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HomeMy WebLinkAbout23-1127 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c COLLISION REP FIT 1591971 CASE 23-1127 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 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 N E IN CITY# ❑ cowsloN 01 - 1-- 2023 1458 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 108TH AVE SE BLOCK NO. e✓ 17700 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 675 00 FMILES N EET e S B E e SEPETROVITSKYRD 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2062405487 0 11 30 6� LAST NAME SLUGIC FIRSTNAME HERBERDINE MIDDLE M 1 1 2 31 INITIAL STREET ❑, 21049 103RD AVE SE CITY KENT ST I WA 7jp, 980312094 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVERS STATE WA SEX'F MM DAY' 07 1- 10 - 1987 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� CDK8053 sTArI WAVIN# WP1BA2AYONDA48103 TRAILER STATE TRAILER STATE 11 4 0I PLATE# PLATE# ROM TO TRLR. TRLR 5 7 33 12 4 0 VIN#' VIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34 13 2022 PORS CAYENN SV DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO SLAVEN SLUGIC 21119103RD AVE SE KENT WA 98031 D:2062405487 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO ALLSTATE 976-331.664 4 IN EFFECT &POLICY# 9TOP EwcL'Y 1 5 36 L YES NO CITATION# 3AO055461 CHARGE FAIL YIELD LEFT TURN MOTOR LEGALLY o aorroM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064763797 16 a LAST NAME AWING FIRST NAME DORSILA MIDDLE D INITIAL 17 NEW ADDRE— 23821 1STREET 09TH AVE SE CITY KENT ST WA ZIP 98031 37 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES t l NOF,/ 19 LICENSE# STATE WA SEX F M .C... 09 _ 15 _ 1993 39 20 ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 WEB SET 2 NJAU SY 6 [-�A—TUREOF INJURIES C/O MINOR PAIN IN LEGS AND NECK 40 ❑ILICENSE 21❑ PLA E# BW0013 TArE 41 WA VIN# JA3AJ26E640008763 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2004 MAKE MITS MODEL LANCER STYLE QD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO SANDRA AWUOR 23701110TH AVE SE APT 1R202 KENT WA 98031 D:2064 763 79 7 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO PROGRESSIVE 953025613IN STOP 5 VE""LE ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N J 25 e =UGENT (PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 11498 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED30441 COLLISION REPORT III III III III III 111 1591972 CASE# 23-1127 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SLUGIC TEO (IAST FIRST, ADDRESS&PHONE# 21049 103RD AVE SE KENT WA 98031 SEX X MMDouyry -�- PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 1 POS, 7 2 10 1 USE 1 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) SLUGIC ADRIAN ADDRESS&PHONE# DOB - 21049 103RD AVE SE KENT WA 98031 SEX' MMDDuvYu SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS❑ UNIT# 1 PGS 9 AIRBAG 2 RESTR. 10 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) PICKENS JR BILLY RAY AooREss&PHONE# 1506 SW TENNESSEE AVE LAWTON OK 73501 2064763797 SEX M D•O•B• 03 _I. 11 _ 1981 MDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT 3 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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. MATTHEW NUGENT 01-31-23 04:35 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT CO.JOHNSON 0505 2/1/2023 4:54:39 PM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED'! 3:01 PM TIME POLICE ARRIVED',3:24 PM PART I PAGE IT]OF 4� REPORT NO. ED30441 CASE# 23-1127 OF COLLISION 01/26/23 14:58 OF CbLLI510N NARRATIVE 23-1127 On 01/26/2023 at approximately 1501 hours, I was dispatched to a non-injury and blocking vehicle collision in the intersection 17700 block of 108th Ave SE, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I located both parties and confirmed there were no complaints of injury requiring immediate medical response. The driver of Unit#2 did complain of minor pain in her legs and neck but stated she would follow-up with her doctor at a later date. While on scene, I collected each involved party's information and involvement leading up to the collision. The driver of Unit#1 stated she and her two juvenile children were traveling northbound in about the 17700 block of 108th Ave SE and approaching the driveway leading to a private parking lot located on the west side of 108th Ave SE. The driver of Unit#1 stated that she had pulled into the dedicated left-turn-lane to yield to traffic for an upcoming left-turn. The driver of Unit#1 stated she intended to proceed into the private property parking lot following the turn. The driver of Unit#1 stated that southbound traffic in lane 2 of 2 on 108th Ave SE was clear for Unit#1 to proceed out into the intersection. While Unit#1 proceeded out into the intersection, the driver of Unit#1 stated she could not see southbound traffic in lane 1 of 2 on 108th Ave SE. Once Unit#1 reached lane 1 of 2, she saw Unit#2 occupying that lane. The driver of Unit#1 stated she tried to avoid the collision but was unable to and that Unit#2 struck the rear passenger side door and fender of Unit#1 subsequently causing moderate damage to Unit#1. The driver of Unit#2 said she and her adult passenger were traveling southbound in about the 17700 block of 108th Ave SE in lane 1 of 2. The driver of Unit#2 stated she was intending to continue south through the uncontrolled intersection. The driver of Unit#2 stated while approaching the intersection of the private parking lot entrance which Unit#1 was trying to turn into, she continued going straight ahead. The driver of Unit#2 stated she was just driving along when Unit#1 turned in front of her vehicle. The driver of Unit#2 stated she was unable to avoid the collision and struck Unit#1 causing significant damage to the front of Unit#2. Based on the above statements, I determined that the Driver of Unit#1 (SLUGIC) was the predominant factor for the collision due to not granting the right of way during a left-turn causing a collision. The driver of Unit#1 violated RCW 46.61.185.1 by not granting the right of way to Unit#2 traveling in the roadway which had the right of way and was already underway. I cited SLUGIC via mail for the Improper Left Turn. Both Unit#1 and Unit#2 were able to be driven away without further incident. An exchange of information was provided to all involved parties. 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 M. Nugent#11498 4:15 PM 1/31/2023 Renton, King County, WA. PAGE 3 OF 4 REPORT NO. ED30441 CASE# ' 23-1127 DATE AND TIME 01/26/23 14:58 OF COLLISION N m Fred Mayor Parking Lot-East L ntranct .�. U�d4l Q 108th Ave SE PAGE 4 OF 4