HomeMy WebLinkAbout23-6796 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-6796 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 06 - 1-- 2023 1514 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 27TH ST BLOCK NO. e✓ Y200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:4255344849 1 4 30
6� LAST NAME ABDELMALAK FIRSTNAME GORGAIT MIDDLE S 1 0 5 31
INITIAL
STREET ❑, 1416 N 30TH ST APT 6 CITy RENTON ST WA Zjp, 980562179 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ YEs No✓
8❑ D
RI
VER # STATE WA SEX'F MMDDYY' 08 - 16 - 1984 32
9 ON DUTY❑ STATUS AIRBAG 3 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES z❑
USE CLASS BUMP ON FOREHEAD FROM AIRBAG
3
10❑ LI ENSE ATE 11 A6409896 STATE WA VIN#' KNAFE222895661942
----� TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
RomM TO
34
13❑ VEH.YEAR2009 MAKE KIA MODEL SPECTR STYLE 4D VEHICLETOWED0NOOffBLIN TSIgWgYMEYERS vOs❑ENO✓
DAMAGE IILLJJII ((s���lIVV6
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑
14❑ LIABILITY INSURANCE 35
� INSURANCE CO INSURANCE CENTS#11408679096 4
IN EFFECT &POLICY# 9TOP
15❑ vewCLE 5 36
LECALLv res❑NO❑ CITATION# CHARGE 1 o BOTTOM
STANDING 8 7 6
UNIT MOTOVEHIR
PEDAL-CYCLE ❑ PEDESTRIAN ❑ PROPERTY ❑ DYES✓ H OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET CITY RENTON ST ZIP 4
17❑ NEW ADDRESS❑ ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LLIICENS RIVERIS# STATE SEX U MMDDYY 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT ''1 USE 9 CLASS 0 ❑
❑ILICENSE 21❑ PLA E# 989XOR TATE WA VIN# 41
JT3HN86RXY0305577 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2000 MAKE TOYT MODEL 4RUN STYLE SI/ VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO ZHEN WU 2201 NE 27TH ST RENTON WA 98056 D:2062517366 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE I PORGY#E CO STATE FARM#488 8430-D02-47IN 1UR
5
VEHICLE ❑ C[:] CITATION# CHARGE LEGALLY YES N J
25 OFFICER'S NAME(PRINT) 7OFFICER PHONE BADGE OR ID# AGENCY
26
WILLIAM RIDGEWAY 12500 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED73312
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6796
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) YOUSSEF HAYAH
(LAST FIRST,
ADDRESS&PHONE# D O.B.
RENTON SEX F MMDDYYYY 11 - 13 - 2009
-------------------------
PASSENGER WITNESS 'UNIT# j 1 POS 3 AIRBAG 3 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES
USE 2 CLASS 11
NAME
(LAST,FIRST,MIDDLE INITIAL) YOUSSEF ABIGAL
ADDRESS&PHONE# D O B
RENTON SEX M MMaDYyvv 04 f 7 _ 2023
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER Z WITNESS UNIT# 1 POS. 10 AIRBAG 2 RESTR. 11 EJECT 1 USE 2 CLASS 1
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.
W/LLIAM RIDGEWAY 06-15-23 06:58 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 6/24/2023 1:10:10 PM
BADGE OR ID# 12500 ORI#' WA0171300 TIME POLICE DISPATCHED; 3:14 PM TIME POLICE ARRIVED 3:28 PM
PART Ei PAGE IT]OF 4]
REPORT NO. ED73312 CASE# 23-6796 OF COLLISION
06/14/23 15:14
OF CbLLI510N
NARRATIVE
At about 1519 hours on 06/14/2023, 1 was dispatched to an accident with unknown details that
occurred near the 2200 block of NE 27th St in the City of Renton, King County, Washington. A
resident in the area reported a silver Kia sedan was stopped in the middle of the road with a female
and baby standing outside of the vehicle.
Upon arrival, I located a silver 2009 Kia Spectra (A6409896/WA) (Unit 1). The vehicle had a damage
to the right side and a flat front right tire. I observed both front airbags deployed and started FIRE and
a tow. I contacted the owner/driver: Gorgait S. Abdelmalak (DOB:08/16/1984 -verified by WAID
photo). Gorgait spoke Arabic and had her brother George on the phone to translate. I observed a
bump on Gorgait's forehead. Gorgait had her niece in the front right passenger's seat: Haya Youssef
(DOB:11/13/2009). Haya showed a scratch on her upper right arm but no injuries. Gorgait's infant
was in a rear car seat in the vehicle: Abigal Youssef (DOB:04/17/2023).
FIRE arrived and evaluated all parties. All parties were medically cleared by FIRE, stating there was
nothing emergent to require hospital transport.
All parties were advised they were being recorded. Gorgait through her brother's translation, said she
was driving and got a flat tire. I asked multiple people standing near the scene if anyone witnessed
the incident, there were no witnesses. A male came out of 2201 NE 27th St and said his red 2000
Toyota 4 Runner (989XOR/WA) (Unit 2) was parked in front of his home, facing eastbound and was
struck by the Kia. The male was the registered owner: Zhen F. Wu (DOB:12/29/1977).
I observed damage to the right side of Unit 1, including a flat right tire. I observed damage on the left
side of Unit 2. Photos were taken and uploaded to the case.
Gorgait did not have a WADL but provided an Egypt driver's license (DOL #2401186 ELMENIA
CAIRO EGYPT).
It appears Unit 1 was traveling eastbound NE 27th St in the 2200 block, when she got a flat tire,
causing Unit 1 to veer right, into Unit 2. Unit 2 was parked on the south side NE 27th St in front of
2201. 1 did not observe any signs of intoxication on Gorgait.
Gene Meyers arrived and towed the vehicle to Gorgait's residence, where George would meet them
to make payment.
Both parties were provided an exchange of information, and a business card with case number.
This concludes 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 W. Ridgeway#12500 on 06/15/2023 at 0653 hours in Renton, Washington.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Seat Position (Passenger ABIGAL YOUSSEF): REAR CARSEAT
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. ED73312 CASE# ' 23-6796 DATE AND TIME 06/14/23 15:14
OF COLLISION
NE 27TH ST
H UNIT 1 ENO POINTUNtT 1 STARTING POINT �
c
UNIT 2(PARKED)
E 2201
ABERDEEN AVE NE
PAGE 4 OF 4