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Home My WebLink About23-4259 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED52132 170 27 COLLISION REP FIT 1591971 CASE 23-4259 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFHIC;I F E: LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 28 5 RESERVATION 1 TRIBAL UNITS 02 STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 04 - 16 - 2023 0721 17 ❑. S 8 W Li OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ RENTON AVE S BLOCK NO. e✓ 200 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 20 00 FMILES EET e S ❑ E e HAYES PL SW 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO F,/ I D:2062714166 0 11 30 6 LAST NAME ARGUETA AVELAR FIRST NAME MOISES MIDDLE 1 2 31 INITIAL STREET ❑ 12076 RENTON AVE S CITY SEATTLE ST WA ZIP 98178 z 'NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ DRIVERS # STATE WA SEX'M I ELMIDI Y' 02 — 27 — 1996 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 1HELM USEET 2 CLASS 1 NATURE OF INJURIES zICEN ❑ 3 10 9� P1 ATEB9t BUZ8697 STATE WA vN# 2C3CDXBG5LH151554 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM To TRLR. TRLR 7 3 33 12 2 5 VIN#j VIN# :: FROM TO VEH.YEAR 2020 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 7 34 13 4 DODG CHARG SD DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 4 INSURANCE CO 3 4 14 INSURANCE PROGRESSIVE 911490894 IN EFFECT EFFEE CT &POLICY# � 9TOP vEHla.e LECALLv Yes❑NO❑ CITATION# 10 BOTTOM CHARGE 36 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA. YES NO ,/ D:2062966590 16 a LAST NAME WU FIRST NAME YUZHONG MIDDLE INITIAL 17❑ NEW STREETREs7 6035 33RD AVE S CITY SEATTLE ST WA ZIP 98118 4❑ 37 18 CDL ., IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCK YES❑No� INTERLOCK YEs❑NOF YES ❑NOF,/ 19[ DRIVER'S STATE WA SEX M D.C.B. 08 _ 24 1987 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HEJ EET 2 NJAU EY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLATE# 89509C TATE 41 GOV VIN# 1VHHH3V26B6707597 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2010 MAKE ONTR MODEL BUS STYLE B(I VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 L4❑ AMAGE YES NO YES NO REGISTERED OWNER INFO KING COUNTY DOT TRANSIT 5004TH AVEAVE#653 SEATTLE WA 98104 D:2062966590 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO KING COUNTY METRO KING COUNTY IGQ 5 IN EFFECT --E ❑ ,J� CITATION# CHARGE 25 LEGALLY YES N`L J s � a 7JAWEBER NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 12532 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED52132 COLLISION REPORT III III III III III 111 1591972 CASE# 23-4259 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 April 16th, 2023 at approximately 0737 hours I was dispatched to Renton Ave Ext and Rainier Ave S for a report on a non-injury collision involving a King County Metro bus. I arrived and observed the damage to both vehicles was below reporting standards, and there were no injuries. There were no passengers on the bus when the collision occurred. I spoke with Driver 1 who advised he was traveling eastbound on Renton Ave S when he went to make a right hand turn into the parking lot of the McDonalds. Driver 1 stated he was in lane 1, and while making the turn he was struck from behind by Vehicle 2. Driver 2 stated he was on the south shoulder of the road facing eastbound when Vehicle 1 turned into the parking lot in front of him, and there was not sufficient time or space to stop. Driver 2 stated there was not enough room for Vehicle 1 to merge in front of him when he did. A KC Metro supervisor was on scene who completed an information exchange prior to my arrival. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JACOB WEBER 04-16-23 11:38 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 411712023 5:43:26 PM BADGE OR ID# 12532 OR]# WA0171300 TIME POLICE DISPATCHED 7:37 AM TIME POLICE ARRIVED';7:38 AM PART I PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. ED52132 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-4259 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT'# 2 USDOT ICC# ' VEHICLE TYPE 1 CARGO 6ODY 1 ;TYPE 2 ❑ 1 28 CARRIER KING COUNTY METRO NAME 3 CARRIER L ADDRESS 500 4TH AVE#653 CITY SEATTLE ST WA ZIP'', 98104 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 02 GI25000 + 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 2 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES E]NO� 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 VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREET"[—] ❑ 16 NFln+AnnRFs.� CITY'. ST SIP CDL IGNITION REQUIRED IGNITtGN 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 of INJURIES 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 ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE 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. JACOB WEBER 04-16-23 11:38 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26F7 OR ID# 12532 O#I',WA0171300 SCOTT 4/17/2023 PAGE F3 OF 3000-345-013(R 11118) REPORT NO. ED52132 CASE# 23-4259 DATE AND TIME 04/16/23 07:21 OF COLLISION ,-. .....' ,. - TAYLOR:AVE:NON cn uj a z 4 z- us ex 2' MCDONALDSENTRANCE: PAGE 4 OF 4