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HomeMy WebLinkAbout23-6490 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-6490 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 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 1057 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ PARKAVENORTH BLOCK MILEPOST ST e✓ 900 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 325 00 FMILES N EET e S B OF NORTH 8TH STREET 0 8 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4255162879 0 11 30 6� LAST NAME PHAMQUACH FIRSTNAME BRIANNA MIDDLE T 1 1 2 31 INITIAL STREET ❑, 14566 SE 153RD PL CITy RENTON ST WA 2jp, 980588106 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO Z/ YES R No�/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 CLASS 1 NATURE OF INJURIES 2❑ 3 10 9❑ P1 aT�S� CFE7237 sTArI WAurN# JTNKHMBX2M1117500 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR 7 5 33 12 2 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 1 $ 34 13 9 2021 TOYT C-HR 4H DAMAGE vEs ONO f �AWkkRS vEs❑ No REGISTERED OWNER INFO HOANG PRAM 14566 SE 153RD PL RENTONWA 98058 D:4255162879 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 4 14 LIABILITY INSURANCE INSURANCE CO AMERICAN FAMILY 41017-37691.63 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 1 5 36 LEGALLY YES❑NO❑ CITATION# 3AO431062 FAIL STOP AT STOP BOTTOM 15❑ STANDING 7 6 MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAMH TR OLD MET PHONE UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066222261 16 a LAST NAME APELU FIRSTNAME TAGHLIMA MIDDLE I F INITIAL 17 STREET NEW ADOREs�' 15653 129TH CT SE CITY' RENTON ST WA ZIP 980584743 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[ D IVEW # ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# 2962512 TArE IN VIN 1t 3HSDXTZN5KN080510 41 1 42 22❑ TRAILER !C333399 STATE ME TRAILER STATE PLATE# PLATE# 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2019 MAKE INTT MODEL TRACTO STYLE SE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO�/ YES NO✓ REGISTERED OWNER INFO SYSCO LEASING LLC 4000 W 62ND ST INDIANOPLIS IN46268 D:2066222261 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO AON RISK SERVICES SW,INC.BAP 2347204 13 1GQI IN EFFECT'E""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 s � a =UGENT (PRINT) OFFICER PHONE BADGE OR ID# 77P�1300 26 11498 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED70715 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6490 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) PHAM JENNA L (LAST FIRST, ADDRESS&PHONE# 11356 NE OREGON ST PORTLAND OR 972200000 4255162879 SEXi F MMDOYyry 08 - O6 - 1998 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 1 FOS, ! 3 2 4 1 USE 2 CLASS 1 NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYVYV PASSENGER ❑WITNESS❑ 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 NUGENT 06-08-23 02:36 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE c0.JOHNSON 0505 6/16/2023 8:38:13 AM BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 10:59 AM TIME POLICE ARRIVED i 11:06 AM PART I PAGE ❑OF❑ REPORT NO. ED70715 CASE# 23-6490 OF COLLISION 06/07/23 10:57 OF CbLLI510N NARRATIVE 23-6490 On 06/07/2023 at approximately 1059 hours, I was dispatched to a non-injury and non-blocking vehicle collision in the 900 block of Park Avenue North, within the City Limits of Renton, County of King, State of Washington. Upon arrival, Renton Fire was on scene triaging the involved parties due to an initial report of injuries being mentioned but later recanted. Renton Fire evaluated all involved parties and treated them at the scene where they were later released. There, I was able to collect each involved party's information and independent summary of the events leading up to the collision. The driver of Unit#1 was identified by pictured WADL and stated she had an adult passenger inside of her vehicle. The driver of Unit#1 stated she was attempting to exit the private parking lot at the Landing Shopping Center, specifically in the 900 block of Park Ave N. The driver of Unit#1 stated she was intending to turn southbound (right) onto Park Ave N. While approaching the intersection of Park Ave N, the driver of Unit#1 stated that she stopped at the stop sign controlled intersection and looked for oncoming traffic. The driver of Unit#1 said she noticed Unit#2 traveling south on Park Ave N with its right turn signal on and assumed the vehicle was turning into the same parking lot that Unit#1 was attempting to exit from. The driver of Unit#1 proceeded forward thinking it would allow additional space for Unit#2 to complete the turn. Upon Unit#1 turning out into the roadway, both Unit#1 and Unit#2 made contact causing moderate damage to the front driver's side of Unit#1. The driver of Unit#2 was identified by pictured WACDL and was the sole occupant of his commercial vehicle. The driver of Unit#2 stated that he was traveling southbound on Park Ave N approaching the intersection of N 8th ST in lane 1 of 2. The driver of Unit#2 stated he was intending to turn westbound (right) onto N 8th ST upon reaching the intersection. The driver of Unit#2 stated that he continued south and that while attempting to continue past the entrance to the Landing Shopping Center parking lot entrance, Unit#1 entered the roadway and into the same lane that Unit#2 was occupying. The driver of Unit#2 stated that he could not avoid the collision before Unit#1 collided with Unit#2 causing moderate damage to the front passenger side bumper of Unit#2. Based on the above statements, I determined that the Driver of Unit#1 (Phamquach) was the predominant factor for the cause of collision as Phamquach did not grant the right of way to traffic already in the roadway and underway. Phamquach violated RCW 46.61.190(2) as every driver of a vehicle approaching a stop sign shall stop where the driver has a view of approaching traffic on the intersecting roadway before entering the roadway, and after having stopped shall yield the right-of- way to any vehicle in the intersection or approaching on another roadway so closely as to constitute an immediate hazard during the time when such driver is moving across or within the intersection or junction of roadways. Unit#1 had to be impounded due to extensive damage. Unit#2 was able to be driven away from the scene without further incident. An exchange of information was provided to all involved parties. I cited the driver of Unit#1 via mail for Failing to Stop at an Intersection (RCW 46.61.190.2) and causing a collision. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer M. Nugent#11498 6/8/2023 2:34 PM Renton, King County, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED7071 5 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-6490 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT# 2 USDOT ICC# VEHICLE TYPE 3 CARGO BODY 12 TYPE 2 ❑ H28 CARRIER 1 NAME SYSCO LEASING LLC ....... 3 CARRIER ADDRESS 4000 W 62ND ST CITY INDIANAPOLIS ST IN ZIP 46268 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 3 AXLES 03 GI30000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 � CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES❑N0� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE Y EES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NFln+AnnRFs.� CITY'. ST 21P CDL IGNITION REDUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. MATTHEW NUGENT 06-08-23 02:36 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26F7 OI BADGE 11498 O#I,WA0171300 JOHNSON 611612023 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO. ED70715 CASE# ' 23-6490 DATE AND TIME 06/07/23 10:57 OF COLLISION 'Dogram net to:scat. Park Avenue North L VJ 00 L 0 Z mt 41 The L—Jmg Shnppsng:Centnr PAGE 5 OF 5