HomeMy WebLinkAbout23-2120 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-2120 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#
cawsloN 02 - 1-- 2023 2055 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LOGAN AVE N BLOCK NO. e --- ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e N 3RD ST
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2063912077 0 11
30
6� LAST NAME DRAMMEH FIRSTNAME MAHAMADOU MIDDLE N 1 2 31
INITIAL
STREET ❑ 312 WELLS AVE N APT 1 CITY RENTON ST WA ZIP 980575624 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES No�/
8 LICIEVERS NSE# STATE WA SEX'M MM DY,Y' 05 - 23 - 2006 1 1 2 32
9 ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 CLASS 6 NECK PAIN JURIES z❑
3
10 1❑ P1 ATE 14 BUB4803 sTATe WA v N# 3VW2K7AJ0DM372988
F_ TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR. A'RLR. 1 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR T Y GOVT.VEHICLE 5 1 34
13 4 2013 MAKE MODEL VOLK JETTA STYLE VEHICLE TOWED SD DAMAGE YES No TO BLIN �MEYERS YES[:] No
REGISTERED OWNER INFO ...DOU DRAMMEH 312 WELLS AVE N APT I RENTON WA 980575624 D:2063912077 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO
14 ❑ PROGRESSIVE UNKNOWN
IN EFFECT &POLICY# 9TOP
36
VEHICLe CHARGE 5
LEcnlly ❑NO❑ CITATION# 1 o BOTTOM
15❑ YES STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064539292
16 a
LAST NAME NGUYEN FIRST NAME NGOC-MAI MIDDLE I D
INITIAL
17❑ NEW STREETREs7 407 RAYMOND PL SW CITY RENTON ST WA ZIP 980572202 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES t l NOF,/
19 LDIIVER # STATE WA SEX F M .C.B. 12 _ 29 _ 2000 39
20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE of INJURIES ❑ 40
USE CLASS LEG/ARM PAIN
❑ILICENSE 21❑ PLA E# AVX1441 TATE 41
WA VIN# 5NPDH4AEXGH687819 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
TOWED BV Gov HI 44
VEH YEAR 2016 MAKE yyUN MODEL ELANTRA STYLE $D DAMAGE TOWED✓ NOO BLIN GENE MEYERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO ALLSTATE 4404042DO147IN STOP 5
--E ❑ ,J� CITATION# CHARGE
YE to BOTTOM
LEGALLY S N 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
JASON TURNER 12650 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED37016
COLLISION REPORT III III III III III 111
1591972 CASE# 23-2120
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) NGUYEN NGOC-CHAU D
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
407 RAYMOND PL SW# RENTON WA 980570000 SEXi F MMDDYyYY 05 - 28 - 2004
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER ZWITNESS❑'UNIT# 2 POS 7 AIRBAG 6 RESTR. 4 EJECT 1 USE 2 CLASS 6 LEG/ARM PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL) LITTLEWOOD EDEN C
ADDRESS&PHONE# DOB
417 WILLIAMS AVE S UNIT 104 RENTON WA 980572716 SEX IF MMD.:WB: 04 _ 12 _1 2000
SEAT HELMET NJURY NATURE OF INJURIES
PASSENGER Z WITNESS o UNIT# 2 POS 3 AIRBAG'6 RESTR. 4 EJECT 1 USE 2 CLASS 6 NECK PAIN
NAME
(LAST FIRST,MIDDLE INITIAL) NGUYEN PRINCE D
AooREss PHONE# RENTON U M 08 27 _ 2022
SEX.
MDDYYYY
PASSENGER WITNESS UNIT# ! 2 SEAT 7 AIRBAG 6 RESTR. 11 EJECT 1 HELMET 2 INJURY 0 NATURE OF INJURIES
❑ POS. USE GLASS ��- ----�
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.
JASON TURNER 02-22-23 04:41 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 2/24/2023 5:39:24 PM
BADGE OR ID# 12650 ORI# WA0171300 TIME POLICE DISPATCHED 8:55 PM TIME POLICE ARRIVED]8:55 PM
PART I PAGE IT]OF 4�
TIME
REPORT NO. ED37016 CASE# 23-2120 OF COLLISIONO2/21/23 20:55
NARRATIVE
On 02/21/2023 at approximately 2055 hours I was working as a Police Officer for the city of Renton.
While working I was driving northbound on Logan Ave N when I observed two vehicles that appeared
to have just been in a collision at the intersection of Logan Ave N and N 3rd ST.
Unit 1: 2013 Black Volkswagen Jetta WA LIC: BUB4803. The vehicle was driven by Mahamadou
Drammeh (DOB: 05/23/2006) who was identified through his WA ID photo.
Unit 2: White 2016 Hyundai Elantra WA LIC: AVX1441. The vehicle was driven by Ngoc-Mai D.
Nguyen (DOB: 12/29/2000) who was identified through her WA DL photo. Unit 2 had the following
passengers: Ngoc-Chau Nguyen (DOB: 05/28/2004), Eden C. Littlewood (DOB: 04/12/2000), and
Prince D. Nguyen (DOB: 08/27/2022).
Unit 2 was traveling northbound on Logan Ave N continuing straight through a green light at the
intersection of N 3rd ST and Logan Ave N. Unit 1 was attempting to take a left turn from Logan Ave N
to N 3rd ST to continue eastbound on N 3rd ST. Unit 1 had a blinking yellow arrow at the intersection
while attempting to take the turn. Unit 1 began to take the turn while Unit 2 was going through the
intersection, causing the vehicles to collide.
Both vehicles had airbag deployment in multiple areas. Unit 1 had significant damage to the driver's
side of the vehicle reaching more than $1000 in damage. Unit 2 had significant damage to the front
end of the vehicle, reaching more than $1000 in damage.
Mahamadou reported that his neck was hurting after the collision. Ngoc-Mai reported pain to her arm
and leg, Elden and Ngoc-Chau also reported pain in their arm and leg. There were no apparent
injuries to Prince. Fire was called to the scene and evaluated all parties.
Mahamadou was cited for Driving without a License (RCW 46.20.338) based upon the fact that he
was driving the vehicle alone with a learner's permit.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by J. Turner 12650 on 02/17/2023 at 0417 hours.
PAGE 3 OF 4
REPORT NO. ED37016 CASE# 23-2120 DATE AND TIME 02/21/23 20:55
OF COLLISION
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