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HomeMy WebLinkAbout24-9659 a ITFFi "OLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 2 27c COLLISION REP FIT 1591971 CASE 24-9659 2 INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HIT& F ❑ LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 RESERVATION STRUCK z 3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ CowsloN 09 - 1-- 2024 1145 17 ❑.= S IN 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 300 RAINIER AVE N BLOCK ST e✓ MILEPOST 300 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES❑ �.❑ FEET e S ❑ W e 0 5 29 MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES �/No D:2064074353 0 1 30 6❑ LAST NAME KINZ FIRSTNAME LESETTE MIDDLE M 1 1 2 31 INITIAL STREET 01 9551 RAINIER AVE S APT 108 CITY SEATTLE ST WA ZIP 98118 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'F MID .O B 09 - 30 - 1985 1 2 32 9 ON DUTY❑ STATUS' AIRBAG 3 RESTR 9 EJECT 1 H U EET CLASS 6 HEADE OF INJURIES 2❑ 3 LICENSE CFE8989 sTArI WAurN# 2C3KA53G37H883601 10 9❑ PI ATF 1e TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR. 1 1 33 12 0 0 VIN#' VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34 13 4 2007 CHRY 300 DAMAGE YES NO YES❑ No✓ REGISTEREDOWNERINFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 A LIABILITY INSURANCE INSURANCE CO 2 3 4 14 ❑ WASHINTON AUTOMOBLE INSURANCE 2016791172 IN EFFECT &POLICY# 9TOP LEIA LE CHARGE 5 36 LEIF" YES❑NO❑ CITATION# 10 BOTTOM 15❑ TANDING 8MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLDMET PHONE �US NIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO N:4255203089 16 a LAST NAME ZHU FIRST NAME WENLIANG MIDDLE N INITIAL 17❑ STREET ❑', 621 S JACKSON ST APT 407 CITY' SEATTLE ST WA ZIP 981042974 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCK YEs❑NO� INTERLOCK YEs❑NOF YEs❑NOF,/ 19 DRIVER'S STATE WA SEX M D.C.B. O6 _ 03 _ 1981 39 LICENSE# MMDDYY HELMET INJURY 6 NATURE OF INJURIES 40 20❑ ON DUTY[:I] STATUS AIRBAG 3 RESTR 9 EJECT 1 USE CLASS CHEST PAIN ❑ 21❑ LICENSE I CK68199 TAre WA VIN# 5TDDSKFC3RS114397 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2024 MAKE TOYT MODEL SIENNA STYLE VN VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO BANKERS YES NO REGISTERED OWNER INFO XIAOHUI PENG 16535115TH AVE SE RENTON WA 98055 N.4255203089 VEHICLE NO.2 SHADEd DAMAGEDAREA 4� 3 4 LIABILITY INSURANCE I PORGY#ECO WASHINFTONINSURANCEP46A4113403 STOP 5 IN EFFECT VEHICLE ❑ C[:] CITATION# CHARGE toBOTTOM LEGALLY YES N 25 8 7 6 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 SULIASI TAMAIVENA 12788 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICE TRAFFICN CORRECTION REPORT NO. ER 6153 COLLISION REPORT III III III III III 111 1591972 CASE# 24-9659 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) KO NICHOLAS H (LAST FIRST, ADDRESS&PHONE# 6228 SE 2ND ST RENTON WA 98059 4256230282 SEX i M MMDOYyry 12 - 21 - 1986 PASSENGER SEAT AIR ' ' HELMET INJURY NATURE OF INJURIES [:]WITNESS❑✓ UNIT# BAG RESTR. EJECT POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# DOB 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.MMDD -❑ YYYY. 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. SULIASI TAMA/VENA 09-14-24 02:48 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE S.WOODWARD 11528 1 911812024 3:16:39 PM BADGE OR ID# 1Y788 OR]# j WA0171300 TIME POLICE DISPATCHED 11:47 AM TIME POLICE ARRIVED 11:49 AM PART B PAGE IT]OF 4� AND REPORT NO. EF16153 CASE# 24-9659 OFCOLLISION 09/14/24 11:45 OF COLLISION�isi©�u NARRATIVE On 09/14/2024, at approximately 1147 hours, I was dispatched to an accident in the 300 block of Rainier Ave N in the City of Renton, County of King, Washington. The dispatcher advised that a crash notification alerted them. Seconds later, a witness called and said one of the involved was having chest pain. I spoke with Unit#1, who advised that she was in lane #3 (#1 being the nearest to the divider), on Rainier Ave N, heading South. Lane #3 is also a lane that can only travel southbound. She said she was trying to head home, which is the opposite direction of her. She said she tried to make a U-turn, which she crossed two left turn lanes before being hit by Unit#2 in the rear left door, causing damages. She believes Unit#2 knew she was making an illegal U-turn and still proceeded to hit her. The vehicle was unable to drive, and she claimed head injuries. She was medically checked and cleared by Fire. She admitted to making an improper U-turn. Her vehicle remained on the side of the road as it was safely off the roadway. Kinz will have her car towed later. Unit#1 `s vehicle was described as a 2007 gray-colored Chrysler 300 bearing WA plate CFE8989 registered to her. A return showed Kinz is suspended and revoked in the 2nd degree. She also could not provide active insurance. Kinz received a citation for driving while suspended in the 2nd degree, not providing active insurance, and making a prohibited U-turn. She was advised she would receive her citation through mail, which she understood. I spoke with Unit#2, who advised that he was traveling southbound in lane #1 on Rainier Ave N. Lane #1 is a left turn lane that leads to Airport Way. He said while he was driving straight, Unit 2's car made a U-turn in front of him, which caused his van to hit her car. He received damages to his van on the right side of his bumper. He did have chest pains and was checked out by fire, where he was cleared. The vehicle was not drivable and was towed by bankers with consent. Unit 2's vehicle was described as a gray-colored 2024 Toyota Sienna bearing WA plate CKB8199 registered to PENG, XIAOHUI. Nicholas, a witness following directly behind the van, had video of the accident. The video was watched by an officer and relayed as Unit#1 was in lane #3 when she made an improper U-turn, crossing two left turn lanes traveling southbound, in which she was hit by Unit#2, who she probably didn't see. A community link was sent to Nicholas to submit for evidence. An exchange information form was provided to both Units. This concludes my report. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signature: Suliasi Tamaivena Date and Place: 09/14/2024 at Renton, WA PAGE 3 OF 4 REPORTNO. EF16153 CASE# 24-9659 DATE AND TIME 09/14/2411:45 OF COLLISION ". TO S n i PAGE 4 OF 4