign at SW 19th ST and he struck the
vehicle. He stated the car was traveling very quickly.
Based on the information above it appears Ganzo-Calzada failed to yield the right of way to Iliria and
ran the stop sign causing the accident.
Ganzo-Calzada's vehicle had a broken wheel and was damaged pretty much all the way around it.
Unit 2 had minor front end damage. Renton Fire arrived for aid but both parties declined. Both parties
were given the case number. Ganzo-Calzada wanted his vehicle left on scene.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
This report was electronically signed by Officer R. Phillips #11649, December 5th, 2022, Renton, WA.
PAGE 3 OF 4
REPORT NO. ED11438 CASE# ' 22-12861 DATE AND TIME 12/05/22 12:15
OF COLLISION
N
not to scale
unit 1
r
r
r
w
sw 19th st
unit 2
find ave sw
PAGE 4 OF 4