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Home My WebLink About23-1626 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED37011 170 27 COLLISION REP FIT 1591971 CASE 23-1626 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 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 CITY# ❑ cowsloN 02 - 08 - 2023 1656 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S GRADYWY BLOCK NO. e 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FMILES EET e S ❑ E e RAINIER AVE S 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:2016818169 0 11 30 6� LAST NAME MO FIRSTNAME DORIS MIDDLE L 1 1 2 31 INITIAL STREET ❑✓ 17541 11OTH AVE E CITY PUYALLUP ST WA 2jp, 98374 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ vEs No�/ 8❑ DRIVERS # STATE WA SEX'F MIDI Y' 02 — 25 — 1955 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 ATNES# CFF3979 sTAr WAv N# 5YJSA1 E52NF473231 5 TRAILER STATE 7RAILEft STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 3 7 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR 2022 MAKE MODEL STYLE VEHICLE TOWED TO BLIN T 1 Y GOVT.VEHICLE 3 ] 34 13 4 TESL MODEL 4D DAMAGE YES NO 4I� /�TE TOW 'Es❑ NO REGISTERED OWNER INFO DORIS MO 17020 SE 14TH LN BELLEVUE WA 98008 D:2016818169 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 4 14 LIABILITY INSURANCE INSURANCE CO GEICO 4477385803 IN EFFECT &POLICY# STOP ❑ LEGALLYE LE CHARGE 1 5 36 15 2 YEs No clTAnoN# 3A0029769 IMPROPER LANE USAGE s 10 Borrow MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD M PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ ET NO D.4 154040202 16 a LAST NAME TANYA FIRST NAME GALBADRAKH MIDDLE INITIAL 17❑ STREET ❑' 186 SAGAMORE ST CITY' SAN FRANCISCO ST' CA ZIP 94112 37 NEW ADDRESS ❑ 18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES t l NOF,/ 19 DRIVER'S STATE CA SEX M I D.Q.B. 127_ 17 _ 1985 39 LICENSE# MMDDYY HELMET I {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS 1 ❑ 21❑ LICENSE I YP44702 TAre CA vIN1t 1NPXLP9XXPD875175 ❑ 41 pLATE# ❑ 42 22❑ TRAILER B88235 STATE CA TRAILER STATE PLATE# PLATE It 43 23❑ VINL# 1NPXLP9xxPD875175 IN VEH YEAR 2023 MAKE PTRg MODEL 389 STYLE SE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO GALBADRAKH TANYA 186 SAGAMORE ST SAN FRANCISCO CA 94112 D:4154040202 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO LUBEMER INTERNATIONAL INSURANCE 17788470011 1 STOP 5 IN EFFECT --E ❑ ,J� CITATION# CHARGE 25 io BOTTOM LEGALLY YES N`L J s � a 7SHA NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 CROW 12618 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED37011 COLLISION REPORT III III III III III 111 1591972 CASE# 23-1626 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 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' On 02/08/2023 at about 1658 hours I was working uniform marked patrol as 1 R15 when I was dispatched to a car versus semitruck motor vehicle collision in the 100 block of S Grady Wy within the city limits of Renton, King County, Washington. The vehicles were partially blocking S Grady Wy at one of the left (southbound) turn lanes. There were no reported injuries. The semitruck was driveable, but the car had to be towed. Vehicle 2 (Peterbilt semitruck with Washington license plate YP44702) was on S Grady Wy in the left turn lane and stopped for traffic due to the red light at the upcoming intersection of S Grady Wy/Rainier Ave S. Vehicle 2 was about 200 feet east of the intersection at the time. Vehicle 2 continued driving once the traffic in front of him began traveling through the green light intersection. As Vehicle 2 moved forward Vehicle 1 (2022 Tesla Model S with Washington license plate CFF3979) changed lanes from lane 2 (second lane in from the outer curb lane) into the turn lane directly in front of Vehicle 2. The front passenger side of Vehicle 2 and the middle/rear section of Vehicle 1 collided. Vehicle 2 had damage to the front passenger side fender well, and the front passenger wheel lug nut covers were damaged. Vehicle 2 was able to be driven from the scene, and there were no reported injuries. Vehicle 1 had damage to the rear driver side door and the rear driver side tire. Vehicle 1 was unable to be driven from the scene due to the tire damage, and it was towed (private tow). The driver of Vehicle 1 did not report any injuries. Doris Mo (driver of Vehicle 1) admitted the collision was her fault, but she also mentioned that Vehicle 2 purposely sped up as she entered the turn lane. It appeared that the actions of Doris Mo contributed to the circumstances of the collision. I informed Doris that she would be receiving an infraction in the mail. I cited Doris for Improper Lane Usage (RCW 46.61.140) and sent the infraction to the court to be mailed. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. SHAWN CROW 02-17-23 10:02 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1 2/24/2023 5:48:38 PM BADGE OR ID# 12618 OR]#' WA0171300 TIME POLICE DISPATCHED; 4:88 Pry] TIME POLICE ARRIVED 5:02 PM PART Ei PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. ED3701 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-1626 1 COMMERCIAL MOTOR CARRIER INTERSTATE ✓ INTRASTATE G UNIT# 2 USDOT 3020587 ICC# VEHICLE TYPE 4 CARGO BODY 7 TYPE 2 ❑ 1 28 CARRIER NAME BZ TRANS,INC. 3 CARRIER ADDRESS 5660 VAN GOGH WAY CITY YORBA LINDA ST CA ZIP 92887 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 03 GI54600 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL ❑ 36 STREET 16 NFln+AnntxFs.� CITY'. ST SIP CDL IGNITION REDUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE oF1NJURIEs 38 USE (CLASS 19 ❑ vIN 39 LICENSE # PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 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 LEwGLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv 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. SHAWN CROW 02-17-23 10:02 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26F7 OI BADGE 12618 O#II,WA0171300 APPROVE 2%2E4/2023 PAGE OF F 3000-345-013(R 11118) REPORT NO. EU37011 CASE# 23-1626 DATE AND TIME 02/08/2316:58