HomeMy WebLinkAbout24-640 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
❑ ❑ RESULTED ❑ CASE 24-640 2
INTERSTATE CITY STREET FIRE
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
TRIBAL UNITS 02 STRUCK' FENCE
RESERVATION
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
COLLISION.. 01 — 18 — 2024 1903 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SE 128TH ST BLOCK NO. e✓ 16027
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElDESA✓NHORESHOLD MET PHONE 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY BLACK DIAMOND ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
DRIVERS
STATE SEX D - 328 LICENSE MMDYY❑
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 3 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10� PI ATE 14 BPW2202 sTAT WAv N# 2T3A1 RFV8KW051611
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. ro
TRLR. TRLR 7 3 33
12❑ VIN#j VIN#
2019 TOYT RAV4 SV pL ❑ RO�34
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE
13 4 DAMAGE YES NO �I YES NO
REGISTERED OWNER INFO TERESA BALM 31035221THAVE SE BLACKDIAMOND WA 98010 VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY#
ve'C ❑ 36
LECALLv res❑NO❑ CITATION# CHARGE BOTTOM
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2067901473
❑
LAST NAME WADE FIRST NAME MARK MIDDLE A
INITIAL
17❑ NEW STREETREs7 16027 SE 128TH ST CITY' RENTON ST WA ZIP 98059 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVEW # STATE SEX M MMDDW 05 _ 08 _ 196 8 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TATE vIN# 41
`1
PLATE#
42
22 [TRAILER T
❑ PLATE# STATE pLATE#ILER STATE
23❑ TRLR R 43
LR
VIN#. N I #.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWEDBY Gov HI 44
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
C.ARNOLD 12509 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE48841
COLLISION REPORT III III III III III 111
1591972 CASE# 24-640
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.
C.ARNOLD 01-18-24 08:45 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.MOYNIHAN 11288 1 2/9/2024 9:09:16 PM
BADGE OR ID# 112509 ORI#' WA0171300 TIME POLICE DISPATCHED! 7:07 Pry TIME POLICE ARRIVED',7:13 PM
PART I PAGE IT]OF 4�
REPORT NO. EE48841 CASE# 24-640 OF COLLISION
01/18/24 19:03
OF CbLLI510N
NARRATIVE
On 01/18/2024 1 was dispatched to a single vehicle hit and run collision at 16027 SE 128th St in the
City of Renton, King County, Washington. When I arrived I viewed Vehicle 1 which was unoccupied,
resting in the yard at this address. I observed that there was tire tracks starting in the dirt at at around
the 16000 block of SE 128th St on the South side of the roadway. The tire marks continue Eastbound
up a dirt embankment. Along the path of the vehicle I found pieces of the bumper and frame of the
vehicle. On each side of the property owners driveway, there is chicken wire that had obvious
damage on the West side of the driveway, and the chicken wire on the East side of the driveway was
downed completely. Vehicle 1 had complex airbag deployment and an outwardly smashed
windshield, indicating that the driver was likely not wearing a seatbelt and was partially ejected. I
found short light colored hair in the broken glass of the windshield. Driver 1 did not remain on scene
and there were no witnesses to place anyone inside of the vehicle, let alone in the drivers seat.
Based upon the evidence found, it appears that Vehicle 1 was traveling at a high rate of speed East
on SE 128th St and lost control at around the 16000 block. It appears that Vehicle 1 then went over
the embankment on the South side of SE 128th St and then over the driveway at 16027 SE 128th St,
coming to a rest on the East side of their driveway with Vehicle 1 facing South. I provided the property
owner with an exchange of information form with the case number and vehicle details as well as the
registered owner. I had Black Diamond PD respond to the RO address and they advised that the
family was recently evicted. They also advised that the son of the RO, Brandon A. Baim (DOB:
02/12/1992) was likely the driver of Vehicle 1. Upon looking at Baim's DOL photo, it appears that the
hair I found in the windshield belonged to him. There is no PC at this time as there is still not witness
to place anyone in the driver seat of Vehicle 1. After speaking to the owner of Vehicle 1 on the phone,
she advised that Brandon has not been in the area recently and was likely not driving Vehicle 1. This
was refuted by a Black Diamond PD Officer who advised that the owner of Vehicle 1 will lie to cover
for her sons actions and that he had recent contact with Brandon which conflicts with the owner of
Vehicle 1's statements.
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REPORT NO. EE48841 CASE# ' 24-640 DATE AND TIME 01/18/24 19:03
OF COLLISION
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SCALEAN
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