HomeMy WebLinkAbout23-14537 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-14537 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 28
0 5
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
CowsloN 12 - 19 - 2023 0713 17 . N E IN� S 8 W H OF e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
NE SUNSET BLVD M4100 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e UNION AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4258291103 30
6� LAST NAME PHUNG FIRSTNAME PHILLIP MIDDLE 1 2 31
INITIAL
STREET ❑, 8244 126THPL SE CITY NEWCASTLE ST WA ZIP 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES z❑
3
10❑ Pi ATNES# C30303A sTAr WAu N# 5TFSX5EN6GX043121
----� TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. TRLR 3 7 33
12❑ vIN#' UIN#'
:: FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TAW/g[ GOVT.VEHICLE 34
13 4 2016 TOYT TACOM PK DAMAG 1 5 E YES NO YES❑ No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO FARMERS 188411629 4
IN EFFECT &POLICY# TOPVEHCLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN ✓ PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ OYCLE' ❑ ❑ OWNER ❑ YES 1/ No D:4253516832 N:4254965170
16 a
LAST NAME GUEVARA-GARCIA FIRST NAME JASSON MIDDLE ID
INITIAL
17 STREET❑ NEW ADOREss❑' 1400 UNION AVE NE B-206 CITY RENTON ST WA ZIP 98056 37
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED � 38
INTERLOCKYES�NOR INTERLOCK yEEsIII I I NOF YEs t l NO❑
19 DRIVE # STATE SEX M Mr D.C.B. 11 30 _ 2009 39
ON DUTY STATUS 3 AIRBAG RESTR EJECT HELMET 2 INJURY 5 NATURE of INJURIES ❑ 40
USE CLASS PENDING
❑21❑ TArE 41
LICENSE YIN# 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4 Q 2 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
C.JACOBS 1953 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE42918
COLLISION REPORT III III III III III 111
1591972 CASE# 23-14537
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'
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.
C.JACOBS 12-19-23 11:00 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 112212024 10:49:30 AM
BADGE OR ID# 1953 ORI# WA0171300 TIME POLICE DISPATCHED 7:14 AM TIME POLICE ARRIVED',7:20 AM
PART I PAGE IT]OF 4�
REPORT NO. EE42918 CASE# 23-14537 OF COLLISION
12/19/23 07:13
OF CbLLI510N
NARRATIVE
On 12-19-23 at about 0720 1 arrived at the intersection of NE Sunset Blvd and Union Ave NE for a car
vs pedestrian collision. When I arrived Other Officers and Renton Fire Authority was already on
scene and treating the pedestrian (later identified as Jasson Guevara-Garcia). Jasson was laying on
the drivers side of unit 1, WA plate C30303A (2016 Toyota Tacoma). Jasson was awake but
complaining of being cold.
I contacted driver 1 near the passenger side of his vehicle. Driver 1 was identified via WADL as Phillip
Phung. Phung told me;
He was westbound on NE Sunset Blvd when Jasson ran out in front of him. He didn't have much time
to react.
He had a dash camera in his vehicle and was willing to give us the video.
He was not injured.
Officers Rivera and Ridgeway were able to get videos of the collision from surrounding businesses.
The videos (including the dashcam) showed;
Jasson standing on the NE corner of Unions Ave NE.
As unit 1 approaches, Jasson suddenly runs across the street against the traffic light.
Unit 1 was traveling in lane 2 with a green light when the collision occurred.
The collision carries Jasson across the intersection before he comes to rest on the west side of the
intersection.
It was raining and dark with streetlights on.
Jasson was transported to Harborview Medical center by medics. The exact nature of his injuries
were unknown at the time of the collision.
Other members of the traffic unit showed up to the scene for us to map the collision scene. Officer
Jibril (SRO) was able to find Jassons's full name via Renton School District (RSD) records.
The proximate cause of the collision was Jasson running out into the street against the light. Even
though Jasson was in the crosswalk, he gave driver 1 very little time to react, especially with Jasson
wearing all dark clothing, the rain and darkness.
This incident occurred in the city of Renton, County of King.
I declare under penalty of perjury under Washington state law that the foregoing is true and correct.
C. Jacobs/1953
PAGE 3 OF 4
REPORT NO. EE42918 CASE# 23-14537 DATE AND TIME 12/19/23 07:13
OF COLLISION
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