The URL can be used to link to this page

Home My WebLink About23-6524 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED69867 170 27 COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE$# 23-6524 2 0 5 INTERSTATE CITY STREET RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ cowsloN 06 - 08 - 2023 0827 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S 3RD ST BLOCK e✓ 200 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 480 00 FMILES EET e S ❑ E e RAINIER AVE S 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:2068503325 0 11 30 6� LAST NAME PHOMPANYA FIRSTNAME NYENG MIDDLE 1 2 31 INITIAL STREET ❑, 4616 MARTIN LUTHER KING JR WA APT 400 CITY SEATTLE ST WA ZIP' 981082163 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO YES R No�/ 8❑ LRIIVERS STATE WA SEX'M MM DAY' 03 1— 07 — 1943 2 32 CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E ICNLJAUSSY 1 NATURE OF INJURIES 2❑ 3 10 9❑ Pi aT�S� AJU2308 sTArr WAurN# 1HGCM56835A187331 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM ro TRLR. TRLR 7 1 33 12 2 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE I MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34 13 2005 HOND ACCOR 4D DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO NYENG PHOMPANYA 4616 MARTIN LUTHER KING JR WA SEATTLE WA 98108 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI V INSURANCE INSURANCE CO ALLSTATE 964 085 975 3 4 IN EFFECT &POLICY# 9TOP VE—L' CHARGE 1 5 36 LEGALLY Yes❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062000112 16 a LAST NAME PRASEUTH FIRST NAME KEOOUDONG MIDDLE INITIAL 17❑ STREET ❑', 4913 S PILGRIM ST CITY' SEATTLE ST WA ZIP 981185649 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38 INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YES t l NO � 19 LICENSE#DRIVER'S STATE WA SEX MMDC7YY M D.O.B. 05 _ 15 _ 1978 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE I CBG6923 TArE WA VIN# 1GBSHDC41E1125960 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2014 MAKE CHEV MODEL EXPRESS STYLE VN VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO,/ YES NO REGISTERED OWNER INFO CARGO COMPONENTS INC 827 W MAIN ST SUMNER WA 98390 VEHICLE NO.2 SHADE IN DAGED AREA 2 4 LIABILITY INSURANCE INSU&PORGY#E CO OHIO SECURITY INSURANCE CO BAS 60307275 IGQ 5 IN EFFECT VEHICLE ❑ ,.I—I CITATION# CHARGE LEGALLY YES N`LJ 25 s � e 7.111CjEo-S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 HNSON 0505 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED69867 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6524 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) PHOMPANYA VANH (LAST FIRST, ADDRESS&PHONE# D O.B. ' 9740 10TH PL SW UNIT 104 SEATTLE WA 98106 2065736408 SEXi F MMDDvyry 08 - 07 - 1951 PASSENGER WITNESS❑ UNIT# 1 PEA 3 AIRBAG 2 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES USE CLASS '1 NAME (LAST,FIRST,MIDDLE INITIAL) PRASEUTH LOUIE ADDRESS&PHONE# DOB 4913 SPILGRIM ST SEATTLE WA 981185649 2062000112 SEX' M MMDDvvvv - SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 POS 6 AIRBAG 1 RESTR. 4 EJECT 1 USE CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) PRASEUTH MAKAI ADDREss PHONE# 4913 S PILGRIM ST SEATTLE WA 981185649 2062000112 SEX M D.o.E. _ _ MMDDYYYY PASSENGER WITNESS UNIT# ! 2 SEAT q AIRBAG 1 RESTR. 4 EJECT 1 HELMET NJURY 1 NATURE OF INJURIES ❑ SEATPOS. USE CLASS �F----� 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. CO.JOHNSON 06-08-23 09:39 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 6/13/2023 2:19:54 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 8:29 AM TIME POLICE ARRIVED]8:33 AM PART I PAGE IT]OF STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED69867 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6524 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) PRASEUTH KEO (LAST FIRST, ADDRESS&PHONE# 4913 S PILGRIM ST SEATTlE WA 981185649 2062000112 SEX M MMDDYyry - PASSENGER I�I WITNESS[]'UNIT# 2 P� 9 AIRBAG 1 RESTR. q EJECT ? 1 HELMET INJURY NAruRE of INJURIEs L`!1 USE CLASS 1 NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS 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. CO.JOHNSON 06-08-23 09:39 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 6/13/2023 2:19:54 PM BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED 8:29 AM TIME POLICE ARRIVED]8:33 AM PART I PAGE IT]OF REPORT NO. ED69867 CASE# 23-6524 OF COLLISION 06/08/23 08:27 OF CbLLI510N NARRATIVE U2 EB 200 S 3rd St In #2, U1 EB In #1; U1 left turn into parking lot (Safeway) and collided with U2; U1 Improper Turn/FTYROW On 06-08-2023 at about 0833 hours, I responded to a two vehicle collision in the 200 block of S 3rd St in the City of Renton, County of King. I observed Unit 01 pulled to the north side of the roadway and partially blocking the entrance to a commercial parking lot. Unit 02 was further to the east and blocking lane #2 (of 2). 1 contacted both drivers at their vehicles and confirmed there were no injuries from the collision that needed immediate medical attention. I instructed the drivers to move their vehicles into the Safeway parking lot to the north and wait for additional contact. The driver of Unit 01 was identified by WA DL and was seated in the driver seat of the vehicle. The driver indicated that he was east bound in lane #1 (of 2) of the 200 block of S 3rd St. The driver wanted to turn into the parking lot of Safeway and initiated a left turn from lane #1. The driver said he did not see Unit 02 prior to the collision. The driver of Unit 02 was identified by WA DL and admitted to driving the listed vehicle. The driver indicated that he was east bound in lane #2 (of 2) of the 200 block of S 3rd St. Unit 02 was driving straight ahead when Unit 01 side swiped his vehicle. The driver said the occupants of his vehicle were his children and they verbally provided their names. The 200 block of S 3rd St is a one-way street for east bound traffic only. There are two lanes for east bound vehicular traffic and marked vehicle parking stalls on the north and south sides of the roadway. The Safeway parking lot is to the north of the roadway. The proximate cause of the collision was Unit 01 making an improper left turn. A vehicle intending to turn left shall approach the turn in the extreme left-hand lane available to traffic moving in the direction of travel of the vehicle. Unit 01 should have approached the left turn in lane #2, which was occupied by Unit 01. Were it not for the actions of the driver of Unit 01, the collision would not have occurred. No citations or infractions issued. Report for information and insurance purposes. PAGE 4 OF 5 REPORT NO. ED69867 CASE# 23-6524 DATE AND TIME 06/08/23 08:27 OF COLLISION s "Not to Scale" S 3rd St Rainier Ave S PAGE 5 OF 5