HomeMy WebLinkAbout23-8020 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-8020 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 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# ❑
cawsloN 07 - 1-- 2023 1832 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
152ND AVE SE BLOCK NO. e
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 20 00 FMILES EET e S B W e MAPLE VALLEYHWY
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLDHONE
UNIT 01 VEHICLE ❑ CYCLE El MET P
YES ✓NO D:6197333772 0 81
30
6� LAST NAME HARTMAN FIRSTNAME JENNIFER MIDDLE A 1 1 2 31
INITIAL
STREET ❑, 4300 NE SUSNET BL B3 CITY RENTON ST WA Zjp, 98059 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELM
USEET 2 INJ gY 1 NATURE OF INJURIES z❑
3
10 1❑ P1 ATE 14 6ADF553 STATE WA VIN# 3N1AB61E37L664479
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 1 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 2007 NISS SENTRA SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO JENNIFER HARTMAN 4300 NE SUSNET BL B3 RENTON WA 98059 D:6197333772 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 956479581 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER [:]EA.
YES 1/ NO D:2062515211
16 a
LAST NAME TRINH FIRST NAME SON MIDDLE L
INITIAL
17❑ STREET NEW ADDREss❑' 3711 NE 4TH PL CITY RENTON ST WA ZIP 98056 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs It I NOF YES
t l NOF,/
19 LICENSE# STATE WA SEX U MMDDYY 12 _ 12 _ 1969 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40
❑21❑ PLATE# CGT0385 TATE 41
WA VIN 1 2T2HGMDA3MC060127 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2021 MAKE LEXS MODEL RX 300 STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO SON TRINH3711 NE4THPL RENTON WA 98056 D:2062515211 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY INSURANCE INSU8 PORGY#E CO AMERICAN FAMILYA102177273 1 9TOP
IN EFFECT
'E""LE CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES NEI
❑ J s
7TRADER
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 4553 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED79220
COLLISION REPORT III III III III III 111
1591972 CASE# 23-8020
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On 07-12-2023 at approximately 1832 hours, I was dispatched to a two vehicle collision on 152nd
AVE SE and Maple Valley HWY, in the City of Renton, County of King.
I arrived and spoke with the driver of Unit 2 who was identified as Trinh with a valid WA state license.
Unit 1 had left the scene prior to my arrival.
Trinh told me he stopped for the red traffic signal NB on 152nd AVE SE at Maple Valley HWY and
was rear ended by Unit 1. He said the driver of Unit 1 was acting strange and started yelling at him
and his friend over the collision. He showed me the video of the driver of Unit 1.
I collected Trinh's information and then relocated to the DOL address listed for the owner of Unit 1. 1
knocked on the door of 4300 NE Sunset BL condominium B-3 and the driver of Unit 1 answered the
door. She was dressed the same and matched the female I saw in Trinh's video. The driver of Unit 1
was identified as Jennifer Hartman with a CA State license and she admitted to being involved in an
accident but didn't feel it was reportable. She claimed Trinh was uncooperative and wouldn't
exchange information. Hartman was yelling at me during my contact with her for no apparent reason.
She told me Trinh started to move forward and then he stopped, which is when she ran into the back
of his vehicle.
I told Trinh and Hartman I would complete a collision report and provided a case number for them.
Hartman caused the collision by Following Too Closely and colliding with the back of Unit 2. 1 did not
cite her for the violation.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.TRADER 07-12-23 11:03 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 711312023 12:04:44 PM
BADGE OR ID# 4553 ORI# WA0171300 TIME POLICE DISPATCHED 6:32 PM TIME POLICE ARRIVED',6:37 PM
PART I PAGE IT]OF
REPORT NO. ED79220 CASE# ' 23-8020 DATE AND TIME 07/12/23 18:32
OF COLLISION
Maple Valley HWY
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