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HomeMy WebLinkAbout23-11205 Redacted: Driver's license number redacted pursuant to 18 U.S. CODE 4 2721 - PROHIBITION ON RELEASE AND USE OF CERTAIN PERSONAL INFORMATION FROM STATE MOTOR VEHICLE RECORDS; RCW 42.56.230(7);42.56.240(1); and 42.46.590(5) for safety and privacy. There is no legitimate public interest in knowing the information. Redacted: Social Security Number redacted pursuant to Title 5, Section 552(a) United States Regulations, Annotated Secs 102, 301, 106(1);42 USC 405 (c) (vii) (1); RCW 42.56.050 and RCW 42.56.230 (5) and (7) for safety and privacy. There is no legitimate public interest in knowing the information. STATE OF YVAS#€INRTON 1111111111 LICE TRAFFIC [1111111111111111111111 IlIH { � 27 Y I COLLISION REPORT �NEJT€ �P�f�T��. 1 t�I .® ❑_.. CASE a 1.1 T 1101,RETA'E CITY.STREE RESULTED &TsrE zcus UTaEI LLN oi r Cy 4100 t COUNTY RL El PR]uATe uY ❑ Ira RUN ,ivaR.EC 2 1 TC7 1 8 28 FAL#t3F OBJECT TRIBAL &)NITS 02 STRUCK RESERVATI-14 M m D D Y Y Y y TIME(2 i00) COUNTY# MILES CITY N ( �I ATE OF S❑ ❑ OF COLLISION 09 - 29 - 2023 2140 17 1070 3 4 ON(PRIMARY TRAFFIC WAY) INTERSECTION [Z NON INTERSECTION SUNSET BLVD NE BLOCK NO. n,/ f00 �a MILE POST ° DfSTANCE OF @REFERENCE OR GROSS STREET} 5 MILES FEET N W NR 1-405 29 UNIT� A !a i1 IST { PE AL- � I�A3aEr'� 'T3lRc Fa 9 E�t6Ei PHONE _.. UN "OTO" !•.> CYCLE. D:2073177941 0 1 30 6 LAST NAME FARAH FIRST NAME ABDINA51Ft INt1"tAL A 1 2 31 STREET �❑ 21800 PACdF1C NW?S.APT J407 NEwne�caREss OIT'f' DES€N01NE5 ST INA zip 98198 z 7❑ CpL IGP ITlCaP7 EtEOUY€aEC IGtJITIQN PRESENT MEOICAL TRANSPORTED :I INTER.)-4'("rK YES Cdq y!' INTERLCIGK YE NO YES 40,✓ 8❑ DRIVER'S RIVE '# STATE W7Y SEX h4MLLkYY 04 - 26 - 2004 1 1 2 32 LICEN0 DUTY STA€"US...... AIRRAG 3 RESTR 4 E�IECT 1 HELMET 2 IhIJt1RY 6 NATURE OF'INAJREES a 9 FJSE GLASS FOREHEAD LACERATION' 3 LICENSE SUH0631 STATE WA VINtt JTDKN3DUSA1017956 �:}1 K I. PI IAFF* _. _ TRAILER TRAILER 11 3 0 PLATE#' STATE PLATE# ' STATE r- _a &IN 0 VIN _._ G., 1 3 12 3 0 TRl T RLR Vol YLIwm ua r a+UOr:.. vL csii �caT _s> 70 HUNG MIYEae,� GOO VEHICLE 2 6 34 13� Z010 TOYT PRdUS SD Grtaa.t r a; NO / YE Nc� URE tST„.RED0VNERlNl0 14USSEIN PAGE 2'•7310 P=FIC hNWS APTJ40t DES A OWES WA D8198 VEHICLE No j a^wF E IN DA AEV DAP EA 35 3 (�/� INSURANCE_GO § 'I'I L!Alli§TY IN t,ORANC;E L_'__1 TRAVELERS d1675p}@?t7Jf T�•"' 9 FFPE C' 1,�J $(^(}LlSa1' ❑ cITrTIaN A c:wGE I 36 k,Mt'JTG3A � PEDAL- p—� E'RCkP'EdiTV CI+±E.:Y""�TxIR M^o[7 M.tET "OHL I Qi I_'J ❑ PECEaLF€AN ❑ OWNFO su' raC D:4255259501 vHICLE cvcL 15 LLLlL� LAST 14AIE SKD7D FIRST NAR4E ALONDRA MIDDLE _ INET€M fiT STREET raE T AaiaRRss 2803 NE 6TH PL CITY RENTON ST WA ZIP 98056 I A p 37' 8 COL IGNITION RECUREp NG MEDICAL nTRA nN SPA fO PRES RTET 38 OC