HomeMy WebLinkAbout23-7722 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-7722 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 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 07 - 1-- 2023 2314 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ VV a OAKESDALE AVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4255169907 0 11
30
6� LAST NAME OJHA FIRSTNAME SANAT MIDDLE K 1 2 31
INITIAL
STREET ❑ 30 LAKE TERRACE APT A CITY EATONTOWN ST NJ 2jp', 07724 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� 986KCE sTATe FL vN# JTMYIRFV8KD515606
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 5 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 4 D OW TOYT RAV4 UT DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO AVIS BUDGET CAR RENTAL 8600 HANGAR BLVD ORLANDO FL 32827 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 945789418 3 4
IN EFFECT &POLICY# 9TOP
VEHICLe 1 5 36
LEGALLY reS No CITATION# 3A0488903 CHARGE FAIL YIELD LEFT TURN MOTOR o eorrom
15❑ NDING 8 6
MOTOR PEDAL-:. :PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063979443
16 a
LAST NAME KAMAL FIRST NAME ANWAR MIDDLE I F
INITIAL
17 STREET I❑ s❑' 3516 S 146TH ST APT 202 CITY' TUKWILA ST' WA ZIP 98168 4❑ 37
NEW ADDREs
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX U D.C.B. 09 _ 13 _ 2002 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLATE# BOL8102 TATE WA vIN1i 1NXBU4EE2AZ241461 41
1
42
22❑ PLATE# STATE pLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED eY Gov HI 44
VEH YEAR 2010 MAKE 7'Oy7- MODEL CAROLL STYLE $D DAMAGE TOWED✓ NOO BLIN BANKERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GEIC04150-62-93-52IN 9TOP 5
VEHICLE ❑ C—I CITATION CHARGE to BOTTOM
LEGALLY YES N
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
BENJAMIN FLICK 12825 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED80070
COLLISION REPORT III III III III III 111
1591972 CASE# 23-7722
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) OJHA BABITA
(LAST FIRST,
ADDRESS&PHONE# D O.B.
30 LAKEVIEW TERRACE APT A EATONTOWN NJ 07724 9253818784 SEXi F MMDOYyvv 07 - 16 - 1992
PASSENGER I�I WITNESS UNIT# 1 POS 3 AIRBAG 2 RESTR, 4 EJECT ? 1 HELMET LASS NATURE of INJURIES
L�!1 USE 2 CLASS '1
NAME
(LAST,FIRST,MIDDLE INITIAL) OJHA YATHARTH
ADDRESS&PHONE# D O B
30 LAKEVIEW TERRACE APT A EATONTOWN NJ 07724 9999999999 SEX I M MMDDvvvv 11 _ 28 _ 2014
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 1 PGS $ AIRBAG 2 RESTR. 10 EJECT 1 USE 2 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.
BENJAMIN FLICK 07-07-23 01:38 AM
INVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 711612023 2:33:13 PM
BADGE OR ID# 12825 ORI# WA0171300 TIME POLICE DISPATCHED! 11:15 PM TIME POLICE ARRIVED',11:19 PM
PART Ei PAGE IT]OF 4�
E AND
REPORT NO. ED80070 CASE# 23_7722 OF COLLISION 07/06/23 23:14
OF COLLISION
NARRATIVE
23-7722
On 07-06-2023 at approximately 2314 hours I was working a Renton Police Department patrol in full
uniform in the city of Renton, King County, Washington. I responded to a motor vehicle collision at the
cross of SW Grady Way and Oakesdale AVE SW.
Upon arrival I made contact with both vehicles involved. Both involved drivers agreed upon the
circumstances that occurred. The involved units and drivers were identified as follows:
Unit 1 (FL/98BKCE) driver Sanat Kumar Ojha (DOB: 01-15-1986 via NJDL)
Unit 2 (WA/BQL8102) driver Anwar Fuad Kamal (DOB: 09-13-2002 via WADL)
Unit 2 had passengers: Babita Ojha (DOB: 07-16-1992 via NJDL) and Yatharth Ojha (DOB: 11-28-
2014).
All parties involved denied that there were any injuries as a result of the collision.
Unit 02 was driving eastbound on SW Grady Way and had a green light at the intersection of
Oakesdale AVE SW.
Unit 01 was originally driving westbound on SW Grady Way toward Oakesdale AVE SW, then turned
southbound on Oakesdale AVE SW on a flashing yellow arrow.
Unit's 01 and 02 then collided in the intersection.
I provided both parties with an exchange of information and a business card which contained the
case number.
I observed that the damage to the vehicles was consistent with what the parties had told me.
At the conclusion of my investigation, I determined that driver Ojha had not yielded right of way to unit
02. 1 confirmed with driver Ojha that his NJDOL address was current. I informed him that he would be
receiving a citation for failure to yield right of way via mail.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by B. Flick 12825 on 07-07-2023 in Renton, WA.
PAGE 3 OF 4
REPORT NO. ED80070 CASE# 23-7722 DATE AND TIME 07/06/23 23:14
OF COLLISION
Q N'otio sG�le N
CL
r r SW GRADY WAY
Iri
Unit 01
(Flashing yellow arrow) —
Unit WZ
PAGE 4 OF 4