HomeMy WebLinkAbout23-1212 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 23-1212 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICCI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 01 - 1-- 2023 1810 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
EDMONDS AVE NE BLOCK NO. e✓ 700 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W e NE 7TH ST 1 9 29
UNIT MOTOR
VEHICL Z CELE ElDDAMYESA✓NOESHOLDMET PHONE 0 11
30
6� LAST NAME UNKNOWN FIRSTNAME UNKNOWN MIDDLE 1 2 31
INITIAL
STREET ❑ CITY RENTON ST' ZIP z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LIRCIENSRE#
STATE I
SEX u MMDDYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 9 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10 2❑ Pi ATNES14 BLC0670 STATE WA VIN# 7FARW2H85JE042859
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FR.. To
TRLR. YRLR. 5 1 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13 4 2018 HOND CR-V EX UT DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO ROMAN PECK 16815146TH AVE SE RENTON WA 98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ABILITY INSURANCE❑ INSURANCE CO UNKNOWN 3 4
IN EFFECT
&POLICY# 9TOP
VEHICLE CHARGE 5 36
LECALLv YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2562915544
16 a
LAST NAME HAMPTON FIRST NAME BERNARDEAN MIDDLE
INITIAL
17❑ STREET ❑', 116 HA LN CITY CHEROKEE ST AL ZIP 356165252 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES
t l NOF,/
19[-] DRIVER'S STATE AL ]SEX IF I D.Q.B. 12 _ 11 1955 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
21❑ LICENSE I EF06114 TATE MI VIN# 1FMJK2AT6MEA09048
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2021 MAKE FORD MODEL EXPEDITI STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO PV HOLDING CORP PV HOLDING CORP 300 CENTRE POINTE DR VIRGINIA BEACH VA 23462 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO RENTAL INSURANCE
IN 9TOP
VEHICLE LJ`
YES N(� CITATION# NONE CHARGE NIA to BOTTOM
LEGALLY
25 I $
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.CHR/STIANSEN 10437 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED29223
COLLISION REPORT III III III III III 111
1591972 CASE# 23-1212
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
PM 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.
J.CHRISTIANSEN 01-28-23 07:39 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 112812023 10:43:44 PM
BADGE OR ID# 10437 OR]# WA0171300 TIME POLICE DISPATCHED 6:20 PM TIME POLICE ARRIVED',6:21 PM
PART I PAGE IT]OF 5�
REPORT NO. ED29223 CASE# 23-1212 OF COLLISION
01/28/23 18:10
OF CbLLI510N
NARRATIVE
RPD CASE#: 23-1212
RECORDED ON AXON
Suspect Vehicle: 2018 Honda CR-V bearing WA/BLC0670
Suspect Vehicle Registered Owner: PECK, ROMAN; 16855 146TH AVE SE;
RENTON.STA/WA.ZI P/98058-8502
VICTIM VEHICLE #1: 2021 Ford Expedition bearing Michigan Plate: EFQ6114; Owned by Budget
Rental Company; PV HOLDING CORP; 300 CENTRE POINTE DR; VIRGINIA BEACH,VA
234624415
*This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. *
On 01.28.2023, at approximately 1821 hours, I was dispatched to a phone report regarding a hit and
run that occurred in the intersection of NE 7th ST and Edmonds Ave NE, in the City of Renton, WA,
the County of King.
At the time of dispatch, I was assigned to uniformed marked patrol in the City of Renton, WA, the
County of King. I was operating a fully marked Renton Police Tahoe #277, equipped with "POLICE"
markings, overhead exterior lights, and audible siren. I was wearing my department-issued uniform,
including a fully equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and
back and Renton Police badge affixed to the left breast. I was also wearing my department-issued
jumpsuit with "POLICE" patches on both shoulders and across the rear shoulders. It would be
immediately obvious to any reasonable person 1 was a police officer. I was assigned as 302.
I contacted the reporting party/victim via phone, Hampton, Bernardean (DOB: 12.11.1955; 256/291-
5544 ). Hampton stated she was operating Unit 02, a 2021 Ford Expedition bearing Michigan Plate:
EFQ6114 (rental vehicle), traveling westbound on NE 7th ST. As Hampton approached the four-way
stop at the intersection with Edmonds Ave NE, she stopped at the stop sign and when safe to
proceed, continued traveling westbound on NE 7th ST. Hampton says the driver of Unit 01, a Honda
CR-V bearing WA/BLC0670, was traveling northbound on Edmonds Ave NE. The driver did not stop
at the clearly posted stop sign, continued through the intersection and struck Unit 02 on the driver's
side rear body of the vehicle. After the collision, the driver of Unit 01 fled the scene, failing to stop
and check on the welfare of the other involved party or exchange information, as required.
The suspect driver was described as a white male, older, possibly Italian. The driver fled northbound
on Edmonds Ave NE, then turned right, eastbound, on NE Sunset Blvd.
The suspect vehicle returns clear with a registered owner listed as Peck, Roman Z. (DOB:
04.15.1952), with an address of: 16855 146TH AVE SE; RENTON.STA/WA.ZIP/98058-8502.
I provided Hampton with a copy of the case number via email, beanhampton@outlook.com.
Hampton told me she is visiting from Alabama and leaves Washington State on Feb. 1, 2023. She
wanted to "think about" whether or not she would aid in prosecution for hit and run should the driver of
the suspect vehicle be identified.
At approximately 1844 hours, I responded to the suspect vehicle address on file in an attempt to
contact the registered owners. Upon arrival, the suspect vehicle was not on location, and no one was
at the residence. I will attempt contact later on in the evening.
No injuries were reported.
Should a suspect driver be identified, there is probable cause for violation of RCW 46.52.020: Hit and
Run -Attended vehicle.
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 J. Christiansen #10437, on January 28, 2023, at approximately 1937
hours, in Renton, WA.
PAGE 3 OF 5
REPORT NO. ED29223 CASE# 23-1212 OF COLLISION
01/28/23 18:10
OF CbLLI510N
NARRATIVE
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
Motor Vehicle Unit 1
Action Code: FAILED TO STOP AT STOP SIGN
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EU29223 CASE# 23-1212 DATE AND TIME 01/28/231810