iGNITINf '+rRNTERLK � I , ° 19 DRIVER'S STATE WA SEX F MDMD08yY 04 02 _ 2002 3E; LICENSE# [� NEd.11hET IM11,dU€#Y: NATURE OF INJURIES � 44 20 I ON UUFY� STATUS AIRBAG 2 RESTR 4 ESECT 1 2 7 USE G ASS LEFT SHOULDER PAIN 21 LICENSE PLATE# vlv�C84037W ATti WA 3GTU2VEC7FG214693 41 22� TRAILER 42 PLATE ST,a.TE TRAILER :PLATE# STATE 23 TRtR €RL€ 43 VIN# IN# very YEAR 2015 E GMC .anor;E SIERRA STYLE PJC VEHICLE yrr Np§[IN -aNEDNY us 44 ENTONWA8056 VEHICLE NC„2 w tv F8F OWNER INFO LEovELsaToze r3xe6TrPi R G 24 UAVA-1:TuverrTa e / ..N UA'AAC,ED..TA LIA IL7 T70NAL GENERAL Yoo8a 9aoa2 INEFF�F'CT �I.J" r.F'41:1GY a1 ){ a.ar u6T4TRw'JN# Cf€ARGE ., "� E:'T 25 Y;F EIGEWS NAME(PRINT} CIF F F^„I:R PWINE BAC7GE OR 10 a AGENCY' 26= RAYMOND CORAJEWSKI 12399 WA0171300 PART e PAGE 01 OF Z4 t7.$E^s-"t#i.d:1fEHY II " STATE OF WASIi••.BMGTON ®--._,_...®,i. POLICE TRAFFIC CORRECTION REPORT NO. �}4 COLLISION REPORT 5atw7r"' CASE# $ 23-11025 ADDITIONAL PERSONS INVOLVED(PAS 14 zHIS ANWOR WITNESSES ONLY) NAME LUJAN PLORES VICTOR _.. ;LAS f.:HRST,MIDDLE IN`T Aq ALtL1RE55 R PMGNE s L)�.E 28t�3 NE 6Th'PL RENFON WA 9St�5Pi � 5E� M � Ad _ 24 1996 'TEAT 2 ,CS F EL hfiF"t': €tdJURY I vet tx a=.-a ;-r;�,oi=5�" RR`-"SENC:.EGd�,,.rJLfiTN::SS JN#T a: 3 AA BAG 12 RESfi••P 4 F:JPGT 1 I.VSE 2 Ck.+.5 F �rr'sr ,eau ,__.® lAS7o, Y..... rT�.Pe R ar,Ct�'c a '"E� Ci C M `TE,AT � 1-tc9..T.0E`T"'. 8NW€�F+Y k JaTi"i,G7 [N.lf-kL.T, PASSENGER[:]4 TtVc � J-T� , EJEC AMBAC PESTRT 81SE �:,LAS r dI,R:T,FYft T E4k C^��INITIAI.i .�_r___��mam ....... _._.._..._. _ ___._..., ,..W._ ... a SEAT HELMET INJUPY N Tt@ EP eau i PA,Sg,!NGER w ITN S t1N1T ri A:RRAG 3 RFSTR FJEGT PCS. USE C11 SS NARRATIVE Please see subsequent Narrative pages I CEa,TIFY' DECLARE}UNDER PENA,,,Tk OF PEPJURt UNDER:Tr4e LA"V,°S Of ME STA;E;}F WASHINGTON THAT T,HE P,.RET.r€NG S MuE AND tC§dRd U _. . RAYMOND GORAJEWSKI 09-29-23 t 0:40 PM I"dwE,'FI{ar\1PNC,C7=FECEPi"S SIt;+lATLIRE UMT OR c1ST.DE7 "iA"cC} PLACE& NED P SrJMAdERS 8ss7 913012023 5:45:07 PM ...�. __ j 1 EABT F 0R,D l 12399 f I WALi}71300 Pq 4r�C 6fiF C n k§T`,H 19:12 PMTak fE PC r d R HIV J 9:4d P 7 f PART uro--a -9emr —,.i PAGE 2 OF 5 !! DATE MOME REPORT NO. EE04105 CASE# 23-11025 OF COLUSION 09129/23 21:40 NARRATIVE ASSIGNMENT/ARRIVAL On 09/29/2023 at approximately 2142 hours, I was dispatched to a two vehicle collision at the intersection of Sunset Boulevard NE and the on-ramp to northbound 1-405 in the city of Renton, King County, Washington. I arrived at approximately 2144 hours. UNIT 1: TOYOTA PRIUS Upon arrival I observed a silver Toyota Prius (WA/ BUB0631, Unit 1) stopped facing north in the intersection. Unit 1 had moderate front end damage from the collision. Unit 1's front end was engaged with Unit 2s driver door. DRIVER 1: FARAH, ABDINASIR A. I contacted Abdinasir A. Farah (DOB: 04/26/2004) standing near Unit 1. 