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Home My WebLink About24-11421 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-11421 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI 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# cowsloN 11 - 1-- 2024 1755 17 ❑-= S 8 IN e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ RAINIER AVE S BLOCK NO. e✓ 400 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV e S 4TH PL 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4255234095 0 11 30 6❑ LAST NAME NGUYEN FIRSTNAME HAITRIEU MIDDLE A 1 2 31 INITIAL STREET ❑ 10822 SE 173RD ST CITY RENTON ST WA Zlp' 98055 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'U MID LOB 09 1— 09 — 2006 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� CCY2293 sTArI WAurN# 7SAYGDEE9NF437503 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 5 33 12 0 0 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 3 ] 34 13 3 2022 TESL MODEL 4D DAMAGE vEs 0NO agW�MEYERS ves❑ No REGISTERED OWNER INFO HAITRIEU NGUYEN 10822 SE 173RD ST RENTON WA 98055 D:4255234095 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 3 4 14 LIABILI INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 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:4259194090 16 a LAST NAME HIRANO FIRST NAME EMI MIDDLE M INITIAL 17❑ STREET ❑', 15470 141ST PL SE CITY l RENTON ST WA ZIP 98058 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED ❑ 38 INTERLOCKYEs❑No� INTERLOCK ves No� YEs NOF 19 DRIVER'S STATE WA SEX F D.C.B. 03 _ 10 _ 2005 39 LICENSE# MMDDYY WELMET INJURY 6 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS GENERAL SORENESS ❑ 21❑ LICENSE I BSS9693 TAre WA VIN1t KMHCT4AE7GU052312 ❑ 41 PLATE# 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 2016 MAKE HYUN MODEL ACCENT STYLE qD VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44 24❑ DAMAGE YES NO GENE MEYER YES NO REGISTERED OWNER INFO THUY-LINH VUONG 15470141STPL SE RENTON WA 98058 D:4259194090 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO WASHINGTON AUTO INSURANCE AX01800815 STOP 5 IN EFFECT VEHICLE ❑ C[ CITATION# CHARGE 25 to BOTTOM LEGALLY YES N e 7TY'LER S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 EDIGER 12807 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF32090 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11421 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SIALE MAK/TEL/NE T (LAST FIRST, ADDRESS&PHONE# 27204 104TH AVE SE KENT WA 98030 4255259706 SEX i U MMDOYyry 10 - 24 - 2006 {� SEAT HELMET NJURY : NATURE OF INJURIES PASSENGER Z WITNESS❑ UNIT# 3 POS. 3 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 16 RIB PAIN NAME (LAST,FIRST,MIDDLE INITIAL) SIALE FA ADDRESS&PHONE# D O E4 27204 104TH AVE SE KENT WA 98030 2069312770 SEX M MMODYYYv 05 f 5 _ 2008 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 3 POS 7 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 6 L.GENERAL SORENESS NAME (LAST FIRST,MIDDLE INITIAL) LOUMOLI LIUFAU F AooREss PHONE# 27204 104TH AVE SE KENT WA 98030 U I. 11 04 _ 2008 SEX. D.O.B. _ MDDYYYY PASSENGER WITNESS UNIT# ! 3 SEAT 5 AIRBAG 2 RESTR. 4 EJECT 1 HELMET NJURY 6 NATURE OF INJURIES �. POS. USE ICLASS GENERAL SORENESS 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. TYLER EDIGER 11-03-24 11:53 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.THIELMAN 11462 1 111512024 12:36:35 AM BADGE OR ID# ( 12807 ORI# WA0171300 TIME POLICE DISPATCHED 5:55 PM TIME POLICE ARRIVED',6:01 PM PART I PAGE IT]OF STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF32090 COLLISION REPORT III III III III III 111 1591972 CASE# 24-11421 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) LOUMOLI TONGA P (LAST FIRST, ADDRESS&PHONE# 27204 104TH AVE SE KENT WA 98030 SEX i U MMDovyry 07 - 09 - 2007 {� SEAT HELMET NJURY NATURE OF INJURIES PASSENGER Z WITNESS❑ UNIT# 3 POS. 7 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS '7 GENERAL SORENESS NAME (LAST,FIRST,MIDDLE INITIAL) LOUMOLI ELIZABETH M ADDRESS&PHONE# D O E4 27204 104TH AVE SE KENT WA 98030 SEX U MMODvvvv 09 _ 16 _ 2006 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 3 POS. 10 AIRBAG 2 RESTR. 4 EJECT 1 USE CLASS 7 GENERAL SORENESS NAME (LAST FIR57 MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - MMDDYYYY. PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS T�----� 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. TYLER EDIGER 11-03-24 11:53 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.THIELMAN 11462 1 111512024 12:36:35 AM BADGE OR ID# ( 12807 ORI#' WA0171300 TIME POLICE DISPATCHED 5:55 PM TIME POLICE ARRIVED',6:01 PM PART I PAGE IT]OF REPORT NO. EF32090 CASE# 24-11421 OF COLLISION 11/03/24 17:55 OF CbLLI510N NARRATIVE During this incident, I was equipped with a body-worn camera, which records both audio and video. Portions of this incident were recorded. This report is merely a summary of the incident and is not intended to be an