HomeMy WebLinkAbout24-3428 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-3428 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4950 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#
cawsloN 03 - 1-- 2024 1544 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S 43RD ST BLOCK NO. e✓ 400 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e ON/OFF RAMP SR 167
0 1 29
UNIT MOTOR
Z PEDAL ❑ YESA,GEE NHORESHOLD MET PHONE 0 7 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31
INITIAL
STREET ❑ CITY RENTON ST ZIP z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ LIRCIENSRE#
STA fE I
SEX u MMDOOYY '❑- 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑
3
10 1❑ PI ATE 14 BUE2735 sTAT WA V N# JT2SV33EXL3429818
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 0 0 VIN#' UIN#
FROM TO
❑ VEH.YEAR MAKE I MODEL STYLE VEHICLE TOWED 0 TO ffBLINIT Y GOVT.VEHICLE 9 9 34
13 2 1990 TOYT CAMRY DAMAGE YES NO 9 MEYER vE8❑ No
REGISTERED OWNER INFO [NEW] VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY#
VE 9TOP
HICLE CHARGE 5 36
LEGALLY
res❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D.2064835919
16 a
LAST NAME BORILLO FIRST NAME SHAWN MIDDLE G
INITIAL
17❑ NEW STREETREs7 11674 SE 189TH PL CITY RENTON ST WA ZIP 980587101 37
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l NO❑
19 D IVEW # STATE WA SEX M M D.C.B. 04 24 2005 El 39
20❑ ON DUTY STATUS AIRBAG,2 RESTR 4 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS LEGS
❑21❑ PLATE# TATE 41
399XOF WA VIN# 4A3AK64F48E009313 4
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE MITS MODEL ECLIPSE STYLE VEHICLE TOWED TO BLIN TOWEDBv GOV HI 44
24❑ DAMAGE YES NO (,ENE MEYER YES NO
REGISTERED OWNER INFO AMABEL GALLARDO 11674 SE 189TH PL RENTON WA 98058 VEHICLE NO.2
SHADE IN DAGELLAREA
z Cdd
INAEFFITY ECTNSURANCE INSU&POLICY#E CO SAME. I GD
LEGALLY YES Nu
25❑ s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE65044
COLLISION REPORT III III III III III 111
1591972 CASE# 24-3428
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TUCKER RASHIEDA
(LAST FIRST,
ADDRESS&PHONE# D O.B.
2066046048 SEX' U MMDDYYYY -❑
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) VERGRA MARIA
ADDRESS&PHONE# D O B
2067784451 SEX: U MMDDYYYv
PASSENGER []WITNESS POS. USE CLASS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
M.LEVERTON 04-03-24 07:09 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOSS 1953 4/3/2024 5:45:05 PM
BADGE OR ID# 2517 OR]#' WA0171300 TIME POLICE DISPATCHED! 3:46 PM TIME POLICE ARRIVED',3:55 PM
PART I PAGE IT]OF 4�
REPORT NO. EE65044 CASE# 24-3428 OF COLLISION
03/29/24 15:44
OF CbLLI510N
NARRATIVE
slv 2 stopped 6 car back from blk unit 1 struke curb in nb lane struck fled left vehicle in gear
near intersection at 43/evh running fled on foot
RTF
Within the city limits of Renton/King/WA I responded to a 2 car hit and run crash near the 400 block of
S 43rd St.
I contacted the driver of unit 2 who told me he was stopped in lane one westbound about 6 cars back
from the traffic signal controlling traffic at the on/off ramps to SR167. He said he saw a black car
speeding down the right turn lane for NB SR 167. Unit 2 told me he watched the black car/unit 1
strike the curb on the north side of the street and deflect back into traffic crashing into the back of his
car. He said the black car did not stop. It sped off around him and went westbound where is
eventually crashed just before the intersection of 43rd and East Valley Rd. He said he tried to follow
but his car was too heavily damaged.
Unit 2 could not provide any ID on the driver he said it was sudden and happened so fast he never
saw the driver. The car was spray can painted black and returned to an address in Auburn/Asian
male. A witness described the driver who fled as a black male. Auburn PD was requested to area
check/contact RO with negative results, which included to RO as not even listed at the address on
registration.. Unit 1 vehicle was not listed in WACIC/NCIC as stolen and as of 4/3/2024 still shows
clear.
A review of local cameras that could have ID'd the fleeing suspect was negative. The cameras were
either pointed in the wrong direction or the camera resolution was too poor.
Unable to locate RO, unable to ID suspect driver, victim/unit 2 can not provide any additional
information ref suspect driver. Information/Insurance only.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 4/3/2024
PAGE 3 OF 4
REPORT NO. EE65044 CASE# ' 24-3428 DATE AND TIME 03/29/24 15:44
OF COLLISION
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PAGE 4 OF 4