HomeMy WebLinkAbout24-2956 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE60277 170
27
COLLISION REP FIT 1591971
INTERSTATE ❑ CITY STREET FIRE ❑
CASE 24-2sss 2
RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN ✓ CITY# ❑
COLLISION: 03 — 18 — 2024 2010 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----�
TALBOT RD S MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W e S 43RD ST
2 0 29
MOTUNIT U1 VEHICR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE 0 81
30
6� LAST NAME TONG FIRSTNAME JOHN MIDDLE 1 2 31
INITIAL
STREET ❑, 904 21ST ST SE CITY AUBURN ST WA ZIP 98002 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
✓ I iNTERLOCKYEs No NTERLOCKYEs NO✓ YES R No
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 ATE 14 BPW5608 JBTATIJ WA u N If 4T18KEB000219865
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# IR.. ro
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
>;. FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE J 9 34
13 8 2016 TOYT AVALON SD DAMAGE YES NO ✓ YES[:] No✓
REGISTERED OWNER INFO THOU PHA.15708 MlOVALE AVE N SHORELINE WA 98133 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14� LIABILITY INSURANCE INSURANCE CO AMERICAN FAMILY INSURANCE 410534763992 3 4
IN EFFECT &POLICY# 9TOP
ve'CLE CHARGE 5 36
LECALLv res❑NO❑ CITATION# 10 BOTTOM
15❑ STAMOTINDIING 6
UNIT U2 VEHICCLE CYCLE ❑ PEDESTRIAN ❑ OWNFRPROPERTY ❑ DYES✓ NO OLD MET PHONE
16 a
LAST NAME NOESKE FIRST NAME ONNALIESE MIDDLE I D
INITIAL
17❑ NEW STREETREs7 17248 SE 185TH ST CITY RENTON ST WA ZIP 98058 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED � 38
INTERLOCK YES❑No� INTERLOCK yEs❑NOF YES
❑NOF,/
19 D IVEW # STATE WA SEX F M D.C.B. 12 _ 10 _ 1998 39
20❑ ON DUTY STATUS I
AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CHN7357 TATE WA VIN 1 41
SYFEPMAEXMP214038 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
G
VEH YEAR 2021 MAKE 7'Oy7' MODEL CORO!! STYLE $D DAMAGE TOWED NOO,/ BLIN TOWED BY ov HyES N.7 44
24❑ ES
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO PROGRESSIVE 971552724IN I STOP 5
VE""LE CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES N�
❑ s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
E.EDMUNDS 12576 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE60277
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2956
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) AGUILAR ABYGAIL M
(LAST FIRST,
ADDRESS&PHONE# D O.B.
1012 S 23RD ST RENTON WA 98055 SEXi F MMDDYyry 04 - 07 - 2000
PASSENGER Z WITNESS❑ UNIT# ',' 1 PEATOS. 3 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET USE 2 INJURY
CLASS LASS NATURE OF INJURIES
' 1
NAME
(LAST,FIRST,MIDDLE INITIAL) NOESKE STEPHEN H
ADDRESS&PHONE# D O B
17248 SE 185TH ST RENTON WA 98058 SEX M MMoouvvv 01 _ 07 _ 1962
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 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.
E.EDMUNDS 03-19-24 12:23 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 1 311912024 12:41:30 AM
BADGE OR ID# 12576 ORI# WA0171300 TIME POLICE DISPATCHED 8:10 PM TIME POLICE ARRIVED',8:10 PM
PART I PAGE IT]OF
REPORT NO. EE60277 CASE# 24-2956 OF COLLISION
03/18/24 20:10
OF CbLLI510N
NARRATIVE
On 03/19/2024 1 was working a marked patrol unit in the City of Renton, County of King, State of
Washington. I was assigned to District 13 At approximately 2013 hours, 1 was dispatched to a non-
injury, blocking collision near the intersection of Talbot RD S and S 43rd ST (Renton WA, King
county).
I responded to the location and located Vehicle # 1 (WA/BPW5608) Stopped, partially, in the left turn
lane and partially in the center lane of S 43rd ST. The vehicle was wedged in between Vehicle #2
(WA/CHN7357) in the center lane and Vehicle #3 (WA/C76716W) in the left turn lane. All three
vehicles appeared to have more than $1000 of damage.
The three vehicles were all drivable and moved to the nearby parking lot of Valley Medical Center. In
the process of moving from the collision location, Vehicle #1 received a flat tire as Vehicle #3
separated itself at the point of the collision.
Once in the parking lot, all three drivers provided a WA drivers license, vehicle registration, and proof
of insurance.
Vehicle #1- John Tong (04/28/2001)
Vehicle #2- Onnaliese D Noeske (12/10/1995)
Vehicle #3- Rediat Sahle (06/21/1983)
Sahle and Noeske stated they were stopped in their respective lanes when they were struck by
Tong's vehicle. Tong stated he was changing lanes at the same time Noeske was changing lanes but
did not see her in time to prevent the collision.
An NCIC/WACIC check was conducted with all driver's information. All drivers returned clear. None of
the drivers or passengers required medical attention.
I provided an exchange of information to all parties.
This concluded my involvement with the case.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by E. Edmunds/12576 at 0021 hours on 03/19/2023 in the City of Renton, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EE60277
r`) POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-2956
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL-
PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES� NO
OF 8 29
LAST NAME FIRST NAME MIDDLE
SAHLE REDIAT INITIAL G
STREET 30
NEW AnnRFrtP 11238 RENTON AVE S CITY SEATTLE ST WA ZIP 98178
5 [2 1 1 2 31
CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED
INTERLOCK YEs NO zERLOCK YES❑N0� YES N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv 06 TO]
- 1983
7
ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE I C76716W [TAT WA VIN# 1FDRS8PM4GKA93463
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN It VIN.#.
11 0 0 VEH.YEAR2016 MAKE FORD MODELTRANSIT STYLE VN VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNED BY DRIVER J 9 33
12 � SHADE IN DAMAGED AREA
7 j FROM TO
LIABILITY INSURANCE INSURANCE CO SAFECO Z504817 R"i"Olx
IN EFFECT &POLICY# 1
ew e 34
13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTUM
STANDING } 8 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME IDDL 35
❑
STREET
16 TEETEs.�' CITY ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE TAr VIN# 39
PLATE#
20 ❑ TRAILER' TRAILER El40
PLATE#< STATE PLATE# STATE
21 ❑ ❑ 41
TRLR TRLR
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 AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE 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.
E,EDMUNDS 03-19-24 12:23 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26F7 OI BADGE 12576 O#II,WA0171300 APPROVE
3%19/2024 PAGE OF F
3000-345-013(R 11118)
REPORT NO. EE60277 CASE# 24-2956 DATE AND TIME 03/18/24 20:10
OF COLLISION
t 1
z
y
`t
ti
5
t
PAGE 5 OF 5