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Home My WebLink About24-10943 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 24-10943 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 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.. 10 — 21 — 2024 0523 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S CARR RD BLOCK NO. e✓ 601 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e 2 0 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2067979740 0 11 30 LAST NAME CARBAJAL AGUIRRE FIRST NAME YENNIFER MIDDLE 6 INITIAL 1 2 31 STREET ❑, 4030 S 140TH ST,APT 18 CITY TUKWILA ST WA ZIP 98168 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 6 RESTR 1 EJECT 1 I I [NATURE OF INJURIES H U EET 2 CLASS ju INJURY FROM AIRBAG z❑ 3 10 9❑ P1 ATNES# D63903D sTAr WAV N# 1 FTRX14W38FA46518 11[-j- TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# IR.. ro TRLR. TRLR 3 7 33 12 3 5 VIN#j VIN# :: FROM TO VEH.YEAR 2008 FORD F150 PK MAKE MODEL STYLE VEHICLE TOWED TO BLIN T BS 7 3 k GOVT.VEHICLE 34 13 4 DAMAGE YES NO YES[:] ✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP 15❑ LE vEGALLY Hla.e 5 36 re5�No D CITATION# 4A0690304 CHARGE OP MOT VEH W/OUT INSURANCE i o aorrom STANDING 8 7 6 MOTOR PEDAL-: PEDESTRIAN PROPERTY DAM THR OLD M PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ ET NO D.2146906599 a 16 LAST NAME WILLIAMS M FIRST NAME ' CALVIN MIDDLE INITIAL 17❑ NEW STREETR 10939 S 7 E 183RD CT CITY RENTON ST WA ZIP 98055 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38 INTERLOCK YEs❑No� INTERLOCK yEs I I NOF YEs t l NoF,/ 19 DRIVER'S STATE WA SEX M D.C.B. 02 _ 14 1965 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 6 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# A7835844 TArE 41 WA VIN# 1GYS4KKJ1GR299075 1 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ VIN#. IN#. 43 RLR ' GoI VEH YEAR 2016 MAKE C/aDl MODEL ESCALAD STYLE UT —VEHICLE AMAGE TOWED NOO✓ BLIN TOWED BY v HyES NO 1/ 44 24❑ fj REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO ALLSTATE 820948156IN STOP 5 —e E ❑ ,J� CITATION# CHARGE 25 i o BOTTOM LEGALLY YES N J s a OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MI 1AAM LONG 7 12790 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF27044 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10943 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' 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. MIRIAM LONG 10-21-24 03:41 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 1012212024 5:07:33 AM BADGE OR ID# 12790 ORI# WA0171300 TIME POLICE DISPATCHED! 5:24 AM TIME POLICE ARRIVED',5:30 AM PART I PAGE IT]OF DATE AND REPORT NO. EF27044 CASE# 24-10943 OFCOLISION 10/21/2405:23 OF COLLISION NARRATIVE 24-10943 Unless otherwise noted, the following occurred in the City of Renton, County of King, WA. On 10/21/2024 at about 0524 hours I was dispatched to a collision at Pacific Medical Center located at 601 S Carr Rd. I arrived at the location and observed Unit#1 blocking west bound traffic on S Carr Rd with significant front-end damage. Just west of Unit#1, 1 observed Unit#3, also blocking westbound traffic, with significant damage to the front end of the vehicle. I later observed Unit#2, which had pulled onto 98th Ave S after the collision. There was a large dent on the driver side of the vehicle. A combination of airbags had deployed in all involved vehicles. All drivers were treated by Renton Fire Department, who advised the drivers of Unit#1 and Unit#3, who were the sole occupants of their vehicles, were being transported for their injuries. I contacted the driver of Unit#1, who advised she was driving west on S Carr Rd just prior to the collision. She told me she recalled seeing a white SUV but could not remember anything else or what happened to cause the collision. The driver of Unit#1 advised she did not have insurance and provided me with her information. I contacted the driver of Unit#2, who advised he was driving east on S Carr Rd in lane one, just prior to the collision. He said Unit#1 was in lane two, also driving east on S Carr Rd, when suddenly it came into his lane and struck the side of his vehicle, causing his airbags to deploy. He told me his airbags obstructed his view after Unit#1 struck him, and he did not witness the collision with Unit#3. The driver of Unit#2 provided me with his valid WA DOL driver's license and valid insurance. I later