No preview available
HomeMy WebLinkAbout23-6994 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 23-6994 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OS STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION 06 — 1—— 2023 1322 17 ❑. S 8 W Li OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NE SUNSET BLVD M4500 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 400 00 FMILES EET e S B E e ANACORTESAVENE 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YES �/No D:4255916755 0 11 30 6� LAST NAME LUKE FIRSTNAME LIANA MIDDLE N 1 2 31 INITIAL STREET ❑, 3105 109TH AVE SE CITY BELLEVUE ST WA Zjp, 980047534 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ LICENSE WA STATE Wq SEX F MM DAY' 08 — 01 — 1999 1 2 32 9 ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H U EET 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� ANM2114 sTArr WAurN# 1N4At3AP7DC290448 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR. 3 5 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR 2013 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 NISS ALTIMA SD DAMAGE YES NO YES[:] No ✓ REGISTERED OWNER INFO PETER LUKE 3111109TH AVE SE BELLEVUE WA 98004 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 931043913 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY res No CITATION# 3AO450683 FAIL YIELD LEFT TURN MOTOR o eorrom 15❑ NDING 6 MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE T 02 VEHICLE CYCLE E] PROPERTY❑ OWNER ❑ YES 1/ NO D:2086296584 16 a LAST NAME WANG FIRST NAME ZIJIAN MIDDLE INITIAL 17❑ NEW STREETREss❑' 46 COTTONTAIL DR CITY POMONA ST CA ZIP 91766 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTE � 38 INTERLOCK YEs❑NO� INTERLOCK YEs❑NOF YES ❑NOF,/ 19 DRIVER'S STATE CA SEX M I D.C.B. 12 _ 07 1994 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS I AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40 ❑21❑ PLATE# TArE 41 vIN1 1N46L46V1LC208915 1 42 22❑ PILER LATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. Gov HI VEH YEAR 2020 MAKE /1J/$$ MODEL SQL)'/M�Q STYLE $D —FEHICLE fj 44 AMAGE TOWED NOO✓ BLIN TOWED BY YES NO 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSU&PORGY#E CO GANAS UNAVAILABLEIN STOP 5 VEHICLE YES[:] NC[:]I CITATION# CHARGE to BOTTOM LEGALLY 25 N.HVCa OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 MATTHEW TRA/NO 12811 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED73310 COLLISION REPORT III III III III III 111 1591972 CASE# 23-6994 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. MATTHEW TRAINO 06-11-23 07:01 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 6/24/2023 1:10:25 PM BADGE OR ID# 12811 ORI# WA0171300 TIME POLICE DISPATCHED; 1:26 PM TIME POLICE ARRIVED 1:33 PM PART Ei PAGE IT]OF REPORT NO. ED73310 CASE# 23-6994 OF COLLISION 06/10/23 13:22 OF CbLLI510N NARRATIVE On 06/10/2023 at the referenced time and location, I responded to a report of a three-vehicle collision in the 4400 block of Sunset Blvd NE. Upon arrival I contacted the three involved drivers and had them move their vehicle into a nearby parking lot. Due to multiple airbag deployments, an Aid unit was requested, no subjects reported injuries or were transported to a hospital. The involved drivers were all identified by their state issued driver's license. Unit#1 -Driver Lianna N. Luke (08/01/1999) said that she was heading westbound on NE Sunset Blvd, and was waiting to turn left into a parking lot at this referenced location. According to Luke, a unidentified vehicle in the #2 lane of eastbound traffic stopped for her. She said that she could not see around the vehicle, but decided to make the left turn into the parking lot. When Luke made the turn, she was struck by Unit#2, who had the right of way. The collision then caused Unit#1 to strike Unit#3. Luke's Altima sustained moderate damage and right side airbag deployment. Luke reported no injuries. Unit#2 -Driver Zijian Wang (12/07/1994) stated that he was heading eastbound on NE Sunset Blvd, at the referenced location. Wang was driving in the #1 lane when U-1 turned in front of him. Wang said that he was unable to stop before the collision occurred. Wang's Altima sustained moderate damage to the front bumper, as well as multiple airbag deployments. Wang reported no injuries. Unit#3-Driver Miassar M. Morrar (10/17/1960) was in the referenced driveway waiting for traffic when her RAV4 was struck by U-1. Morrar said that she watched U-1 turn in front of U-2, which caused the collision. Her vehicle sustained minor damage to the front bumper, she reported no injuries. Driver Luke was issued a Notice of Infraction for Failure to Yield while making a left turn under RCW 46.61.185. The infraction was explained to Luke who had no questions. N/F. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. ED7331 O r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-6994 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 DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:4253067606 OF 7 29 LAST NAME MORRAR FIRST NAME MIASSAR MIDDLE' M INITIAL ] r:j STREET 30 NEW AnDRFSP. 10511 151ST AVE SE CITY RENTON ST WA ZIP 980595724 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 10 - 17 - 1960 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BMX5045 [TAT WA VIN# JTMBFREVXJJ748007 PLATE# 9 9] TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 3 5 VEH.YEAR2018 MAKE TOYT I MODELRA W STYLE UT I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 3 4 FROM TO LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 933141126 q"i"Olx IN EFFECT &POLICY# VEHICLE 34 13 ❑ Lecnuv YES NO❑ CITATION# CHARGE gg�@ 10 BOTTUM STANDING } l:9 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE 1:1OWNER YE YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME NIITIA 36 L ❑ STREET"[-] 16 NEW nnR CITY ST ZIP CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED NTERLOCK 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 3 4 4 AREA F 43 z 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. MATTHEW TRAINO 06-11-23 07:01 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORID# 12811 O#IL WA0171300 SCOTT 612412023 PAGE F OF 5 3000-345-013(R 11118) REPORT NO.! ED73310 CASE# ' 23-6994 DATE AND TIME 06/10/23 13:22 OF COLLISION Natmscala 0 0 N ^ m Scene Not0b—,d Ui—I—d:Smpped Vehide + ��Sumset Blvd "u6t91 Unt#3 Umt#2' Pnmary PdioWhpact'� Secondary Point©fhmpaet' PAGE 5 OF 5