HomeMy WebLinkAbout23-1462 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-1462 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 7 28
TRIBAL UNITS OZ RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 02 - 1-- 2023 2331 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE 164TH ST BLOCK NO. e✓ 1300
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 300 00 FEET e MILES S ❑ W e 130THAVESE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063989203 2 2 30
6❑ LAST NAME TRUONG FIRSTNAME HIEN MIDDLE V 1 1 2 31
INITIAL
STREET ❑ 16251 141 ST AVE SE CITY RENTON ST WA ZIP 98058 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
✓ I iNTERLOCKYEs No NTERLOCKYEs NO✓ YES R No
8❑ LDRIVER # STATE WA SEX'M MID
-O B 02 — 14 — 1957 32
9 ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES z❑
3
10❑ P1 ATNES# BDt 2602 sTAr WAv N# 2HKRM4H71 GH679519
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
FROM
34
13� VEH.YEAR2016 MAKE HOND MODEL CRV STYLE 4B VEHICLE TOWEDNOOpLSABLIN TSIYYEp9vMEYERS vOs❑ENO✓
HICLE
DAMAGE IILLJJII (��IV6
REGISTERED OWNER INFO HIEN TRl10NG 11211141STAVE SE RENTON WA 98058 D:2063989203 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILI INSURANCE INSURANCE CO FARMERS 189910676 4
IN EFFECT &POLICY# 9TOP
LVEHICLE 5 36
LECALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM
15❑ 1NDIING 8 6
UNIT 02 VEHIMOTOCLE CYCLE ❑ PEDESTRIAN ❑ OWN A Z PEDAL RTY [:]EA.
✓ NO OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY RENTON ST ZIP $
17❑ NEW ADDRESS❑ ❑ 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 LLIICENS # STATE SEX U MMDDYY 39
WELMET 1NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑
LICENSE I ❑21❑ PLA E# BEC8127 TAre WA VIN# 41
2T3RFREVXHW570710 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ TRLR R 43
LR
VIN#. N I #.
VEH YEAR 2017 MAKE TOYT MODEL RAV4 STYLE 4C VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YESfj
NO✓ YES NO✓
REGISTERED OWNER INFO WEN CHEN 13007 SE 164TH ST RENTONWA 98058 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATEFARM 4645702B2947IN 1URVE""LE
❑ ,J� CITATION# CHARGELEGALLYYES N`LJ
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
N AAH GIRELLO 12607 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED31278
COLLISION REPORT III III III III III 111
1591972 CASE# 23-1462
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.
NOAH GIRELLO 02-04-23 04:39 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 2/5/2023 2:13:10 AM
BADGE OR ID# 12607 OR]# WA0171300 TIME POLICE DISPATCHED; 11:34 PM TIME POLICE ARRIVED',11:38 PM
PART I PAGE IT]OF 4]
REPORT NO. ED31278 CASE# 23-1462 OF COLLISION
02/03/23 23:31
OF CbLLI510N
NARRATIVE
23-01462
At about 2334 hours on 02/03/2023 1 responded to an unknown injury accident at, 13007 SE 164th
ST, in the city of Renton, King County, Washington. Dispatch advised me that this was a vehicle into
the reporting parties parked vehicle and injuries were unknown.
Unit 1 -2016 blue Honda CR-V (LIC/BDL2602) (2HKRM4H71 GH679519)
Driver-Hien V Truong (DOB: 02/14/1957) via WADL
Unit 2 -2017 black Toyota Rav4 (LIC/BEC8127) (VIN/2T3RFREVXHW570710)
Registered owner-Wen G Chen (DOB: 01/30/1987) via WADL
Upon my arrival I contacted both involved parties and both parties advised me that there were no
injuries, and a medical evaluation was not needed. Based on my initial observations, the collision
appeared that unit 1 had struck unit 2 while unit 2 was legally parked on the side of the road. Unit 1
had extensive damage to the front passenger side wheel, leaving the vehicle inoperable. When I
arrived the driver of unit 1 was outside his vehicle talking with the owner of unit 2.
1 then contacted the driver of unit 1. The driver of unit 1 explained that he turned left at 130th Ave SE
and began driving east on SE 164th ST. Unit 1 said shortly after his turn he was distracted by the
head lights from an oncoming vehicle and lost control of his vehicle, veering off onto the shoulder and
striking unit 2's parked vehicle. Unit 1 said he did not remember seeing the parked vehicle before
hitting it. The driver of unit 1 also added that he had been in an accident recently however he did not
believe his vehicle had any defects from that collision.
I then contacted the owner of unit 2. The owner advised me that he was asleep in his home when he
heard the collision. He did not witness anything and only went outside to discover the damage. Unit
2's vehicle was parked on the south side of SE 164th ST, on the shoulder in front of his house.
I provided both involved parties with an exchange of information sheet along with a case number.
Due to the severe damage to Unit 1's vehicle, the vehicle was towed by Gene Meyers Towing
Company. No one was cited in this collision. Pictures of the vehicles and the damage were taken and
uploaded via Axon capture.
This concludes my involvement with this case.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by N. GIRELLO #12607 on 02/04/2023 at 0400 Renton, WA
PAGE 3 OF 4
REPORT NO. ED31278 CASE# 23-1462 DATE AND TIME 02/03/23 23:31
OF COLLISION
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130TH AVE SE
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PAGE 4 OF 4