1 identified Farah by his valid Washington Driver License. I established Farah as the driver of Unit 1 by his admission. Farah had a laceration to his forehead from the collision. Farah was evaluated on scene by the Renton Fire Authority. UNIT 2: GMC SIERRA I observed a red GMC Sierra (WA/C84037W, Unit 2) stopped facing southwest in the southbound lane of Sunset Boulevard NE. Unit 2 had moderate damage to the front driver side. Unit 2's driver door was engaged with Unit 1's front end. DRIVER 2: SOTO, ALONDRA I contacted Alondra Soto (DOB: 04/02/2002) sitting in the driver seat of Unit 2. 1 identified Soto by her valid Washington Driver License. I established Soto as the driver of Unit 2 by her admission. Soto complained of pain to her left shoulder from the collision. Soto was evaluated on scene by the Renton Fire Authority. PASSENGER I contacted Victor H. Lujan Flores (DOB: 04/26/1996) sitting in the front passenger seat of Unit 2. 1 identified Victor by his Washington Driver License. Victor complained of chest pain from the collision. Victor also had chest pain prior to the collision and was being driven to the hospital at the time of the incident. Victor was evaluated on scene by the Renton Fire Authority. STATEMENT: DRIVER 1 Officer D. Nelson spoke with Farah about the collision. The following is a summary of what Officer Nelson told me: Farah drove Unit 1 northeast on Sunset Boulevard NE toward the northbound 1-405 on-ramp. Farah intended to turn left (north) onto 1-405. Farah stopped at the intersection and looked right (east) for on-coming vehicles but did not see any. Farah accelerated into the intersection. Unit 1 was suddenly struck by Unit 2. Farah did not see Unit 2 prior to the collision. STATEMENT: DRIVER 2 1 spoke with Soto about the collision. The following is a summary of our conversation: Soto drove Unit 2 southeast on Sunset Boulevard NE. Soto was driving Victor to Valley Medical Center for pain in his chest. Soto saw Unit 1 turn into the intersection from the northbound lanes of Sunset Boulevard NE. Soto was unable to avoid a collision. Unit 1's front end collided with Unit 2s front driver side. This concluded my conversation with Soto. PAGE 3 OF 5 REPORTNO. EE04105 CASE# 23-11025 DATE AND TONE ofCOLUSION 09/29/23 21:40 NARRATIVE PHOTOGRAPHS Officer Nelson took photographs of the scene and vehicles. DISPOSITION This concluded my involvement in this case. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer R. Gorajewski, #12399, on 09/29/2023 at 2239 hours in Renton, Washington. PAGE 4 OF 5 REPORT N . EE04105 CASE# 23-11025 DATEANDTIME 0 /29/23 21:40 OF COLLISION Net to Sear NB l-405 Can Ramp 1 l 3 Sunset Blvd NE k a F ti\ g� 4.r n n 'AGE 5 OF 5'