contacted the driver of Unit#3, via phone. She advised she was driving west on S Carr Rd in lane two prior to the collision. She said she observed Unit#1 driving the opposite direction of her when it all the sudden crossed into her lane of traffic and collided with the front end of her vehicle. She advised she did not witness Unit#1 collide with any other vehicle. The driver of Unit#3 advised she had insurance but was unable to provide me with the information at the time of this report due to being in the hospital. I took photos of all the involved vehicle's and uploaded them to Axon. I determined that the Driver of Unit#1 (Yennifer) is the proximate cause for the cause of collision as Yennifer violated RCW 46.61.140(1) which states that a vehicle shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such lane until the driver has first ascertained that such movement can be made with safety. Yennifer made a lane change into Unit #2's lane of travel which had the right of way and was underway, causing her to then cross the center lane into Unit#3's lane of travel, which had the right of way. Yennifer did not ensure that traffic in lane 1 of 2 was clear of hazard before making the unsafe lane change. I cited the driver of Unit#1 (Yennifer) for Improper Lane Usage causing a collision, and for violating RCW 46.30.020 which states that no person may operate a motor vehicle subject to registration under chapter 46.16A RCW in this state unless the person is insured under a motor vehicle liability policy with liability limits of at least the amounts provided in RCW 46.29.090, is self-insured as provided in RCW 46.29.630, is covered by a certificate of deposit in conformance with RCW 46.29.550, or is covered by a liability bond of at least the amounts provided in RCW 46.29.090. Proof of financial responsibility for motor vehicle operation must be provided on the request of a law enforcement officer in the format specified under RCW 46.30.030. 1 completed Sector Citation #4A0690304 to be sent to the prosecutor's queue for review. I was unable to advise the driver of Unit#1 that she would be receiving a citation in the mail due to her being transported to the hospital. My involvement in this case was captured on my department-issued Axon body camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. 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 M Long#12790 on 10/21/2024 @ 0750 hours in Renton WA. PAGE 3 OF 6 DATE AND REPORT NO. EF27044 CASE# 24-10943 OFCOLISION 10/21/2405:23 OF COLLISION NARRATIVE PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. EF27044 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-10943 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70T !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GINAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE _) PEDESTRIAN � OWNER � YES� NO D:2065373006 rFO 1 29 LAST NAME MOZQUEOA FIRST NAME : VERONICA MIDDLE INITIAL STREET 30 NEW AnnRFSP 17317 120TH LN SE APT J304 CITY RENTON ST WA ZIP 98058 6 [6 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 F MMDDYYv 07 - 19 - 1987 7 HELMET :INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 6 RESTR. 9 EJECT 1 USE 2 CLASS 6 INJURY FROM AIRBAGS LICENSE I CNR6601 [TAT WA VIN# JM3KFBCM5K1619649 PLATE# 9 TRAILER TRAILER 191 PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOVVE E T SABLI anvi vEH1I'P FROM TO 2019 MAZD CX-5 SE UT TS�f° DAMAGE YES�NO YES NO REGISTERED OWNER INFO VERONICA MOZQUEDA 17317120TH LN SE APT J304 RENTONWA98058 D:2065373006 ] $ 33 SHADE IN DAMAGED AREA j 4 12 LIABILITY INSURANCE❑ INSURANCE CO FROM TO IN EFFECT &POLICY# R 701x VEHICLE 10 6QTTUM 13 34 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE gg�@ ❑ STANDING dQRDD PROPERTY Y NOHRESHODM PHONE l:9 7 6 ❑ 35 VEHICLE CYCLE OWNER ESG 14 UNITr AL PEDESTRIAN 15 LAST NAME FIRST NAME I MIDDLE 36 STREET"[—] ❑ 16 NEW AnnRFs� 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 TAT 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 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv 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. MIRIAM LONG 10-21-24 03:41 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12790 O#II,WA0171300 APPROVED BY 10122/202 PAGE F OF 6 3000-345-013(R 11118) REPORT NO. EF27044 CASE# 24-10943 DATE AND TIME 10/21/24 05:23 OF COLLISION foi 7Y 4t =s " z r IV 1i: IY \ 1 TM t S� I e� x. � b t 1 s 3 PAGE 6 OF 6