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HomeMy WebLinkAbout23-3331 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-3331 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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# ❑ cowsloN 03 - 1-- 2023 1118 17 ❑.= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ EAST VALLEYROAD BLOCK NO. e✓ 4200 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ VV e S 180TH ST/SW 43RD 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YES ✓NO D:2066876773 0 4 30 6� LAST NAME MAIN FIRSTNAME TRINITY MIDDLE A 1 1 2 31 INITIAL STREET ❑ 1230 PORTER ST CITY ENUMCLAW ST WA ZIP 980222641 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES z❑ 3 10[1Pi ATNES# CFY4843 sTAr WAv N# WBAV817596NK39580 5 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 3 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE q 3 34 13 2 2006 BMW 325 4D DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO TRINITY MAIN 10604 SE 216TH ST KENT WA 98031 D:2066876773 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ❑ INSURANCE CO eq�T3 4 LIABILITY INSURANCE IN EFFECT &POLICY# 9TOP 5 VEwcLE CHARGE 10 BOTTOM 36 LEGALLY YEs❑NO CITATION# 3A0055584,3AO055584 NO VALID OPER LICENSE WITH 15❑ STANDING 8 7 6 MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAM1/ THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES No D:2064033215 16 a LAST NAME YANISHAK FIRST NAME NIKOLAY MIDDLE N INITIAL 17 STREET❑ NEW ADOREss❑' 26518 114TH PL SE CITY KENT ST WA ZIP 980307412 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38 INERLOCKYEs❑No� INTERLOCK ves No� YEs NDF 19 LICENSE# STATE I WA SEX M M D.C.B. 12 _ 11 1989 39 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40 ❑LICENSE I 21❑ PLA E# CGD5960 TArE 41 WA VIN 1 WDDSJ4G65GN292784 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2016 MAKE MERZ MODEL CLA STYLE 4D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO NIKOLAYYANISHAK 26518114THPL SE KENT WA 98030 D:2064033215 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSU8 PORGY#E CO AMERICAN FAMILY 410192982575 1 9TOP 5 IN EFFECT 'E""LE ❑ N`L J ,J� CITATION# CHARGE LEG 25 i o BOTTOM ALLY YES s a =UGENT (PRINT) OFFICER PHONE BADGE OR ID# 77P�1300 26 11498 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED46962 COLLISION REPORT III III III III III 111 1591972 CASE# 23-3331 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. MATTHEW NUGENT 03-27-23 09:36 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 313012023 9:36:18 AM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED; 11:23 AM TIME POLICE ARRIVED 11:33 AM PART I PAGE IT]OF REPORT NO. ED46962 CASE# 23-3331 OF COLLISION 03/23/23 11:18 OF CbLLI510N NARRATIVE 23-3331 On 03/23/2023 at approximately 1123 hours, I was dispatched to a non-injury and non-blocking vehicle collision that occurred at the intersection of SW 43rd Street and East Valley Highway, within the City Limits of Renton, County of King, State of Washington. While en route, Dispatch advised that both involved parties had pulled into the Valley Medical Center (VMC) Emergency Room parking lot at the above location. Upon arrival, Officer M. Leverton and I contacted the involved parties who were in a dispute about the collision. I confirmed there were no complaints injury requiring immediate medical response at the time of report regarding the collision. The driver of Unit#1 was checking herself into the hospital for an unknown yet unrelated reason. There, I collected the involved parties driving documents and their independent recollection of the events leading up to the collision. The driver of Unit#1 stated that she was traveling southbound on East Valley Highway approaching the intersection of SW 43rd Street. The driver of Unit#1 stated that she was in lane 3 of 3 which happened to be one of two left-turn lanes for that direction of travel. The driver of Unit#1 stated that her intent was to make a left (eastbound) turn onto SW 43rd Street. The driver of Unit#1 stated that during her turn and while in the intersection, Unit#1 collided with Unit#2 who was in the adjacent lane to Unit#1 and who also happened to be turning eastbound. Unit#1 claimed that Unit#2 came into her lane of travel and collided with the front passenger side quarter panel/bumper of Unit#1 causing moderate damage. I contacted the driver of Unit#2 who stated that he too was traveling southbound on East Valley Highway approaching the intersection of SW 43rd Street but in lane 2 of 3 which was the second of two-left turn lanes for that direction of travel. The driver of Unit#2 stated that his intent was to also make a left (eastbound) turn onto SW 43rd Street. While in the intersection, Unit#1 and Unit#2 collided. Unit#2 claimed that Unit#1 came into his lane of travel and collided with the driver's side of Unit#2 causing moderate damage. The driver of Unit#2 stated that following the collision, the driver of Unit#1 motioned towards the hospital and began driving there where both parties exchanged information. The driver of Unit#2 was in a dispute with the driver of Unit#1 as he believed this was a hit-and-run collision. Both Officer Leverton and 1 informed the driver of Unit#2 that this would not be filed as a hit-and-run collision due to information being exchanged and the other driver motioning her intent. I requested a copy of the traffic camera footage for the aforementioned intersection. Traffic Sergeant C. Johnson reviewed the traffic camera footage for the date and time of the collision and discovered that the traffic camera was not facing the direction that covered that section of the intersection and did not capture the collision on camera. Based on the above statements and lack of traffic camera coverage of the collision, I was not able to determine the predominant factor for the cause of collision. Both Unit#1 and Unit#2 each claimed that the other involved party came into their respective lane of travel and they claimed neither of them were at fault. I did however cite the driver of Unit#1 (Main) in-person for No Valid Operator's License (NVOL) with Identification and for Operating a Motor Vehicle without insurance. Per a DOL records check, Main was listed as Not Licensed -Eligible. Both Unit#1 and Unit#2 were able to be driven away without further incident. An exchange of PAGE 3 OF 5 REPORT NO. ED46962 CASE# 23-3331 OF COLLISION 03/23/23 11:18 OF CbLLI510N NARRATIVE information was provided to all involved parties. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer M. Nugent#11498 9:27 AM 3/27/2023 Renton, King County, WA. PAGE 4 OF 5 REPORT NO. ED46962 CASE# ' 23-3331 DATE AND TIME 03/23/23 11:18 OF COLLISION a 3i s X I N A LLI "DIaCJf©ftA fiOf YU SCSI2 Unit#] Unit 02 .........,_... 5W43ST aka 51Fs6thST a ek Ch—n Ken I I PAGE 5 OF 5