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HomeMy WebLinkAbout23-9974 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-9974 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 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# COLLISION.. OS - 29 - 2023 2120 17 ❑-= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 180TH ST BLOCK NO. e --- ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e LIND AVE SW 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2067596652 0 81 30 6❑ LAST NAME ROHIT FIRSTNAME KUMAR MIDDLE 1 2 31 INITIAL STREET ❑, 8009 112TH ST E CITY PUYALLUP ST WA 2jp, 98373 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES NO 8❑ LDRIVER # STATE WA SEX'M MID LOB 05 1— 20 — 2000 2 32 9 ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 1 HELMET U E 9 CLASS 0 NATURE OF INJURIES z❑ 3 LICENSE CFF0248 sTArI WAvIN# JHMCG66842C015299 10❑ PI ATE 14 0 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# Rom ro TRLR. TRLR 7 3 33 12 0 0 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 7 9 34 13 2 2002 HOND ACCOR SD DAMAGE vEs 0NO f �LII� RS vEs❑ No REGISTERED OWNER INFO RAHUL KUMAR 23720117THPL SE KENT WA 98031 D:2067596652 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO STATE FARM 537-9373-E01.47 3 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No a D:2069104493 16 LAST NAME BAYDA FIRST NAME ANGELA MIDDLE IR INITIAL 17 STREET Is❑' 25830 122ND AVE SE CITY KENT ST WA ZIP 98030 37 NEW ADOREs 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 LDIIVERI # STATE WA ]SEX IF M .C... 12 _ 28 _ 1997 El 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ LICENSE ❑21❑ PLA E# BIG8314 TAre WA VIN# 41 19XF62F74FE259191 4 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2015 MAKE HOND MODEL CIVIC STYLE SD VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO ALLA NESTERUK 25830122ND AVE SE KENT WA 98030 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE &POINSURGY#E CO ALLSTATE 807974831IN STOP VEHICLE CITATION# CHARGE u BOTTOM LEGALLY YES N� 25❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 TYLER EDIGER 12807 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED94578 COLLISION REPORT III III III III III 111 1591972 CASE# 23-9974 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/(OR WITNESSES ONLY) NAME MIDDLE INITIAL) PLASCENCIA BURGARA CR/STIAN I I (LAST FIRST, ADDRESS&PHONE# 130 SW 112TH ST,APT D204 SEATTlE WA 98146 2065107646 SEX M MMDOYyvv 08 - 15 - 1982 PASSENGER I�I WITNESS UNIT# 2 SE 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET INJURY NAruRE of INJURIEs L�!1 USE CLASS !1 NAME (LAST,FIRST,MIDDLE INITIAL) MARL{AL DAYANA D ADDRESS&PHONE# D O B 19416 108TH AVE SE KENT WA 98031 SEX' F MMDDYvvv 01 _ 22 _ 2007 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 3 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.Q.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. TYLER EDIGER 08-30-23 02:55 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 8/31/2023 3:00:15 PM BADGE OR ID# 12807 ORI#' WA0171300 TIME POLICE DISPATCHED! 9:25 PSI TIME POLICE ARRIVED]9:31 PM PART Ei PAGE IT]OF REPORT NO. ED94578 CASE# 23-9974 OF COLLISION 08/29/23 21:20 OF CbLLI510N NARRATIVE 23-9974 On 8/30/2023 at approximately 2125 hours, I was dispatched to an unknown injury collision at the intersection of S 180th St and Lind Ave SW in the City of Renton, County of King, State of Washington. While in route to the collision dispatched advised that this may have been a three car collision where one car left the scene. Upon arrival I contacted Angela R Bayda (12/28/1997). Angela was driving a 2015 Honda Civic (WA/Lic: BIG8314) at the time of the collision. She had a passenger Cristian 1 Plascencia Burgara (08/15/1982) in the front passenger seat along with a newborn baby in the rear seat of the vehicle. All three were checked and cleared by fire. This vehicle will hereby be referred to as Unit 2. 1 also contacted German Marcial Magdaleno (10/10/1983) who was driving his 2018 Ford F150 (WA/Lic: D85318A) at the time of the collision. His passenger Dayana D Marcial (01/22/2007) was in the front passenger seat at the time of the collision. This vehicle will be referred to as Unit 3. Both passengers of Unit 3 were uninjured. Both parties stated there was another vehicle described as a brown Honda that was involved in the collision. A witness of the crash who has not yet been identified had followed the brown Honda Eastbound on S 180th St to get the vehicle license plate. The phone number for this witness is 206-554-1834. The plate was CFF0248 which comes back to a 2002 Honda Accord matching both drivers' descriptions of the car. Neither Unit 2 nor 3 were able to describe the driver other than being a male. This vehicle will be referenced as Unit 1. Units 2 and 3 were stopped at a redlight waiting to continue straight eastbound on S 180th St at the intersection of Lind Ave SW. Unit 1 failed to stop in time and rear-ended Unit 2, which caused Unit 2 to slide into the rear of Unit 3. Unit 2 had significant damage to both the front and rear of the vehicle, while Unit 3 only sustained minor scratches. Other officers contacted Unit 1 at Talbot Rd S and S 43rd St. Unit 1 had damage to the front of the vehicle which would coincide with rear ending Unit 2. The driver of Unit 1 was Kumar Ruhit (05/20/2000). Kumar spoke little English, and the language line did not have an interpreter for the language he spoke. A friend of his Naveen Kumar (09/03/2003) was able to partially interpret for Officer Sims. At this time, we are unable to place Kumar Ruhit (05/20/2000) in Unit 1 at the time of the collision but we believe he was driving it at the time it became inoperable at Talbot Rd S and S 43rd St. There appeared to be traffic cameras at the intersection that the collision occurred. I am requesting this report be forwarded to the traffic division. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically Signed: T.Ediger 12807 Date and Place: 08/30/2023 Renton, WA PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED94578 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-9974 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME 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:4252007926 0 8 29 LAST NAME MARCIAL MAGOALENO FIRST NAME : GERMAN MIDDLE INITIAL STREET 30 ❑ NEW AnDRFSP' 19416 108TH AVE SE CITY KENT ST WA ZIP 98031 6 CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES[:]NO[:] vES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 10 - 10 - 1983 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE D85318A TAr Wq VIN# 1FTEW1EG7JKE67325 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.It VIN.#. 11 0 0 VEH.YEAR2018 MAKE FORD MODELF150 STYLE TR I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1G P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER ] 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 923327618 q"i"Olx IN EFFECT I POLICY# 1 EHICLE 34 13 2 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM STANDING } 8 7 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE INITIAL TIAL ❑ ET 16 STRETRE "F ' CITY ST ZIP NEW CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLUCK YES No NTERLOCK 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 ICLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER TRAILER El40 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 AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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. TYLER EDIGER 08-30-23 02:55 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 12807 O#I',WA0171300 SCOTT 8131/2023 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. ED94578 CASE# ' 23-9974 DATE AND TIME 08/29/23 21:20 OF COLLISION D. clr G+Y S 180th:St Not drawn to scale Unit 1 Unit 2 Unit 3 r } PAGE 5 OF 5