HomeMy WebLinkAbout23-3192 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED50036 170
27
COLLISION REP FIT 1591971
CASE 23-3192 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 CITY# ❑
cowsloN 03 - 19 - 2023 1448 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
RAINIER AVE S BLOCK NO. e✓ 600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 100 00 FEET MILES e S B W e SW 7TH ST
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2069354506 0 11
30
6� INITIAL
LAST NAME MARTIN FIRSTNAME JAMES MIDDLE C 1 1 2 31
STREET ❑, 3221 SW AVALON WAYAPT 113 CITY SEATTLE ST WA ZIP, 981264423 z
NEW ADDRESS
❑ COL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
7
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
LOB 01 1- 11 - 1933 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 1 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aTES� DP23144 sTArI WAurN# JH4Ct96856C011264
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM TO
TRLR. RLR 1 7 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 3 2006 ACUR TSX SD DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO JAMES MARTIN 3221 SWAVALON WAYAPT 113 SEATTLE WA 98126 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO AARP 55PHB352722 3
IN EFFECT &POLICY# 9TOP
15❑ VEHICLE 1 5 36
LEGALLY YES�No D CITATION# 3A0293832 CHARGE IMPROPER LANE USAGE 10 aorrom
STANDING 8 7 6
MOTOR PEDAL- 'PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ bWNPR ❑ YES 1/ NO DD 2065518311
16 a
LAST NAME ACEVES FIRST NAME LORENA MIDDLE T
INITIAL
17 STREET❑ NEW ADORE--- 215 WITHWORTH AVE S APT 203 CITY RENTON ST WA ZIP 98055 37
18❑ CDL ., IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVERS
ON DUTY STATUS AIRBAG,2 RESTR 9 EJECT 1 H EET 2 NJAU SY 7 [NATURE OF INJURIES COMPLAINT OF UPPER BACK PAIN 40
❑21❑ PLATE# CHF1518 TArE WA VIN 1t KNDRHDLG7P5160244 41
1
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2023 MAKE KJA MODEL SORENT STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI �44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO AUDREYANUGERAH 408 S TOBIN ST RENTON WA 98055 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU&PORGY#E CO PROGRESSIVE 4447432388IN 1 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES N
a
7BEN
S NAME(PRINT) OFFICER PHONE BADGE OR ID# [AGENCY
26
M/N FLICK 12825 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED50036
COLLISION REPORT III III III III III 111
1591972 CASE# 23-3192
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ACEVES MARIANA L
(LAST FIRST,
ADDRESS&PHONE#
215 WlTWORTH AVE S RENTON WA 98055 SEXi F MMDOYyry 07 - 30 - 2011
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS ',UNIT# 2 POS 3 AIRBAG;2 RESTR. 9 EJECT 1 USE 2 CLASS '7 COMPLAINT OF UPPER BACK PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
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.
BENJAMIN FLICK 03-19-23 06:08 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 411012023 12:42:37 PM
BADGE OR ID# 92825 OR]# WA0171300 TIME POLICE DISPATCHED 2:51 PM TIME POLICE ARRIVED',2:56 PM
PART I PAGE IT]OF 4�
REPORT NO. ED50036 CASE# 23-3192 OF COLLISION
03/19/23 14:48
OF CbLLI510N
NARRATIVE
23-3192
On 3-19-23 at approximately 1448 hours I was working a marked Renton Police Department patrol in
full uniform. I responded to a blocking motor vehicle collision in the 600 block of Rainier AVE S.
Upon arrival contact was made with the involved parties. Unit 1 driver was identified as James C.
Martin (DOB: 01/11/1933, via WA driver license). He told me that he was in the middle lane heading
southbound when he attempted to turn right (west) into the Brown Bear parking lot from the middle
lane. He said he checked, but did not see unit 02 approaching from behind in the right lane
immediately to his west, he then turned, cutting her off and caused the collision. Martin had been
driving an Acura with license WA/DP23144.
I contacted unit 2 driver Lorena T. Aceves (DOB 09-22-1993, Louisiana DOL) who had been driving
the black Kia Sorento with license WA/ CHF1518. What she told me was consistent with what Martin
told me. Her vehicle collided with Martin's when he turned in front of her.
I observed damage the driver side front quarter panel of unit 02 and damage to the passenger side
rear door of unit 01, consistent with the actions described.
Juvenile passenger, Mariana L. Aceves (DOB 07-30-2011, verbally) was seated in the front
passenger seat of unit 2. Lorena Aceves said that she and Mariana had upper back pain. I asked if
they wanted the fire department to come to evaluate them to which she said, no.
Upon the conclusion of my investigation, I determined that there was probable cause that Martin
committed the infraction of improper lane usage under RCW 46.61.140 as he moved his vehicle from
his lane when it was not safe to do so. I informed Martin that he would be receiving a citation for the
above infraction via mail. I confirmed that his DOL address was current.
I provided both parties with an exchange of information and case number.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by B. Flick 12825 on 3-19-23 at 1738 hours in Renton, WA.
PAGE 3 OF 4
REPORT NO. ED50036 CASE# ' 23-3192 DATE AND TIME 03/19/23 14:48
OF COLLISION
600 Block of Rainier AVE S"
(Not to scale)
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