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Home My WebLink About23-1714 a POLICETRAFFic" II I f I) 11I1ll(111(111l If( f 11 REPORT NO. ED33343 170 27 COLLISION REP FIT 1591971 CASE 23-1714 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4200 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 02 - 10 - 2023 1535 17 ❑.❑ S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BRONSON WAY N BLOCK NO. e 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 50 00 FEET MILES e S ❑ W e SUNSET BL N 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:7722307470 N:4257612256 0 11 30 6� LAST NAME SHINE FIRSTNAME ANNETTE MIDDLE R 1 1 2 31 INITIAL STREET El 4321 S WARSAW ST CITY SEATTLE ST WA 2jp, 98118 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED1/ I IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO NTERLOCKYEs Z/NO YEs �No / LRIIVER # STATE WA SEX'F MM D Y' 06 - 17 - 8❑ 1981 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET 2 CLASS 0 NATURE OF INJURIES 2❑ 3 10[9 EN p7 ATE BYS2996 STATE WA VIN# KNDJP3A53E7080890 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FR.. ro TRLR. TRLR. 3 1 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 3 34 13 4 2014 KIA SOUL UT DAMAGE YES NO YES ❑ NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEwcLe CHARGE 1 5 36 LEGALLY YEs No CITATION# 3A0223570 OP MOT VEH W/OUT INSURANCE o Borro6 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4255189088 16 a LAST NAME WHEELER FIRST NAME SERENA MIDDLE L INITIAL 17❑ NEW STREETR 7 11639 SE 217TH PL CITY KENT ST WA ZIP 98031 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[—] LDI IVERS STATE WA SEX F M .C... 11 25 _ 1987 39 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑21❑ PLATE# CAX5865 TATE 41 WA VIN# 5XYPKDA51KG448450 4 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2019 MAKE KIA MODEL SORREN STYLE UT VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO SERENA WHEELER 11639 SE 217TH PL KENT WA 98031 D:4255189088 VEHICLE NO.2 SHADE DAGED AREA 4 LIABILITY INSURANCE I PORGY#ECO STAE FARM 4884523C2547BIN 1GQ'E""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 7TRADER NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 4553 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED33343 COLLISION REPORT III III III III III 111 1591972 CASE# 23-1714 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) WHEELER ROMEO J (LAST FIRST, ADDRESS&PHONE# 11639 SE 217TH PL TUKWfLA WA 98031 4255189088 SEX M MMDovyvv 04 - 29 - 2021 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 2 POS. 4 2 11 1 USE 2 CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) SKOGLUND GRACE C ADDRESS&PHONE# D O B 13326 MILITARY RD S TUKWILA WA 98168 2063554717 SEX F MMODvyvv 01 _ 10 _ 2017 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 3 POS 6 AIRBAG 2 RESTR. 10 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. J.TRADER 02-12-23 07:44 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 211212023 10:31:42 PM BADGE OR ID# 4553 ORI# WA0171300 TIME POLICE DISPATCHED 4:20 PM TIME POLICE ARRIVED',4:25 PM PART I PAGE IT]OF REPORT NO. ED33343 CASE# 23-1714 OF COLLISION 02/10/23 15:35 OF CbLLI510N NARRATIVE On 02/10/2023 at approximatley 1620 hours, I was dispatched to a three car non injury collision in the area of N 3rd ST and Sunset BL N. Upon arrival I wpoke with the driver of Unit 3 who was identified by a WA State driver license as KART SKOGLAND. SKOGLAND was driving vehicle license BOV5224 on Bronson Way N at Sunset BL N. SKOGLAND was stopped for traffic in the number three lane of Bronson Way N just West of Sunset BL N. SKOGLAND said Unit 1 license BYS2996 was behind her and then Unit 1 attempted to go around SKOGLAND striking Unit 2 then bounced off and struck SKOGLAND'S vehicle. I spoke with the driver of Unit 2 who was identified as SERENA WHEELER and her vehicle license was CAX5865. WHEELER confirmed she was driving her vehicle on Bronson Way N just west of Sunset BL N in the number two lane. WHEELER wasn't sure where Unit 1 came from but Unit 1 crashed into her vehicle and then bounced off and hit Unit 3. 1 asked the driver of Unit 2 and Unit 3 where Unit 1 and the driver went. They both confirmed she left the scene after allowing them to take a picture of her WA State license. The driver of Unit 1 was identified as ANNETTE SHINE. SHINE also provided WHEELER and SKOGLAND two conact phone numbers. SKOGLAND and WHEELER both confirmed Unit 1 was at fault for striking both vehicles who were legally occupying their respective lane of travel. I spoke with SHINE via phone and she didn't believe she was at fault for the collision. I told SHINE she was responsible for making a safe lane change and to make sure the lane she is attempting to move into isn't already occupied. SHINE did not have insurance for her vehicle. I issued a warning for making an Unsafe Lane Change and issued a citaiton for Operating a Motor Vehicle without Liability Insurance. I informed SHINE she would recieved the citations in the mail and confirmed her home address was correct with DOL. PAGE 3 OF 5 SUPPLEMENTAL REPORT No. ED33343 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-1714 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES NO D:2063554717 OF 7 29 LAST NAME SKOGLAND FIRST NAME : KAR/ MIDDLE A INr:j ITIAL STREET 30 NEW AnDRFSP' 13326 MILITARY RD S CITY TUKWILA ST WA ZIP 98168 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO zERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 10 - 08 - 1980 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BOV5224 [TAT WA VIN# 2GNAXSEV5K6305527 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOME E T SABLIN TOWED BY anvi vEH1C P FROM TO 2019 CHEV EQUINOX UT DAMAGE YES NO YES NO REGISTERED OWNER INFOKARI SKOGLAND 13326 MILITARYRD S TUKWILA WA98168 D:2063554717 J 9 33 12 � SHADE IN DAMAGED AREA 34 FROM TO LIABILITY INSURANCE INSURANCE CO SAFECO H2391376 GQ IN EFFECT &POLICY# 1EHICLE 34 13LEGALLY YES NO❑ CITATION# CHARGE STANDING S} 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE 1:1OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN ❑ 36 15 LAST NAME FIRST NAME ': NIbIAL STREET 16Fl NEW STRE "Fj' CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YES NO ❑ 17 6 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 ❑ TRAILER TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEGALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J,TRADER 02-12-23 07:44 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY I DATE 26 OR ID# 4553 O#I',WA0171300 CHRISTIANSEN 2112/2023 PAGE�OF 3000-345-013(R 11118) REPORT NO. ED33343 CASE# ' 23-1714 DATE AND TIME 02/10/23 15:35 OF COLLISION s w z ewaaso�a vaav r: ci PAGE 5 OF 5