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Home My WebLink About23-3803 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED50038 170 27 COLLISION REP FIT 1591971 CASE 23-3803 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 3 HIT 8 RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cawsloN 04 - 1-- 2023 1533 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S 2ND ST BLOCK e✓ 100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 400 00 FMILES EET e S ❑ E e LAKEAVES 0 4 29 MOTOR PEDAL- DAM THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2064027729 0 11 30 LAST NAME BARAJAS BELTRAN FIRST NAME LIZBETH MIDDLE 6 INITIAL 1 2 31 STREET 01 639 FERNDALE AVE NE CITY RENTON ST WA Zjp, 98056 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8 LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10 9❑ Pi aT�S� ABK7678 sTArI WAvIN# 1GNEK13Z53J184860 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM ro TRLR. TRLR. 3 5 33 12 0 0 VIN#' VIN# ROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34 13 1 2003 CHEV TAHOE DAMAGE YES NO YES❑ NO✓ REGISTEREDOWNERINFO MARIABELTRA12800NE6THPL RENTONWA98056 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 1 INSURANCE CO 3 4 14 LIABILITY INSURANCE AMERICAN FAMILY 41070-63035.67 IN EFFECT &POLICY# 9TOP VEwcLE CHARGE to BOTTOM 5 36 LEGALLY YEs❑NO CITATION# 3AO183387,3AO183387 NO VALID OPER LICENSE WITH 15❑ STANDING 8 7 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:3609478044 LAST NAME COATES FIRST NAME GUNNER MIDDLE I J INITIAL 17 NEW STREETRE57 10744 SE 165TH ST CITY RENTON ST WA ZIP 980555090 4❑ 37 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 STATEWASEXM 39 LICENSE# M D.C.B. _ 3 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET NJAURSY O NATURE OF INJURIES 40 LICENSE I ❑21❑ PLA E# BZS3553 TArE WA VIN# 41 JHMZE2H75AS005382 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2010 MAKE HOND MODEL INSIGHT STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24 DAMAGE YES✓ NO GENE MEYER YES NO REGISTERED OWNER INFO GUNNER COATES 316 SE PIONEER WAY UNIT 236 OAK HARBOR WA 98277 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE I PORGY#E CO BRISTOL WEST G01 1536201 02IN 970E 5 VE""LE ❑ Nu,J CITATION# CHARGE LEGAL to BOTTOM LY YES 25 ' e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 M.MAZURE 11700 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED50038 COLLISION REPORT III III III III III 111 1591972 CASE# 23-3803 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. M.MAZURE 04-05-23 03:45 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.KORDEL 9676 411012023 12:37:10 PM BADGE OR ID# 11700 OR]# WA0171300 TIME POLICE DISPATCHED 3:33 PM TIME POLICE ARRIVED',3:33 PM PART I PAGE IT]OF 5� REPORT NO. ED50038 CASE# 23-3803 OF COLLISION 04/03/23 15:33 OF CbLLI510N NARRATIVE 23-3803 CC On 4/03/2023 at approximately 1533 hours, I was driving westbound in the 200 block of S 2nd St. I on viewed a collision in the entrance to the Safeway, in the City of Renton, County of King, WA. I observed a green 2003 Chevrolet Tahoe bearing WALP ABK7678 also driving in the middle right lane. The Tahoe merged to the left middle lane and then just turned into the Safeway without merging into the left lane, which is the turning lane used to turn into the Safeway parking lot. A silver 2010 Honda Insight bearing WALP BZS3553 was also going west on S 2nd St. But the Honda was in the left lane. As soon as the Tahoe turned into the Safeway the Honda collided with the Tahoe causing the Tahoe to spin. As all of this was happened there was a black 2011 Nissan Altima bearing WALP AEJ3837 was waiting to turn onto westbound S 2nd ST. When the Tahoe was struck it sup into the Nissan causing damage to the front driver side of the car. The driver of the Tahoe was Lizbeth Barajas Beltran. The driver of the Honda was Gunner J. Coates. The driver of the Nissan was Shirley A. Wilson. Identities of all drivers were verified by their picture matching WA DOL photos. 1 asked everyone involved if they wanted medical attention and they all said no. Only Gunner's car was towed from the scene. It was towed by Gene Meyer. Based on what I witnessed, and statements made by Lizbeth, I established probable cause to issue Lizbeth a citation for RCW 46.61.140 Driving on roadways laved for traffic because she moved from her lane of traffic before first ascertaining that such movement can be made with safety. RCW 46.20.015 Driving without a license because Lizbeth was driving a motor vehicle upon a highway without a valid Washington State issued driver license. I issued Sector citation 3AO183387 sent it Lizbeth via mail. The entire collision was captured on my in car camera and the investigation was captured on my bodyworn camera. I provided all drivers a copy of the exchange of information. This ends my involvement. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED50038 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-3803 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2067722472 0 8 29 LAST NAME WILSON FIRST NAME SHIRLEY MIDDLE' ',, A INITIAL STREET 30 NEW AnDRFrtP 6913 S 120TH PL CITY SEATTLE ST WA ZIP 981784138 6 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES�NO� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 10 - 24 - 1944 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE AEJ3837 TAr WA VIN# 1N4AL2AP8BN410964 PLATE# 9 2] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2011 MAKE NISS MODELALTIMA STYLE VEHICLE TOVVE E T SABLIN TOWED BY anvi vEH1I' E FROM TO DAMAGE YES 'E YES NO REGISTERED OWNER INFO SHIRLEY WILSON 6913 S 120TH PL SEATTLEWA98178 J 9 33 12 SHADE IN DAMAGED AREA 7GQ j4 FROM TO LIABILITY INSURANCE INSURANCE CO SAFECOX6043884 IN EFFECT &POLICY# 1EHICLE 34 13LEGALLY YES NO❑ CITATION# CHARGE STANDING S} 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNER YE YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME NII7 AL MDDLE ❑ 36 STRE 16 NEW ETETnnR"� CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE rnr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 TRLR TRLR 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VEHICLE EFFECT &POLICY# i 970P - 4 44 24 LERICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LEG E E:l 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. M,MAZURE 04-05-23 03:45 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED RD O#I' AP DATE 11700 WA0171300 APPROVED BY 4 �OF26 F 3000-345-013(R 11118) REPORT NO. ED50038 CASE# ' 23-3803 DATE AND TIME 04/03/23 15:33 OF COLLISION s�e y PAGE 5 OF 5