HomeMy WebLinkAbout23-10873 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 23-10873 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# ❑
coLusloN 09 - 1-- 2023 1529 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
WILLIAMS AVE S BLOCK NO. e✓ 415
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FEET MILES e S B W e S 4TH ST
1 5 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2069475932 0 9 30
6❑ LAST NAME HENG FIRSTNAME KULANG MIDDLE N 1 1 2 31
INITIAL
STREET ❑, 4206 SE 2ND PL CITY RENTON ST WA ZIP' 980595153 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I INTERLOCK YES[:]NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 01 1- 05 - 1953 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
LICENSE C04226C STATE WA V N# 5TEGN92N21Z739790
10 9❑ Pr ATE�
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR. TRLR. 3 0 33
12 2 5 VIN# VIN#'
:.:.... FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 9 34
13 4 2001 TOYT PU PK DAMAGE YES YYES[:] NO
REGISTERED OWNER INFO C.I.LIM4206 SE 2ND PL RENTON WA 98059 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14LIABILITY INSURANCE INSURANCE CO STATE FARM 4493259DO847A 3
IN EFFECT &POLICY# 9TOP
VawcLe CHARGE 1 5 36
LEGALLY YES No CITATION# 3A0646332 UNSAFE OR IMPROPER BACKING o BOTTom
15❑ NDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2063836530
LAST NAME DECKERT FIRST NAME IDA MIDDLE M
INITIAL
17❑ STREET ❑', 6922 S 125TH ST CITY SEATTLE ST WA ZIP 981784330 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES
t l NOF,/
19[ D IVEW #
I INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I B5929C TATe WA VIN# 1FDFE4FS4GDC23426
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2016 MAKE OTH MODEL SCHOOL STYLE Yy VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO RENTON SCHOOL DISTRICT 300 SW 7TH ST RENTON WA 98055 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU PORGY#ECO SIAWSIAW232434033IN 1 9TOP 5
VE."LE ES[Z N CITATION# CHARGE
u i o BOTTOM
LEGALLY Y
25❑ s 6
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE02706
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10873
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) L/M CHHEKONG
(LAST FIRST,
ADDRESS&PHONE#
4206 SE 2ND PL RENTON WA 98059 2069475932 SEX i U MMDovyry 01 - 04 - 1943
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑' 1 POS. 10 2 9 1 USE CLASS ;1
NAME
(LAST,FIRST,MIDDLE INITIAL) MAGANA CHRISTOPHER
ADDRESS&PHONE# D O B
RENTON WA 8054331463 SEX U MMDDvvvv -F _
SEAT HELMET I INJURY NATURE of INJURIES
PASSENGER Z WITNESS❑ UNIT# 2 PCS 10 AIRBAG 1 RESTR. 9 EJECT 1 USE CLASS 1
NAME
LAST FIRST,MIDDLE INITIAL) BOPEARACHCHIGEDON SULAKSHA
AooREss&PHONE# RENTON WA 2063721994 _
SEX U. D.O.B.I. -
MDDYYYY
PASSENGER WITNESS UNIT# ! 2 SEAT 10 AIRBAG 1 RESTR. 9 EJECT 1 HELMET NJURY 1 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.
SHAWN CROW 09-25-23 10:00 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
P.KORDEL 9676 9/26/2023 5:35:34 PM
BADGE OR ID# 12618 OR]# WA0171300 TIME POLICE DISPATCHED! 3:31 PM TIME POLICE ARRIVED',3:33 PM
PART I PAGE IT]OF 5�
TIME
REPORT NO. EE02706 CASE# 23-10873 OF COLLISION09/21/23 15:29
NARRATIVE
CC
On 09/21/2023 at about 1531 hours I was working uniform marked patrol as 1R15 when I was
dispatched to a two vehicle non-injury collision at 415 Williams Ave S within the city limits of Renton,
King County, Washington. The collision involved an occupied school bus (Vehicle 2) and a pickup
truck (Vehicle 1). When I arrived the school bus was stopped in the southbound lane, and Vehicle 1
was parked in a nearby driveway. The Renton Fire Department (RFD) arrived and evaluated the two
passengers (each approximately seven years of age) of the school bus. No one complained of
injuries, and no one was transported to the hospital. After RFD completed their evaluations I directed
the school bus to a nearby parking lot.
Kulang Heng was the driver of Vehicle 1 and her husband (Chhekong Lim) was in the front passenger
seat. Kulang was backing Vehicle 1 from her daughter's driveway located on the east side of the
roadway. A RV (recreational vehicle) was parked on the east side of the roadway just north of the
driveway Vehicle 1 was backing out of. Kulang mentioned the location of the RV, and it appeared to
partially block her visual of southbound traffic. As Kulang backed out at an angle she struck the side
of Vehicle 2. Vehicle 1 had damage to the rear passenger side area of the vehicle, but it was able to
be driven. Kulang and Chhekong were not injured.
Ida M. Deckert was the driver of Vehicle 2 that had two passengers who were about seven years of
age. Passenger 1 was Chris Magana and Passenger 2 was Sulaksha Bopearachchigedon. Ida was
stopped in the southbound lane in front of 415 Williams Ave S while letting out a student from the
school bus. Ida had the bus' stop paddle extended out and the bus' red stop lights on while a student
exited the bus. The student had completely exited the bus and crossed the street when Vehicle 1
struck the driver side area of the school bus while the bus' stop paddle and stop lights were still
engaged. There were no injuries, and Vehicle 2 was able to be driven from the scene.
I took photos of both vehicles and uploaded those photos to Axon.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Seat Position (Passenger CHHEKONG LIM): FRONT PASSENGER SEAT
Motor Vehicle Unit 2
Seat Position (Passenger CHRISTOPHER MAGANA): PASSENGER INSIDE SCHOOL
BUS
Seat Position (Passenger SULAKSHA BOPEARACHCHIGEDON): PASSENGER
INSIDE SCHOOL BUS
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EE02706
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 23-1o873
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G
UNIT'# 2 USDOT ICC# I VEHICLE TYPE 1 CARGO 6ODY 1
;TYPE
2 ❑ 1 28
CARRIER RENTON SCHOOL DISTRICT
NAME
3 CARRIER
ADDRESS RENTON SCHOOL DISTRICT 300 SW 7TH ST
CITY RENTON ST WA ZIP'', 98057
4 ❑ NAME # PLACARD: :❑
NAME IF NO NUMBER
SOURCE 3 AXLES 02 GI 26000 +
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
NEW AnnRFSP CITY ST ZIP
6
CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No NTERLOCK 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 vEHIC P FROM TO
DAMAGE Y EES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
((ABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# t 9 1"01?
EHILLE o BarroM 34
13 ❑ LEGALLY YES❑ NO❑ CITATION# CHARGE
STANDING } 8 7 6
14 ❑ UNIT Tr Vd 1 RE O FEDDAL OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
El PEDESTRIAN
15 LAST NAME FIRST NAME INITIALMIDDLE
TIAL
❑
F] STREET
16 NEW AnnRFS.� CITY ST 21P
CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICALTANSPORTED
NTERLOCK YES No NTERLOCK 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 TRR 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 '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LeGALLv
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.
SHAWN CROW 09-25-23 10:00 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 ORID# 12618 O#II,WA0171300 APPROVED BY
9%2E6/2023 PAGE F OF 5
3000-345-013(R 11118)
REPORT NO. EE02706 CASE# ' 23-10873 DATE AND TIME 09/21/23 15:29
OF COLLISION
v7
2
E
c6
Vehicle 1 *Not Drawn To Scale
DRIVEWAY
Paint of Impact
Vehicle
PAGE 5 OF 5