HomeMy WebLinkAbout23-7460 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-7460 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4150 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 07 - 01 - 2023 2333 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S GRADY WAY BLOCK NO. e✓ 1000 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e BENSON RD S
0 1 29
UNIT 01 VEHICLE
MOTZ PEDAL-ORCYCLE ElDESA✓NHORESHOLD MET PHONE 0 4 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY ST ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES No YES No
8❑ LIRCIENSRE#
STATE I
SEX u MMDDYY '❑— 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑
3
LICENSE srATI vrN#'
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR 5 1. TRLR 33
12 2 5 vIN It VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 $ 34
13 4 NISS UNKNO UT DAMAGE YES NO YES❑ NO✓
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICV# 9TOP
vENICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT ❑VEHICLE ❑ CYCLE ❑ OWNER ❑ YES 1/ NO D:2065791835
16 a
LAST NAME WILLIAMS FIRST NAME CHRISTOPHER MIDDLE ,l
INITIAL
17 STREET I❑ 9215 120TH AVE SE CITY NEWCASTLE ST WA ZIP 98056 37
NEW ADDREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YES It1 I NoF t l YES NO
19 DRIVER'S STATE WA SEX M I D.C.B. 08 _ 28 _ 1974 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 6 NATURE OF INJURIES ❑ 40
USE CLASS PAIN
LICENSE I ❑21❑ PLA E# CAJ3473 TATE 41
WA vIN# WAUBEAFM66A022637 4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED eY Gov HI 44
VEH YEAR 2011 MAKE /al,ID/ MODEL�Q3 STYLE $D DAMAGE TOWED✓ NO
BLIN GENE MEYER YES NO
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSU&PORGY#E CO LIBERTY MUTUAL ADS 261 60895170 23 9TOP 5
IN EFFECT
VEHICLE ❑ ,.I—I CITATION# CHARGE
25 io BOTTOM
LEGALLY YES N
e
7B-
S NAME(PRINT) OFFICER PHONE BADGE OR ID# [AGENCY
26
MIN FLICK 12825 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED80068
COLLISION REPORT III III III III III 111
1591972 CASE# 23-7460
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BRISTOW OLIVIA T
(LAST FIRST,
ADDRESS&PHONE# D O.B.
2300 BENSON RD S UNIT B6 RENTON WA 98055 5303026376 SEXi F MMDOYyry 03 - 21 - 1997
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) WONG SEAN C
ADDRESS&PHONE# 01 D O B
2300 BENSON RD S UNIT B6 RENTON WA 98055 2063354933 SEX M MI,DDYvvv _ 31 _ 1997
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
[]WITNESS 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.
BENJAMIN FLICK 07-02-23 01:24 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 711612023 2:33:26 PM
BADGE OR ID# 12825 ORI# WA0171300 TIME POLICE DISPATCHED 11:33 PM TIME POLICE ARRIVED]11:33 PM
PART Ei PAGE IT]OF 4�
TIME
REPORT NO. ED80068 CASE# 23-7460 OF COLLISION07/01/23 23:33
NARRATIVE
23-7460
On 7-2-23 at approximately 2333 hours I was working a Renton Police Department patrol in full
uniform in the city of Renton, County of King, State of Washington. I was flagged down by a witness
for a motor vehicle collision hit and run at the cross of S Grady Way and Benson RD S.
Upon arrival I made contact with victim Christopher J. Williams (DOB: 08-28-1974 via WADOL). He
had been driving a silver 2011 Audi A3 WA/CAJ3473. He told me the circumstances that occurred
which were as follows:
Unit 01, a white SUV of unknown make and model and unknown driver had been driving Northbound
on S Grady Way toward Benson RD S as unit 02 was turning from Benson RD S onto S Grady Way.
Unit 01 had a red light and collided with unit 02 in the intersection. Unit 01 then fled from the collision
scene northbound from the intersection.
An area check was conducted for the suspect vehicle. It was not located. Debris on scene was later
found that had the manufacturer name: Nissan.
Both witnesses agreed with what victim Williams stated. They only knew that the suspect vehicle was
a newer, white, SUV.
The witnesses were identified as follows:
Sean C. Wong (DOB: 01-31-1997 via WADL).
Olivia T. Bristow (DOB: 03-21-1997 via WADL).
Victim Williams reported having pain as a result of the collision. He was evaluated on scene by
Renton Fire Department. He declined to be transported to the hospital.
I provided Williams with a business card which contained the case number.
At the conclusion of my investigation, I determined that the unknown suspect driver had committed
the crime of hit and run. The suspect was not located. With the amount of damage to the victim
vehicle, it was obvious that the suspect was aware that he had struck the victim vehicle.
This report was written for information only at this time, pending any leads.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by B. Flick 12825 on 07-02-2023 in Renton, WA.
PAGE 3 OF 4
REPORT NO. ED80068 CASE# 23-7460 DATE AND TIME 07/01/23 23:33
OF COLLISION
N
blotto scale
Unit 0
~ Benson Rd S
Unit 01
PAGE 4 OF 4