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Home My WebLink About23-883 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c COLLISION REP FIT 1591971 ❑ ❑ FIRE RESULTED ❑ CASE 23-883 z INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;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❑ DArE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 01 - 21 - 2023 0008 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ N SOUTHPORT DR BLOCK NO. e✓ 1300 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ W e I405 SB 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El �/No D:2062934485 0 4 30 6� LAST NAME OJEDA-PACHECO FIRSTNAME ISMAEL MIDDLE 1 2 31 INITIAL STREET ❑ 13708 12TH AVE SW APT 21 CITY BURIEN ST WA ZIP' 98166 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES 1/ NO 8❑ LRIIVERS STATE WA SEX'M MM DAY' 06 1— 17 — 1973 2 32 CENSE 9 ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 EJECT 1 H U EELMET 2 CLASS 7 I INJURY [NATURE OF INJURIES HEAD AND CHEST PAIN 2❑ 3 10❑ P1 AT J4 BNW2065 STATE WA VIN# 2C4GP24323R242664 ----� TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[AWk GOVT.VEHICLE 34 13 4 2003 CHRY TOWN VN DAMAG 3 5 E YES NO YES[:] No REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 ❑ INSURANCE CO <53 4 LIABILITY INSURANCEIN EFFECT &POLICV# TOPVEwcLE CHARGE TTOM 5 36 LEGALLY YES❑NO CITATION# 3A0064269,3A0064269, OP MOT VEH W/OUT INSURANCE,NO 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ NO D:2064273646 16 a LAST NAME NGUYEN FIRST NAME BINH MIDDLE T INITIAL 17❑ STREET NEW ADDREss❑' 3819 NE 23RD PL CITY RENTON ST WA ZIP 98056 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL—T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 F] DRIVER'S STATE WA SEX M D.Q.B. 03 �_ 17 1979 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 4 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# BND9087 TATE 41 WA VIN# 5TDYZ3DC8JS955190 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. Gov HI VEH YEAR 2018 MAKE 7'Dy7' MODEL SIENNA STYLE VN DAMAGE TO ✓WED N 24 OO BLIN TOWED BY 44 Yr BANKERS YES No ❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE DAGELLAREA LIABILITY INSURANCE INSU PORGY#E CO METLIFE 5192814130IN 5 VEwGLE ❑ ,J� CITATION# CHARGE GQ LEGALLY YES N`L J 25 s � e 7HAL S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 Y BRUS 11663 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED31196 COLLISION REPORT III III III III III 111 1591972 CASE# 23-883 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) MCCULLOGH ELLSWORTH (LAST FIRST, ADDRESS&PHONE# UNKNOWN 4252683120 SEX M MMDOYyry -�- PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ POS. USE CLASS NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# DOB SEXI MMDDYVYV PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS 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. HALLEY BRUS 01-21-23 01:44 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 8887 1 2/4/2023 4:17.38 PM BADGE OR ID# ! 11663 ORI#' WA0171300 TIME POLICE DISPATCHED', 12:10 AM TIME POLICE ARRIVED',12:18 AM PART I PAGE IT]0F 4� TIME REPORT NO. ED31196 CASE# 23-883 OF COLLISION01/21/23 00:08 NARRATIVE Assignment: On 1-21-23, 1 was working uniformed patrol in a marked Renton PD unit. At approximately 0010 hours, I was dispatched to investigate a traffic collision that occurred in the 1300 block of N Southport Dr at the intersection of the 1405 SB On Ramp, in the City of Renton, County of King (WA). Scene: The 1300 block of N Southport Dr is a two-way east-west bound street with a westbound left turn lane onto the 1405 SB on ramp. Arrival: Upon arrival, I saw a dark blue Toyota Sienna (WALic#BND9087, Unit#2) with heavy damage to the passenger side. There was also a tan Chrysler Town and Country (WALic#BNW2065, Unit#1) with heavy front-end damage. Both drivers were with their respective vehicles. Statement of Binh Nguyen: Nguyen (identified by WADL) was driving Unit#2 westbound in the 1300 block of N Southport Dr. Nguyen stated he had a green left turn arrow, so he proceeded to turn left (southbound) onto the 1405 SB on ramp when Unit#1 drove through the intersection driving eastbound on N Southport Dr. Unit#1 then collided with the passenger side of#2. Nguyen stated he was not injured and there were no defects to the vehicle prior to this incident. Unit#2 had side air bags deployed. Fire assessed Nguyen and determined he did not need further medical attention. Statement of Ismael Ojeda-Pacheco: Ojeda-Pacheco (identified by WADL) spoke only Spanish. Officer Catalan interpreted for the interview. Ojeda-Pacheco stated he was going straight ahead, eastbound, on N Southport Dr through the intersection with the 1405 SB on ramp when he collided with Unit#2. Ojeda-Pacheco stated he had a green light. A DOL records check of Ojeda-Pacheco showed his status as "Not Licensed -Eligible." Ojeda- Pacheco stated he did not have auto insurance. Ojeda-Pacheco complained of head and chest pain. Fire arrived on scene and advised he be transported to the hospital. Ojeda-Pacheco was transported to the hospital via ambulance. Statement of Ellmsworth McCullogh: McCullogh stated he was a witness to the collision. McCullough stated he was driving behind Unit#1 and Unit#1 ran a red light, causing the collision. Damage: The damage on both vehicles on scene matched all statements. Tow: Bankers Towing company arrived on scene and towed both vehicles off location. I completed a vehicle impound form for Unit#1 since Ojeda-Pacheco was transported to the hospital. Summary: Based on statements provided and the supporting physical evidence, I determined Ojeda-Pacheco caused the collision by failing to yield the right of way to Unit#2 and stop at a red traffic light. 1 issued Ojeda-Pacheco RPD Citation #3A0064269 for Operating a Motor Vehicle without Liability Insurance, No Valid Operator's License with Valid ID, and Failure to Obey a Traffic Control Device. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by H.Brus/11663 at 0142 hours on 1-21-23, in the City of Renton, WA. PAGE 3 OF 4 REPORT NO. ED31196 CASE# ' 23-883 DATE AND TIME 01/21/23 00:08 OF COLLISION i �Soathpatt Rr PAGE 4 OF 4