HomeMy WebLinkAbout23-273 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE RESULTED ❑ CASE 23-273 z
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 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.. 01 - 1-- 2023 1446 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LIND AVE SW BLOCK NO. e✓ 3400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 .❑ FEET e S ❑ W e SW 34TH ST
❑ �
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2068520813 0 11
30
6� LAST NAME LY FIRSTNAME THAO MIDDLE T 1 1 2 31
INITIAL
STREET El 10225 11 TH AVE SW CITY SEATTLE ST WA ZIP 981461421 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 INJURY CLASS 1 NATURE OF INJURIES 2❑
3
10 9❑ PiATE14 BOS5810 STATE WA VIN# 2T2BK1BA1FC304706
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM To
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN I'
;.... FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2015 LEXS RX 300 UT DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO THAD LY 1022511TH AVE SW SEATTLE WA 981461421 D:2068520813 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PEMCO CA1303229 3
IN EFFECT &POLICY# 9TOP
CHARGE 36
LECALLv YES❑NO❑ CITATION# 3AO081159 10 BOTTOM
15❑ vE—LE FAIL STOP AT STOP STANDING 8 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM1/ THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO D:2063712980
16 a
LAST NAME DEL ROSARIO FIRST NAME CHRISTINE MIDDLE I D
INITIAL
17❑ STREET NEW ADDRESS❑' 19243 107TH AVE SE CITY RENTON ST WA ZIP 980557368 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NOF,/
19 DRIVER'S STATE WA ]SEX IF D.C... 03 _ 13 _ 1977 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑ 41
21❑ PLATE# B24224W TATE WA vIN# STFLU4EN5CX043015 1
42
22❑ PLATE# STATE PLATE ILER# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR 2012 MAKE TOYT MODEL TACOMA STYLE PK VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO CHRISTINE DEL ROSARIO 19243107TH AVE SE RENTON WA 980557368 D:2063712980 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE 8 POINSURGY#E CO ESURANCEPAWA2045269IN STOP 5
0(
"'LE ❑ ,.I— CITATION# CHARGE io BOTTOM
LEGALLY YES N`LJ
25 ' a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# TAGENCY
26
GREGORY BILLS 1
12495 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED26872
COLLISION REPORT III III III III III 111
1591972 CASE# 23-273
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 NJURY 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.
GREGORYB/LLS 01-07-23 05:43 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 112012023 5:26:49 PM
BADGE OR ID# 12495 OR]# WA0171300 TIME POLICE DISPATCHED 2:50 PM TIME POLICE ARRIVED',2:57 PM
PART I PAGE IT]OF 4�
REPORT NO. ED26872 CASE# 23-273 OF COLLISION
01/07/23 14:46
OF CbLLI510N
NARRATIVE
On 01/07/2023 at 1450 hours I was dispatched to Lind Ave SW/ SW 34th St, in the City of Renton,
King County, Washington. I was responding to a call of a non-blocking, non-injury collision.
At approximately 1457 hours, I arrived and contacted the two involved parties.
In this report, Unit 1 refers to a white 2015 Lexus RX (WA/BOS5810) driven by Thao Thanh Ly (DOB
05/09/1972, WA DL). Unit 2 refers to a black 2012 Toyota Tacoma (WA/B24224W) driven by
Christine Derro Del Rosario (DOB 03/13/1977, WA DL).
My investigation found the following:
Unit 2 was driving southbound on Lind Ave SW, approaching SW 34th St. Unit 1 was traveling
eastbound on SW 34th St and was stopped at the stop sign at the intersection with Lind Ave SW. Unit
1 entered the intersection as Unit 2 was driving south. Del Rosario said she saw the Lexus entering
the intersection, but was unable to stop in time, partially due to the wet roads. The front of Unit 2
collided with the rear driver side bumper/quarterpanel area of Unit 1. There were no injuries, but both
vehicles lost their respective bumpers.
I provided both parties a business card with the case number.
I told Ly she would be receiving a ticket (cite # 3A0081159) in the mail for improper stop at stop sign.
She attributed the cause of the collision to Del Rosario driving too fast, and said she herself stopped
at the sign. I told her she needed to wait until it was safe to proceed before entering the intersection.
It is not enough to simply stop if another vehicle is approaching. Further, Lind Ave SW is a long,
straight road where vehicles are visible for several blocks in either direction, regardless of speed.
This concludes my involvement in this case.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Gregory Bills #12495, 01/07/2023 at 1724 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO. ED26872 CASE# ' 23-273 DATE AND TIME 01/07/23 14:46
OF COLLISION
Lind Ave SW
Not to Scale
Unit
SW 34th St
f Unit 1
Impact
PAGE 4 OF 4