HomeMy WebLinkAbout23-6326 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-6326 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 06 - 1-- 2023 1427 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NILE AVE NE BLOCK NO. e✓ 1000
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e NE 10TH ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4252416018 0 11
30
6 LAST NAME GAO FIRSTNAME YANG MIDDLE N 1 1 2 31
INITIAL
STREET ❑, 24609 SE 45TH WAY CITY ISSAQUAH ST WA 2jp, 980296517 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 4 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10� P1 aT�S� BCP4525 sTATI WA urN# WMWXU3C59H2D32661
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 1 $ 34
13 2 2017 MNN/ COOPS SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO ALLSTATE 807619806 3 4
IN EFFECT &POLICY# 9TOP
VE"'CLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 3AO450679 FAIL STOP AT STOP 1 o aorrom
15❑ STANDING
MOTOR PEDAL-:. '.PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:20
16 a 68542401
LAST NAME GARCIA FIRST NAME PRINCESS MIDDLE I F
INITIAL
17 STREET I❑ 6008 NE 3RD CT CITY' RENTON ST WA ZIP 980598558 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK yEs❑NOF YEs❑NOF,/
19 DRIVER'S STATE WA ]SEX IF D.C.B. 09 _ 20 _ 1981 39
LICENSE# MMDDYY
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 7 COMPLAINT OF SHOULDER PAIN F—NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# BK00056 TATE 41
WA vIN# 1N46A41E96C823157 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
I
VEH YEAR 2006 MAKE jy1$$ MODEL MAXIMA STYLE $D DAMAGE TO WED NOO✓ BLIN TOWED BY Gov 44
Yr
H YES
NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO STATE FARM 5333035BOB47IN STOP 5
VEHICLE ❑ C[:] CITATION# CHARGE io BOTTOM
LEGALLY YES N
25 ' e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW TRAINO 12811 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED93580
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6326
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) WANG ZINNO
(LAST FIRST,
ADDRESS&PHONE# D O.B.
24609 SE 45TH WAY ISSAQUAH WA 98029 SEX M MMDDYyYv 07 - 31 - 2012
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 POS. 7 AIRBAG q RESTR. q EJECT USE 2 CLASS 7 COMPLAINT OF PAIN,LEFT SIDE
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
E MMDDYYYY
PASSENGER []WITNESSO UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
MATTHEW TRAINO 06-05-23 06:01 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 11288 812812023 10:22:06 AM
BADGE OR ID# 112811 ORI# WA0171300 TIME POLICE DISPATCHED 2:38 PSI TIME POLICE ARRIVED',2:43 PM
PART I PAGE IT]OF 4]
REPORT NO. ED93580 CASE# 23-6326 OF COLLISION
06/04/23 14:27
OF CbLLI510N
NARRATIVE
On 06/04/2023 at approximately 1438 hours I was dispatched to an unknown injury Accident at the
intersection of Nile Ave NE and NE 10th ST, within the City of Renton, County of King, State of
Washington. A nearby resident called ValleyCom to report that two vehicles had collided at this
location and had pulled to the side of the road.
The following was recorded on my department issued body camera. Statements have been
summarized for clarity, see my full body camera footage for further details.
The following subjects/vehicles were involved in this incident:
Unit# 1
2017 Mini Cooper-WA Plate BCP4525
Driver: Yang Gao (04/11/1980)
Passenger: Zinno Wang (07/31/2012) -Son of Gao
Unit# 2
2006 Nissan Maxima -WA Plate BK00056
Driver: Princess F. Garcia (09/20/1981)
Upon arrival I observed airbags were deployed on both units. I requested Aid to my location and
checked on the involved parties. Wang and Garcia both reported minor chest pain. There were no
obvious signs of injury.
I asked Gao to describe what had occurred. She stated that she was heading eastbound on NE 10th
when she came to a stop at a marked stop sign at the intersection of Nile Ave NE. Gao stated that
she looked both directions, then proceeded straight through the intersection. According to Gao, she
had entered the intersection when she saw Unit# 2 approaching from the north, and then there was a
collision. Gao reported no injuries. Her son Wang was in the left rear seat, he reported minor chest
pain. The Mini Cooper sustained moderate damage to the left side of the vehicle and the left-side
curtain airbags deployed.
I spoke with Garcia next and asked her to describe what had occurred. She stated that she was
heading southbound on Nile Ave NE. Garcia was approaching NE 10th ST when she saw Unit# 1 pull
out in front of her. She stated that she attempted to stop but was unable to do so before the collision
occurred. Garcia complained of minor chest pain. The Maxima sustained moderate damage to the
front bumper and the driver side airbag deployed.
Both vehicles were towed from the scene at the owners request.
Based on the totality of the circumstances, Gao was issued a Notice of Infraction under RCW
46.61.190 after she entered an intersection regulated by a stop sign before it was safe to do so. The
infraction was explained to Gao, who said she had no questions.
N/F.
PAGE 3 OF 4
REPORT NO. ED93580 CASE# ' 23-6326 DATE AND TIME 06/04/23 14:27
OF COLLISION
Not to Scale
zro NI 01
D
o Scene Not Observed
z
m
,Unit#2
NE 10th ST - Point eat Impact
Unit#1-'
PAGE 4 OF 4