exact transcription of the entire investigation or what may have been captured with the recording system. I was operating a fully marked Police Tahoe #320 which was equipped with overhead emergency lights and sirens. Case Number 24-11421 On 11/03/2024 at approximately 1759 hours, I was dispatched to an unknown injury accident at the intersection of Rainier Ave S and S 4th PI, within the City of Renton, King County, Washington. I identified Unit 1 in this collision as a 2022 Tesla Model Y (WA/Lic: CCY2293 Vin# 7SAYGDEE9NF437503). The driver and sole occupant was identified as Haitrieu A Nguyen (DOB 09/09/2006). Haitrieu had general soreness but no obvious injuries, he was evaluated and cleared by the fire department. Unit 1 sustained significant front-end damage and was towed by Gene Meyers. I identified Unit 2 in this collision as a 2016 Hyundai Accent (WA/Lic: BSS9693 Vin# KMHCT4AE7GU052312). The driver and sole occupant of Unit 2 was Emi M Hirano (DOB 03/10/2005). Emi also had general soreness and was evaluated and cleared by the fire department. Unit 2 sustained significant front-end damage and was towed by Gene Meyers. I identified Unit 3 in this collision as a 2022 Hyundai Palisade (WA/Lic: CCB8912 Vin# KM8R1 DHEXNU423210). The driver of Unit 3 was identified as Anne H Loumoli (DOB 02/11/1978). Unit 3 was also occupied by Makiteline T Siale (DOB 10/24/2006), Fa Siale (DOB 05/15/2008), Liufau F Loumoli (DOB 11/04/2008), Tonga P Loumoli (DOB 07/09/2007) and Elizabeth M Loumoli (DOB 09/16/2016). All occupants of Unit 3 stated that they had general soreness, but all were medically cleared by the fire department. Unit 3 sustained significant front-end damage and was towed by Gene Meyers. None of the vehicles would have been able to leave under their own power. Unit 1 was traveling southbound on Rainier Ave S at the intersection of S 4th Pl. Unit 1 believed he had a green light and was continuing south through the intersection. Unit 2 was on S 4th PI traveling westbound across Rainier Ave S. Unit 2 also believed she had a green light. Unit 1 and Unit 2 collided in the intersection, causing Unit 1 to slide into the front of Unit 3 who was traveling eastbound on S 4th PI approaching Rainier Ave S. Unit 3 was not certain who had the greenlight but stated that Unit 1 appeared to be traveling at a high rate of speed. Unit 1 and Unit 2 appeared to collide in the middle of where their lanes intersect. I am unable to determine if Unit 1 or Unit 2 had a green light. The proximate cause of this collision is either Unit 1 or Unit 2 failing to yield to the traffic control device. Unit 2 has a dash camera and I sent an Axon citizens link for the video to be uploaded. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer T. Ediger#12807 11/03/2024 Renton, King County, WA. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 3 Seat Position (Passenger ELIZABETH LOUMOLI): 3RD ROW MIDDLE **** END OF AUTO-POPULATED SECTION **** PAGE 4 OF 6 SUPPLEMENTAL REPORT NO. EF32090 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-11421 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !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 DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE t_"J � PEDESTRIAN YES� NO 0 8 29 LAST NAME LOUMOLI FIRST NAME ANNE MIDDLE H INITIAL STREET 30 ❑ NEW AnDRFrtP 27204 104TH AVE SE CITY KENT ST WA ZIP 98030 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YES NO NTERLOCK YES❑N0� vES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 02 - 11 - 1978 7 ON DUTYl STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE I CCB8912 [TAT WA VIN# KM8RIDHEXNU423210 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE If STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 0 0 VEH.YEAR2022 MAKE HYUN I MODELPALISAD STYLE UT VEHICLE TOWS ET SABLI W_6'•ER Gf1VT VFHIGP FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 7 j 4 FROM TO LIABILITY INSURANCE❑ INSURANCE CO UNKNOWN R"i"Olx IN EFFECT &POLICY# VEHICLE 34 13 ❑ LEGALLY YESZ NO❑ CITATION# CHARGE gg�@ 10 BOTTUM STANDING �} MOTOR l:9 7 6 14 ❑ UNIT Tr Vd 1 RE O CYCLE � OWNERRTY � DASMMNOHRESHOLDMET PHONE ❑ 35 El PEDESTRIAN YE 15 LAST NAME FIRST NAME INITIAL 36 MIDDLE ❑ STREET 16 NEW Aa "F-] CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK 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 ICLASS 19 ❑ 39 LICENSE rnr VIN# PLATE# 20 ❑ TRAILER TRAILER El40 PLATE#< STATE PLATE If STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED 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 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. TYLER EDIGER 11-03-24 11:53 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 12807 O#I',WA0171300 APTHIELMAN 111512024 PAGE OF 6 3000-345-013(R 11118) REPORT NO. EF32090 CASE# ' 24-11421 DATE AND TIME 11/03/24 17:55 OF COLLISION 4 4 43 1r 4 ON' CL 1 4 t��eS 4 ° t f� 4 1 4 Y Y n,t u tw i Sir� a 1 t � � I t t t » b b PAGE 6 OF 6